The URL can be used to link to this page

Home My WebLink AboutDickerson, Barbara • a ,o�oS�FFot, 4-0 • ELIZABETH A. NEVILLE �� y� Town Hall, 53095 Main Road TOWN CLERK o - P.O. Box 1179 H Z REGISTRAR OF VITAL STATISTICS T Southold, New York 11971 �� Fax(631) 765-6145 MARRIAGE OFFICER 41 0.0.1 Telephone (631) 765-1800 RECORDS MANAGEMENT OFFICER =,�Q1 *rollP 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. 2409 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : JOHN R DEMPSEY Address 1 : PO BOX 5 City St Zip CUTCHOGUE NY 11935 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 #R10-00-0150 Name Of Owner DICKERSON, BARBARA Mailing Address 1 334 LEEWARD DRIVE City St Zip JUPITER FL 33477 Property Address 1 SOUNDIVEW AVENUE City St Zip SOUTHOLD NY 11971 Tax Map No. section 50.00 block 3 lot 22.003 Cross Street LIGHTHOUSE ROAD Building Permit Number Cross Reference: Issue Date: 9/20/00 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ,, . ,„„ .,..„,„......,,, ctEFI:140-_, qo ELIZABETH A. NEVILLE ttO ?�: Town Hall, 53095 Main Road TOWN CLERK ; H = P.O. Box 1179 REGISTRAR OF VITAL STATISTICS 4.i it Southold, New York 11971 MARRIAGE OFFICER *toFax (631) 765-6145 RECORDS MANAGEMENT OFFICER =___'O, -0„..iTelephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ..."'•-• •�i I• ••0• OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: September 19, 2000 Transmitted herewith is a copy of application No. 2498 for a Cesspool/Septic Tank Construction Permit submitted by: John R. Dempsey a2ent for Barbara Dickerson 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 J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: ,V- APPROVE APPROVE DISAPPROVE Comments: ignature ili 4 /00 Dated OFFIOE OF THE TOWN CLERK �O. C; 11 IRK n TOWN OF SOUTHOLD +`4QG= Application No. o� O., ELIZABETH A.NEVI]I F,TOWN CLERK $��O i1 P.O.BOX 1179 Construction SOUTHOLD,NEW YORK 11971 Z o MI In Alteration TelephoneA, 0i '�i $10.00 - Residential C� (516) 765-1801 4l ��'� $25.00 -Non-Residential -- ,,,, TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ n DATE �"1 Ao, 100 APPLICANT NAME: :U \--1\ • ,r(--1 j 1.. APPLICANT ADDRESS: \ VA L0A_ Ole 0 1 • NiN/ ( 19 SEPTIC /CESSPOOL f DESCRIPTION OF PROPOSED CONSTRUCTION IA LTERATIO 1-**\c, h tJ rl) CA-}y fi LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERA N: OWNER OF PROPERTY: t)\\ - C,' Y (� \ 1- - r () Ni OWNER MAILING ADDRES : +\ \,,mi_ b,1— n r u0i..y.l. 1 .V\____/ 3 \4")--) OWNER PROPERTY ADDRESS: rut..14 ,\NI L J 0A\[\ p TELEPHONE NUMBER OF CONTACT PERSON: —7 S — 6 6-8" TAX MAP NO. : Section j0 Block ) Lot as ..) CROSS STREET: �i -(.Q._ /QC,' BUILDING PERMIT NUMBER CROSS REFERENCE: - . 