HomeMy WebLinkAboutFinnigan o�®g�FFO�,��®
ELIZABETH A.NEVILLE,MMC �� pry Town Hall,53095 Main Road
TOWN CLERK P.O.Box 1179
roe Southold,New York 11971
REGISTRAR OF VITAL STATISTICS 0 Fax(631)765-6145
ANyIAGE OFFICER A�( �aO� Telephone(631)765-1800
RECORDSAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER www.southoldtownny.gov
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD D
v
TO: Southold Town Building Department DEC 1 6 2016 D
FROM: Sabrina Born, Southold Town Clerk's Office
BUILDING DEPT.
DATED: December 16, 2016 TOWN OF SOUTHOLD
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 4450 for a Cesspool/Septic Tank Construction
Permit submitted by:
Michael Finnican
Please review the application and location map and advise if this office may issue the permit.
Please complete the form below and return it to me. Thank you.
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Pee
Comments:
Signature;
of ♦g
Dated j,
+ 1
ELIZABETH A.NEVILLE �`�` ®G�� Town Hall, 53095 Main Road
TOWN CLERK _ P.O. Box 1179
2 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER ® Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER ��®d ��®� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential 10 /or Non-Residential $25 A lication No.
@$ @ pp
Permit No.
Applicant Name Ce
Applicant Mailing Address
Septic Tank or Cesspool i
Brief Description of Proposed Construction or Alteration
Location of Proposed Consttrr�u do Alteration:
Owner of Property: I'K&6ell
Owner Mailing Address:
Aviz
Owner Property Address:
21Y /��
Name and phone number of contact person
Tax Map No: Section DBlock Lot
Cross Street
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SU RV WITH H AL DEPARTMENT APPROVAL
Si ature of Appy- ant Date
Received by: (-L c
, 1 �
l
{
I
I
I
I
FENCE I
BATT — — _ POST
�J6WIIV PLACE �� b50 WID /
E
—941LAPPROX. WA + — I
TER MAIN
— — — —14- w— _ e��HEp`� I
�ti + UTIlJTY `'�9 �Y-�_ �1h� (PAVED ROAD /
3 POLE ) / I
_. _ �� __ ► 240 14° �
+ i ,6 I
_ ..00 +k p t6
J46i am"
I �a3ti+ +�"na SIGN 000
15-I ----
S.T. HYDRANT \� I
— —� — 16— �� _ LP. (RANGE NUT 17.16)
16
28.0 +N6 \
6 +�5 /
1
N,GAR. 8.6' :f1'-- 50.0'
PROP. I
'HQJSE 0
��'`
12.0' 45,5 \ \ 8.0 d-
I �1
34.0' I I V I
I
one emu+\� 1� 1 I 154ti
amm
240.00' _ vi&t I
LAWN MAINTENAINCE'WELL
(NOT FOR DOMESTIC USE) I
IRON PIN
FOUND
i
I
I
SURVEY OF PROPERTY
PREPARED FOR
HICH 9L FINNICA Nuj
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERtY AND Lu
PERMIT F®R APPROVAL OF� �
CONSTRUCTION 0fi� �}11
LL
NUT FIN]VICA A
Lu
SINGLE Fumy RESIDENCE ONLY PROPERTY SITUA TE A T ;
T0" OF SOUTM D
APPRO SUFFOLK COUNTY
�� wmum �--f�--� STATE OF NES YORK - Y.
IRES THREE YEARS FRW OME DFAFFROVAL GRAPHIC SCALE
30 0 15 30- 60 120
( IN FEET )
1 inch = 30 ft.
e
DA 7E:• SEP7EMBER 2q 2016