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HomeMy WebLinkAboutCrean, Carol / co • ELIZABETH A. NEVILLE �� ti� Gy ; Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 % Southold, New York 11971 REGISTRAR,OF VITAL STATISTICS �� MARRIAGE OFFICER Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER `��y'11 �a��6 lTelephone (631) 765-1800 p1 FREEDOM OF INFORMATION OFFICER �� southoldtown.northfork.net -•iu...,1 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2838 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : JOHN BERTANI BUILDER Address 1 : 1380 OAKWOOD DRIVE City St Zip SOUTHOLD NY 11971 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 CREAN, CAROL Mailing Address 1 PO BOX 1882 City St Zip SOUTHOLD NY 11971 Property Address 1 530 KIMBERLY LANE City St Zip SOUTHOLD NY 11971 Tax Map No. section 70.00 block 13 lot 20.017 Cross Street ROXANNE ROAD Building Permit Number Cross Reference: Issue Date: 7/23/02 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) k • 401. . #s'rFO0.) S73 . - •• / J . - , 000 0'L0O., ��••I *ELIZABETH A. NEVILLE ,. Town Hall, 53095 Main Road TOWN CLERK o P.O. Box 1179 REGISTRAR,OF VITAL STATISTICS W Southold, New York 11971 MARRIAGE OFFICER :�,fiL �����, Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER ---__Wel * ,O Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ..........,.• ���� southoldtown.northfork.net ..,.00 rs i. _ , r, OFFICE OF THE TOWN CLERK : ; JUN 2 a 2002 -. TOWN OF SOUTHOLD '� Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: June 24, 2002 Transmitted herewith is a copy of application No. 2941 for a Cesspool/Septic Tank ALTERATION Permit submitted by: John Bertani, Builder, Inc., for Carol Crean 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. rArteevt... /...7...,_ /7_46,1etx )440. ......42_ -7A449d•I'''' Signature °/4641--e b20c) 2"-- I AP- ' > OFFICE OF THE TOWN CLERIC O"'CIMkt. TOWN OF SOUTHOLD /; Application No.AW/ ELIZABETH A.NEVILIE,TOWN CLERK ���,,, P.O.BOX 1179 :,q Construction SOITTHOLD,NEW YORK 11971 Z Z : i,Alteration Telephone _.y0,, b©ri $10.00 - Residential "J/ (63i) 765-1800 =�l, 4 '0 $25.00 -Non-Residential .,,,o,• TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. • Fee $ DATE (vP(/01— APPLICANT NAME: „J 6It)r) r& .n , 1130.,r c,./ APPLICANT ADDRESS: J3j0 V('Lk p jI f2K JQ c,1ti_ Jt{/ ((91 / • SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION CicLd 1-o E'.,.r r,j N� hOrn.� rIc--L d lar / :r J kv._. t LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: Ciro ( Cn c.-- OWNER MAILING ADDRESS: I/• 0 . r -2c' /, J J r.&1pia- i\JL( oro) OWNER PROPERTY ADDRESS: S-30 <irrbec I ti Lu --e_. fo t.t M i J_ AILI 114 TELEPHONE NUMBER OF CONTACT PERSON: l,.l r-d c...,; I<30( � , 710 c-1r9y TAX MAP NO. : Section U 9 0 Block / 1 Lot 2- 0 7 / CROSS STREET: V(Tr it n e... i2-J., BUILDING PERMIT NUMBER CROSS REFERENCE: di&de,_ a k..),Et---,,,' . Signature of Applicant RECEIVED BY: (.; t ,(A.,/,6-1-%:"-- n Clerk's Office DATE: Cp 7,9- 0 0P-- NOTE' LOT.NUMBERS REFER TO MAP OF PARADISE BY THE BAY- SCDHS Rel. # RI 0—B" a 'e The lecallons of wells and cesspools shown hereon are from field . FILED NOV. 4, 1976 FILE NO, 6463 AT THE OFFICE OF THE observations and or from dalarebfalned from others. SUFFOLK COUNTY CLERK. Ir SUR VEY ` ...it Ci.: OF ,c4we///fig) i i �a,7wY E'X/3" 9 Septic rater PR OPER T Y reply W>4J, is saPy'� r°_": A T SOUTHOLD { 4. Ai 0 oar- P. TOWN OF SOUTHOLD hi 1, 28, SUFFOLK COUNTY, N. Y. Pa wow , 1000 - 70 - 13 - 20. 17 o.s' E �y _� (o. O Scale 1sr s 40r F ASEMENT ,. — o C y ,3 N i 4 � dec. /4, /99 Q N w w �, p Uwf ( i Q � �� , il Feb. 26, 1993. (ac.) , W a m +.z _ a April 12, 1994(final) J Ob 20 , W r O wet( _�- \u-�-,Al,P. MAY @, 2002 .. el h 20 �— — 1 f l 0,,,,, y Jc'vE G 2o02�revI5/' ) 3 (DWELLING) 't. \ W a a -- ' $ The wafer supply and sawdys W O : 9a' . sys(eiria /or M s res/dencs w111 y, 17 ABANDONED i. $, a+ ft I Io the s7ondards o! TAe Sul/ohF WELL PIT eta' a 2s,s c Deporfinenl 01 HedlA Services. W Q .crt.z EX VAT$ON INSPECTION REd11RED Q.T h Q/r CO COW FOR SANITARY SYSTEM ANY AL 7X:RRATI01v OIR TO SY 14VE1'IB A VIOILATAON n = SY HEALTH DEPARTMENT i� of SECTION z'2o9 of nl w r TAT m 17xw tetEX'T AS PEALSECTION 7P09- . ' O4. hEAEON ARE VALp FOR 7}IS ML ,a „w i e O l - of M7lOSSA7 AP RS .,, 3ALT I _ V (s.37 p _.—_ - - — EASEMENT 15.7 l� [�. t ADDITXDNALLY TO COAPLY M7TH SAD LAM S,3 •AL s 00 �/ 2 __-_._- • • r• W '` MUST BE U9ED 8Y ANY AND ALL SLRyLr1'• .. Z y o O ,B_s , -" r S 86 06 50 �V OF AN07?ER SLl4VEYgR S MAp TEAMS • M BROlka71T- TO DATE'ARE MOT IV a4� s �Tjy AND ti z5assa W W r ` (13 o idcisczo,n1:5,riainYi:::: � $}ZF'MOCK COUNTY D EPART M' T OF SERVICESEALTHITS ^ \ aP L PERMIT FOR APPROVAL.OF CONST UCTXON FOR A VACANT ) CERTIFIED TO' ^~i 2 SINGLE FAMILY RESIDENC ONLY �, CAROL. LYAW CREAN -b.NORTH FORK BANK OF Nf �`' 2a'/ a� r'J. TITLESERV \PZE IV ., 3 DATEC .,Il009 ODd op- TS 58998-5S`o�NtMFrr�4 APPROVED FOR MAXIMUM OF rc BEDROOMS / , /'1� �� (�� •o l o. 49618 EXPIRES THREE YEARS FROM DATE OF APPROVAL ^a 1 �z ROXANNE ROAD -ECONIC `.�r'r �t� AREA = 41,227sq.ft 1631) 7'65 - 5•-• q 4 -irstr P. O. BOX 909 1230 TRAVELER STREET ' SOUTHOLD, N.Y. 11971 88 - 682 . ,