1 "eco / Signature of 7plican ir\/ RECEIVED BY : /� T wn Clerk's fice -1/./7'DATE: �7' c9'd • -.,,,.�: .. ,x. . .. . h .v sa.,7 x.., �a '%T `rti•1. ....1.t.,_,-,....,.:„. .� r4 . ,. ,. >. +, .; .. -. & y. :.. .. „ .+. «.. �p`. , �` ':. fes, `sr^' K ;•F,,. �r ., -_ .r . J. . ..,,,. � , . :,�'`. . . - ..� .n. .. +. ,:� -. _. x 14.•,. .r' 1. . .,,J. - . .� . a-. •a 1`s , . -. .. :...: . - ... ,.J .. ,. ,.. .: ,.., .. .. : s.. .{ff 4. a-c .•t. ,m` 'te nx ,r JS` ,�. ., ..h -•:..;, ...;7'-':,.`:.-:0.-.....,!••.... ...., ,. . ..:.,. .,, .L .... ... - . .. ',. ,. .. S ,. � R .. tK��.. ,..1°- `rk -. •+I' ':�ri Y t ,ate,. .,�/.. 't!L- .4- .. .,..,. .. .. .. , . _.. -„,.....::•..2,',„''..',',::'.:.'..:',.-.;;A,',..':.. ' !" .' a: ,, l <.. J.+.. _.. .. '2,�. r.=, 1- y.«•.. -. .. :v , -., , :, .., . �+.. ,-.as rt £ z :�,��Yµy./,� 1u n' , �.R . . . '. .. .,.x .. : .:t'l"a..., .. .,, G.: ... .. .. - _'. t :. :.'Fr 1 rA r�.' h vx�,5 ,(y l ' yy �., �,..1. :.: .. .. :.. .. ...:. ... : -. .:.1. .. a m,. .. » b. ..k :, .�„ -, .ate'. M - :r.* K _f f Y„ is ..:!"' }t it z t S ,i,,4,,,,:-.. ., q ,�„.. 1 i.. ,� , .. -. -' ,ff•.Y:. '`y1-r$,.. •s.:w..`.. rf`�,.d +� '.i%" a 9 .. < , , v .._.:-,-. .,,.= . ._ .' .. . .. «... . . ,:•;:.,tf ,: ,r. c rr`x.N'h�' .,x. .,.i, Y9r. J.o .m, . . SAy y 7 •� t t� y � .,. ,A , ,. ;.. . ,, .,. � , , ,,,,,,..../..,,,....., ,.. .- ...r, . . . , t 4. a., , { _ a . ,..: _,. . »y,'.,+• G u �r '�Jh'-�. 4`.. '1'✓ . :. .. .. . , t ,. - Y it :.: ,.�:.. . "-:-:'''.--: ./:.-."0--,' . .. .�; , ., v: ,J. "7r n � "--- '.ifit; ''-''ti:''''':•-••'t)ttl.`4(-) Mit ''i.• .'A,-'k •-h. • i7),,,..?-• „"sr ''''Y4t,• ,-.W.i., r . . _ A- ._ . -•-'4'.'"..- '43,.-•-••z ,.. . . i ,. . . ..- �., .'. -:-;•-t';';',.'-'-'..;;--- .. ,. . - . .o- )`'. it 10- � f. T.: --.'.71:,',"1.,:"..1., . ,:. .ems n , •. • :♦ . . �:..r• , y[, . . ., ,Xy ... s. ,,. ..x_. ., t:'7-�:.. :: ,'rg, 't .. :% %.. ...,.Ys Yrt � i'.',,,„„,,,,,,',,,:` :., 9 , . .. -Jp. �. ay •G � d �-�.9 . -. .-. „ _. +�:. . . .' +a , .. . --",-,--"p„,....1,7,-:-..,,,,:,3.-- .- .. .. ,. . _ � ..cam:'._ a .Y . .r .. .. *,-1.;!*, .. �. ,, , -.,,..., - . . . L;.. 'tSr.,,. �E,,. '.:r y. ♦ J., a, _ '-',N,,,,,`,, ,. _, , _ , -, ., ,'.. rn. 'fir. , , .. v x .. _. . _, -. , . > ..e •Y x- .,. 'n : �''�'• nY.. as' ,Cu« . _,�a •,-,: ,,..,,*,,.... :_. .:, , .. �yj�, -. , «. , ' :, ,- _ .. . .. -. ._.. ,. .