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HomeMy WebLinkAboutMallins Y - l colvFolit ®� ELIZABETH A.NEVILLE ��� -q` t2.0_, Town Hall, 53095 Main Road TOWN CLERK ; co P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 Fax (631) 765-6145 MARRIAGE OFFICER \#941 � � s <,�"'' � �1 RECORDS MANAGEMENT OFFICER � �/� .$ 1l� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER �•0 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2338 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : WILLIAM MALLINS Address 1 : 7 INNIS AVENUE City St Zip LAKE RONKONKOMA NY 11779 Descripton of Proposed Construction or Alteration SANITARY SYSTEM FOR SINGLE FAMILY DWELLING. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. REF #R10-99-0207 Name Of Owner WILLIAM MALLINS Mailing Address 1 7 INNIS AVENUE City St Zip RONKONKOMA NY 11779 Property Address 1 190 JACKSON LANDING City St Zip MATTITUCK NY 11952 Tax Map No. section 113.00 block 4 lot 4.000 Cross Street MILL ROAD Building Permit Number Cross Reference: Issue Date: 6/07/00 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) L933Y ELIZABETH A.NEVILLE ,tebTown Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 @g5) REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER :®� O ���� Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER N.:1-WI ,ssZZ, �4�l oI�, Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER _ `Ls' •1 . ,,,,, OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: June 5, 2000 Transmitted herewith is a copy of application No. 2426 for a Cesspool/ Septic Tank Construction Permit submitted by William Mallins Please review the application and location map and advise if the project has received Suffolk County Health Department approval and if this office may issue the permit. Please complete the form below and return it to me. Thank you. Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE ✓ DISAPPROVE Comments: ignature _ - 6fr/6 Dated , ,,"-"I..-,,,.i OFFICE OrTHE TOWN CLERK 0'''�``��W ire TOWN OF SOUTHOLD ,0 OJV Ql/ Application No.o2 VcP6 FI I7ABETH A.NEVILLE,TOWN CLERK t. P.O.BOX 1179 % Construction SOUTHOLD,NEW YORK 11971 Z = �_ ^' Alteration Telephone �,j- �iri . $10.00 -Residential si (631) 765-1800 -- - �,if' • $25.00 -Non-Residential •--- -,,,/I1' TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT • APPLICATION • for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. • Fee .$ / DATE 61 �/ / o APPLICANT NAME: )j.11_1.,"4-,,,N Vy\r4L- APPLICANT ADDRESS: `7 T rvrOks ti's-Or;. L4 Ke €Koftit6Niso°rnP } 6U`l . 11 77 r, SEPTIC CESSPOOL V DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION Now I-en r r.e - Res i Oi IT 1 iq-C LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: • OWNER OF PROPERTY: LA LI...A‘q;y\ c I,I- OWNER MAILING ADDRESS: 11 .a_N.)n) 1S q-U P . r01cOroKD mr4 1 rU`I. 1ll1 7 OWNER PROPERTY ADDRESS: VAC) TELEPHONE NUMBER OF CONTACT PERSON: mwzc nwr +J 631-36 9 -7.2 i 0 TAX MAP NO. : Section • / / 3 Blocckk 4l Lot 31 y • CROSS STREET: h`-- -(—( " , BUILDING PERMIT NUMBER CROSS REFERENCE: ,OgA.A e u,J (01/Or A Signature of Applicant RECEIVED BY: L.11,?..-1--A-----' own Clerk's Office DATE: 6 4 d • 1 ` •V t C • TEST t-lntrs EL 10 O O-'3' SR++O d. Ldf�T.. , 3'- 5° SAun K GR.ai&� !�j cI— ,SI I."�, -5ta-He C.9.4.1er_, 4:00/ Illi Z s RI 0 ci �.' 0 // \ O no Q! 0 r 0• 2 'T RI Cfl 17. 74 CD �' m � %`� \ \ ' Q C 9 '1J..<C) `l 921 cx,„ 1 %. \ / M ?i g /WK.; \Z _ 1 I enT. 1 N o 4 p p- .„ • \ Fel! M \ `- �'Airs- 4,r /5 , ,��cc�� 460 A:R. ... 1, , �C A , w '1 J1 N \ , , --›(.- 41, o 22? � o rn � I ® � � � � , \ / 1 \ I C) 71 o ft �I3s/ 41 X o fes_ / �1 \ -J I I (/) C >i/ S --0 1 / 0 r• 11 I t."1!1: �, t< I 0 ° al r S-r- / 6 / I o I ! -N - < ^C z • I r i O�?IYF,,,,47 NI , ♦ J w C 9 II ��IisD © a f S a I o o 4R , , - wI �,o _ P.\ It. , I I — • C) r a , la � � n o _ ( Z C I W -, Cs\ n) I ( G) o . I �" ',I::--' a ) , 1 V i rn _ .k''' ". is X�, _\ z lC C I I (...-D rn a �� r. i \ r' ( 6- o o \� X98. g.\ r _ 250 j6' 3Q„ 14 • w 50' r C0« > a AREA: 48 121 • 1. 1 ACRE UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 SUBDIVISION 2 OF THE NEW YORK STATE EDUCATION LAW COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED.AND ON HIS BEHALF TO THE TITLE COMPANY GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON AND TO THE ASSIGNEES OF THE LENDING INSTITUTION CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEOUENT OWNERS EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES ADDITIONAL STRUCTURES OR ANY OTHER IMPROVEMENT PUBLIC WATER AVAILABLE ❑, WELL WATER D. INDIVIDUAL SANITARY SYSTEM 0, SANITARY SEWER COLLECTION SYSTEM AVAILABLE ❑ ELEVATIONS TO DATUM OFFSETS TO FOUNDATION UTILITY EASEMENTS IF ANY NOT SHOWN U S STD MEASURE SURVEY OF. LOTS 1 , 2 CERTIFIED TO MAP OF: JACKSON'S LANDING FILED 28 MARCH 1969, FILE N0: 528_0 S.C.TAX MAP: 1000 - 113 - 4- 3,4 SITUATED AT. __MATTI TUCK -- — — —'---- TOWN OF SOUTHOLD ,SUFFOLK CO., N.Y. © COPYRIGHT 1999 BY: PHILIPP A. HATTEMER JR. • LAND SURVEYOR - EAST PATCHOGUE, N.Y. 11772 � � TEL. 286 - 211 2 FAX. 286 - 3808 •al-7 4 I" • 30' F'• SCALE FILE NO 9 5 __ DATE_26 JUNE 99 REviS, : "74/94 - - NYSuCNC) a7a.1O