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HomeMy WebLinkAboutConnors, Brian ,I�,�o�osVffO(�►c0 ELIZABETH A.NEVILLE ���_� G'y� Town Hall, 53095 Main Road TOWN CLERK o P.O. Box 1179 REGISTRAR OF VITAL STATISTICS �+' i Southold, New York 11971 MARRIAGE OFFICER �,�i ��1�, Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER , I ' •� Fax (631) 765-1800 FREEDOM OF INFORMATION OFFICER , southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2826 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : BRIAN CONNORS Address 1 : BOX 198 City St Zip JEFFERSONVILLE NY 12748 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 #R10-00-0270 Name Of Owner CONNORS, BRIAN Mailing Address 1 BOX 198 City St Zip JEFFERSONVILLE NY 12748 Property Address 1 BAYVIEW DRIVE City St Zip EAST MARION NY 11939 Tax Map No. section 37.00 block 2 lot 14.001 Cross Street OLD ORCHARD LANE Building Permit Number Cross Reference: Issue Date: 6/21/02 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) 1 ,,,,.., „, ofF04 co -, d.ELIZABETH A.NEVILLE � _ G* ; Town Hall, 53095 Main Road TOWN CLERK - ; P.O. Box 1179 REGISTRAR.OF VITAL STATISTICS o3 Southold, New York 11971 MARRIAGE OFFICER : 1i � ���, Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER '/Ql �a0 � Fax (631) 765 1800 jlig F EEDQM QF I} FOR11 ,T ICER r��� southoldtown.northfork.net 8 ;rill? I OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: May 28, 2002 Transmitted herewith is a copy of application No. 2928 for a Cesspool/Septic Tank CONSTRUCTION/ALTERATION Permit submitted by: Brian & Mary Elleln Connors by Turn Key Modular Homes,Inc 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: Maintain required setbacks from adjacent wells,buildings, property lines and water Bodies. EXCAVATION INSPECTION REQUIRED. Signature Dated • 'r OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD �� CQG Application No. dU ELIZABETH A.NEVILLE,TOWN CLERK �J► PD.BOX 1179 ; ; Construction SOUTHOLD,NEW YORK 11971 Fri 1 Alteration • $10.00 - Residential Telephone ' �#4�l ��,�' (516) 765-1801 10 $25.00 -Non-Residential • ..�.oi TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ /v.OD DATE -- 0 -- Q ?— APPLICANT NAME: 13-11-4-0-4A. 40/44-AidCC II 1 ��p til n Ul S APPLICANT ADDRESS: (i�i�ii!. ' MS) 41-69r-fre-A4-PAA 0/ /(0, )'7 y /3-7 SEPTIC CESSPOOL DESCRIPTIONOF PROPOSED CONSTRUCTION OR ALTERATION / ,1/4,cuts-i-e4 ( oar LOCATION MAP: Must ':: attached hereto before permit may be issued. LOCATION OF PROPOSE. CONSTRUCTION OR ALTERATION: OWNER OF PROPER Y: Y'- atei_77 c110,, Co►1 G1Ol6S OWNER MAILING ADDRESS: ).--19 / 5c / / G C/1( U 1 1!, 1 ) t-7l 2. 7 5�A -O / OWNER PROPERTY ADDRESS: U l eL,t) L/J J`3.