HomeMy WebLinkAboutMcAllister /sit), ��0��°
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ELIZABETH A. NEVILLE �I1� "" Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR,OF VITAL STATISTICS /�� Southold, New York 11971
MARRIAGE OFFICER ,
Fax (631) 765-6145
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RECORDS MANAGEMENT OFFICER ' ' '4010 Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ,s�l
OFFICE OF THE TOWN CLERK
SOUTHOLD AMATERASZEIRT 1t EDSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2646 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : MICHAEL MCALLISTER
Address 1 : SOUNDVIEW AVENUE
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 #R10-00-0249
Name Of Owner MCALLISTER, MILDRED
Mailing Address 1 84 WEST BROADWAY, APT 55
City St Zip NEW YORK NY 10007
Property Address 1 SOUNDVIEW AVENUE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 51 .00 block 1 lot 3.000
Cross Street MT BEULAH AVENUE
Building Permit Number Cross Reference:
Issue Date: 8/28/01 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
1. (AICIL (161
ELIZABETH A.NEVILLE "I 0d Town Hall, 53095 Main Road
TOWN CLERK % P.O. Box 1179
REGISTRAR OF VITAL STATISTICS , �I Southold, New York 11971
MARRIAGE OFFICER \:#409 �. 1� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER ?�® ��ss22,, iN'i�0 Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER - 1 `Ls' Vis"
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: August 24, 2001
Transmitted herewith is a copy of application No. 2735 for a Cesspool/Septic Tank
CONSTRUCTION/ALTERATION Permit submitted by:
Michael McAllister
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 V
DISAPPROVE
Comments: Maintain required setbacks from adjacent wells,buildings,property lines and water
Bodies. EXCCAAVATION INSPECTION REQUIRED. .
/1/1-e it4e- Ple- ,e,...; , AO' ;011."
y/If.. .r ;ii: '
Signature /
art ;.--f, ry/ ,
Dated I
�J •4 h '
Y
OFFICE OF THE TOWN CLERK I'I��``E�OUK`•►'''
TOWN OF SOUTHOLD 4' v Ovy Application No.0273 )
ELIZABETH A.NEVILLE,TOWN CLERK i e
P.O.BOX 1179 • &a. ed. .
Construction
SOUTHOLD,NEW YORK 11971 : =v • 'rn
Alteration
0�O �� $10.00 - Residential
Telephone .----*0
_ ' .C.0".
MI) 765-1800 1 /,oe $25.00 -Non-Residential
/,I/
TOWN OF SOUTHOLD
e •
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION •
•
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. •
Fee .$
DATE g Z0
APPLICANT NAME: MAL L ck , 4 Mc 1- 4l (L t `'"
APPLICANT ADDRESS: 300(iJQ1 V(i)Lf ) 4'.4`'tQ-
(5-
bqUiLkjLJ\ 1 /01
SEPTIC CESSPOOL
DES,cRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION - (--)K-oe<D3LV
JLAJt:4(i( i�JC-
LOCATION MAP: Must be attached hereto bere permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
• OWNER OF PROPERTY: rib CL .4 c. I\ aldkv
OWNER MAILING ADDRESS: 8 (f (iJ BY-O � — --S S
/, ,OV-K_ Y i abo 7
OWNER PROPERTY ADDRESS: Sck1 \dLke)
ThLkiix A pdi i t 91 1
I -rZ..,c-Cr A A . c-b-> s,r.1
TELEPHONE NUMBER OF CONTACT PERSON: _5-37 —3—I € 0
TAX MAP NO. : Section -C---/ . Block 1 Lot
•
CROSS STREET: 4 4( Ze C-) ( Gd\ 11„ -
BUILDING PERMIT NUMBER CROSS REFERENCE:
' /iiele" . -y
..iiiii
' Signature of Applicant
RECEIVED BY: /r2 S
T wn Clerk's Office
DATE: 7/D.„ci 6 7 .
}
TOPOGRAPH I G MAP 1_, ‘
SITUATE: SOUTHOLD irk `lt, N /
TOVNN: SOUTHOLD . s 1- I� .e
SUFFOLK COUNTY, NY -- ,
I SURVEYED 12-I-q01 lb la 1 \I ` ---- W I� E
i AMENDED 12-30-q1, S (%\ ,Ya�°rP;Z.'na
1 1-25-00, 5-2q-00, --M�"°`° s
i 06-OI-00, 12-08-2000 - _
I SUFFOLK COUNTY TAX # -_ - ' - . -- Zone AE(el II)
1000 - 51 - I - 3 -- zone"x" �
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SUFFOLK COUNTY HEALTH DEPT. - - , __ - •�`c;3..)�fi`'
REF. # RIO - 00 - O24q == r�� �(•
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- - _ _ _ r�'�`~n4`j'j EPTIG DETAIL
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mea bearing a elend surveyor's veal Is a
violation of sectionection7209
7209 Sub-elvlslon 2 of the
NOTES: New York State Education La.-
s
h the
of
'r 7"e• marked with lhe originalo01 the land` e
landsurveyora
51 MONUMENT 4 �� ��f rl;.-.?....
�= stooped deal shell be considered to be valid tree
- '1 R prr copies'
.Y LL/.1•, "Certifications indicated hereon signify that tote
0 PIPE 4}�.�"ot\' G. 7e4 ��4 Issurvecode of PracticIn e foorcor anteSurveyswith the
O �'/T`• ry by the New York State lssocletlon of Professional
1 S ---).'.4 Land theoSaid certifications shell run only
ELEVATIONS REFER TO MSL NGVD'2qCI) 1 `� ' and toperson`°rthe[1"e survey is overnmen.
:.�.. y tj, J y, governmen-
t ♦„� ,l t 1[ governmen-
t.' agency d f thr 1 in.titutIonInstitution
nst i listed hereon and
Yi(' '1 to the e°elennot of the Ir'n°Ing Iedelt Ionel Certif,,,,ut,ce-
tlons are not trend lernb le la egoll inn 1 Inst ltul lona
FLOOD ZONE INFORMATION TAKEN FROM f i1i_� `i' '1 t' JOHN Ca E LERS LAND SURVEYOR
FIRM PANEL 3610300158, MAY 4 IggB : • - _x.0 A,
J n 1 a
• �.�1, NO. �,h t` li`' 6 EAST MAIN STREET N.Y.S. LIC. NO.50202
GRAPHIC SCALE 1"= 50' --1:";:,..436 .lfl �ti- RIVERHEAD,N.Y. 11901
_ - _ _ 369-8288 Fax 369-8287 REF.—HPSERVER\D\PROS\99-285K
____