HomeMy WebLinkAboutArm, Craig is''SUFFOL/(
ELIZABETH A. NEVILLE �y Town Hall, 53095 Main Road
TOWN CLERK c < �� P.O. Box 1179
t N Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS . Fax (516) 765-1823
MARRIAGE OFFICER �
RECORDS MANAGEMENT OFFICER � Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER '/�� l �a,�
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1988 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : CRAIG M. ARM
Address 1 : P.O. BOX 1675
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.
Name Of Owner ARM, CRAIG M.
Mailing Address 1 P.O. BOX 1675
City St Zip SOUTHOLD NY 11971
Property Address 1 1595 WELLS AVENUE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 63.00 block 7 lot 17.004
Cross Street WEST HILL ROAD
Building Permit Number Cross Reference:
Issue Date: 1/22/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
•• 0stfFOLA,
ELIZABETH A.NEVILLE y�\„ l/y Town Hall, 53095 Main Road
TOWN CLERK t P.O. Box 1179
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Southold New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER Z �'� Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER , y O� 1• Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER ' �l JN[ / , ••
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: January 5, 1999
Transmitted herewith is a copy of application No. 2068 for a Cesspool/
Septic Tank Construction Permit submitted by:
Craig M. Arm
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:
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Dated
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OFFICE OF THE TOWN CLERK '' ��FFDK
TOWNOF,,SOUTHOLD �'� COG Application No. 09-06
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 Construction
i
SOUTHOLD,NEW YORK 11971 Alteration
Tele hone too
•i/ $10.00 - Residential
P
(516) 765-1801 = �l do $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for •
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE -,1\
"1....¢v 1 , [4'2)(2)0)
APPLICANT NAME: C nn• AAL
APPLICANT ADDRESS: PO Eos-
200-c- 0
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SEPTIC CESSPOOL
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: ,,^• „�
OWNER MAILING ADDRESS: Pn 6x I(-75
t9 1
OWNER PROPERTY ADDRESS: v.,
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TELEPHONE NUMBER OF CONTACT PERSON: 5V, - 7,S - /6Co2_
TAX MAP NO. : Section (.03 Block c: -7 Lot 17.
CROSS STREET: ES'r
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY:
/S-
/
own Clerk's Office
DATE:
3
1
N ANY ACTERAOF SECTIONTT1 OR AOWTK V TO TMS Af110LAT10N=
Cr ME
EXCEPT ASP BEC1 Tp2O-�E.AS TFMA.A HIO JS i
HEREON ARE VALD FOP TMs MAP AND COPES TIEAEOF ONLY F
SAD MAP OR COPES BEAR ME APRESSEO SEAL OF THE SURVEYOR
WHOSE SIGNATURE APPEARS HEREON. 'g'/ SEP-2 P 1 :00
ADDMUST BE USED TO BY ANYLY WITN SAID AM)ALL SURVEYORW S UTL lWig vf A COPY BrLTERED
OF ANOTHER SURVEYOR'S MAP. TAMS SUCH AS INSPECTED'AND
'BROUGHT-TO-DATE'ARE NOT IV COYPLLP.EE WITH THE LAW.
Of. TM locations of wells and cesspools
" shown hereon are From field o r
5P 0^r �p and or from data obtained fro COUNTY DEPARTMENT OF HEALTH S:IM(
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••,• N►w Is I APPROVED, /._ ,A , ——
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EWES THREE YEARS FROM DATE OF APPROVAL
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4119, h I am familiar wi h the STANDARDS FOR OVAL
*a DISPOSAND AL SEMS OR FAMILY RESIDENCES
and wit abide by the cond lost set kWh therein and on rhe
t perm" to construct.
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TO ANELEVATPONS AS9tAEE�O a �'�o��'Ilri. rQF+
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WEST HILL ROAD ' .
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- 490_,"" �
4- ''' a' h 7'" L/� NO. 49619
4' �:.
AREA_ 78 sq ft
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