-. .. -,'.,. ,)..., ., 14' .�7� Y�h'xa... a+!`Y+3aitx v..S�,,.,-x .• ..,..,....,1,.-7r4,,,.1,,, �: . :. ,.^� -. .. ,: :,, �.. '»:r/e. , _ ,.., .. x. ��d��i: f '`iv ,f 7fCit • • •.;,.v.„..443'::;,-,...,-- c .. .,. ,:.,.,,,,,,,r,...,,,, rr , v w- -,. ..J A . . . .. „- TIT . - .,. P,;.-'''.',-;:.';',---:;4-_,'-:,...,',;. ...,-,i.;,,:i..,,,,,,,y.,-.1',1'. rep fittrf,„ ... .. .. , . . . ... ... _., ..-. . r. . «. .... ,. .. •.. .. ,. r.. Sl.�,.�t s: a ,. � .-,..:5.-:,,,!. .-„,',.”‘ •• ra Y x' • �Mk , .,iv- ,. ' ". :, a t r. : .......4.',."...,., :: , .. '-?....'";7-..,,,—.4.." ., . '.'.'41 r � ,_ _ 4. r : . . r•sem- ,,..,.,,,,,..rt -r', � ;drn�& _, ..a .,,-..-•. _ ._ :: .-. `\ ,... . ., .-_ .. :: -. .,.,. 1..,: ..:... .. _. . ;^ -�C-..:. :-u,',. • ti.0 " ... • :fir . _ ?. i,s 4 • °"u"- , . . . • A e ,,,+,_ t.1'�L. . "yam_,{ .... �f - ,,_, � -44.„;i:,',.:, ., . -: ;, FIS► ',-','"4-'-':-.,. .�, `� ,: . . , . . ,y�� C LTH ,. =:». - 3,rL Y., " J �y � t Ky i • gBUFF •.: sem- - ,.. _ - ... ? , _ ;.,. - sem^ "c''"' ,.r. x •_ } ON ..,'",ik"-; , , ,. Foy • a . . _ ,-; ill; � • CEO � ,�. ter- ,: � -. .,: EN t�pi_ � ....,, , r `�, • • c� 014- � ��: � 7�F . .:; ,_ _ . . .�` . •_N0. ,. • RE1 tRED . ' DATE C114N ;,. p».C3 •� VA�'[10N. , T'Vcz �• -. M3 iy rzaoil �„- • ``� t• 4,- BY HEA - :-. OF AppRQVAL =b ,-",::.- .:1.-- s ars,, / • • fir. • rF, A "' , � rte ,:, ^ Y�aRs .FRo M '� 3n � • :,,i-,:: : t k� @�4 ' t. ,6�'wtLl3.iwD case- �. t1l�A 4,-;.ciiia-ii, :v.,ik,00E:,:- ., ',--:•.::,-,4} .`�./� R �y T {� { �t n i . - •:.` Cr«Mue114 G4'1SFYFA�C` t k>� F' 'x .ft?,,_ {7E57;liEiLl� DUG BY ^' : xF, tt tib•• � OMK bR119•SA10F tQ�M c,„.., _,,-. - • ,:' , - , . .. _. waMr lover• � :S/ . •,5 T <..... : wx7M[114iT- - 1, y. r, s. � `'�`;°� v% -A .. y ,:. • ',� -`i•".'., ..a Tit • s % qR ,-..;:,,, .a: --.. - , r r Y 'v To,tK .k w0tAtla► •section z TMa wit►olbc $TI�F'IED. TO: Ess A. } EENONIOlt OR,. .. :. �:• _ COiR,S Of'1 4ugki[r tNP IiDT:9EN*� CHICAGO 71TIC INSURANCE'COMPANY imp- e JOHN R. pEMPSEY �; K, — T `At T + , - L an.4 . .., :.' .../.. ....:_:-.i.;t_ :. ....,. ‘,..;.,. '. : . ONLY TO Tit pop-Ori40 - F 5 PAEp1�RE0 NkD Yr3 FQ Nit CArNk mil coyvr►a GWEAMMbtrtN wp rdi. $waeya — •PIA++• Q? : , .us,ril,non usrco u t `) 0 • 'Tt°n'> ;=Wow• s P towc te31}r 7-2O9O o+a}x �iri717 '��. nit ppSTMC[ 01!'RIGHT or YC1k '` ods COG7E6 fit` �NCwG Atio/OL FJkst wcivt5 r$ c . , rl�:ao.t 62 AIiY, 1lOT SHOWn JIB HbT. NOt Yak`J1901 ,, Turk;1F94, DWEWNG ;x.