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Home My WebLink AboutMorin / : -� ^l_ #1°,1, -�• ELIZABETH A.NEVILLEd • Town Hall, 53095 Main Road TOWN CLERK ® P.O. Box 1179 Southold, New York 11971 REGISTRAR,OF VITAL STATISTICS \ =' c) MARRIAGE OFFICER �4' Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER \,_O®d , �® 1� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ,.s2- OFFICE OF THE TOWN CLERK SOUTHOLD TIAS1111134600:13RTRUIFIEGAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2580 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : NANCY DWYER Address 1 : PO BOX 93 City St Zip MATTITUCK NY 11952 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 #R10-94-0068 Name Of Owner MORIN, LUCIANO & ANA Mailing Address 1 443 NELSON AVENUE City St Zip CLIFFSIDE PARK NJ 7010 Property Address 1 390 TOWN HARBOR LANE City St Zip SOUTHOLD NY 11971 Tax Map No. section 62.00 block 3 lot 40.000 Cross Street L'HOMMEDIEU LANE Building Permit Number Cross Reference: Issue Date: 5/17/01 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ,_ . , go r 6- .:.--40, , ,,,,o,mir -- , 0 :,,,, ebe--, ELIZABETH A. NEVILLE i lAV .. : Town all, 53095 M.. n Road TOWN CLERK % P.O. Box 1179 REGISTRAR OF VITAL STATISTICS �' i Southold, New York 11971 MARRIAGE OFFICER :°- o ;\� Fax Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER �;_�'®� ,.tt�22, �� il� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER `zs'��',s"l OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: May 4, 2001 Transmitted herewith is a copy of application No. 2668 for a Cesspool/Septic Tank Construction Permit submitted by: Nancy Dwyer for Morin 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: Zatuic ---- 'e{ I 4 b ( Dated ! !' „7 OFFIC�+OF THE TOWN CLERK ��° ��`\, OU",•••••••,,,,, TOWN OF SOUTHOLD '66 "' KCQApplication No. �, � G=; �1 e.Y FT I7ABETH A.NEVILLE,TOWN CLERK � P.O.BOX 1179 z ; Construction j ^ SOUTHOLD,NEW YORK 11971 o rn cnAlteration Telephone • $10.00 - Residential '' (631) 765-1800 ;,i' $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 gYIA- gOD I APPLICANT NAME:, 460111L)G • )W APPLICANT ADDRESS: 2. 0. tO)C 3 Uk -i v , Aly9 11' 5& SEPT I C )C CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION 1124POS� 1-0 PUIL/I) / !LW /t446ot4, Sirtj 1713M( y P--&,5)1)W •LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: • OWNER OF PROPERTY: tli°6f4,-O z 414�. .LIQ-1it) OWNER MAILING ADDRESS: 443 t.)a1i50,-) 6/40f: )1e p}e4-) JJ awl® OWNER PROPERTY ADDRESS:39.0 tbu/, e 4Ug- L9 of ) P/ /Hi/ TELEPHONE NUMBER OF CONTACT PERSON: aO/ ° 3q0, att,3®. TAX MAP NO. : Section O4,c2. Block 03 Lot 4o . CROSS STREET: L- BUILDING PERMIT NUMBER CROSS REFERENCE: - Sign. re of A. dicant RECEIVED BY: .k /St► Town Clerk's Office DATE: C.4:'-'ir!'"7-9=4,:,'T',Pli--,EX-_,?