HomeMy WebLinkAboutNeumann, Kathleen ELIZABETH A. NEVII.I.E
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
$outhold, New York 11971
Fax (631) 765-6145
Telephone i631) 765-1800
southoldtown.northfork.net
TO:
FROM:
OFFICE OF THE TOWN CLERK rT~--'~'-
ti.
TOWN OF SOUTHOLD 1!'-il -
Southold Town Building Department , ~L 2 ~} ZOOS
Linda $. Cooper, Southold Town Clerk's Office _ '~..~w~ ~:. ~ .... r, cv
DATED: September 22, 2005
Transmitted herewith is a copy of application No. 3510
Permit submitted by:
for a Cesspool/Septic Tank Construction
Youn~ & Youne (property owner- Neumann)
Please reviexv 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:
ated /
I~TJ~,ABETH A. NEVI'LT,E
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.northfork.net
Residential ~ $10 x
Applicant Name
OFFICE OF THE TOWN CLERK
TOWN OF $OUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
__ or Non-Residential ~ $25 __
Xoung & Young
Application No. ~ /~
Permit No.
Attn: Robert C. Tast, AIA
Applicant Mailing Address
400Ostrander Avenue
Riverhead, New York 11901
Septic Tank x or Cesspool
Brief Description of Proposed Constntction or Alteration
existing one (1) family dwelling.
Propose to alter and extend
Location of Proposed Construction/Alteration:
OwnerofProperty:. I~ A. Neumann, James A. Neum. ann& Michael V. Neumann
Owner Mailing Address: 101 west End Avenue, Apt. 21E __
Owner Property Address:
New York, New York 10023
250 East Mill Road
Mattituck, New York 11952
Name and phone number of contact person
Tax Map No: Section 107
Cross S~eet Sebastian Cove Road
M~. Kathleen Neumann
212-874-3183
Block O1 Lot 1
NOTE: LOCATION MAP MUST~ SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SUR]Vi/]f ~TH DEPARTMENT APPROVAL
~Si~nature of Applicant Date
Received
6y:
of)v/
YOUNG & YOUNG
400 Ostrander Avenue
Riverhead, New York 11901
Telephone 631-727-2303
Facsimile 631-727-0144
admin Cwyoungengineering. com
HOWARD W. YOUNG, Land Surveyor
THOMAS C. WOLPERT, Professional Engineer
ROBERT C. TAST, Architect
RONALD E. PFUHL, Landscape Architect
DOUGLAS E. ADAMS, Professional Engineer
HAND DELIVERED
September 16, 2005
Town of $outhold
Office of the Town Clerk
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
RE:
KATHLEEN A. NEUMANN, 3AMES A. NEUMANN &
MICHAEL V. NEUMANN
at Mattituck, T/O Southold, New York
(04-0581)
Dear Sir or Madam:
Enclosed are the following items:
application fee - our check payable to the "Town of Southold" in
the amount of Ten Dollars ($Z0.00);
one (1) original - Application for Construction or Alteration
Permit for Cesspool or Septic Tank; and
one (1) print - Building Permit Survey last dated February 7,
2005 bearing the SCDHS stamp of approval ]uly 27, 2005.
If you have any questions regarding this application, please contact
US.
Very truly yours,
Robert C. Tast
cc: Mr. & Mrs. 3ames Neumann + Encl. + 1 Xerox Print
Planning Engineering Land Surveying Architecture
N
Young ¢ Young
400 05trander Avenue: P~lverhcad, New York I J 90 I
G3 I -727-2303
rULK I~OUNTY DEPART.~ENT OF HEALTH ~ERVICES
PERMIT FOR AP~ROYAL OF CO~TRuc'r~3N FOR A
SINGLE F~/.ILY RE$~DEHCE AND
APPROVED
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