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u' ,. � Town Hall, 53095 Main Road
V. .. '*. P.O. Box 1179
o 1� Southold, New York 11971
JUDITH T. TERRY —"'"'.•vt. ,,,PI••/I TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 482 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MULRAIN, EDWARD
Address 1 : P. O. BOX 113
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 12/12/89.
Name Of Owner MULRAIN, EDWARD
Mailing Address 1 P. O. BOX 113
City St Zip MATTITUCK NY 11952
Property Address 1 475 ROSEWOOD DRIVE
ROSEWOOD ESTATES
City St Zip MATTITUCK NY 11952
Tax Map No. section 113.00 block 2 lot 10.000
Cross Street COX NECK LANE
Building Permit Number Cross Reference:
Issue Date: 4/18/89 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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P.O. Box 1179
410,1 1V.)00 Southold, New York 11971
JUDITH T.TERRY = ,i���
�������„ TELEPHONE
TOWN CLERK " (516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK C E O V LS
TOWN OF SOUTHOLD
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To: Victor Lessard, Southold Town Building Department
From: Linda Cooper, Southold Town Clerk's Office Ai-UG. DEPT.
Yfl1 � OF sou226p_
HOLD
Dated: April 7; 1989
Transmitted herewith is a copy of application No. 493 for a Cesspool/
Septic Tank Construction Permit submitted by:
Edward Mulrain •
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 `')c
DISAPPROVE
Comments: i • _
Signature
4 1
Dated
OFFICE OF THE TOWN CLERK F O -N4
Town of Southold 0t..) CO
Application No. 493
Judith T. Terry, Town Clerk1- -11417:1 644
Town Hall, 53095 Main Road orxx
Construction
P. O. Box 1179 ` �
Alteration
Southold, New York 11971 ��c
Telephone � [ ��O Residential
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE ) 1g- �
APPLICANT NAME: -FT)
APPLICANT ADDRESS: ID , a j f) 1
� okt c16-
SEPTIC I CESSPOOL 1/
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION INev'
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LOCATION MAP:MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY:
OWNER MAILING ADDRESS: -P . CD .
STh(-A • (t ,
OWNER PROPERTY ADDRESS: t--, S � 1A,c)c)Db
TELEPHONE NUMBER OF CONTACT PERSON : ac\% - c=6 `-, 0
TAX MAP NO. : Section \ \"-- Block (y? Lot 1 O
CROSS STREET: C
BUILDING PERMIT NUMBER CROSS REFERENCE:_
L&4ILILQ 1101e1
Signature of Applicant
RECEIVED BY:
/ Town Clerk's Office
DA - 9 '�F ' ' 111r/
PPR 07198
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fi MAP OF ROSEWOOD ESTATES 11 �� w� 1 ss '
FILED JAN. 24 , 1969 FILE NO . 5240t\IALI1
AT MATTI TUCK Q\.,12.
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TOWN OF SOUTHOLD J\\ L=39.57
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NOV. 19 19 86 �'
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SINGL FAN!!! V DWELLING a 1- _ 9 ,i3O rel
YEAI;) H -tL.M DATE A(---'' i v.4, ..
''V''-':---.i. �gXP1RES TWO Gp f7Q -Q
S tPfiC�I;C C01:�,TY x_L:� ,"'.`4? OF Ff�3h1T11 SERVICESI(
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"U'. ,titOF CO .TR:,Ci Ott ONLY 9 °l /l CU �- f�"f
FOR �F'r. h.l v - CD •
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D\-1E \��\��� f:' t:Ef. t�o. � 1 � -"' 64 � T I F I E D TO
• MERICAN TI TLE INSURAN. E COMPA Y
APPROVED _ SOUTHOLD SAVINGS BANK
FDWARD MUL R AIN
The water supply & sewage disposal sys-
- J A NE MU L R A IN tams for this residence will conform to the.
Ar*" standards of the Suffolk County Depart`
ment of Health Services.
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.,gCI OC A. ,"al,%`fii-17 ' � AREA = 20 , 007 SQ.FT.
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• Y A.. l', x, THE OYAT I 3 Of WELLS ND ON FROM DASS OB S SH WN H REON A E FROM FIELDJ / _•+;' 'f� .-- S . LIC NO . 49668
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EC 0 • 0 +4 "+�f 8 R S a E N G I N E E RS , P. C. Prepared in accordance with the minimum
(5I6 ) 7. % 0 standards for title surveys as established by
P. 0 . B 0 X 909 the L.I.A.L.S. and approved and adopted
MAIN ROAD • , for such use by The New York State Land
Title Association.
SOUTHOLD , N. Y. 11971 �o-/7_88 13.o,N.
R 6 - 729