HomeMy WebLinkAboutHaase, Robert
.'
.
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.northfork.net
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO:
Southold Town Building Department
FROM:
Linda 1. Cooper, Southold Town Clerk's Office
DATED:
June 6, 2006
Transmitted herewith is a copy of application No. 3604 for a Cesspool/Septic Tank Construction
Permit submitted by:
Robert Haase
Please review the application and location map and advise if the project has received Suffolk County
Health Department approval and ifthis 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
Co=oo," _~--i:'~?~ ~~~
?U-/~~
Signature
tJb~t~?
Dated I /
,....
ELIZABETH A. NEVILLE ... ~
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
".....
Town Hall, 53095 Main lWad
~ 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
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$IO_ or Non-Residential @$25_
Application No. '6b ~ LI
Permit No.
ApplicantName !2okf f~s'-€...-
Applicant Mailing Address P.O. 007"" '"303
. (") ~,w+ . YV-'t (/qS)
Septic Tank-kor CesSpdol..K.-
Brief Description of Proposed Construction or Alteration j.,Jeo../ ~-<:...
Location of Proposed Construction! Alteration:
Owner of Property: G<aber{ ~<-
Owner Mailing Address:
Owner Property Address:
I. 0, BOY '1>0 ~
() IVeN +, JV.'7, I {'N '7
. f
(b y~ ~v:.,J.....,A..., Dc") 1- e fl"e.v1-:
,
Name and phone number of contact person Po b-u- t l-k.... s c. G ? I 3> 2. ~ ';2.1.{ ~ y
TaxMapNo:I{H~F'1Section ole;- Block (/001 Lot 6/1
Cross Street
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH REALm DEPARTMENT APPROVAL
t2A4- ~
Signature of Applicant
Received by$ k ..
Date
LOT NUMBERS REFER TO " MAP OF GREEN ACRES AT
ORIENT" FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE
ON APRIL 13. 1962 AS FILE NO. 3540.
N
o
SUFF0LK COUNTY DEPARTMENT OF r
SERVICES
PERMIT FOR A1'PIWV AL OJ<' COHSTRUCT70N FOR A
~lJIlGIJE FAMILY RlL.'SIDENCE .oNLY
DATE 10 ,.-' ~1 fZ
H . NO. )THl\ -cYJ..).0
APPROVED '
FOR r>1AXIMIlM OF -3- BEDROOMS
EXPIRES 1l!REE YEARS FROM DATE OF APPRaV AL
:3 :L '3 <:>.'f ~~
.
, \
I
I.
SURVEY OF PROPERTY
AT ORIENT
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. 1':
1000-15-01-11
SCALE: r-30'
JUNE 16, 2005
Dec. 21, 2005 1101 coverage)
.
~ P1anApPl'oved MAY
$-es T 2007
'Neil 150 ;;
.
.
Vo-Co."!
/\J LOT 44
( 'm>: :3 ~ S'YJi~ I'MYelr
<<~Qvll<!l!4?- etfJJ'~l.S T<I
fie ':1119~J..I'~,
NB9032'10"E
. 132.00'
e-I. I~ prop
\!:.) ~pll'" ~
I;f $+""'" -
_. ------------,-,,-~-"~~ JJ~){\i.
J,~
ell +.8
8
:z:
I\)
/'J
-
1\)' ,.
0"
.
~
?rop a!:.rtvew",y
~<
~~
40'
LOT 36
I Zo'
-
0)
~
t:!
A.'b'bl ,~~
~ I ~181 ~ ~
./' 'b I"'. ('t 1
eo' I
- .
VI
0)
~
40' O!.
-
0
.
1"1
0)
-
0
'" q
U\
1.34.00'
.
"."
1/8
/Jell
tJ.12.1
SB.3'1'50.W
\
v,;r..Co-r7 f
LOT 46
.,
o(we I"~
C.~ /501..;
well I" frt!?r'I I
,,:.,
e114.0
Vl
o
/'J
"!.
o
~
dwell''':J
~"-""--'~K'P. I,d'
~ 0 lVo/'i
~
~
'"<:
10
!->I
I\)
I\)
-=tJ
'2
);:
;;:j
::0
()
l>
-2.
va.ce"''!
~
tIl
~
('I//.?,
-=
0-
"
HOUSE & GARAGE = 30 73sq,fl.
DECK = 715 sq.fl.
POOL = 800 SQ,fI.
4588 sq,fl.
4588/2/11/ = 2/.7% LOr COVERAGE
. =PIPE
AREA-21, 111' SQ. FT.
ANY AL TERA nON OR ADDtnON TO THIS SURVEY IS A \10 ~ ~--'"' "__
OF SEcnON 72090F THE NEW.YORK STATE EDUCAnON L !lr,i "[' f" r',; f'7 rm
EXCEPT AS PER SEcnON 7209-SUBDII1SION 2. ALL CER 'f'I.1 CAnONS '~."lJ.n I..
HEREON ARE VALID FOR THIS MAP AND COPIES THEREO ,'ONLY IF i..1
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THf' 'SURVEY~ 5' ~Iw) I
WHOSE SIGNA TURE APPEARS HEREON. : I Y 11'\ Vb .'J 1
i .. j~:T~-~'-'
l~.. --:...c,_,...;._--".:, ',,_~ l) I ;..f OLD
----.--..,;
e