-F-V<,-'-,74-1--rE-::";:<'7,-T,-7.5"K'': FP,';',7,:,--I---'„N,,,,,--t,-1;,,,,-, ,...,,,,,,,,,::Fr,,,p 4,---:-,;,..i:i-„v,,I4-„,,,,,,,,,,,,,•,.1..,i,i-,:'it_,.,i;, ,,,,,,,,,,..,, -,,,,, ,_,,,,,,i,°:....i,,,,,..,„,..,..,,,i,,.,„_;_-_-, ,,,,,,,,,,.,,,,,,,.,:r„,-1,..-,,, ,...,1 1,,,..7.,,,,,i,,,,,,,r„.0, i•,1,,,,;5„--;,,•.,,,,?,,,,,;./v.,„,v,..„',- .,-„,i,„,,,,,,,,:v.,-...,r,,,i.,',,Z.t,,I.,,,,'-',..,;,-;<,E<,-<i'-.2,,'",',--,'.7-_,'=-,;'-,I'='<--'.,..,"..--,,.=--,'",,,E=-. "---r!,s--1<•,,,?=,,,=,. ,,-rif--t=,.;,;,i,,,:s..1.7„i-.., ,,,:,,, , ,,,,,,,,s,„,,,. ,,, •;,- ,_;,,-,„,,,, , , .,,,, , ,, , .- ,'1...-,,., ,,,,,' .,,‘.,-;„ •,,,,,-;,,,.. _'.. ,,„,,,,,,,,,,,,, , „ , „ _,,' ' ',-,"-, -' ,'---,, '`--.'':Q'.'-' '-','''.:- ',......',`''''''',,,- ,v,.f.",q:1,,-,',-r-t,r„'.iff,7 i•,::,!.-_,;',, ..z',. ';,,,,,,,:',:ii:...-..:-'2,?- ',,::.,;- -1.:,---, ::'-,;!.,,:- L';-!'--'-- ,f---- --."T:-;3,!,=';.y_;,„1,-,4.".-f,s ,,,'.,,p,-..,,•,,;,:',',:' - ,_-_•1-,suFFOLK Courny;,,,DEPT.-0p,HEAurits 4-.,.-:-,-,,,-',.4 -,, •,;,v SUFFOLK CO HE-Aut,H-',DPt:;ApPAci..v_ALL ..-..." _, _. _ -Y-_ '- --' - '', :--- ' , , -' - - ,..,---:„t7..3., ,T..' : ,.--, • - .•_.. ',I;.' ."... --" r- . - .' :, '_.,::-'. --:'---'A'' `'.,;,_.,.•;''-- '' ' , ' - , ,eaur.o ..:, astowater ManagemenV - '';',--'-'-' - ' H. S. NO. I:- 't - itiiii•r- ' " ',''Suffolk-county, • i __ , - . - .., -: ,_ „'ic,-:.: - , ._ , • / ,NowrYodu 11801- - _ _ ... ...:,__- .: . . Aii. ,,-::4z_vet- wieit , \ f- 1 - k- , t .„ A \ ' ___ 46 '-- ' - ,- • -' '. / .,1 • • , ,..., SINGLE FAMILY*num-'-ioNL- v_ . ' L ri --,, ., ,, tl) , . i //. ti r-•.---- , I 1 'i 1. EXPIRES ThREE YEARS FROM'DATE OF'Affififfi'. i / , ,..., -/ . ., : 1 . . , .. - ,...„..4 i(4,' 1 ' STATEMENT OF INTENT r.--... i 1 ti,) •„., 1 . -1 I 90- 6 f ...i ; -•.. . • 1, , i.?.,.3 *Z.0 -- -.' ' \ 0 '', --G- , :: -----,./ . , THE WATER SUPPLY AND SEWAGE DISPOSAL 42)j tO G --------- Yr e-r= i. -. ,---... SYSTEMS FOR THIS RESIDENCE WILL —1, r.fx' --„ .....). i \ ' ' ti-, --a -----. , . -,•-. CONFORM TO THE STANDARDS OF THE f...Q,1 , ,_.,. \ / - • ,-t.. 'WI I. , SUFFOLK CO. DEPT. OF HEALTH SERVICES.‘• 4 • \ tsii ‘ ! (s) •• ,.., -.\ 1 - i / APPLICANT li h c, 1 6 i ---- -- - -- ``')I 't- - t -,.... --, '4'4 .......1 --- - - t- t... , - /1 ,:AA k , . , SUFFOLK COUNTY DEPT. OF HEALTH- ' 1 ... 4..• 11 1 . 7,- t // . SERVICES - FOR APPROVAL FOR _ 1--i i, . /, 1 1 - . , i '',6 / t i CONSTRUCTION ONLY T.:,, - ,,, i : . , „,, ,..... ..) 