- Tf Yi Li C4// IL) Li �3� /2N- K-& `ti2D�cc lG��� . TELEPHONE NUMBE OF CONTACT PERSON. ED E----7 - 761 C TAX MAP NO. : Section 3 7 Block 0 1 Lot 6114, 6C) / CROSS STREET: �` I d 11L,10,4 BUILDING PERMIT NUMBER CROSS REFERENCE: tit-4 ( S-(---Q CI ` 1 `' •n.t re of Applicant RECEIVED BY: Town Clerk's Office DATE: DWELLINGS WITH PUBLIC WATER FI TEST HOLE (EL 941) ERTI SANITARY SYSTEM CROSS—SECTION CBRIANDT.T CONNORS DARK BROWN SILTY LOAM (NOT TO SCALE) MARY ELLEN CONNORS -0.5' BROWN LOAMY PROPo OSED GRADE °f O AVG. COVER 2' VE SILTY SAND DWELLING mi. 97.o FF( „IC CC -3' iiii T/FOOL 96.5 BROWN n . { Y11 A EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED SILTY SAND uc , ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT HE TIME OF THE SURVEY. -55' °fSEPT1C TANK - POOL B/POOL 90.5 GUARANTEES HEREON SHALL RUN ONLY 7D THE PERSON(S) FOR PALE BROWN ' 1 wHOM THE SURVEY IS PREPARED AND ON HIS BEHALF 70 TITLE COM- PANY,SAND GOVERNMENTAL AGENCY AND LENDING INSTITUTIONS LLSTED HEREON, (emu WA • AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. GUAPoINTEES ARE -6.8' (EL 87.21) NOT (OR DIOWNERS.TRANSFERABLE TO ADDITION& INSTITUTIONS OR SUBSEQUENT URES WATER IN OLD - ORCHARD LANE THE PROPERTY�ARE FOR A PURPOSEAND USE AND THERE- PALE BROWN FORE ARE NOT INTENDED 70 GUIDE THE ERECTION OF FENCES RETAINING —13' FINE SAND @ MALLS POOLS PATIOS PLANTING AREAS, ADDITIONS 70 BUILDINGS AND ANY OTHER cc S31'01 '30�E _ -• N JOB NO. 2CONSTRUCTION. s2 ASE of AREA: 17,459 S.F. = 0.401 AC. Z� _T UL-19PRoyDE tn ON MAP NO. 275 S� Lai th- 0.8' s(1) 1:000 GALLON N PARC E,C' �� ELEVATIONS ARE IN ASSUMED DATUM. SEPTIC TANK FILED:SEP. 23, 1927 1 ADJACENT DWELLINGS SERVED BY PUBLIC WATER. Z Fv N (2) 8 ON 6' DEEP \ �to�- REVISIONS: ,,) '7p O3 iccI- r;j �J ROOMNG POOLS N FORl 50% E TEST HOLE 07/31/2000 r• ;'2'..‘i'r , N F- O / SITE PUN 10/13/2000 C) ti V REV. SITE PLAN •: 10 a.1 ~,, `� - OI U VACANT 0. REV. SITE PLAN / 'Lu O L (HEAVY BRUSH!- r • 0`• ,• O� -4- - N SURV� - Q `1,c` 0 O o < U, Qo�� /� f; license no. 050149 (� -' a ti 1 -4 -2°, i SURVEY OF .�a� � / • LOT 17 and PART OF LOTS 40 & 41 v Mile .•• x o o 'Q' Q p<9 (1 _ s / s,, - MAP OF i z 0 I''' W a pQ• 3 , SECTION TWO, GARDINERS BAY ESTATES (� e 0 Q ��c, G s _ 14 0 3 Q��p'1 Q0 .1 a� SITUATE AT IL ate► z W �W 35 �o �' ` ,�cQ EAST MARION o V n 0 . Q 4P TOWN OF SOUTHOLD o G vi a �� rtzk .Q V SUFFOLK COUNTY, NEW YORK Ild b. Cr q- }M,• Q IX U. 0 q,VA- M Q�� SCALE: 1-=30' DATE. MAY 30, 2000 IX .t a- ( 6 3 28' b Q�' A�,y �. a Rs y -+ t2. p vi 00 �hp� •\ . S.C.T.M. DIST. 1000 SEC.037 BLK.02 LOT014.001 -'� 0 PART OF LOT 40 mss. .• I �n a � 21 a LI V © Fti T -� T lr-►! 41 :::: t F- �-- oz N£ 132 � way` 0 nn. MON Ha on N.Y :via'46 1 h. ``' Cuw a Cr o N31'01 '30"W 86. 19' P (631) 8-5330 a �` tL DIC ti Alan E Merest. LS G1 d Le Q PART OF LOT 40 Succeesera to Paul• Canalize, L T. Robert A Korff LS. DWELLING WITH PUBLIC WATER Good Ground survvsynra, P.C.