HomeMy WebLinkAboutAlcus, Robert �Og�FFOLt
O� OG.
JUDITH T.TERRYed.
Town Hall, 53095 Main Road
TOWN CLERK ti Z • P.O. Box 1179
11 �% Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Oy ..!,� Fax(516) 765-1823
MARRIAGE OFFICER V 4� ��'�/� Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER 1 * '1►
FREEDOM OF INFORMATION OFFICER '•v��, 01,.E
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1542 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : SPITALIERE CONSTRUCTION
Address 1 : P.O. BOX 552
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR NEW SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. SCHD REF. #R10-96-29
Name Of Owner ALCUS, ROBERT AND PATRICIA
Mailing Address 1
City St Zip 0000
Property Address 1 EAST CEDAR POINT DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 92.00 block 1 lot 2.001
Cross Street INLET WAY
Building Permit Number Cross Reference:
Issue Date: 9/19/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
,,
� OFF04
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JUDITH T.TERRY • Town Hall, 53095 Main Road
TOWN CLERK ; y ? P.O. Box 1179
rrt REGISTRAR OF VITAL STATISTICS O*S•-* $ Southold, New York 11971
MARRIAGE OFFICER ` �/ Fax(516) 765-1823
RECORDS MANAGEMENT OFFICER = 49:1 *9 1� Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER ,00° I
OFFICE OF THE TOWN CLERK
zn
TOWN OF SOUTHOLD
BEDS
TO: Southold Town Building Department
`1 �, II ,
FROM: Linda J. Cooper, Southold Town Clerk's Office --
DATED: September 13, 1996
Transmitted herewith is a copy of application No. 1608 for a Cesspool/
Septic Tank Construction Permit submitted by:
Spitaliere Construction on behalf of Robert & Patricia Alcus •
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.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE
DISAPPROVE
Comments: C�o/" .ems c�C'�`1v d ,/6v._ 96-62029
Signatu
Dated
9/2/
f 7 96
_ 1. ,
OFFICE OF THE TOWN CLERK ' ""•
Town of Southold sof \\J �� k'
C - Application No. /C/e)n
Judith T. Terry, Town Clerk G�
Town IIaIl, 53095 Main Road =► ts, Construction 1`
P. 0. Box 1179 � � !
Southold, New York 11971 : ti� �; is di Alteration
Telephone :D •y�,o 0�` • $10.00 - Residential
(516) 765-113017
1 ► l�(� $25.00 - Non-Residential
TOWN OF SOUTIIOLD
SOUTIIOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ /
DATE �l /3 Ili --- -
APPLICANT NAME: *de./i rL 6.vf7rge4,41 _
APPLICANT ADDRESS: fQ B ',' 5 f 1G/ /VJ) /1'T7/
SEPTIC CESSPOOL ----
DESCRIPTION
iDESCRIPTION OF PROPOSED.SECONSTRUCTION OR ALTERATION
/ ;4601/1 y Z Jai Yy GL'/Ge-'•e/67
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PRQ,POSED CONSTRUCTION OR ALTERATION ;
OWNER OF PROPERTY : Rti.o., _- eGa /ete.,
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS :_•- _4l649i/4/7 fop., A
TELEPHONE NUMBER OF CONTACT PERSON : Qr,r.✓lirS^/e0741.5 -.64i/14
TAX MAP NO. : Section 9Z Block e2l _-..---Lot , _
CROSS STREET : __--
BUILDING PERMIT NUMBER CROSS REFERENCE :
icd ure of Applicant
RECEIVED BY : ...�
wn Ierk's Office .
DATE : �• -- __
, A4..,i IU ._. ..y i..4
TEST HOL?\
THIS SURVEY WAS PREPARED IN CER77FICA17ON5 INDICATED HEREON UNAUTHORIZED ALTE€4TloN oR _El_=5.7
ACCORDANCE 11/77, THE EX/STY/V.0SHALL RUN ONLY 727 THE PERSON ADDITION TO 77115 SURVEY/5 A Dark
CODE Or PRACTICE RIR LAND PVR W//ON THE SURVEY WAS PREPARED, VIOLATION OF SECTION 7209 Brown
SURVEYS ADOPTED BY THE NEW AND ON HI5/HER BEfMALF TO INE SUBDIVISION 2 OF THE NEW YORK Loam 1 d'
YORK STATE ASSOCIATION OF rime COMPANY, GOVERNMENTAL 5TATf EDUCATION LAW.
PROFESSIONAL LAND SURVEYORS. AGENCY, AND LENDING INSTITUTION Brown
INE EXISTENCE OF RIGHT OF WAYS U57ED HEREON. CERTI17GA7ION5 COPIES OF THIS SURVEY/EAP NOT Sandy
AND/OR M5E/IEN75, IF ANY, NOT ARE NOT mANSFERRABLe 70 MARINO THE LAND SURVEYORS Loam ,2 5•
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SHOWN ARE NOT CERfp1EO. ADDITIONAL INSITIY//70N5 OR INKED SEAL OR EPIBO55ED SEAL
SUBSEQUENT OWNERS. SHALL NOT BE CONSIDERED TV BE Brown Srown
A VALID TRUE COPY. Clayey
5 and 51
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in
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'u- Tik.-& TY(? PI1Fi�l?li'NT OF HE ll} af`FIVH B r' _ O� SuoJF.t,T TO COVENANTS b nFSTFlICTIO�IS ' L
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° RADE------ ___ I
SINGLE FAMILY fti:61DONGc XII Y Z �,e / 7 � - - .01 h Z y i
I M: APR 1 1 1996 IIs hr • --�o=b 1�' 5�t� *Ilallrlipt-;"----- ,. --1 �J°k-,n1 i��.•__ �r4.
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f TIM TIM tiEMIS • •• DATE OF AP f t •V• 1 : .7 y.2 _ 5T e —
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P Ip!wed in accordant•wi h Cord of Review 1r eii ?
%' SURVEY OF I �at O 6 • DETAIL
d to initiation datedr > 4-5� //ist'.----e10111.‘LOTS .95—67o& P/O 84 i N.7 5.
4
WGIL t
��r /� „,....--Gey
CEDAR BEACH PARK ii
WrLL Po- - /� Flied: Dec. 20, 1927 NOp No. 90 ,; ;��•,�
Located at BAYVIEW -,._.•.
,
4 1
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(:,r1 ;1-, ; 72 w r s n t c. (x)1,,,,,,,L TOWN OF SOUTHOLD A. , NA VRIKAKI5
SUFFOLK COUNTY, N. Y. LAND SURVEYOR
Revised: April 8, 1996 Surveyed: Nov. 11, 1995
NOTES: Scale: 1" = 40' HAUPPAUge, N.Y.
Quantity of fill required = 1,200 Cu.Yds. per D.E.C. N.Y.S. UC. NO. 49,523
Permit # 1-47363-00190.00001-0 Expires April 30, 1996 •= Pipe Fd. (516) 360-3740
5.C.T.M. Dist. 1000 Sec.92 E3114.01 Lot 2.1 Exist. El.-,----4.0 Prop. El._(4.0) ORDER NO. 95-365P
Elevations refer to N.Q.V.D. Datum per Suffolk County Bench Mark • i