HomeMy WebLinkAbout32527-ZFORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 32527 Z Date NOVEMBER 29, 2006
Permission is hereby granted to:
CLIFFORD & JILL OHL
216 KENSINGTON ROAD
LYNBROOK,NY 11563
for :
ADDITIONS & ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR
at premises located at
County Tax Map No. 473889 Section 137
pursuant to application dated NOVEMBER
Building Inspector to expire on MAY
1300 FLEETWOOD RD CUTCHOGUE
Block 0005 Lot No. 009
26, 2006 and approved by the
29, 2008.
Fee $ 449.40
/ kuthorized Signature
Rev. 5/8/02
COPY
FIELD INSPECTION REPORT i DATE I COMMENTS
FOUNDATION (1ST)
FOUNDATION (2ND)
ROUGH F~G &
PLUMBING
~DITION~ CO~ENTS
NEW SEPTIC SYSTEM
( 3 BEDROOM HOUSE)
I- I000 GAL PRECAST SEPTIC TANK
LEACHING POOL 8'~ ~12 FEET 9EE'F
Ii!eli
area : 15,854 sq.ft.
EXISTING CPs. TO BE FILLED IN
SCDHS Ref, # R10-06-0057
ELEVATIONS ARE REFERENCED TO NGVD,
SURVEY
OF PROPERTY
AT
CUTCHOGUE
TOWN OF SOUTHOLD
SUFFOLK
1000
COUNTY, N.Y.
137 - 05 -
SCALE I"= 40'
MAY 3, 2006
O9
DATE ~-IU<~__:~ S.
~PI~S TNFE~ Y~ARS FRC~ ' DATE OF APPROVAl.
I am I~mi//or w/ih /fie STANDARDS FOR APPROVAL
AND CONSTRUCTION OF'
D~$POSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES
o~W ~iII ~1~ 6y lite conditions sol /orlh lflerein ond on fhe
p~rmlf 1o c~n~trl~l.
The Iocol/ons of wells ond cesspools
shown hereon ore from f/old observttlion$
¢~'~d or from dolo old/a/ned Irom otherx.