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HomeMy WebLinkAboutHenry #1' OFFO` r , y0 ELIZABETH A. NEVILLE � _ * ; Town Hall, 53095 Main Road TOWN CLERK ova - P.O. Box 1179 REGISTRAR OF VITAL STATISTICS % Pry i Southold, New York 11971 MARRIAGE OFFICER ® Fax (631) 765-6145 40 RECORDS MANAGEMENT OFFICER `�y�®1 'tot.��, Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE ppTOWN ,,DDCLERK SOUTHOLD WTTAOSRIRA UDISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2922 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : LORAINE HENRY Address 1 : 10 MARLIN ROAD City St Zip CENTEREACH NY 11720 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 #R10-02-0155 Name Of Owner HENRY, LORAINE Mailing Address 1 10 MARLIN ROAD City St Zip CENTEREACH NY 11720 Property Address 1 140 ORIOLE DRIVE City St Zip SOUTHOLD NY 11971 Tax Map No. section 55.00 block 6 lot 15.014 Cross Street TUTH I LL ROAD Building Permit Number Cross Reference: Issue Date: 10/30/02 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) 1 r ‘ QQ 2.'"' ELIZABETH A.NEVILLE / �# Town all, 53095 Main Road TOWN CLERK ® • - P.O. Box 1179 REGISTRAR OF VITAL STATISTICS a ,moi, Southold, New York 11971 _ ` ® �� Fax (631) 765-6145 _MARRIAGE„OFFdGER :`,�i� 0-i ECO D9< AGE4ENTI QFF CER _ ®1im, �a ail Telephone (631) 765-1800 F :EXp. M_OF INFORMAL -NOF ICER „�,,of southoldtown.northfork.net t 1 ' III OC I l i 2002 f J OFFICE OF THE TOWN CLERK g" �� _ U TOWN OF SOUTHOLD 3Lt�!{ r :T TOWN "'4 i . _D tis"- .,�. ; ,-;��t TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: 10/11/2002 Transmitted herewith is a copy of application No. 3041 for a Cesspool/Septic Tank Construction Permit submitted by: Laraine Henry 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: -e � - ,:/"rh4 /1-4e...e . ,."- , : , , . c _':2= 4.•, ,-- Signature /a/2.—/X,.2_ Dated OFFICE OF THE TOWN CLERK ',caVULKc� TOWN OF SOUTHOLD � QG _ • Application No. 30q/, ET wABETH A.NEWT IF,TOWN CLERK �,OO ,ji PP P.O.BOX 1179 Construction rJ� SOUTHOLD,NEW YORK 11971 c=2 • Alteration Telephone O,f �Q� • $10.00 - Residential (631) 765-1800 = �.� t � $25.00 -Non-Residential TOWN OF SOUTHOLD • a• SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION • for • CONSTRUCT ION or ALTERATION 'PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ DATE 10- // Ob) APPLICANT NAME: L0.4--a,nye. x�Vltzy APPLICANT ADDRESS: IC) 0n -9,61 (*ec e&ch \im a b - SEPTIC CESSPOOL. DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION )Uecj \\orae. LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: � ,,nom q_ 3'oAy,\ OWNER MAILING ADDRESS: O fGc CenF di) r'l 11-7 a 0 OWNER PROPERTY ADDRESS: Iyp ©' 0\R_ �c SO cAlloa Oki TELEPHONE NUMBER OF CONTACT PERSON: (-(7SS_5 TAX MAP NO. : Section c 5 Block O( Lot /S, /') CROSS STREET: `CLA-�I ,A\ I4 BUILDING PERMIT NUMBER CROSS REFERENCE: (.