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HomeMy WebLinkAboutFitzpatrick /, \ /l,®�®guFFOI��®�\ ELIZABETH A.NEVILLE ���0 •; Town Hall, 53095 Main Road TOWN CLERK % a P.O. Box 1179 Cla�y Southold, New York 11971 REGISTRAR,OF VITAL STATISTICS • �� Fax (631) 765-6145 MARRIAGE OFFICER :®e� 1I RECORDS MANAGEMENT OFFICER =, ®� zirtg ��®iii Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER -- ,���� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT • CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2722 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : THOMAS FITZPATRICK Address 1 : 447 EAST 14TH STREET, APT 7A City St Zip NEW YORK CITY NY 10009 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 #R10-01-0106 Name Of Owner FITZPATRCIK, THOMAS Mailing Address 1 47 EAST 14TH SREET, APT 7A City St Zip NEW YORK CITY NY 10009 Property Address 1 1030 CLEARV I EW ROAD • City St Zip SOUTHOLD NY 11971 Tax Map No. section 89.00 block 3 lot 11 .003 Cross Street ORCHARD LANE Building Permit Number Cross Reference: Issue Date: 1/11/02 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) 3•._ / �, SOFFO�,�c �' o�� oma ELIZABETH A.NEVILLE ,��i , 3 ` Town Hall, 53095 Main Road TOWN CLERK 0 4 P.O. Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS ` � Fax(631) 765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER = Ql �a��i'�, Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ���� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD � U 1U4i1 -470 TO: Southold Town Building Department + L. BLDG WPT. FROM: Linda J. Cooper, Southold Town Clerk's Office TOWN O`. -UTIVOLD DATED: January 4, 2002 Transmitted herewith is a copy of application No. 2817 for a Cesspool/Septic Tank CONSTRUCTION/ALTERATION Permit submitted by: Thomas Fitzpatrick 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 UIR7//(44f1 ED. /17(ass /.64e0s, a*/* Signature O/ A 73/.0g- Dated ozDated OFFICE OF THE TOWN CLERK ,IIi„.2S/ TOWN OF SOUTHOLD ��' � JQ Application No. 7 ELIZABETH A.NEVILLE,TOWN CLERK % (, G P.O.BOX 1179 Construction SOUTHOLD,NEW YORK 11971 ; =v • T Alteration Telephone0- j' 1', ' $10.00 --Residential (631) 765-1800 -=411. * 1' ,'' $25.00 -Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee .$ �� �s ° DATE�' � 2 APPLICANT" NAME: �%�Ofos �/ �2 /01c�J APPLICANT ADDRESS: 7 5'c't 7- / Li' ? - — /77.'74 ,e4 9' J c, 77- N. ,7'0-0 07 / SEPTIC f CESSPOOL" DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION N Fc.-0 O w E l-A"ivy,�, `"I �-� 6-L_ LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: i H-b m nS E T'2-4/2 AT' t OWNER MAILING ADDRESS: 1•f• 1-1''7 , 1 14_ S 'rze� �pr #�A IV div � o/2t_ c_�T-� N t=om va oP� 1030 P-o,4A OWNER PROPERTY ADDRESS((: c.?,•••, rho+.-o , N . I. . --{{�� ( 4K4 eoso �F Olt a► LA-YeL P-•upi,� l-t JUT%v11, h•'-`7 /7 a TELEPHONE NUMBER OF CONTACT PERSON: a-I Z 6 '17. 3 c c, 5'G_%iol J000 TAX MAP NO. : Section U , Block 03 Lot D /// 3 CROSS STREET: O t. (AI BUILDING PERMIT NUMBER CROSS REFERENCE: Signa u of App icant • RECEIVED BY: Town er s Office DATE: 07/9 • ,--,-A -12',C' . . - .-- r r o I -. - '- .—— -. .— — — _- - I - ' 11- _ - o.Pc \ • - .�?�G6 a. J�aeue x/�rEit. E , \ FGG.IVO Zd _ _ ,C//c ciE G/�t/Tx i v /'rL41,O Z46 ' 6 -0-4(5/..‘,70 2.,,_ N_ \ JD 8 �Eo.o.PA�iPo. - f G �3 - \ .6 Z'O '2.0"- fi.lr•cs.�ct►,v .t. N ::',!1 Nir dre•Vreliae II Q[ z€ - - 1 : ' C.N i 1 I - a - i� . lG /.UCs/No•oe1 *�_44 7'7 . h k ,.„:.,E.,..j do P P��,d°' �. .� w ; �� ���.� I I k ti Iti,.. - 0 N, ' , N A.2...! w •� d : 1 q - /zit 14 . 111411*0-1 -zA,7 ;;.- e2v- --W ' t i. b '% C �- / P•eovose-o 97 y 4•Pt i frac" . I L Ol7 z4 j 45' . ,e2'T.s'40,ca fr 94G 1 / �, ��� OGu' '-' r Q / �� • •• ���� : s,:.. 7LRvicEs �.Qc.9,u��-j Vs . 1{' �� � PERMIT Pit��L OF CONS`"�:.'::"J:� FOR A na [� zs SINGLE FAMILY RESIDENT•. ,),k%,.{ Unautrc reed ate at on or add tion 1• �9 .D �►N O S to this survey is a violation of V Section 7208 of the New York State ii.��� �/ Q Q v� y�. LE�,� 9(�,�, Education Law ENGINEER'S CER4 CATiOI+I REQU1 E . DATE l�`�1J©(FI. E . O. �� ' Q - �O �, Copies of this survey map not bearing R,A. CERTIFICATION - , u. �� emland b embossed shaelrabec SUBMIT P.E. ORAPPROVED or — t cifl- v onsidered * I— ^ '1 "�iF to be a veal true copy. FOR INSTALLATION AND CONSTRUCTION :nn MAXIMUM OF., �,;n`iv18 r wok,_fn': - Guaranteesin�eysdhwsonahellrutt t v � �1c1 k � _ ... 7E�l�=�JG e 4 u��yl', only to the person for whom the survey OF i o • i /A,/ �� �' .j e ed,and on Ns behaN a7 Ilioi:XPiRE iHR`EE YEARS i=RC: .''%'•OvAL Ds, 7.7 / l,a t and FOR FINAL APP AL. ... . .... •_••••••••0 _•� . - I title company governmental agency 409b/L y,i '`! �.' _ '` lending institution laced hereon and 9� to the assignees of the lending kastlar8on. LAVA, �` Q Guarantees are not transferable -�/' CF N g W Y O W additional Inst:^.:.'_ns or subsequent F•F /O' - B,� •Ft 7 owners. /3,0 • e2A/640.49d V t Fico• 9 /0° T-r ' { /�/ _,-4 _ WT' "A� Citi/// 1 ,tp�f/�/Z'o.G• tr,fyEL �G�IJTdG i2EFE.4�7ae/GYO/9.e�+ - II �uz.,PE7- G.- �,rAPA; -—_-.r� //✓DQBL 8.3 °.•Sf.91X] �Z 76 C'PaaeCa) �• ., duRYEY/ca.e. 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