HomeMy WebLinkAboutBlum, Raymond C ,'/:/;/Ostffo��l /lO
JUDITH T.TERRY te o= 1 Town Hall, 53095 Main Road
TOWN CLERK t y Z P.O. Box 1179
� Southold,New York 11971
REGISTRAR OF VITAL STATISTICS t 4' ! ./ Fax(516)765-1823
MARRIAGE OFFICER 4A 4Fol Telephone(516)765-1 00
RECORDS MANAGEMENT OFFICER 1 *..
FREEDOM OF INFORMATION OFFICER —~... .4°
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 59 N Residential Non-Residential X
Fee $ 25.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : RAYMOND BLUM
Address 1 : BOX 709
City St Zip CUTCHOGUE NY 11935
Descripton of Proposed Construction or Alteration
REPLACE EXISTING SEPTIC SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF. #C10-94-003
Name Of Owner BLUM, RAYMOND
Mailing Address 1 BOX 709
City St Zip CUTCHOGUE NY 11935
Property Address 1 31320 MAIN ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 103.00 block 1 lot 19.002
Cross Street STILLWATER AVENUE
Building Permit Number Cross Reference:
Issue Date: 6/15/95 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
FF OLK
JUDITH T. TERRY .G ; Town Hall, 53095 Main Road
TOWN CLERK o ,_ P.O. Box 1179
U'i �� Southold, New York 11971
REGISTRAR OF VITAL STATISTICS "..V2016% Fax (516) 765-1823
MARRIAGE OFFICER , �� ��' Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER ' "'F(1 i'
FREEDOM OF INFORMATION OFFICER = iiiii,��
OFFICE OF THE TOWN CLERK
•
TOWN OF SOUTHOLD
TO: Southold Town Building Department v""
FROM: Linda J. Cooper, Southold Town Clerk's Office J
DATED: June 1, 1995
Transmitted herewith is a copy of application N . *1935 for a Cesspool/
Septic Tank Construction Permit submitted by:
Ray Blum .
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.
Thank you.
* This is an alteration/expansion to an existing system, however, it
appears the SCDHS required approval also.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE
DISAPPROVE f /
Comments: , J. .�yy ,s�'JS� (� /0,.. 94/- c,03
c2�
Signature
Dated
e r
OFFICE OF THE TOWN CLERK ,,,'",""''--
Town of SoutholdWir
Judith T. Terry, Town Clerk �'0� C =; Application No./93 '�
Town Hall, 53095 Main Road Z <; Construction ✓
P. O. Box 1179
Southold, New York 11971 cl� r4'; Alteration
Telephone - ,,y0 ��0•" $10.00 - Residential
(516) 765-1801 _ 11 ,, �' $25.00 - Non-Residential --
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ �_
DATE --q- "Az .I' , 1 "
APPLICANT NAME: /X/ U �r
APPLICANT ADDRESS: Eo 71 } iw7i(:14 4.4
CG. 'Tc. s 6
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
AilLitte i /s7
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION :
OWNER OF PROPERTY: / (7 ,4 L 'r
OWNER MAILING ADDRESS: w 7 , ,t ,r) /.4• )
OWNER PROPERTY ADDRESS: 3 /3 "z- rr
TELEPHONE NUMBER OF CONTACT PERSON: - / l 739- 73t i
TAX MAP NO. : Section /40 3 Block / Lot / r/ 2..
CROSS STREET : 57/t ;C
BUILDING PERMIT NUMBER CROSS REFERENCE:
gnature of Applicant
RECEIVED BY:
Town C erk's Office
DATE: - /- 93
.1), o f . N , it'I • r
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t
SOOT =TOWN - ' ' ; ,,• ., ''''r', µVi, ,, < # •
lAt ..< f � / "�i F b.i ,_ `Lt..,l,.at ^.ate �
►N1NG 80Ai '
_ lie � `.� ? 81...,,i4f Y I
SCTIN #: 1000-103-1-19.2 I Sut4Uil`:t;OUNTY DF „ARTME :" ` `1:;°• b TIC 1{ .
t
...'• etl"' t','",,' * t:
4 APPROVED Mk tOH t 1t IV ' . -
�s. No: C I 0:: , �• 64 1. I 6x09 '
,.
