HomeMy WebLinkAboutGorman /�,l' 3FFO`,c
ELIZABETH A.NEVILLE ���'�® Oy� Town Hall, 53095 Main Road
TOWN CLERK y P.O. Box 1179
Southold,
REGISTRAR OF VITAL STATISTICS BsfiL 1
New York 11971
°F Fax (631) 765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER "'/Ql jig ��®iii Telephone (631) 765-1800
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FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3029 R Residential x Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : PETER & GRACE GORMAN
Address 1: 42 TRUMBULL ROAD
City St Zip MANHASSETT NY 11030
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 #R10-99-0256
Name Of Owner GORMAN, GRACE & PETER
Mailing Address 1 42 TRUMBULL ROAD
City St Zip MANHASSET NY 11030
Property Address 1 440 WINDJAMMER ROAD
City St Zip ORIENT NY 11957
Tax Map No. section 14.00 block 2 lot 30.006
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 5/14/03 Elizabeth A. Neville
Southold Town clerk
(TOWN SEAL)
ffoot.
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ELIZABETH A.NEVILLE 11,0 �4‘ Town Hall, 53095 Main Road
TOWN CLERK P.O.Box 1179
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REGISTRAR OF VITAL STATISTICS % o• Southold,New York 11971
MARRIAGE OFFICER ` O yl` 0 - Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER `.=y ®����� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER �'�'A����so� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
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TO: Southold Town Building Department APR 2 2003
I
FROM: Linda J. Cooper, Southold Town Clerk's Office
L"_---? _
DATED: April 24, 2003 `_`/
Transmitted herewith is a copy of application No. 3153 for a Cesspool/Septic Tank Construction
Permit submitted by:
Peter Gorman
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: Gu4 Ce
- ,s....
Signature
O*0-6703
Dated
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•
•
OFFICE OF THE TOWN CLERK .�,; ..........
TOWN OF SOUTHOLD '�CORILkpO
ELILABETIik NEVII,LE,To�vNCLERK Application No.31S
P.O.BOX 1179
SOUTHOLD,NEW YORK 11971 ; Construction
O T •
yc Alteration
Telephone 0,�� �0��• • $10.00 - Residential
(631) 765-1800 0/',t ,,
• $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION •
for
•
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
•
Fee •$
DATE to 24- 0100
�APPLICANT NAME: E_ _ 4 ,.G� 6bruvil
APPLICANT
11'11
SEPTIC =-'CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION +030
Vc'n>cST1c_... 1-icl S6NoLn ScuJfk [�/�1 Lc)/166o Gig-t-L
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Colin 4ef f-,,� `�� S°b G c�ow1 pe
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
•
OWNER OF PROPERTY: PETE(L f/i2Ac..G � 60121npui
OWNER MAILING ADDRESS: 49- 'r{wvc.M� .,
MMM4AS56T N L 11o3v
OWNER PROPERTY ADDRESS: 44-o wiAiDajApp 12.oxf
. :704, j Po/km IV Y
TELEPHONE NUMBER OF CONTACT PERSON: jjp - 6a7-- 2-70'7
TAX MAP NO. : Section V/4,Ob Block 02,00 Lot 030 , 004:,
CROSS STREET: / /41tif ,2611-17
BUILDING PERMIT NUMBER CROSS REFERENCE:
AL44.
Signature of Applicant_
RECEIVED BY:
Town erk's Office--
•
DATE:
c'' URVEY Or LOT #1
s."MAP OF MINOR SUBDIVISION SEPTIC DETAIL
rrorosEa
�� 0i, not t0 SGGIIe I'/VJELLIIJC
FOR BENNETT BROKAW
SITUATE: ORIENT
TOWN: SOUTHOLDnr�,nrJ
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10 _,..,va '�_ nun I'
SUFFOLK COUNTY, NY � \ near Inv,182 4nv,:r In .9
Irly: '-
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SURVEYED 12-OI-aa lenchmc c\.1I'�,11r min 171trh
1 19f tldrVi 'ztclnl; 1/4' per Ft
AMENDED 12-12—aa hnn7 fq••(,r.r fl
AMENDED JAN. la, 2000 /� tmin .
SUFFOLK COUNTY TAX # "111 C1 ,r l+<+r(It Irr,uncl 1 +t,r
1000 - 14 - 2 - 30.6 - 870°n (�( r_.)
CERTIFIED TO: s'407, �Q�,n
PROPERTY UNCOMMONLY _t1- e II9.S3, (-. —141
PERFECT INCORPORATED -
COMMONWEALTH LAND TITLE
INSURANCE COMPANY _ -�"' ."' V''
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EXCAVATION INSPECTION REQUIRE ,
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NOTES: � �1�,�� C• EN�lc,9�O
■ MONUMENT , �� �9 ` -unauthorized alteration or addition to a survey
4, �. `•a-- 7- map bearing a licensed land surveyors seal is a
v.I % violation of section 7209 sub-division 2. of the
1 =