HomeMy WebLinkAboutArmine 1,1, �y90 FOL
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ELIZABETH A. NEVILLE �� Town Hall, 53095 Main Road
TOWN CLERK k ® P.O. Box 1179
REGISTRAR OF VITAL STATISTICS P Southold, New York 11971
�� Fax (631) 765-6145
MARRIAGE OFFICER ` �i��
RECORDS MANAGEMENT OFFICER _ ®�~�
FREEDOM OF INFORMATION OFFICER �1 ��' Telephone (631) 765-1800
OFFICE OF THE TOWN CLERK
SOUTHOLD ittwapc Ff SAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2683 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : AMY MARTIN
Address 1 : PO BOX 521
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 #R10-01-0176
Name Of Owner ARMINE-KLEIN, GERI & CYNTHIA
Mailing Address 1 65 MONTAGUE STREET
City St Zip BROOKLYN NY 11201
Property Address 1 160 SOUND DRIVE
City St Zip GREENPORT NY 11944
Tax Map No. section 33.00 block 4 lot 35.002
Cross Street SOUND AVENUE
Building Permit Number Cross Reference:
Issue Date: 11/01/01 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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£,
ELIZABETH A.NEVILLE ,$sf rA Town Hall, 53095 Main Road
TOWN CLERK ; C2 �: ; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS
1 Southold, New York 11971
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MARRIAGE OFFICER :®ow *n` �����, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER 0.1 ��®'i� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER 4 •
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: October 24, 2001
Transmitted herewith is a copy of application No. 2775 for a Cesspool/Septic Tank
Construction Permit submitted by:
Amy Mason
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: /
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Signature
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Dated
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OFFICE TOWN OF THE F
�:'O��EfQCK/+OG:- • Application No. 2-2 .�
TOWN OF SOUTHOLD, �4i
ELIZABETH A.NEVILLE,TOWN CLERK ,i
F.O.Box 1179 . Q • Construction
SOUTHOLD,NEW YORK 11971 s CP T
Alteration
Telephone
$10.00 -Residential
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(631) 765-1800 =_ 1 ��0,�
✓ '� • $25.00 -Non-Residential Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
RECEIVED •
APPLICATION
for _ OCT 2 3 2001
CONSTRUCTION or ALTERATION PERMIT Southold Town Clerk
SEPTIC TANK or CESSPOOL
Permit No.
Fee •$
DATE /0#/0/
APPLICANT NAME: Aryl / #1e'r/N
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APPLICANT ADDRESS: pc , 160)6 .o9/ 5f
,Kee.rovi— //p4 "
SEPTIC VCESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
Mew * dem&e 3n achern
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERAT N:
OWNER OF PROPERTY: �/yj//iJ�f/l����r, � 0.,,PELw
OWNER MAILING ADDRESS: r, c -
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OWNER PROPERTY ADDRESS:IOC) pZu4.i
qiet&7,04/Cr.
TELEPHONE NUMBER OF CONTACT, PERSON:
TAX MAP NO. : Section %.,,3 Block Mt Lot 015:00 2., •
CROSS STREET: UI/J) Avei7
BUILDING PERMIT NUMBER CROSS REFERENCE:
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A,4,L3
•--i(Sig ture of Applicant
RECEIVED BY: , Vv
mit Clerk's Office
DATE: D l
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SCALE N T 5 V '
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TEST NOTE DATA (PUBLIC WATER SERVICE) CYNTNHIIAAIARMINE SITE PLAN a -`
GERI BY McDONALD GEOSCIENCE
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SOUTHOLD.N Y BASED ON °•• --
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DATE 01/30/01 SURVEY OF DESCRIBED PROPERTY ARMINE - KLEIN NEW RESIDENC A _ _ -
BY LISA McOUIWN
R /15ED04/24/00 SOUND DR., GREENPORT, N.Y. Chu' 'lON J `-f
DARK BROWN SANDY LOAM SITUATE AT
TOWN of BOUTFIOLD, I II_501011 5/15/0 I ®A SPg ION R
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BROWN SILTY SAND WITH GRAVEL IN LAYERS COUNTY OF SUFFOLK, •\ �A� PA
`I I.!:i e;+.RC
STATE OF NEW YORK ARY 'C ili
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PALE BROWN FINE SAND SP 5 CT M DIST 1000 - BY 0 TI .'• C y tP� BIt FO.A
22'O" SEC 03300 FAIRWEATNER-BROWN �EALTE/ o�
BLOCK o4 00 -1 2
COMMENTS STOPPED BY ROCK AT B',10,I I' LOT 035002 DESIGN ASSOCIATES, INC. P� . £ 1t ,
SCALE NT5 4 13 MAIN SREET 1�V
P.O. BOX 521 * :\►rA.
GREENPORT, N.Y. 11944 -. •�..1..,. )r_ <�•'N
(63 I)477-9752 I0AX(63 I)477-0973
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