OWNER: HERMAN BLUM H.S. RE
`r 3706 CALERA DRIVE" ' ` r <ea� a
NEWPORT RICHEY, FL 34652 TYPEeSTAVRA. y ;�Y ,
-e-i . HERS: .-' This approval is granted for Inko st•urtt wort ttd!sanrtacy
ADJACENT LAND OW dsposal and water supply facitit et;pursuant to.Articles;Vl and
7 {i the Suffolk Coun,jYSanitary Cedg d fs nOt ani2 VR a J.
` FRANK CHCHANOWICZ nor apiled approval oto + gtt"ai ,k: t`' r..itii' '4.`4t 4, '
MAIN ROAD �- structdre(s,) sltewt,;jfitS Ap t W •,,:.,;.. 1'(l`o ps .'
11958 FROM T=iE DATE 8E1.DW -V-....'1-1,„'•....':".:',...,:;"••.. t
PECO#1 NY. i-19.3 t .
i, ' SCTIJI# 1000-1 Q3- � iti,� 'v irir4 Is sir' - F
3' . I�r.f• T �t yt �►t�i�t1Qt.Ij7G A
rits «a '.'1‘.._REYNOLD F BLUM A # xae a... . ...._ � :-. :_1' ,
P.O. BOX 709 '
NY11935 N j,
T. CUTCHOGUE. 311 ��I�tr�"�"' ,
�"" SCTM #1000-103-1-19• tgl\ .
N Y t
NO 14.tiY 1NA't
�' a ARCHITECTS: � • • �' ,- ', ,
SAMUELS & STEELMAN ARCHITECTS r
Y Y M'IHS ON.:.• ...,
n 2525'5 MAIN ROAD •..,,,..,......1,,/,-„,.1,1c4,44-4,3},.,.,;- .# ! ea
E CUl'CHOGUE,NY 11935
734-6405 •
+
,.. ,
---.-- �fj��,s,'., 516-, ; ' 4- Y
3 w�; SITE PLAN TAKEN FROM SURVEY PREPARED BY.A. kyv,.;1:27,,,..._:3f..--f..,,.,;•-(,),,.et..,,,..7,,,2..p,,,oz,
ROOERICK VAN TUYL • =,,,e,-.. „.,:i.
.71...,x,:' r 1
S 25626 /�1L'k . ,a 4,Ok.0d f.o Sft •l
LICENSE#L .� '� .�, ;�4w<��� ., ;.. .P -
17177 ,s,. r;,;r, ,H • ,
t DATED ar►catyy, s Ont , '`
SINES
+ . , GENERAL BUSINESS �" ' 'r #'
af1
EXISTING ZON • f r-il. ..
z • • , ,t ','y t c' t
SITING BUILDING AREA: 6,975 SF `; ' .. ,,r ,7711:..):4:....,•4::-*:,,,,;,,...'--,::',,..--',...'
.
EJ(t UILDIN F '
SF) :;,y .c`�APPkOWED BY
�` EXISTING LOT AREA: 2.783 ACRES(121,
�y + =r4 i�11�I4�V 'BARD
x 5.896
COVERAGE: `
{ c EXISTING LOT - ; ; e„...,;,,-;,,,...44: .
xti: -, "��`r' � , T
oLD
•
-,,c , . :▪ , ALLOWABLE # OF USES: 121,228134, c4 d, , M1 •
t � S: 4 USES r ' '
PROPOSED # OF,US RImo, : {� .ai t o I t i
;x RESTAURANT (1 0 SFj '� .a ,,! :111„4.1.11,1„,.,
�`1„� / '
1. NEW R
' * 2. EXISTING FARM STAND (575 SF)`
WINERY (2415 SF} r • '` "�
3. EXISTING WI F �, ,,,
7r I<'4vi Wit' itrft• - ��P'"�k�°' •i',41,.',.4,...--,.t.F ,
4. EXISTING/NEW STORAGE ,. aF fi E g,
• }y . i `" ., > its 1
}: .rr IE rr . + f {
PARKING REQUIREMENTS �z , .
-3r, 1. RESTAURANT )
#.1:• ` (1 Space/100 SF or 1 Space/3.seats) ,
r _............ _ 4r. .....,,.