HomeMy WebLinkAboutRosnack, Constance •
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ELIZABETH A. NEVILLE ��� ; Town Hall, 53095 Main Road
TOWN CLERK t P.O. Box 1179
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REGISTRAR OF VITAL STATISTICS
v, Southold, New York 11971
MARRIAGE OFFICER O1i �it' Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER � Ql INg *a 'ioTelephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER 's
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2246 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : CONSTANCE ROSNACK
Address 1 : 26 KNICKERBOCKER ROAD
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 #R10-99-0107
Name Of Owner ROSNACK, CONSTANCE
Mailing Address 1 26 KNICKERBOCKER ROAD
City St Zip PLAINVIEW NY 11803
Property Address 1 4635 MILL LANE
City St Zip MATTITUCK NY 11952
Tax Map No. section 107.00 block 4 lot 2.003
Cross Street MILL ROAD
Building Permit Number Cross Reference:
Issue Date: 3/01/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE ����� Gy-.4 Town Hall, 53095 Main Road
TOWN CLERK C - P.O. Box 1179
REGISTRAR OF VITAL STATISTICS
,1,i Southold, New York 11971
MARRIAGE OFFICER Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER ;y'flpl �a0,• Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ����
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: February 17, 2000
Transmitted herewith is a copy of application No. 2334 for a Cesspool/
Septic Tank Construction Permit submitted by:
Constance M. Rosnack .
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.
4111 -
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following re mmendations:
APPROVE
•
DISAPPROVE
Comments:
i
Si•nature
Dated
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• OFFIC'E OF THE TOWN CLERK 01 Of UL CQG
TOWN OF SOUTHOLD ��� Application NVK
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 ; Construction
SOUTHOLD,NEW YORK 11971
v ; Alteration
Telephone ,j►�l 110110 �' , $10.00 - Residential
(516) 765-1801 o' $25.00 -Non-Residential
TOWN OF SOUTHOLD
'SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
RECIIV�,
for
CONSTRUCTION or ALTERATION PERMIT FEB 17 000
SEPTIC TANK or CESSPOOLrr T h
•
Permit No.
Fee $
DATE a /
APPLICANT NAME: Cops hilee %S ?c�Y
APPLICANT ADDRESS: p �IIcK �r30� �� kcY{
I et/ leto Ktk-f • I ( 03
SEPTIC CESSPOOL y
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: CefiS//�� (;.e /�osri4G�4'
OWNER MAILING ADDRESS: c).' ‘
Pig/ �/ /Ii V //x"03
OWNER PROPERTY ADDRESS: /(62. 3S---
, 3$ ' AV/ Zar,
TELEPHONE NUMBER OF CONTACT PERSON: j7`,J 4 .J/- 7 y7
TAX MAP NO. : Section /e 7 Block 7 Lot 3
CROSS STREET: /fill A , c1/
BUILDING PERMIT NUMBER CROSS REFERENCE:
/ Signature of Applicant
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RECEIVED BY : `.,1
To'' Clerk's Office
DATE:
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PD g Young & Young, Land Surveyors 1
11. 1 �� idRiverhead, New York 11901
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400 Ostrander Avenue,D11riY� Q! -. 0 516-727-2303 ti 1s agtott
�'+ Alden W. Young, P.E & L.S. (1908-1994) >s
DUrig Howard W. Young, Land Surveyor $1
�_� Thomas C. Wolpert, Professional Engineer
John Schnurr, Land Surveyor • °
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5 110$ �� �'// 1. AREA = 5.0138 ACRES
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5 a =>� .� ti� JULY 29, 1999 STAKED PROPOSED HOUSE
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v3 ca,-°s,; \-° > I o OT 4 "WOLF PIT POND ESTATES” sp
'� ¢\ I �' t: MATTITUCK Town of: SOUTHOLD °
6 0 �,�� '� I °\, - i lJ�-vim j . Suffolk County, New York ion
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0� °l °� �° a� I c Suff. Co. Tax Map: , 1000 , 107 , 4 , 2.3
�� pty ,� I s.0 ° GQ. (N t District Section Block Lot a
� itAb, G n °^ Na. 1- (46 • %/� CERTIFIED TO: s
0f p�3N. o . `,-4- �� G�`N�� /��S H aG CONSTANCE M. ROSNACK $
t,� .'i di• /? �N FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK o
O• 4__ DATE :JULY 15, 1998
S \\ elk' SCALE :1" = 100'
�' \ ,� •V �5�� yO JOB N0. :98 - 0386
7 \ 4 of Nes SHEET NO. :1 OF 1
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