HomeMy WebLinkAboutMcCaffery, Brian l_ .i..
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ELIZABETH A. NEVILLE ��= Town Hall, 53095 Main Road
TOWN CLERK o - P.O. Box 1179
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v, n� Southold, New York 11971
REGISTRAR OF VITAL STATISTICS %%?/,‘,.
y �� Fax (631) 765-6145
MARRIAGE OFFICER ,
RECORDS MANAGEMENT OFFICER 491
FREEDOM
Q! �a� , 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. 2309 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : INLAND HOMES INC
Address 1 : PO BOX 117
City St Zip MATTITUCK NY 11952
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 #R10-00-0061
Name Of Owner MCCAFFERY, BRIAN & CAROL
Mailing Address 1 PO BOX 117
City St Zip MATTITUCK NY 11952
Property Address 1 KING STREET
City St Zip ORIENT NY 11957
Tax Map No. section 26.00 block 2 lot 43.007
Cross Street KING STREET
Building Permit Number Cross Reference:
Issue Date: 5/08/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
..- 30ci
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ELIZABETH A. NEVILLE 44% * : Town Hall, 53095 Main Road
TOWN CLERK % o - % P.O. Box 1179
Southold, New York 11971
REGISTRAR,OF VITAL STATISTICS 1, biA• 1
MARRIAGE OFFICER 4,iL ��,1� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER -__-'�Ql -0,00, Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER _ •••�
'~. • .•
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 1 , 2000
Transmitted herewith is a copy of application No. 2397 for a Cesspool/
Septic Tank Construction Permit submitted by:
Inland Homes for Brian and Carol McCaffery .
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 r commendations:
APPROVE
DISAPPROVE
Comments:
Signature
9
Dated
1
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OFFICE OF THE TOWN CLERK �, •C••c••••••,���"
TOWN OF SOUTHOLD ,isN%1° ��KcWA\ Application No.p3�7
ELIZABETH A.NEVILLE,TOWN CLERK O f/7� .
P.O.BOX 1179 ; .� Construction li
SOUTHOLD,NEW YORK 11971 a m ;
VI W Alteration
Telephone ,vp,!► ire$ 10.00 - Residential
(516) 765-1801 --- 1#10 ,
� � $25.00 - Non--Residential
TOWN OF SOUTHOLD
RECEIVED ° • THOLD WASTEWATER DISPOSAL DISTRICT
MAY 1 2000 APPLICATION
for
Clerk
Southhofd Town
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
_ DATE
APPLICANT NAME: ,- ink 4 Nnxe."L.
.�
APPLICANT ADDRESS: C7 &Y?so I ( 7
SEPTIC "CESSPOOL t•----------
DESCRIPTION
•--/DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
in e,k 0‘)\)e-Ak 1;\,..r-
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: L
OWNER OF PROPERTY: 6,/;b- a.--- ��e L Vim` �,/
OWNER MAILING ADDRESS: Po ►�o�D 1 1? [
IMCC ' A- C-A-- 1J`t (I WZ.
OWNER PROPERTY ADDRESS: r.1,1 s t / a►��C�1/�,•,
TELEPHONE NUMBER OF CONTACT PERSON: Z9 56 ct(0
TAX MAP NO. : Section ( 6Block Z Lot -/31 7
CROSS STREET: 41._ S I `h- i.1 volOs...c
BUILDING PERMIT NUMBER CROSS REFERENCE: WX 4:. '
, , ,...iiiiiiiiL 1
Signature of App ice."
RECEIVED BY: ,--7,:,,7\i-) -_)
Town Clerk's Office
DATE: I , ' Z)
1/4.)•. r c.)i rrvLc
^ Dark brown
The locations of wells and cesspools �,, o/ � (j I silly loam OL t
�` ,, , �,
shown hereon are from field observations s
0
• ' Brown loamy
and or from data obtained from others. o_ • p h sandM
9�9 2.5'
ELEVATIONS ARE REFERENCED `y Q
TO AN ASSUMED DATUM. �/ 5' X�°n5 Pale brown
d lire to coarse
o r, sand SW
SURVEY OF PROPERTY �,1►8''0n'4 /3'
AT ORIENTWater In pole
TOWN OF SOUTHOLD - ` brown line
0) •
to
arse SW
SUFFOLK COUNT,,Y, N Y. o
1000 - 26 - 02 - ..,�,.._..�.�.—� . .. .. .. . .„,."-.. -,.*
SCALE: I / SU.T OLK COUNTY Y 1:.-.E=ART N:s�''[ T OF 1-11..: SERV CES 1
Y - 40
FEB. 25, 200 I 3)'eW3'=! r°':: "i•-!C..��ff,'�t r'; �3: ��t .
c'. .=i�,rl S; l�^. �.nr'mx•r �':-Tly S� •A
..1144..P:-.1'. ;FAMILY 11. ass} .yra:r els"rI.41
DATE. /2 o' Air ;i it. ,40. '40 =Op-a‘ - , NG STREET
l am familiar with the STANDARDS FOR •PPROVAL FOR MAXIMUM OF _ LEDROOMS
AND CONSTRUCTION OF SUBSURFACE WA 9 ;REF.YEARS Fib.:A4 DATE OFAPPROVAL
DISPOSAL SYSTEMS FOR SINGLE FAMIL RE
and will abide by the conditions set forth th ,t •i• '
permit to construct.
of NEW Y
AREA = 1.3078 acres _„,.. t. METZ° O4
`�
° -.sem
DP
ANY ALTERATION OR AITIMON.TO THIS SURVEY IS A VIOLATION. �.,: __:
q ' SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. • ,=., y
EXCEPT AS PER SECTION 7209 - SUBDIVISION ALL �� Tf TIONS '�0,i.:-.I
HEREON ARE VALD FOR THIS MAP AND COPES THERE01 IF
SAD MAP OR COPES BEAR THE IMPRESSED SEAL OF THE t=” VEYOR e' i .4.,-' :..7-1 N.Y.S. LIC. NO. 49618
WHOSE SIoGNA TORE APPEARS HEREO L ��' "-O.,'
�.� �- n A`
ADDITIONALLY TO COMPLY MiTH SAO LA11'.THE TERM 'ALTERED BY' • T + p., N% ORS, P.C, v"
MUST BE USED BY ANY AAD ALL SLNWVEYARS UTtUZNG A COPY (. d 020 FAX (63/) 765 - 1797
. OF ANOTHER SURVEYOR'S MAP. TERMS SUCH AS 'INSPECTED*AND P. O. : 0 909
• 7ROUGHT--70-DATE'ARE NOT N COMPLIANCE w1TH THE LAW. 1230 TRAVELER STREET
SOUTHOLD, N.Y. 1197/ �-.)
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RECEIVED
tiltFFni si r(.Is;!.ry
upgil MAR -3 MI (0: 59 i
PLEASE NOTE - 4 • Ah .i' : ,cP P..._ ; Iii�s.-1 l
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it is the applicant's responsibility to,, 4 Z
maintain adequate sanitary distance'' 0 co
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between all water supply and sewac -c
` disposal facilities. -11
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