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HomeMy WebLinkAboutMowdy . ill Of F0140 ELIZABETH A.NEVILLE l 4s..7 y Town Hall, 53095 Main Road TOWN CLERK ; to - P.O. Box 1179 REGISTRAR,OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER ‘44, l��1�, Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER "'/Qd . '/// Fax (631) 765-1800 FREEDOM OF INFORMATION OFFICER ii" southoldtown.northfork.net ,,, OFFICETTOF TTFHSEppTOTTHWN DDCLERK SOUTHOLD WAGS WATERUDISI�OSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2888 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : JAMES MOWDY Address 1 : PO BOX 1357 City St Zip JAMESPORT NY 11947 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 #R10-02-0115 Name Of Owner MOWDY, JAMES Mailing Address 1 PO BOX 1357 City St Zip JAMESPORT NY 11947 Property Address 1 7 LAUREL TRAIL City St Zip LAUREL NY 11947 Tax Map No. section 125.00 block 4 lot 24.009 Cross Street MAIN ROAD Building Permit Number Cross Reference: Issue Date: 9/24/02 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) e JJf r--L2 _- - - ��,......�= S E ^� g ' oFF®_ I C! ���•0®, co;;SEP 2 3 2002 . ELIZABETH A.NEVILLE 1���• _ ��� Town,Hall , 53095 Main Road TOWN CLERK ; ® ii ,RL,, rzk�-�' ' P.O. Box 1179 REGISTRAR OF VITAL STATISTICS %h i ' F-=-==-`7`---'-'LD Southold, New York 11971 MARRIAGE OFFICER 1� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER `,*oI ��®�i��1 Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER ------..„..,0 � southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: September 20, 2002 Transmitted herewith is a copy of application No. 3015 for a Cesspool/Septic Tank Construction Permit submitted by: James Mowdy 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: _.✓ - . . . ./ 4,- - - _e- AA i" / itiakaiiii- -dd../ Signature ®% ......40*,---eg-c, .. /- 1- Dated J • • OFFICE OF THE TOWN CLERK • ,,,,,,,,••••,,, FTVABETHTO�A NEVIT i.F TOWN CLERK •`� oS�FFOLK�o�_.OF SOTHOLD Application N o.�Q P.O.BOX 1179 •� SOUTHOLD,NEW YORK 11971 • Construction = G � ct3 Alteration • / Telephone ?D,��O �����•• $10.00 - Residential ✓ (631) 765-1800 .� 41 ��.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 6 06/26th/ APPLICANT NAME: ji4-M j M 0/AJb'/ APPLICANT ADDRESS: Q . BpK 135'' s, etmesicbT,tiv .. Sft1le0(aT Ny //9SG"7 • SEPTIC X CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION Cakisruucr-70,4 iD r .s1AGle Rim/ i% u LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: (yl M0Lw1 / A ki a i Mogi OWNER MAILING ADDRESS: ?O. 'Bon 1367 / Ny / 1907 OWNER PROPERTY ADDRESS: I L ifoivF 1. �4��El� Ny ` ( (9� D TELEPHONE NUMBER OF CONTACT PERSON: 631 �30--7Y-09 TAX MAP NO. : Section /02.5.00 Block ®V, 00 Lot 02-4L, 0•0? CROSS STREET: MP-I/J /evp-b IQ-Pun' 2 5 c-004-hi Rio - 02,- a // S BUILDING PERMIT NUMBER CROSS REFERENCE: Signature of plicant RECEIVED BY:*ra Town Clerk's Office DATE: 940 (b1--- .ir,•^;.:;,..1.•, ; '0, • .-,;^.',..:44.=' • 4 / . • . : , - „. . , .. . . . . • , . , , . , . , . , 0 •.."' . . 1,3-3,,Y.-3„".-- .3-.•. ......; - 1,-", , v • ,- '••• ,,, . - ' .•. , , . . . .. . . . . , • . ,..","'4.',4,4,: •••31,,,..".3,1''..,,/,....,-,-„:-..:•3'..-,i---.•- ,,,,_-,,,,,,',...• .- •- . -- ..,..,-,,•-•.:-,•- ', • • . .4 = , .--'.•' -,vsy.,„„,-..;,-..--- • :','..- - "- • -'2 •• ,,- — . mr" • ' ' - --- 44Y- ilf..404 MIN,OR ADDITiOly TO THM t1.04,TY),.,,.1§.A„VIOLATION' ,--,"*-...