HomeMy WebLinkAboutMotherway, Nicholas •
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ELIZABETH A.NEVILLE ,10 OG# ; Town Hall, 53095 Main Road
TOWN CLERK - P.O. Box 1179
H Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER `� �i ����, Fax(631) 765 6145
RECORDS MANAGEMENT OFFICER =_�O! Alp �ar��as,itiTelephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER _ southoldtown.northfork.net
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2816 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : DANIEL MARSICANO
Address 1 : 38 BONITA BLVD
City St Zip EAST QUOGUE NY 11942
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 #R10-01-0255
Name Of Owner MOTHERWAY, NICHOLAS
Mailing Address 1 193 WILLIAMS WAY SOUTH
City St Zip BAITING HOLLOW NY 0000
Property Address 1 LAUREL COURT
City St Zip LAUREL NY 11948
Tax Map No. section 125.00 block 4 lot 24.001
Cross Street ROUTE 25
Building Permit Number Cross Reference:
Issue Date: 6/21/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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YELIZABETH A. NEVILLE /0 *d\ Town Hall, 53095 Main Road
TOWN CLERK % O - % P.O. Box 1179
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Southold, New York 11971
REGISTRAR,OF VITAL STATISTICS �'
MARRIAGE OFFICER �� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER `--y_'f1p1 illi 1°,00
FREEDOM
Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER �,,i," southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office ,
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DATED: March 19, 2002
Transmitted herewith is a copy of application No. 2884 for a Cesspool/S tic , _ i
truction
Permit submitted by:
Daniel L. Marsicano for Nicholas R. Mothersway
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.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: vir -lis.,y � � / .
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Signature
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Dated
OFFICE OF THE TOWN CLERK •. ' OUK
TOWN OF SOUTHOLD % Q G Application No. 2 (?4
ELIZABETH A.NEVILLE,TOWN CLERK Q
Construction
P.O.BOX 1179
SOUTHOLD,NEW YORK 11971 _ .7M
v rn Alteration
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Telephone =�� ��Q��i4 $10.00 - Residential
(5 6) 765-1801 _ 1t ,,�' $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 Y////0°1;
APPLICANT NAME: a 4/, 'e /114'� Jr
APPLICANT ADDRESS: 9J
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SEPTIC CESSPOOL /7'
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: /V dc(a I i770.lcl�,
OWNER MAILING ADDRESS:p /�3 4/,' '41f 4/7 SoK'
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OWNER PROPERTY ADDRESS: /, g77 ar ''4 "c L
TELEPHONE NUMBER OF CONTACT PERSON: iCAN 7-264
TAX MAP NO. : Section 7-25 Block f4 Lot /0 .2q-/
CROSS STREET: /Zj 25-
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY: bLikt./('
Town Clerk's Office
DATE: '3/// 70J-
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RECEIVED
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2L1 CCC (a Ni2; 3 Young & Young, Land Surveyors
400 Ostrander Avenue, Riverhead, New York 11901
'LT( F- I ' R'1 ES 631-727-2303
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IV Alden W,. Young, P.E. & L.S. (1908-1994)
' Lfoabard W. Young, Land Surveyor. i
Thomas C. Wotpert, Professional Engineer
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HEARTH-DEPARTMENT U$E
SUFFOLK CQUNTY DEPARTMENT OF HEALTH SERVICES
PERMIT FOR'PPROAVAL OF'CONSTRUCTION 1 0R A '
\ SINGLE FAMILY;RESIDENCE ONLY
N.
014 p i ri.S.17C140. )b—0/..n.:: ' -.S.--
APPROSf�D'
FOR MAXIMUM OF BEDROOMS
• EXPI RES THREE YEARS FR M DATE•OFAPPROVAL
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N NOTE
AREA = 29,229 SQ. FT.
\ \ • SUBDIVISK)N MAP "LAUREL LINKS" F1LED4iN THE OFFICE OF
\ THE CLERK OF SUFFOLK COUNTY ON NOV. 23, 2001 AS
FILE NO. 10712.
\ • VERTICAL DATUM = N.G.V. DATUM (M.S.L.~1929)
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�o �oJ`e\ SURVEYOR'S CERTIFICATION
• WE HEREBY CERTIFY TO NICHOLAS R. MOTHERWAY
•of / °°°i1 & SWJ -FOLK CGFUNTY NATIONAL BANK THAT THIS
S5\ Q_.1c' SURVEY WAS PREPARED IN ACCORDANCE WITH THE CODE OF '
d PRACTICE FOR LAND SURVEYS ADOPTED BY THE NEW YORK STATE
ASSOCIATION OF PROFESSIONAL LAND SURVEYORS
. 'ck NEW y
HOWARD W. YOUNG, N.Y.S. L.S. N0-45$93
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SURVEY FOR
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NICHOLAS R. MOTHERWAY
1 LOT 14 "MAP OF LAUREL LINKS" �
At Mottituck, Town of Southold !FA
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Suffolk County, New York Pi
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" County Tax Vrap District 1000 Sectio" 125 Block 4 Lot P/0 24.1
BUILDING PERMIT SURVEY
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t GENERAL AMENDMENTS Ec,a,
MAP PREPARED DEC. 5, 2001 b1,$
NOV. 7, 2001 =-;
SCALE 1"= 40' Wz.
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