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HomeMy WebLinkAboutLeavay, Kevin 0°ooil FOU, I Ss ELIZABETH A. NEVILLE • Town Hall, 53095 Main Road TOWN CLERK k CD ti P.O. Box 1179 REGISTRAR OF VITAL STATISTICS 1,7 �� Southold, New York 11971 MARRIAGE OFFICER : 1,iL r���, Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER :"'/01 �a�,'i�� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICERJig OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2224 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : KEVIN & KATHERINE LEAVAY Address 1 : 265 HIGHWOOD ROAD City St Zip SOUTHOLD NY 11971 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 #R10-99-0247 Name Of Owner LEAVAY, KEVIN & KATHERINE Mailing Address 1 265 HIGHWOOD ROAD City St Zip SOUTHOLD NY 11971 Property Address 1 95 HARPER ROAD WEST City St Zip SOUTHOLD NY 11971 Tax Map No. section 63.00 block 7 lot 6.000 Cross Street WELLS ROAD Building Permit Number Cross Reference: Issue Date: 1/14/00 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) �e0� Co ELIZABETH A. a ��ti� G* Town Hall, 53095 Main Road TOWN CLEF ` o P.O.Box 1179 i y Z Southold, New York 11971 REGISTRAR OF VITAL STATISTjBS 471 1 MARRIAGE OFFICER r Fax(516) 765-6145 RECORDS MANAGEMENT-OFFICER:— " 'an 40.1 Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER - '' * •'0 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: December 29, 1999 Transmitted herewith is a copy of application No. 2312 for a Cesspool/ Septic Tank Construction Permit submitted by: Kevin and Katherine Leavay 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: Si ature Dated t � ,I,"" OFFICE OFTIM TOWN CLERK ''�,`,/// '���� 2 ✓ TOWN OF SOUTHOLD ;�'• C��FF�CIIt'CQli Application No. J� ELIZABETH A.NEVIJ.I.F,TOWN CLERK P.O.BOX 1179 là' 1)=eConstruction SOUTHOLD,NEW YORK 11971 Alteration Telephone D,y laQ��i' $10.00 - Residential (516) 765-1801 '1 ,''� $25.00 -Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT aibterimipvi APPLICATION DEC 29 199, for NMI 44144914 CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. O,a ).t-f Fee $ DATE ,A a9 - /qqg APPLICANT NAME: XE V; v1, \T. q- kidlter nie., S. APPLICANT ADDRESS: JIB 147 1 h u9oob Psi S © Lt:4 11.0 (cl Writ SEPTIC CESSPOOL IV DESCRIPTION OF PROPOSED CONSTRUCTION 041--14 -ERAT ION —L LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION nn A TCRATION OWNER OF PROPERTY: Ht:Vpvt. 1. q- K -tk•e,r �� S , I--gym-✓ OWNER MAILING ADDRESS: oZ (oS l/ �?ct�o0,e /J . S61-14.-64.,0-€1 f(Jr 1/ qv OWNER PROPERTY ADDRESS: /4ts( L� 6-14-12,8 laL 41..y llg7( TELEPHONE NUMBER OF CONTACT PERSON: -7 6 S Fl7 TAX MAP NO. : Section 1.0 . Block 437 Lot 0 6 CROSS STREET: • l(S gird. �� t r�Der /&1 BUILDING PERMIT NUMBER CROSS REFERENCE: /, Signature" Applicant RECEIVED BYt .1 g n Clerk's Office DATE: Ia a/ �� ' • • SURVEY OF PROPERTY CerCle AT SOUTHOLD t er`7 to ` TOWN OF SOUTHOLD sb`1t'e���: 189 55' to SUFFOLK COUNTY, NEW YORK ---- --- 02\_ pre �: 1000-63-07-06 cr. SCALE: 1" = 30' " 0 06 4Q k tens o. O FEB. 9, 1999 13• lin \ Nov 8 19 9 Se \,1 - cw�n 1‘11-' /, o 2 w w\ lace ytstet ,3+ \ 4u1011c N c \ on � SUFFOLK COUNTY DEPARTY OF IMALTH SERVICES p 1' h,,e vs,nN LA CP u .I o P : 3 PERMIT PO APPROVAL Cr CONSTRUCTION FOR A L I E 9 ' I� za e Me� r0r" LE FAMILY RESll FACE ONLY p s. .? )A \ o CN� :-ISREF.NO. -• 0 1E 7 OG ;,t , „,,,.„6 , // APPROVED ''' 'S � r ' 9 E S FOR MAXDRAY;OF 1 1`O;CO',IS rt E °P 1a y la�e111� T \ P \ // w I EXPIRES i HRp.E YEARS FROM D.^.:12 CV APPROVAL J c \ mow " C OA 4 c,_ .... L F a �� 0 R r �, O.. o°�tl 5 �9pjW l�cs r= e .` oC_D `4 20 �w gpER 14 A •.enoaumsnt ZB o U� <�,�gextet AREA = 19,868 aq. ft 4 �b/1c 4 CERTIFY TO: jE OF N 2. KEVIN J. LEAVAY Co N . 1 ant Anfll r with tans If�p�s FOR APPROVAL KATHERINE S. IZAVAY o N T Me ��9 ELEVATIONS REFERENCED TO ` Aqe 0>r sUMrJRPAt�LORI FIRST AMERICAN TITLE AN ASSUMED DATUM. ~ and wOlLo�_ POR ROIOLa.A1m.Y� INSURANCE COMPANY OF NEN YORK • p 4 and an HM to wt tAw ewle r3 ):: LOT NUMBERS REFER TO "MAP P�111 ��j . 'I� OF caARVZS HOItZt'L ANY ALTERATION OR AON TO THIS SUR VEI IS AVLATION ..bCA ,EXC PT AS PER IONE7209-SUBDIVISION 2 UALL IOCER TIFICADONS (516) 765 - 5�•'''f•4ND S\Y ON JULY 18, 1069 AS FIIL NO. A HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY/F P. O. BOX 909 5337. IA Mn SAID MAP COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 12,30 TRAVELER STREET N 99- 126 µ}105E SIGNANA TUREEAPPEARS HEREON SOUTHOLD. Y. 11971