HomeMy WebLinkAboutHarbes, Edward W III
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ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FRE~I" 'l~ORMATIO~?FpCER
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Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.northfork.net
! JU'I' 2 O.? ~ OFFICE OF THE TOWN CLERK
, ~ . ..' I TOWN OF SOUTHOLD
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TO: ---Soutnold Town Building Department
FROM:
Linda J. Cooper, Southold Town Clerk's Office
DATED:
Transmitted herewith is a copy of application No. 3606 for a Cesspool/Septic Tank Construction or
Alteration Permit submitted by:
Y OUDl!S & Y OllDl!S
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
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I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
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DISAPPROVE
Comments: ~$;~~_~~~L ~~~
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Signature
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Dated' ,
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ELIZABETH A. NEVILLE
TOWN CLERK
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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
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$1O X or Non-Residential @ $25_
Application NO.~ \e>
Permit No.
Applicant Name Roe,.F'1?"r A A,.,....,...J<i Dr: ..("""''''(7 ~ t.?ro.JAJ(r
Applicant Mailing Address t../DO ~T17 A.vnrl? AVt=:
P'V""'-U__'AO> . NEw <l..a.K. ""'01
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Septic Tank~or Cesspool_
Brief Description of Proposed Construction or Alteration 'Q~t:> ~ ~PN)-'I
fVl"'OJL"',;t /-L"..,,:-
Location of Proposed Construction/Alterlltieft:
Owner of Property: €D. JAil.. T:> l. J. J-IAfH>.F<.-rrr
Owner Mailing Address:Yo. ~x 15~<J
IVlATI7-n JL Jo( . ";"'.v ..,J",,, K
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Owner Property Address:
Name and phone number of contact person 'Wdf>../'1Z.T' A. r;:'LEM..v<1 ft.."!.i'l7:J7 -~303
Tax Map No: Section I :1..0 Block 03 Lot () <I
Cross Street ALDQIC# LA,.)6
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
YA&- A If, bblo6
Signature of Applicant ~ - 'D~te
Received by: ~ G
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YOUNG & YOUNG
400 Ostrander Avenue
Riverhead, New York 11901
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Telephone 631-727-2303
Facsimile 631-727-0144
admin@youngengineering.com
HOWARD 117. YOUNG, Land Surveyor
THOMAS C. WOLPERT, Professional Engineer
ROBERT C. TAST, Architect
RONALD E. PFUHL, Landscape Architect
DOUGLAS E. ADAMS, Professional Engineer
HAND DELIVERED
June 14, 2006
Town of Southold
Office of the Town Clerk
53095 Main Road, P.O. Box 1179
Southold, New York 11971
RE: EDWARD W. HARBES III
at Sound Avenue, TIO Southold, New York
(05-0541)
Dear Sir or Madam:
Enclosed are the following items:
1. application fee - our check no. 23886 payable to the "Town of
Southold" in the amount of Ten Dollars ($10.00),
2. one (1) original - Application for New Construction for a Septic
Tank, and
3. one (1) copy - Building Permit Survey last dated April 3, 2006
bearing the SCDHS Permit for Approval of Construction dated
April 17, 2006.
If you have any questions regarding this matter, please contact us.
Very truly yours,
&~e~
RAF/mal
Encl.
cc: Mr. Edward Harbes
+ Enc!. + 1 Print
Planning
Engineering
Land Surveying
Architecture
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NOTES
A~A = 2S,616 sa. FT.
. VERTICAL OATUM = N.G.v. DATUM (M.5.L. 1"12"1)
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Young &:- Young
Ostrander Avenue, Riverhead, New York 11901
631-727-2303
Howard W. Young, Land Surveyor
Thomas C. Wolpert, Professional Engineer
Robert C. Tast, Architect
Ronald E. Pfuh~ Landscape Architect
Douglas E. Adams, Professional Engineer
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HEALTH DEPARTMENT USE
SUFFOLK COUNTY DEPARTMENT OF HEALTIl SERVICES
PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
SINGLE FAMILY RESIDENCE ONLY
DATE 4/17/06 ./pjSREF.NO.!}J-()G-(J~O'S
APPROVED _~r~~
F~>fAXThlUM OF:t- BEDROOMS
EXPIRES TIlREE YEARS FROM DATE OF APPROVAL
SURVEYOR'S CERTIFICATION
. Y'lE HEREBY CERTIFY TO EDWARD HAR8E5
SURVEY ~S PREPARED IN ACCORDANCE ~I
PRACTICE FOR LAND SURVEYS ADOPTED
STATE ASSOCIATION OF PROFESSIONAL, . Q~'\
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HO~RD ~. YOUNG, N.Y.5. L.S. NO. 45"'''IB ':t&~Y$ /
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SURVEY FOR
EDY(ARD HARBES
At Sound Avenue, TOlNn of Southold
SuFFolk Count~, NelN YorK
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Gounty Tax Hap Dlsldel 1000 SeeUo" 120 BlOCk OS Lot 04
BUILDIN6 PERMIT SURVEY
ADOED TEST HOLE DATA
MAP PREPARED
APR. B, :2006
DEC. 5, :2005
SCALE, 1"=40'
JOB NO. :2005-0541
OYlG. :2005_02:24_b?
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