HomeMy WebLinkAboutKelly, William ,,,,/iii,
os'oS11FFO�,�tS CO
o ELIZABETH A. NEVILLE ��_ 'y ; Town Hall, 53095 Main Road
TOWN CLERK ; y - P.O. Box 1179
REGISTRAR OF VITAL STATISTICS
‘y, Southold, New York 11971
MARRIAGE OFFICER `��iiiL l��, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER = 701 Telephone (631) 765-1800
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FREEDOM OF INFORMATION OFFICER ��' southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 4148-R Residential X Non-Residential
Fee $ 10.00 New X Existing
Name Of Owner KELLY, WILLIAM S
Mailing Address 1 PO BOX 1680
Mailing Address 2
City St Zip SOUTHOLD NY 11971-0000
Property Address 1 1840 BRIGANTINE DRIVE
Property Address 2
City St Zip SOUTHOLD NY 11971-0000
Owner Telephone No. 631-765-3121
Tax Map No. section 79.00 block 4 lot 24.000
Cross Street NORTH BAYVIEW ROAD
Issue Date: 6/12/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
......
QFFICE OF THE TOWN CLERK
F TOWN OF SOUTHOLD � ���FO 4 Application No. ( 1((
0
ELIZABETH A.NEVILLE,TOWN CLERK
$10.00 - Residential
P.O.BOX 1179 `
cn
SOUTHOLD,NEW YORK 11971 ��+ $25.00 - Non-Residential
Telephone 0( * i k•�'
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $
DATE A/ ' 4-1-02-
OWNER NAME: Vit/ / TLW` S.
OWNER MAILING ADDRESS: -pc). "EDK
7�nL� J11Lt 11'i I
OWNER PROPERTY ADDRESS: l8'{ ,
4c)t_.ED / 1Lt llci` z I.
OWNER TELEPHONE NUMBER:
TAX MAP NO. : Section -1 Block 0/-1 Lot 2.1-1
CROSS STREET: PU.
TYPE OF SYSTEM: Septic Tank X New K Existing
Cesspool x New X Existing
Residential Non-Residential
LOCATION MAP: Must be attached hereto before permit may be issued.
(Locate building and system; give north arrow and feet
of distance, approximately, to building and closest road.)
�•'�'atu - of App icant
RECEIVED BY: 1114 •
r Vl Town Clerk's Office
DATE: ( l
/ SURVEY OF
/
LOT 57
MAP OF KEY MAP
•
�"` 1-.200'
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HARBOR LIGHTS ESTATES ,=_S°`"$"��;
I'' SECTION THREE ___,...._==________,____=_=_
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FILE No. 5147 FILED AUGUST 7, 1968ILI * -- - �\,,`
SITUATED AT '^� _, ••
,\ sR r, BAYVIEW ;
ti srTOWN OF SOUTHOLD I
N
u SUFFOLK COUNTY, NEW YORK i
F. " S.C. TAX No. 1000-79-04-24 SUBJECT ``
II,
,,I,, SCALE 1"=40' PREMISES I
FEBRUARY 11, 1999 __ 1
a. MARCH 31, 1999 ADDED PROPOSED HOUSE R '"VION RooIII MAY 28, 1999 REVISED PLOT PLAN I
�� '� JUNE 23, 1999 REVISED PLOT PLAN
44 ,ak111, MAY 31, 2000 STAKE FOUNDATION & BUFFER LINE
JULY 7, 2001 SURVEY UNDER CONSTRUCTION f
ONi I 1
li' ,,
4 APRIL 27, 2002 FINAL SURVEY
AREA = 40,239.90 sq. ft.
\p\�Q 'L II, 0.924 ac.
o
N.- 15. .. ,s� CERTIFIED TO:
jLikCHICAGO TITLE INSURANCE COMPANY
4\ I ,I) WETLANDS / WILLIAM KELLY
N i, SANDRA SIKORSKI
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V 3'�? / \\ ?P . '• ,.'. D AND ADOPTED
0 / `O\ O E ':Z�, :,0 . YORK STATE LAND
��4T O` ^ 1 p'\ 9nG'O •F�', co.Ss L#24.11:F0
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1p? �� l V41 'ND `\ N Y.S. Lic. No. 49668
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°" • Jo - - ph A. Ingegno
/ TONAUTHOSU ERVEY S AD RAION VIOLATION OF OR ADDITION ION
TH5' SECTION 7209 OF THE NEW YORK STATE L - nd Surveyor
EDUCATION LAW.
Ca'T'C X44 1'O COPIES OF THIS SURVEY MAP NOT BEARING x
``MM' THE LAND SURVEYOR'S INKED SEAL OR
• EMBOSSED SEN. SHALL NOT BE CONSIDERED Title Surveys - Subdivisions - Site Plans - Construction Layout
TO BE A VAUD TRUE COPY.
CERTIFICATIONS INDICATED HEREON SHALL RUN PHONE (631)727-2090 Fax (631)727-1727
ONLY TO THE PERSON FOR WHOM THE SURVEY ,
IS PREPARED, AND ON HIS BEHALF TO THE
THE EXISTENCE OF RIGHT OF WAYS TITLE COMPANY, GOVERNMENTAL AGENCY AND OFFICES LOCATED AT MAILING ADDRESS
AND/OR EASEMENTS OF RECORD, IF LENDING INSTMJTION LISTED HEREON,AND
ANY, NOT SHOWN ARE NOT GUARANTEED. TO THE ASSIGNEES OF THE LENDIINSE- 1380 ROANOKE AVENUE P.O. Box 1931
TRANSFERABLE.CERTIFICATIONS ARE NOT TRANSFERABLE. RIVERHEAD, New York 11901 Riverheod, New York 11901-0965
99-155E
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