HomeMy WebLinkAboutReddy, Thomas OFFOL, c
ELIZABETH A. NEVILLE ,��s 4 Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS v' Southold, New York 11971
MARRIAGE OFFICER :�s �� �, Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER '/Ql 1a-,•' Telephone (631) 765-1800
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FREEDOM OF INFORMATION OFFICER .9"
OFFICTTEppOOF�F TTQHEppTOOTWHppNLLCLERK
SOUTHOLD WASTEWAiiRUDISPOAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2395 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ROSANNE REDDY
Address 1 : 23 MITCHELL AVENUE
City St Zip PLAINVIEW NY 11803
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 #R10-00-0195
Name Of Owner REDDY, THOMAS & ROSANNE
Mailing Address 1 23 MITCHELL AVENUE
City St Zip PLAINVIEW NY 11803
Property Address 1 140 PLATT ROAD
City St Zip ORIENT NY 11957
Tax Map No. section 18.00 block 5 lot 18.004
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 9/13/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELItABETH A. NEVILLE Town Hall, 53095 Main Road
TOWN CLERK o• - P.O. Box 1179
REGISTRAR OF VITAL STATISTICS � � % Southold, New York 11971
MARRIAGE OFFICER `` ,6 `*.�I', Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER '/Q �a ,i� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ..101•,
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: August 28, 2000
Transmitted herewith is a copy of application No. 2484 for a Cesspool/
Septic Tank Construction Permit submitted by:
Rosanne Reddy •
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:
Signatur
Dated
•
OFFICE OF THE TOWN CLERK 01 ��FO /tiQ
TOWN OF SOUTHOLD ��' � `/��-, Application No. z.��T
ELIZ SETH A.NEVILLE,TOWN CLERK ' `s..
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971 p ; Alteration
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Tele hone � Qi $10.00 - Residential
P
(516) 765-1801 l 1 �,��' $25.00 - Non-Residential
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TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE - -'0
APPLICANT NAME OSOJWIC eddy
APPLICANT ADDRESS: 3 MI TC:h2Av -
I ) O3
•
SEPTIC CESSPOOL V
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION COYS lkal6Y) CUL
1:10t01119 2)/U -1(t/lci
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY:7-11Orr& + 123Sanne_ Pecky
OWNER MAILING ADDRESS: AI 4i—che It A/e-
P(Cu J i ew 0 3
OWNER PROPERTY ADDRESS: 0- I lid �► rve
TELEPHONE NUMBER OF CONTACT PERSON: (5Ro) (T e 19 7
TAX MAP NO. : Section D Block 5- Lot I F.4
CROSS STREET: Maims K�C+
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Appli;:nt
RECEIVED BY :
4Pwrjleorkc.3 Office
DATE:
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Nw f.....,O� ', �.�-3� t2 ' - ..� Map of Lot 2
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Filed:
Map of Loraine S Torry''
Cl) 1 illEC �o1>_t�o May 30, 1990,Map Na, 8949
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4.4 1,�..JT SUFFOLK COUNTY DEPART1,9C;Jyypp He Situated at the Village OfOrle e
ti }. • • � _outhold,Suffolk C'oun�r�, New'York
LL! = to • PERMIT FOR AppRO, OF CONSTRUCTION
SER B 100 Section 18 Block.i Lot 18.4
ON FORA
Q N C SINGLE FAMILY Rl=SIDElrcE ONLY
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0— E N DATE$-'72–41 ,
Ev -----------" R No t0 o` q
_ .0 APPROVED 0.
a� / ��
C(ti FOR MAXIMUM OF Na.V�'�EDROONS
EXPIRES THREE YEARS FROM pApE OF APPROVi4L
car iaa acu .lava i.a .a • THONY A13 RL.V;•:C It.l_,.S.
EXCAVATION INSPECTION REQUIRED REGISTERED LAND SURVEYOR
___ Lo" Brown silty loarrr(OL) FOR SANITARY SYST 1 1700 Hortons Lane
__ 2.5' Brown loamy silt(ML) BY HEALTH DEPAR F ' 7 • Southold,New York 1 P11 I
3.5' Brown silty sand(SM) ' NY 1 (516)765-6242
__-_
4;+d A64 414% SURVEYED:hg 19, 1 22
—7,0' Pale brown fine to coarse sand with heavy gravel(SW) ;y r,1 S• Building Penult Dam:June 29,2(100
__-..13.6' Pale brown fine to coarse sand with light gravel(SW),(Elev.81.4) %.,* �i�b, ' * //
_____,
17.0 Water in Dale brown fine to •. , sand with light gravel(SW) , 110.0111111174 /' /
Test Hole(By McDonald Ocoscience O_41N0 S, Scale: 1" + L' _Si0.�2S 3
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