HomeMy WebLinkAboutGeraghty p O
ELIZABETH A. NEVILLE _� G'y� Town Hall, 53095 Main Road'
TOWN CLERK y - P.O. Box 1179
REGISTRAR.OF VITAL STATISTICS 0 Southold, New York 11971
MARRIAGE OFFICER 1i �� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER 7Ql �ap Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: August 20, 2002
Transmitted herewith is a copy of application No. 2991 for a Cesspool/Septic Tank Construction
Permit submitted by:
Gusmar Realty
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
DISAPPROVE
Comments:
Signature
Dated
OFFICE OFTHE..TOWNCLERK
TOWN OF SOUTHOLD c��FCOLKcO Application No. O( l l
ELIZABETH A.NEVRIE,TOWN CLERK �O ��
P.O.BOX 1179 L Const ruction
SOUTHOLD,NEW YORK 11971
Alteration
Telephone y0 ���' $10.00 - Residential
(516) 765-1801 �'��l > � $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
RECEIVED
APPLICATION
for AUG 2 0 2002
CONSTRUCTION or ALTERATION PERMIT Southold TownCIerlc
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ 4
DATE
APPLICANT NAME:
APPLICANT ADDRESS:
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY:
OWNER MAILING ADDRESS: -/S"
OWNER PROPERTY ADDRESS: �GCSj��,C �G7y
TELEPHONE NUMBER OF CONTACT PERSON:_ /`�—�y �
TAX MAP NO. : Section L
O Block Lot �UJ
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applica
RECEIVED BY: \
aTown Clerk's Office
DATE: C7
FO�W
_ NOTE Young & Young o
I N 400 0strande;Avenue, Riverhead, New York 11901 3� �
N
AREA = 30,000 SQ. FT. 631-•-727-2303 :ja.g
• SUBDIVISION MAP "SUMMIT ESTATES, SECTION 2" FILED IN � g
I Alden W. Young, P.E. & L.S. (1908-1994)
THE OFFICE OF THEICLERK OF SUFFOLK COUNTY ON MAY 21, "W=
Howard W. Young, Land Surveyor
2002 AS FILE NO. 1,0768. Thomas C. Wolpert, Professional Engineer „fig
Robert C. Tast, Architect
•
VERTICAL DATUM, = N.G.V. DATUM (M.S.L. 1929)
`lP 01'KWUNTV J)Z?ARTN ti' ;t, JvALTH SERVICES ! o
P. HEALTH DEPARTMENT USE } _
` PERMIT VO APPROVAL Or'CON y'1"IRUCTION FOR A
f SINGLE FAMILY RESIDENCE
\ S;I_D_E''NppCE ONLY �a
A�8'
Fg�a� DATE o� . .
S APPROVEDFOR MAXIMUM OFBE aa�
MS €
a<a
y ,
EXPIRES THREE YEARS FROM DATE OF APPROVAL g
\ -o
O +
°� oo°0 1° S SURVEYOR'S CERTIFICATION
JOa` O�eS�c�l 6', ` • WE HEREBY CERTIFY TO GUSMAR REALTY CORP. & aoo
MASPETH FEDERAL SAVINGS & LOAN 'a Fs
PROPOSED `P ASSOCIATION THAT THIS SURVEY WAS PREPARED IN
xm
\�� SSANITMYYSTEM iti+�y \\>�Q ACCORDANCE WITH THE CODE OF PRACTICE FOR LAND SURVEYS s
P �° , \\ ADOPTED BY THE NEW YORK STATE ASSOCIATION OF
\ ` PROFESSIONAL LAND SURVEYORS. o
i<I
H. \
�� F, so .S.T. s� NE dN W
W.
�i l)' �0 \ \ }. e 1 ''� �\ l ! s, ` ..�✓y cam+ 7� = vY$��
+ \
s, d� I, Lot 22 �1?�s$ e°� OV`�GP� , 2ti° `\ Q �
�s %� °�s�, s - Q�cR�� O�� `\\\ HOWARD W. YOUNG, N.Y.S. L.S. N0. 45893 /�� 45a9nJ �J�Ose
ani
3
SE�LANDS�
n O ��, \ o
o , 6'
SURVEY FOR `' ;; p ���
/ � ♦\ �� c, C17 �9ob
�-� GUSMAR REALTYpQ-0LNP . �
r moo'` ' o�°�• LOT 22 "SUMMIT ESTATES, S� TI.ON. '�; o
�� j\�\o 5e `" At East Marion, Town of 6utbold T, �zo�
G_
so 1 `�� tea\ '���' �� i Suffolk County NewkCD
�
�, c�J ,`p , 2.q�
r sG l°� 0
0< +� CD
`�h \,�F'S ���` y P 9 10.8 �W<
Count Tax Ma Di4t,ict 1000 Section 35-r$,Ock
r 05,;L� p 5J BUILDING PERMIT RVEY so
low Ofill
�
r;
Oij MAP PREPARED JULY 1, 2002 Mb
SCALE 1' = 50' Q
❑ MONUMENT SET = MONUNENT FOUND Q = STAKE SET A s STAKE FOUND JOB NO. 2002-0288 V
DWG. 2002_0288_bp �
i