•.:, ,:" ..,-- '.:''.•-0,.•:- •.:',... ,..• . .. '''..'', " '!". UR VET SUFFOLK COONTTDEPARTNIENTOF HEALTH SERVICES , GP -MIN ie0 r ffir NEW YORK ST Ate`EgiCATION et, i.;,t1;..• I'-- ,...'-:-.'-',1: :0-ttin OF PROPER Tr . , .. eic- 49 Pm 9 ETKIN 7809-.sowtsgx4 4,4'ar, Tit'!CATIONS -;•-•- •-,--,,'-- :, ..- ' I PERMIT Fon APPROVAL OP CONSTRUCTION Fon A -, 8-0'444-14' -vAPP r..61? MIS. ilAP 4144-cm', TIRPVIlt .:4:-F7. , ; .• _ -4_, ,-, ...,...i.••; , 4 - 131, ' '-''''''-- '''' .'• — - ' ' MATTITUOK: - . . , SINGLE FAMILY RESIDENCE ONLY , . vim,t 4 A P,-DR:'ONES.a.EAR THE- ..ttlf0E`99E-.D• EAL 1 SORVEiOR -.., 1:-/HOSE-SMAT4 11 ,A11PEARS HEREON, . . . . • ,- , • , ,.. :42,,,11.,. , - t411114 , - „ , _ --,! *7 ' OF SOUTH(114-- D , . ..,..... ..... .... . . ... _ „... ,... , .. -lye,. ( t. --CY)- Or • , . , — S' ErlY - ';'',= ,,, - - COUNTY, NEW YORK _ . APPROVED . '.. - - .. ., ..... _. ..„. ......... , . v , ' -. -; ' '. - ' .6"-,,,::,i..,, ,•-,‘.- *-10-- 00 - 125-0 4-249 SCALE 1 "- 30EXPrifilFvO6R2-HR,AEXIUivieL,IM AORPS..F.....RiO, M. DATE 'BEEODRFOAOPMPSROVAL • • ' ' . , ,- • jAN. 24, g002 c..) ,„:......,,z , . _.,. . rra. z-e_, 2.002 (certification ) . .,' c5i- --,-.7=_--' -- _. JUNE I 7, 2002 ( prop. hse. ) .,... _ . . tin 00' Cr. : / ' " r••• ell,'F . 11. .7:1?-. IL)Li.J • L. = 116 1," - . . I,* R :". •i t`4 , •-•/... WC/3 . . . ' •-•-..-•,..r . , , -, 8-- ',-ND• '," \ . \ -------------- .------ 1 (.4 1..r" -- •rk),.... s '../ -44- , ‘1..) . z .--------'- 0 • - ' , , -- 4N/...,,,,• -, . t•••F LOT 7 .. . , r•O''' . ' \ CO 2'5' . . ‘ . , ,1 r * .-- -. I 1 145' -4 iN ,,,e„,,,t,i . • ' •13 ss: . 4 -- ,,,,-, -• ' \ 22' ''4 ‘••,.„ ,•:' F;; _ . . . . ...., CN 1, I 4/Z3 PPO,0 0• /1 _ . ,4c... t • . •:,'' e X) X). , ,•• 741": rcsv ce ; I. . , ., , /.i•00'5 , 1:1 5,1 . '--• 3 ' s3-2.10?,Ss ' \ I -i, Jo' 16 • .., . sZ, ‘ 2.3 , 7›,0,, --- ) \ ' t'I CERTIFIED Iv, ' . _ _._ _ __ ____ . g ____.---- . 1 110-1 -1-- - l:; 7°411- " . . • ' , KAREN NOW)Y - b • , : . -‘szt F7RST klt/rEftICAN TITLE INSURANCE . . • t , ..., ' -k... -.aro„.„4:,-,- „.,...-..- • \ COMPANY'OP :NEW YORK . .)=-' M. ,t. T.).10101:1TOWE.CORPORA TION • 'T..... , 11 ' si.,.. . . „L„ Ss. . . • ,,, . . ' .. . • • ..k...1 • • t•N • .0 - - . ..:4 ,,,,,,,.: Ii• -V • --• -,•- ' ' ' 4, 4:1.:!. ..._ .n, it •• • .1373:' •'.3, ••••. -.....• • • 41- .3.""• i.r1 CA .4 • .•6 -1" •s V--, p-' -',-, ' ---,..,- . • . • . •*• •' 45711.: STK P.•",", // • • ...- . .. B.0 Ct- . ' el t94 4. . • siK Rrz ,60 ,„p 0 LF137,34' in illiar- with the STANDARD'S EOR, APPREIVAL a.' -ET ,,a.,,, 0.-„ ,, ,.01. , , , 656IER METER LOINSTRUCTION OE SUBSURFACE SEWAGER ,45,2-.' : ,-• - \;.4- ' 09. ,_ 6 . v At VE 0 , E rj.._ °'/41.4 ' REJSAL . M -SYSTEMS FOR SINGLE FAMILY RESIDENCES . Flii,IF lifigN _____--------_ c). l• MR abide: by the conditions set fOi-th therein an I. Ani.. - , . CYO D el ZP.i •' -,•7‘t',3',3•'"" 45 . ... rthe permit' to -Constri..4ct, • - . al ,ko-E rain I .. .0, • '''' 14' '••''.' 11',:" '•. : '6.14 * . . . : - \III,t.:;.4...• 1 • 'Co:ca,41-0 r) -,o, 'wetts and cesspools shown hereon are . , i -,4re ..744k.±, PAP of .,..-, . vtur ."- „ L t , ND, 4 9618 'Iiii '01:4er.\46.ti:o n 5 and or data obtained from others. i 3,4( °--- , , .• I atCONIC ‘ rri E0YORioN Pr. . ,,,,,..,.. . . • 49 ..-'" i (631) ,765 A0'.'ai • --ENP, 1(631) 765-1797 -, . „ .. • A NM ..) • RsUJC.7.T IraiN . 13' IC):DV/5:7.El NISNT