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HomeMy WebLinkAboutJudge, Michael ..\ ELIZABETH A. NEVILLE 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 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD n~J----~- -r !I il i ,I i ~ r~ ':1 JR 2 5 TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office , -~-..._} DATED: Transmitted herewith is a copy of application No. 3588 Construction or Alteration Permit submitted by: for a Cesspool/Septic Tank Michael Judl!e 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 v............... DISAPPROVE Comments: .~?;r~~E~~~'~ ?U. ~~ Signature ~,'J...C_ ,2Do~ Dated . ELIZABETH A. NEVILLE ...., TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMAT][ON OFFICER Town Hall, 53095 Main Road <<' P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 sou tholdtown.northfork.net ... OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @$IOX or Non-Residential@$25_ ./ APPlication~ Permit No. Applicant Name m Ie HfteL ~b{Jt= Applicant Mailing Address 2"17 C/I9;rT ? If}, fNcw '1~ p"y. / &ocJ Septic Tank_or Cesspool V Brief Description of Proposed Construction or Alteration(\Q;...o I)r1.A.O I n<t\..JC P.f1{:To 1 Location of Proposed Construction! Alteration: Owner of Property: ft'1t CMEL JUhGe:-. Owner Mailing Address: Z-?? EP?5T 7/57 S~r jJ/;:U) y~;e... IVY. 10-0 e. I Owner Property Address: ~,o.w. ~r O,.ee-G 0e0 ;P 6I'9D L::U7Cf!c:> $Uc . ~y. Name and phonll number of contact person /f~~ 7 H..&/Yl/ ^"~ 7 c 7- 2. 30 3 Tax Map No: Section 83 Block e> 2... Lot 7% //./0 Cross Street .~ orr O/CEGOlLJ ~b ( NOTE: LOCATION MAP MUST BE SUBl\flTTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HE TH DEPARTMENT APPROVAL ~ . Signature of Applicant ReceiVedbY:~/ C ~ t-l ~ ~ 5 / ,- (};.~/" >l- ,- ,4>"1 / ,oO.f- \~" ",').'1; \ #!.'~ \~~ ........ , ~~ ~,.. ~ j !J~ ~ ;'1 ~'! jliJf IQ l~ .~ 7 l~ /~ /f I Young &- Young 400 Ostrander Avenue, Riverhead, New York 11901 631-727-2303 Howa.rd If. Young, Land. SU'f"l)eyor Th0ma.8 C. Wolpert, Professional Engineer Robert C. Tast, Architect Ronald E. Pfuhl, Landsca.pe Architect Douglas E. Adams, Professiona.l Engineer if ~! ai ~f ~. ~; =' HEAl.. TH DEPARTMENT USE SUFFOLK COUNTY DEPARTMENT OF HEALTH k~ PERMIT FOil A.PPROVAL OF CONSTRUCTION FoIlA SINGLE FAMILY RI!51!ltNCE ONLY i = I ~ I . . DATE ~/;J.-~)i H'91I~~ N_O. ~/()-<J5 -<:';;1..// APPROVED ~ FOR MAXIMUM OF 'I BEDROOMS EXPIRES THREE YEARS FROM DATE OF APPROVAL f NOTE AREA = SASIS ACRES . VERTICAL DAi1.JM = N.6.Y. DATUM (M.S.L. Iq2q) ~';>o ;,,' SURYEYOR'5 CERTIFICATION ~ ''; SURVEY FOR ,~ = c:::> er ffi~} ;: =;~~::~'" ~\1_)1-1 :c.r(~.; (/)~T;--': ~~3f~ nzt) rq-i (f) -<. MICHAEl JUD6Ea I 0- At c.vtGhOgUB, TOl'ln of' 5outh~ 5uf'f'olk Count!:!, Nel'l York IN S) COUr'ltlj Tox Mop OI.I"el 1000 Section BS Block 02 Lol PIO 11.10 BUll-DINeS PERMIT SURVEY DELe'T"eD ~ FOOL HOUSE ADDED COASTAL EROSION H~ LINE PHOTO NUMBER . YIEI"l DIRECTION ADDED eiJILDIN6 PERMIT DATA MAP FREP~ FEe. 2, 2006 JAN. :25, 2006 JAN. 13, 2006 OCT. 20, 2005 AFR. 21, 2005 $GALE. 1'..100' ..JOEl NO. 2OOS-OIIq D~. 200S_0IlQ,Jop BP o~~ ~ -...... ---- ---- , ~ i..OI.lIS l7oh( ---- eS/17Q C. CoO" 1'0 ro.. CO"S 1"'SO, [l??e"lu ell", 0 1/ 1.16c, .;j 'S Jyltt, /I1017/. Co F>vt,11c CQ C1"'So ~e~ 'f') OI""S' L.O<:"T1011 at' HClUOI! 0 ---- --- ~.. ~. ~ ~ I7Oh( IV. 0" QI7C fo"f'J'l ro..'Jj 4tL-.e"t:; elll"g) ""S !II!!! IHeI!f 0(' ('i; ~O O~ (\0 Q(DOJ tIP ~,<\'" ~~ / / / ---- l7oh( ---- A~ 0" '70f". fof". (Cultl" ell i..i..l"rte"t:; ,~ C 7e1<f) .............. , / / / ---- ".-- / / / TEST HOLE f'ROM LOT LIIe GAANSl! ....... FOR LOUIS GOIOSO . ~ GOIOSO ..0' .' ,,--. - 1.0....... (OW ~!oIL.T (MW BAOt"CN 511_ T'f SHe> (eM) p.....,- J-lteTO CCHtS! 5AND rraTH 10 ........~ (5!"U 0.0' 1.0' 5.0' "" "" 'i,O' ------ o . MOI'4,It4!!!tCT ~ . . MOM,.M!NT.-auND ~ . 9T~ flI!T .... &T~ l"(:lUIC) c_a4IHe"f ftO.~O\I!!R 9.5~ a.~~