HomeMy WebLinkAboutGriffin, Martin Sr e,, .
,,�I�o�� UFFOL,�co
ELIZABETH A. NEVILLE ���= y1: Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS P �� Southold, New York 11971
MARRIAGE OFFICER y l!,� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER =_��l 14 so.�� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ��
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2467 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : MARTIN GRIFFIN SR
Address 1 : PO BOX 1001
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION OF NEW POOL TO EXISTING SYSTEM.
APPLICATION APPROVED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES.
EXCAVATION INSPECTION REQUIRED.
Name Of Owner GRIFFIN SR, MARTIN
Mailing Address 1 PO BOX 1001
City St Zip MATTITUCK NY 11952
Property Address 1 1140 BAY AVENUE
City St Zip MATTITUCK NY 11952
Tax Map No. section 143.00 block 3 lot 19.000
Cross Street REILLY AVENUE
Building Permit Number Cross Reference:
Issue Date: 11/20/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
g6
14,0
ELIZABETH
7
�� y0
ELIZABETH A. NEVILLE �4_ t.4i Town Hall, 53095 Main Road
TOWN CLERK ; y — P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER % y %l��1�, n0 Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER -_�0,� jig #0801 .r, Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER �g1
.,• .•
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: November 15, 2000
Transmitted herewith is a copy of application No. 2555 for a Cesspool/Septic Tank
CONSTRUCTION/ALTERATION Permit submitted by:
Martin L. Griffin Sr. (work by Ray Nine)
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.
Linda Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE L.
DISAPPROVE
Comments: Maintain required setbacks from adjacent wells, buildings,property lines and water
Bodies. EXCAVATION INSPECTION REQUIRED. .
Signature
it / fle/b0
Dated
OFFICE OF THE TOWN CLERK ,�1'
TOWN OFSOUTHOLD '���OM/4I/ Application NeSSS
ELIZABETH A.NEVIILE,TOWN CLERK
P.O.BOX 1179Construction
SOUTHOLD,NEW YORK 11971
Alteration
Telephone $10.00 - Residential
(631) 765-1800 = l' Y;,.' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE I — IS— 0 0
•
APPLICANT NAME: Ik\-11Wi r,1 �- - G124FP/PQ
APPLICANT ADDRESS: W401�A'4 AOC-
( 1c
O ( 1c
SEPTIC CESSPOOL V
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
Add ,r`�j 6..1 c ('D c.,
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: ttAl2..1/.J . a/Li r.. /p.,1
OWNER MAILING ADDRESS: O .Q , Up< too
OWNER PROPERTY ADDRESS: 1k
t - - (tcS-v
TELEPHONE NUMBER OF CONTACT PERSON: (3_ 0
TAX MAP NO. : Section 143 Block 3 Lot
CROSS STREET: Re: 111 ACX°
BUILDING PERMIT NUMBER CROSS REFERENCE:
ignature of . ' t
C �
RECEIVED BY:
L�
Town Clerk's Office 3L 9,c _ (70 6 6
DATE:
• W hey # cc .47
MAIN ROAD
i li pb� W
W
O
I-
2
W
U
LINCOLN 4
(o 0 MON.
N W
(DEED 497.4')
497.48' MON.
61 Z NYT 19.5
41 O v TOCKADE FENCE GUY U.P O
CO O POOL s O ,...,11:21111
�OLFJ►CNING OGAS0 _038.0STYFR209.7' Ir7rs ���
CONC. OVERU! 35.0' 41.8' Qty
BLACKTOP ORNERAY a
...
N I�
. .:,I
MON.
494.70' °n
TRUDE E. KOOP
206 S.F. OR 0.85 ACRES ELEVATION DATUM:
ED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY
ARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED To BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
E PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION
ON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE.
OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES,TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
D TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS
SURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
)ESCRIBED PROPERTY CERTIFIED TO: MARTIN L. GRIFFIN; MARY T.
GRIFFIN;
MATTITUCK
)UTHOLD KENNETH M. WOYCHUK L.S.
OUNTY, NEW YORK Land Surveying and Design
tel f- Calverton, New York 11933
PHONE (518) 727-5127 FAX (518) 727-5127
'3 SCALE: �„=40' DATE: FEB. 28,2000 N. Y. S. LIC NO. 50227 maintaining the records of Robert J. Hennessy