1-. , DATE' 1 -/ 1 Zi , , ? ' '1/4-.), ' 1 (3- -te.1.7' Iterie. z, 0 . --If - l'' ND . ., 1 , . k.••• ii t. . , H. S. REF. NO.• 1 OP 41/4 . . . , '^Z‘ _ ' T.)* I APPROVED: .mob• . it; ''--'' ---r-----i-V — I1 .. ... _ _— •-•-•. '‘. • Wr - . ,..,__ • NIIIIIIPP-- /., ‘- ,. • . 7.--. ,., t '1 , -'------• - -•, . 1 , ....) , . . SUFFOLK CO. TAX MA- •ES1.4'.NATION: _......, , • - N . t 4.1L ‘. IS ' ' _ DIST. SEC .,TCLOCK PCL. . > . . , - ...7 40 _ CI 4? — ' . — ..., , L . __..... , ... . . ... . , OWNERS ADDRESS. _ StC7'.5.3'4: 01. $.6 7 P Okr, ' 5.' e)"'W. -”" Z 044 I i \ . - . - -- ._,. - 0- 4 4 S IV(,--?../,-_-;0 -1 .,L4 Ve -e 1 \ ,r---- 4,-.4...., m J. o701(D , t . . . , , Pic-7c ier/44/1 ./ a. 'D. I- 4. d. Ai/6'.4' /.c161`` '., t'''' ___••......___________ _ _ 1 --•, 1 \ A :-- :r-e./. ,.---_.'oi -- n 4! Ary Z-; - , b a,f_-7/tic z.c..f,41,-,:zi-c,r-.) , 1 1. --7.-V - -_.-._ . t cr.'.;•-•.t ,--,-A i...""^, ; S'} A i •- ii.-7,*t.-:.-;1-,.. ./—/—.,--i--k..-1-i \ DEE-D. L.--,.-‘4 - ,' Z P--/` ,5": .-./t _.,•.-trbocii-.,‘ \ _____ ____ . .. . _ ,_ _____ . _ _.... _ _ =. / ,-rro-r; . , . , .z.-. __,-z•• _--.1 TEST HOLE m STAIVPin . . . . • .... -.47- - - 11/4) c.-•:"-t''' \ -.. 1 r" . , I ' . cfc--.7•(..',".,,jer; 4.0 `,4 l'C Unatitrionzotql : , , 1,,,cialts*Iffifirk . 1 1 . . ' Section 7;, 0 the New WoX 1 ; /0 r_2'IT? sn 1%. -:ii ; ia'-',. 1 /TO, 1 I ‘ . , ee)1-.6 : Z.5., 41.5+=7: 1, -':.i.. '-- 6.. Educdo1_ 0 Coco ,, i t.-•$,, ,,,y r.,..?..bltofbiaang ••••: ;,•--- ..c:,,.• • , •,....— : ! - - _-___ __ . ._ ---,,--,-t- — 0. . 1 if the land.y... ,..,ii s iniiiird:ii.otor /pair! , embccsed sta. sha not be pbinsidered . . - ----- --- Z to be a valid truo copy. ' . a-e,4:5 5•110-1 t i • ... I 4 Guarantees indlmted :areon run shall Ci:id . s only to the parson for whom the survey , —, _. -,--e-7. 3. is perwEd,and On his behalf to the , , A,Nleilciod ilc,t9'. ;,--.:i..,i9 -1 title company,governmental agency and , lending ins.ii,iiii,:.ii i,.:Icd hereon and RIFE I VIED , ....,.._. _ ... ..._ ..... „..._... _ z.vii fyliefe-0/ -4., L.4.2-4E .. . , . , . 1 to the.assiTiE.,,:-9,ii.,e lending Insti- tution.Gua.-rarli,:is are riot transferable to aoditional irisiltutions or subsequent . . . , ' , . - d'07r%..)e '. . . . .,. . ' . ' 1- INUO 29 1994 , ' , , , 1 ' , t . , ' ,,C4) c6 -1-4-fills. fr . . . , ' ' '% o' 1‘.4912+ . . — .t .4i... I • S.C. DEPT. OF a 9-- eff,4)-&uoi-e74' , . _ _ ... . ..,,i..•-,.: ,- • . HEALTH SERVICES - 0. 4.-- ibiA-6.: '' ; ' _r -,_:,,': ", -,<„ ., ' -,,- _ . , ,, , ' - < 4 < - , _ .. , _ , - • ' < , --f7=...- ', , RoDERicK VAN TuYL, p.c ',, --- I . „ ,.. 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