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Home My WebLink AboutCrowley (2) r „,,iii i /seELIZABETH A.NEVILLE �. Town Hall, 53095 Main Road TOWN CLERK ; P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER :®®fi � .1�, Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER � ® �� iii Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER - . .9" en---, OFFICE OF THE TOWN CLERK SOUTHOLD riAAFRTUPotsTStREMINSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2695 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO:' Name : IAN,CROWLEY Address 1 : PO BOX 618 City St Zip GREENPORT NY 11944 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 #R10-01-0125 Name Of Owner CROWLEY, IAN Mailing Address 1 PO BOX 618 City St Zip GREENPORT NY 11944 Property Address 1 1315 HILLCREST DRIVE City St Zip ORIENT NY 11957 Tax Map No. section 13.00 block 2 lot 8.010 Cross Street SOUNDVIEW DRIVE Building Permit Number Cross Reference: Issue Date: 11/19/01 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) . M' ' ®S11FF0`,�ct5 �'LIZABETH A.NEVILLE � t;,..., , s,00'•'• 4 Town Hall, 53095 Main Road 1: II CLERK k p ,. % P.O. Box 1179 REGISTRAR.OF VITAL STATISTICS % W rrr t$ Southold, New York 11971 MARRIAGE OFFICER : G 0 Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER = 4o'� �0-.0 Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER =--OA '��••1f southoldtown.northfork.net OFFICE OF THE TOWN CLERK M TOWN OF SOUTHOLD �� Q u NOV m 9 2001 10 TO: Southold Town Building Department BLDG.DEPT. 1 TOWligf SOUTHOLD FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: November 8, 2001 Transmitted herewith is a copy of application No. 2788 for a Cesspool/Septic Tank CONSTRUCTION/ALTERATION Permit submitted by: Ian Crowley 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 RE UIRED. /�47-e, . 2..4*(-1, 2.--.9 g Signature A°///4/5:/ Dated s , --r* FFIC OF TBE TOWN CLERK 4ULKC �7roWNsrourOLD cf ; • Application 760 FTT7ABETH A.NEWT IF,TOWN CLERK i P.O.BOX 1179 • j ; Construction SOUTHOLD,NEW YORK 11971 o T ; - til � �. Alteration o � �'� $10.00 - Residential Telephone O,y� (631) 765-1800 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 ////0/ APPLICANT NAME: J444 a✓ APPLICANT ADDRESS: 1�15--- /11(0teq firr7 SEPTIC CESSPOOL • DESCRIPTION OF PRO OSED CONSTRUCTION OR ALTERATION • ikdeemf pc47 LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION/� OR ALTERATION: OWNER OF PROPERTY: Cl�etti OWNER MAILING ADDRESS: 6 RD, (v(( cret,iire_ kit 7#(7/ OWNER PROPERTY ADDRESS: l 3tS 1idlek TELEPHONE NUMBER OF CONTACT PERSON: (2( 11/77-1-- TAX /7 717-1TAX MAP NO. : Section((� �3 Block 0 2- Lot RIO • CROSS STREET: �J U/64o1/ BUILDING PERMIT NUMBER CROSS REFERENCE: Signatur of Applicant RECEIVED BY: Town Clerk's Office • DATE: yz1 v4. .. ... - - , AT ORIENT �� :�� L �M ?: 3 �� . c� • T OF SOUTHOLD ii OLD -;ti+' C [ir ' ri( tF;,t . I 'Q1 Yif�Y 30 ?r' . 1r t ;cr, , r lE tt` i 1: .tom i CE:, a d COIN?' , NEW ICJ: 1000-13-02_8.10 , rr � ,. . ' SCALE: 1"�40' . ,—a�,_`,: ; APRIL 10, 2001 ` : , s , NOL.a;pib . r lo / ' t - ' ,, i % ....Y . , /`_ • ! , . ' 0.♦ tit c ; : . - '" � SERVICES !` �� J ,' OP HEALTH • �, , • i;''. ' . -� SUFFOLK COUNTY DEPARTMENT , -. , - . ( . OF CONSTRUCTION FOR A ,` [t=� ��Q' . PERMIT FOR APPROVAL ONLY r .-` . , ' ' ..,;',,,-:,:,,,,-,,e,, . , -39.2?' `� SINGLE FAMILY RESIDENCE Jttl DATE E. O. . 1" SG`/ . . d . APPROVED k 1- ti = F • FOR MAXIMUM OF....,1q........BEDROOMS .2 EXPIRES THREE YEARS FROM DATE OF APPROVAL �� s'�\. y`�© s 4+= i . . , :,,, \ _4., AV:" ' 4 INSPECTIOR num . . 0.,„ ' `��- , ' ,. \ , Vis' '. T' 7. / f 44,' :,..,j-:,,,,1-04'.,,•: ��- 4',,• • ' ''k.',.,,,_,-,,,,4: ,_ ,,r4 ~, oes 4% R ,�'p :' ,' r _ •_ R _ HI ,RES Tc,DE$, .SEQTI 1N .fir y. • T F' 'i LK TY . '� ''�� —,./• � _ - � � , CL�R►�`$. OFFICE �JN AUG. 15. 983 �A� ' r C 'g`> , ifs. 7318, '1T FOR APPROVAL .0 -:a:. - >> - - .. _ .., ' ars fiaMillar with the STANDARDS -r - _•';�r� - OF SUBSURFACE SEWAGE rts,:_ �.- E N NID CONSTRUCTIONS SINGLE FAMILY RESIDENCES • - `. ,-,.``� x,`< :'-�x -> _ - - Eyy ISPOSAL SYSTEMS FOR therein and i • _t• - g 'f - -, a�t MfrZr, , nd will abide by the conditions set forth �� _ /�y'�/ _ �,({�+ " . °-v '•' ` "' Fii• .rte t'lt.: _ • 49, permit to construct. - ;"'-, `4,„,•s e -; ,,,'; y�,:, >r G ; :i.�: tr ',.. - • :_ _ .. n the '' :: - - c t z a� ' • ls shown hereon, ar �� s,. .. 1�, . : r:,, ” t- ;�l � C3�- ,. ' ,,, i5 he location of wells and cesspools , _ .. ' .. j _ froti `J y+�.c ,�;- :-; F"-"• ',.. ..•.; '': ;, -5 0"i '• - or others, "� _,c-,,,:,,,, �� }: >< �� ;t:,,:,.�.,h.,_;�: _ �,;- .y, rom field observations and data obtained x _4, ., �ra 4 'kir ti ; i .5,,.;�:;" t? .; . ,, ! }- ,, ,. g,6 �J ,a .`v ,, .. ` -3�, i List$ -'," T assumed datum. • - ' At �, : ,1" A,t Yx, '::Ari. , ;;; -1 . 'Y , �, j :' . 4, ; KAi i V ,. Q' is S x'471. ' _ :levations are referenced to an r k a „ ;. � - ! �, I�j� �/(�(f (`./, 'c- L ,D`. - . - = .rr..,,•,y�.si.. �. �r 'r 1 vt1- f' �y,r-�`1 S4k1!.- OEV.t+ --"' -..`4%-:::`y---.)-"'-•`�•••x ,` _ _ ^?' _ .._-.:C,. _ tit 44p.v' . r . t,. . - ` ._.1.s.' ..n r „ ^�' M' ,.„,,,,,k,-,,,,.:� ..a.'y- ,'• 049 S.F. �. _ .. AREA=–4f� _ _� _ ? - -�.,,,n ' `r '�- - - �''•' . ,. ..