HomeMy WebLinkAboutO'Sullivan, Michael ,�,,��S�FFO�,�'=_
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ELIZABETH A.NEVILLE ,���0 Gy ; Town Hall, 53095 Main Road
TOWN CLERK ` o= P.O. Box 1179
H Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER `` 1i `��11, Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �__�Rl �a���� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ,s�� 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. 2836 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : MIKE O'SULLIVAN
Address 1 : 200 NORTH MAGEE STREET
City St Zip SOUTHAMPTON NY 11968
Descripton of Proposed Construction or Alteration
ADDITION TO EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES.
EXCAVATION INSPECTION REQUIRED.
Name Of Owner MIKE O'SULLIVAN
Mailing Address 1 22-49 23RD STREET
City St Zip ASTORIA NY 11105
Property Address 1 STARS ROAD
City St Zip EAST MARION NY 11939
Tax Map No. section 22.00 block 4 lot 23.000
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 6/21/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE ��'i ' * ; Town Hall, 53095 Main Road
TOWN CLERK H P.O. Box 1179
REGISTRAR.OF VITAL STATISTICS
V6
Southold, New York 11971
MARRIAGE OFFICER Fax��ge�, Fax (631) 765 6145
RECORDS MANAGEMENT OFFICER = �49l :0r����,• Telephone (631) 765-1800
FREEDOM OF INFORMATION-OjFFICER southoldtown.northfork.net
z 6 2002 OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
r
Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: April 26, 2002
Transmitted herewith is a copy of application No. 2913 for a Cesspool/Septic Tank Construction
Permit submitted by:
Michael O'Sullivan
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:
Signature
5—/102.--
Dated
T 1 dLDated
liiiir
OFFICE OF THE TOWN CLERK •►,' �l l lltK
TON OF e % C(V
WApplication No.cj/3
ELIZABETH A.NEVILLE,TOWN CLERK 0t41 �
P.O.BOX 1179 Construction I
SOUTHOLD,NEW YORK 11971 ._
^' Alteration
Telephone y0� �iri $10.00 - Residential /bid
(516) 765-1801 ''ft '1
.11#1l 0
►� $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
RECEIVED
APPLICATION
for APR 2 6 2002
CONSTRUCTION or ALTERATION PERMIT
Soethold Town Clerk
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE 21 °Z
11 ►
APPLICANT NAME: I /]A MCk/ �` 5(,/// cf c/✓ Wilvi 1) (Wolvie
APPLICANT ADDRESS: (96� /U , /114-C€ C-6'--c-i Sa)-/1714141A, llf‘g
Q t aS7 3 yye
SEPTIC CESSPOOL '
DESCRIPTIO SOF PRQPOSED CONSTRUCTION OR ALTERATION
a - 8 yco Le LS //-/ 0-66
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LOCATION
/* &LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTIONR ALTERATION:
OWNER OF PROPERTY: Mike- (n CkiV ASO///LIQ4i
OWNER MAILING ADDRESS: �a"'- / q 3i/ 7'
nS ri.a /W /I /OS
OWNER PROPERTY ADDRESS: 'S /S iQ O Q
.a.s-1- /'fft/ U n/ rti!
TELEPHONE NUM,,B�.,..E��R OF CONTACT PERSON:
TAX MAP NO. / tion d 22 Block 6L7 Lot 23 14.2
CROSS STREET: MA-40 R.A(4-°
BUILDING PERMIT NUMBER CROSS REFERENCE:
- X ' * WC - ' .
40 Signat "'el Applicant
RECEIVED BY:
' / 0 f, te
Town Clerk's Office
DATE:
-- -- — — CERTIFIED TO:
SURVEY OF
LOTS 18 & 19 JOB NO.2002-159
MAP NO. 5315
MAP OF FILED:JUNE 9, 1969
REVISIONS: OF NE?...! -.,
SOUNDCREST WOODS 4�� °�� �„
SECTION ONE '.,` ...,,,,o
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SITUATE A T w
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EAST MARIONiks ^9 r,
TOWN OF SOUTHOLD . L.,-:
SUFFOLK COUNTY, NEW YORK LICENSE NO. 050363
S.C.T.M. DIST. 1000 SEC. 022 BLK. 04 LOT 23&2.4
I-JHANDS O - YINV`'
10 0 20 40 60 80 100 120 140 46 NORT M
HAMPTON BAYS, NEW YORK
SCALE: 1"=40' DATE:MARCH 14, 2002 TEL/FAX111946 •(631)-723-1954 'iP..-
MARTIN D. HAND L.S c
LOT AREA:41,378 SQ.FT. =0.95 ACRE
ELEVATIONS IN ASSUMED DATUM
\ NO SURFACE WATER EVIDENT WITHIN 300'
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xi \ WELL AS SHOWN
vm `\ SANITARY LOCATION PER TOPSOIL
D v OWNER/OCCUPANT
D * LOT 20
23 \ 44
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