�10i/hmQ I / Signature .f Applicr RECEIVED BY: �� • Aro Clerk's Office DATE: /0 � i i r Young & Young 0� ' y N Psi 400 Ostrander Avenue, Riverhead, New York 11901 -mi Subdivision - "Map of Yennecott Park" 631-727-2303 1r'9, zl Suffolk CountyFile No. 5187 6�,ii Alden W. Young, P.E. & L.S. (1908-1994) Howard W. Young, Land Surveyor §��; Thomas C. Wo/pert, Professional Engineer T„o; �' - I Lot 48 Robert C. Tast, Architect ) =='"s 1 Y,y., _ c Lot 49 �W ' . ' � y�� G (Dwelling With (Dwelling With , o 0 �t kx Public Water) Public Water) HEALTH DEPARTMENT USE o=1 .. co i_ 8`811 ;i ,. w vzw CHAIN LINK 6'5 )-- -: N 88'57'30” E 105.66' _goo FENCE — — - - — -- --------- -----. g$=i 'J�_, 5;4 — - - - - - - — x 24.4 22 2 . , SUFFOLK COUNTY F.�ri�fiR"'?'IVIEN' OF I-MAL'TH SERVICES .!,..R,1 z W i WI C...) -`; c.1 _f;.; li'E]�i'1 � ,*�_' ROVA Cha+ i'� T �J 'F'EOIV FOR A t. , _ O a 'moi L!w7 €N it y�l Jaz l'.. co r:::„., O J = 81i ! I,F, !'�aI°, rA. osgt Lot 11 01 co 1` Co ul. N o Q DATE i' L4 1� r S P ,P, ' ° ate_.Q I -----,i N5LS �Fo< 3 ���.-- -o 0 o ° cn 0 APPROVED _....".144-e—i Jo=` i'S m �/ p, g4� i� i C O• T. `+ o- r LL tMAXIMUM 8 L.;�F.G 1-JQ�.i W S o t Oco o - O )24�k > El, n a -.Z u, J EXPIRES 11- 'd YEARS FROM SATE OF APPROVAL h o • un ea cr r ;66y.6 y o Q- 3oi? • N -• o U)• MOOD DECK w oC43 �_ cr to u<i - O Q o i8.8z �ti• h \\, o � _ PA i CD I PaocioRoPOSED LOCARnc Al rt o o F— SURVEYOR'S CERTIFICATION (WB DR ) li . N o D o a – ovfR o t9t??- l— wowp u ROS o 0 2a oo' • WE HEREBY CERTIFY TO JOHN HENRY '•/�•/� •`1 - o i HENRY THAT THIS SURVEY WAS PREPAREVC.0• " ,� ( god �6.00'7��®0 0� FAI ootb WITH THE CODE OF PRACTICE FOR LAND SU' ,, 'JI! i''• ID ; . �` p N PRpposED a—7, - alio cD �o�' THE NEW YORK STATE ASSOCIATION OF PR k ".• `n •L I,�• D% �wm` O SANITARY i s m ut " R ~ vii o e O SYSTEMzoo. .os. 'cv Sim U1 $ 82.34'20 W L SURVEYORS. r :, i• 1"' 0 * off¢ Q HOWARD W. YOUNG, N.Y.w 10�• I '61§F x S 82'34 _ L.S. NO. 45893 45893 �� WW 0 __ I OLE DR`V • E x 22.6 CONC o -- ORTER MAIN 233 . hi'k WA SURVEY FOR hi 1 Lot 21 JOHN HENRY & LARAINE HENR &'.E §i Lot 22 SECTION TWO" .t. 1 LOT 11 HIGHPOINT MEADOWS, E%m� on =�op 1 1 Subdivision - o�� Lot 23 1 1 h °int Meadows, At Southold, Town of Southold qi_ I Subdivision ,�H19 P Two" Suffolk County, Newt 11 fi'.h oint Meadow 1 Section 3= 1 "Hi9 P _two" S, ` Water) County Tax Map District 1000 Section 55 Block 06 Lot 15.14 t Subdivision - 1 oint 1 Section TWO (Dwelling With Public i��a ',High/Dmeadows, BUILDING PERMIT SURVEY 6 1 With Public water) I o Section TWO (Dwelling 1 NOTE Water) 1 8`t' (Dwelling with Public w 1 i AREA = 20,478 SQ. FT. 3,-g • SUBDIVISION MAP 'HIGHPOINT MEADOWS, SECTION TWO" . .: S , FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON MAP PREPARED JULY 31, 2002 �N3. MAR. 19, 1990 AS FILE NO. 8911. ` i �om,i SCALE 1" = 50' Z„ �oF> -E [t,= MONUMENT SET = MONUMENT FOUND = STAKE SET BP ® VERTICAL DATUM = N.G.V. DATUM (M.S.L. 1929) JOB N0. 2002-0371 = STAKE FOUND DWG. 2002_0371_bp J 341 f