HomeMy WebLinkAboutBundrick, William ELIZABETH A. NEVILLE ��`1 y Town Hall, 53095 Main Road
TOWN CLERK ; c 1 P.O. Box 1179
REGISTRAR OF VITAL STATISTICS u� Southold, New York 11971
MARRIAGE OFFICER Fax (516) 765-182:3
RECORDS MANAGEMENT OFFICER ��Q �� •I Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER —
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1820 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : EDWARD FAIVRE
Address 1 : STONERIDGE CONTRACTING
City St Zip MILLER PLACE NY 11764
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-98-0019
Name Of Owner BUNDRICK, WILLIAM AND LINDA
Mailing Address 1 7 LOWELL DRIVE
City St Zip FARMINGDALE NY 0000
Property Address 1 MEADOW BEACH LANE
City St Zip MATTITUCK NY 11952
Tax Map No. section 115.00 block 17 lot 17.007
Cross Street WILLIS CREEK DRIVE
Building Permit Number Cross Reference:
Issue Date: 3/13/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
,e' 1FFOL, = l
ELIZABETH A.NEVILLE �•��•� �G.y �1 Town Hall, 53095 Main Road
TOWN CLERK % p 1 P.O. Box 1179
y 4 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ; 4 1 Fax (516) 765-1823
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER -_y�q a�.•' Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER ����
•"I I
OFFICE OF THE TOWN CLERK nn .
•
TOWN OF SOUTHOLD (! C
uLi
TO: Southold Town Building Department
±, . BLDG. DEPT.
FROM: Linda J. Cooper, Southold Town Clerk's Offic- I• N •F • TH• •
DATED: March 6, 1998
Transmitted herewith is a copy of application No.1894 for a Cesspool/
Septic Tank Construction Permit submitted by:
Edward Faivre - Stoneridge Contracting for William & Linda Bundrick
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 A....7.--
DISAPPROVE
Comments:
ignatur
3 ( i 3 (9 g
Dated
OFFIC.X.,01' THE TOWN CLERK
Itiyowl'Terry,or sotiTolhold Clerk • ApplIcritittoi Hti.
c.11111 T. wn
Town Hall, 53095 Main Road ;-4 Construction
P. O. Box 1179
6" •
Southold, New York 11971 Alteration
•
Telephone • Residential
44 tl(t.
...nutfif°
(51ti) 705- 1001 • Non
TOWN OF SOUTHOLD
souniol..1) WASTEWATER Disvo.sni_ ms-rnICT
APPLICATION
ltii
CONSTRUCTION or All'ERATION PERMIT
• SEPT IC TANK fir CESSI'M)1. .
Permit No.
•
$
I)ATIE 0/01Z—C H ‘ 3_1(rig
APPLICANT NAME: Ebulf4rb FS I VP-E Smpze-grhere Copfly_epri"N6, rlurb--72-10.es
APPLICAN 1. ADDRESS: P.0• 80iC
SEPTIC CESSPOOL
•
DESCR 1 PT ION OF PROPOSED CONST RIJCF ION OR AL-rEitATION
• Nov tiCT.It_ti C Mar) 69-rn bui_1?-74„Liv 6.
LOCATION MAP: Mtist be attached hereio before permit may be Issued.
•
LOCATION OF PROPOSED CONST RUCT ION OR A LT ER A T ION:
OWNER OF PROPERTY •,,t())4A..tA7TH 4- L. NI g.t.,00))e-le-k
OWNER MA 1LING A DDR ESS: 40.0614, bp--
•OWNER PROPERTY AD DR ESS : 6674C-1-.1.
Pi/9:7m
lELEII NUMBER OF CONTACT PERSON: 331- US'S.
