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HomeMy WebLinkAboutO'Conor ,,,iii. ELIZABETH A.NEVILLE Town Hall, 53095 Main Road TOWN CLERK ( P.O. Box 1179 REGISTRAR OF VITAL STATISTICS � Southold, New York 11971 MARRIAGE OFFICER `�`�,�e, S:V' 1�, Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER vi s2V` �l� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER �`zs' ��� OFFICE OF THE TOWN CLERK SOUTHOLD WASTRWATERTERSEBIDSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2572 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : RICHARD PRINCIPI JR. Address 1 : PO BOX 1248 City St Zip SOUTHOLD NY 11971 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 #R10-01-0054 Name Of Owner O'CONOR, SUZANNE Mailing Address 1 PO BOX 1248 City St Zip SOUTHOLD NY 11971 Property Address 1 CASES LANE EXT City St Zip CUTCHOGUE NY 11935 Tax Map No. section 109.00 block 5 lot 14.025 Cross Street WOOD WAY Building Permit Number Cross Reference: Issue Date: 5/01/01 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) w ,��,�o�oSUFFOdtc ELIZABETH A.NEVILLE t '.. Town Hall, 53095 Main Road TOWN CLERK ` y P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Y Southold, New York 11971 MARRIAGE OFFICER `� �,�ipp.. ® ' '��e° . �, Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER ?"'!Q . lion Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER _ �� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: April 18, 2001 Transmitted herewith is a copy of application No. 2647 for a Cesspool/Septic Tank CONSTRUCTION/ALTERATION Permit submitted by: Richard Principi Jr. for Suzanne O'Connor Family 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 S( y° i - Dated C J ` i OFFICE OF THE TOWN CLERK ,1!'��,�...UL* TOWN OFSOUTHOLDOC ',1" ,CJ�FF��k�+Ql// Application No. `o2co'� 7 FT T7ABETH A.NEVILLE, 71 S"-- ! P.O.BOX 1179 Construction V� SOUTHOLD,NEW YORK 11971 vT • 01 • Alteration Telephone 0,0 ire" • • $10.00 -Residential (63t) 765-1800 -=h'1 �,." $25.00 -Non-Residential TOWN OF SOUTHOLD • SOUTHOLD WASTEWATER DISPOSAL DISTRICT • APPLICATION for CONSTRUCTION or ALTERATION PERMIT • SEPTIC TANK or CESSPOOL Permit No. • • Fee .$ DATE 4'.%j • 6 f APPLICANT NAME: elZiati4f4 (74irs/CI APPLICANT ADDRESS: ?-03 . 60c /via orroc.b N•y 11017 SEPTIC LESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION I,50o s9 4+ N rrw coNcTK C 2/z 647K . / Pin • LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: Gur,r4NAgi 6oucet • ?5 swc.cc- OWNER MAILING ADDRESS: ?U £;oc /2/-ib Si rttt1v)�v //q 7 1 OWNER PROPERTY ADDRESS: Ogg' 6.1tNW aNCT TELEPHONE NUMBER OF CONTACT PERSON:62W) 745-31j2 TAX MAP NO. : Section /OOO Block LOq Lot OS -/y Ls CROSS STREET: toocia BUILDING PERMIT NUMBER CROSS REFERENCE: . . • • • ature of Appli ant RECEIVED BY: Town Clerk's Office DATE: • RESIDENCE RESIDENCE - , I 51 UNDER CONST. TEST HOLE DATA }. TEST HOLE/3 PER FILE APAP 1, ~ G Jew \`G r EXISTING GRADE �� SURVEY OF ' Ss m q CA SES LANE EXT ;;j, a LONA LOT 25 S IN TIE= 130.00' `- S 01° 21 ' 40" W _45576o'—B XE.--_ 10 _ _ "o MAP OF FAIRWAY FARMS FD R= 25.00' cm /, T— •MH SAND SITUATE A= 39.27' '-5 EASEMENT FOR MAIN AXING CONTINOUS RECHARGE SANS SWALE /PROPOSED S7 o CU TCHOGUE, 12� �/ EXPANSION �p � R<. SED AS REO'D TOWN OF SOUTHOLD c p -�ESSP00� "c-T d, SUFFOLK COUNTY, N. Y. tom_ rri 0 3 0 ^ N 1 IS WATR N �O I. --.t...7•--)\ � N GUARANTEES INDICATED HERE ON SHALL RUN ft i f"1 PROPOS-ED- ONLY TO THE PERSON FOR WHOM THE SURVEY SURVEYED FOR: SUZANNE 0 CONOR IS PREPARED, AND ON HIS BEHALF TO THE p/ TANK 50' SEPTIC 102' TO CESSPOOL 717LE COMPANY, GOVERNMENTAL AGENCY, LENDING INS777U77ON, IF USTED HEREON, AND 40' 83' TO CESSPOOL TO 7HE ASSIGNEES OF THE LENDING/NS7777J770N. GUARANTEES ARE NOT TRANSFERABLE TO ADDI170NAL INST7TU77ONS OR SUBSEQUENT OWNERS. PRO'ISED UNAUTHORIZED ALTERATION OR ADDI77ON TO THIS c 3 BE��ROOM h O THE rn NEW YORK IS A 3 ATE EDUCATION LAW. 09 OFTM � RES10 NCEFM 1000-109-05-14.25 6066 COPIES OF THIS SURVEY MAP NOT BEARING FILED FEB. 15, 1974 . L O T 24 THE LAND SURVEYORS EMBOSSED SEAL SHALL SURVEYED MARCH, 2000 NOT BE CONSIDERED TO BE A VALID TRUE RESIDENCE - COPY. _L SCALE 1'=40' o FOR S.C.D.H.S. USE ONLY ARE-= 40,798 SF • 14� 0.936 ACRES LOT 26 a -r--- RESIDENCE m L T / 130' TO WELL `- ' t rJ d ,, ti O OAC. 140' TO WELL N it o . Y a b , u WELL• rt �, t © ' t'J Z W PROPOSED WELL h. N * ZONED R-40 , .d .VII 1 WELL 0 0o F O a N N ICC® � 2 0in ad Z� ii ELEVATIONS ARE/N 1929 NAVD • 14 ts, eve tr- .LisCO 00 - — < - i z 0 a. t3 _ 1 fa ` TEL FD FD Z tot-- - 0 CO,. t Q U o , itij BOX CM RE ROD• Z , `m4) e4 g i. �� s N '�;,, N 00° 47' 50" 155.01 ' • > �' c o a u - �� /c,g1! Oi �, oU ,Q" Is. SURVEYED BY u.- �+. , LOT 21 W.LL '� to En v..41- �'ti ILOT 20 RESIDENCE GSTANLEY J. ISAKSEN, JR. X 294 /4 RESIDENCE m NE S�FFOLK NY 119. 6 • 631 734-58.#5 „`Oj .11 c �O _ / GUARANTEED TO o / / // 0/r c r, ‘ ICEN. D LAND S P' EYOR SUZANNE M. O'CONOR r , " c ' --j NYS /'C. NO. 49,7 AMERICAN CONSTRUCTION LENDING SERVICES, INC. ' CLASSIC ABSTRACT LTD. 01C981_