'1AX MAI' NO. : Section_....H.S.- .11lock. J72
CROSS STREET : C/2-E5K- bgWe
nuiLDING isiumilER CROSS REFERENCE :
•
Sicjila tire of Appiltant
RECEIVED 11Y :
•••
DATE : '
---• • - -
' °1-11:1-.. •-''''7.--.;----•-1 .
o Young & Young, Land Surveyors
Lot 36
400 Ostrander Avenue, Rtiverhead, New York 11901
(Vacant) 5 f 6-727-2303
guung
S5 Lot 6 / • Alden W. Youn . L
IIung (Vacant) �� O Howard W.Young,�Land (1908-1994)urveyore
.."--2-‘""-----!---"/"1
� <� Thomas C. Wolpert, Professional Engineer
\ Kenneth F. Abruzzo, Land Surveyor
$ -"C S John Schnurr, Land Surveyor
laaatn M�\N
Engineering
Ammo: '�5�'oo'I 5 \7: N W Pte/ � �
; +►14 N NOTES: i
ON 4 •i' 1. SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK Y
��J tt c3`_ COUNTY ON AUG 21, 1987 AS FILE NO. 8377.
N 6a5 \\m O 2. ELEVATIONS SHOWN HEREON ARE FROM TOPOGRAPHICAL MAPS F
\ s PREPARED BY US REFERENCED TO MEAN SEA LEVEL DATUM 4
0 �
0.\6� owe'" O
C3
opo O Water lines _r�ir I be inspected by the
e� � ,,,c0/..d., �,� 6 Suffolk �.'c>`:►�i;+ Dept. of Health Services.
a
• 10 ��� VS- �y
^�• go 1,,o 44scr 1,.° 3' Call a�2-.'�.1t"'7, 24 hours in advance, i
Drainage Area �,o� a
to schedule inspection(s). f
(Vacant) 7:,:y ' ; a \ Lot 26
r � ` 5'F'� es\ � (Vacant) SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES CERTIFICATION h sake' \0�0 � 0 "I AM FAMILIAR WITH THE STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE
�5 `....\--s.0 SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES AND WILL ABIDE BY THE CONDITIONS
,pt. �� ` 7,„........w,,
tD. SET FORTH THEREIN AND ON THE PERMIT TO CONSTRUCT." F
PI
D SEP� •� /ff. c, � APPLICANTS SI RE �N / OyJ buidLLOt /xs , };.0 ��^j \yam APPLICANT: El,b✓f L� IV. .0
Tv \ 0
2 Area = 49210 S.f. / ‘60°,01,�,5 •��0 \\\ STREET ADDRESS: P.O. $c)y �,../ j
/ `21 P M y� \\ \ a� a' CITY: f L pl.45,- STATE: ZIP CODE: 0 6,y
\ / p�� \� TELEPHONE NUMBER: 5
J _. `.. �! �o of• / $ E \ \moo 3J S 1
ff
10 ID
a
P 6�•\ \Rq°Rq H \\\\ ) � O SURVEY FOR: ,
..i 44Sc NAS'°/fA=� \\\ �` )\ '‘ ,,,� WILLIAM BUNDRICK & LINDA L. BUNDRICK
13
i ° ›' o. �F\MEQ / \ IPLOT NO. 7, "HARBOR VIEW AT MATTITUCK" a
0 0 o Z4,:`hti At: MATTITUCK Town of: SOUTHOLD
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�' esti' �J� Suffolk County, New York W
t Z 41 w A 9 F� 6s ,,�* Q
1000 115 17 17.7
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Lot 8 — \<7....,14/
Suff. Co. Tax Map: I I , ,
` • H:Ei (Dwelling Under Construction) / 1 / District Section Block Lot
ig
. 7 / ��r`� �� CERTIFIED TO:
I ) V \----, WILLIAM BUNDRICK N
2 2.7 7_ k W / LINDA L. BUNDRICK
N Lot 20
"' : 4 r 2 � (Dwelling) ; g;
A, ` ffoi, Ctni /
e d
�' 319 • ' / ti W,' 44.'1 Le 0 '(.�, II / DATE :JAN. 28, 1998 eg „4 ;
- t. i: l $ A :1" = g
�: _ , \ cam CLE 50' F;
JOB NO. :98 — 0059 3;
q Q SHEET NO. :1 OF 1
1 _ 1 O
"980059.DWG"