HomeMy WebLinkAboutCoady, Robert 1
/4'� yJUDITH T.TERRY � ‘ Town Hall, 53095 Main Road
� �
TOWN CLERK t c ; P.O. Box 1179
�
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS ‘;0y �.,',
, Fax(516) 765-1823
MARRIAGE OFFICER aO o1
RECORDS MANAGEMENT OFFICER 01 * it iig Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER ...,„ ,•i
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1472 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ROBERT AND BARBARA COADY
Address 1 : 4 CHERYL LANE
City St Zip NORTH BABYLON NY 11703
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. #R10-95-101
Name Of Owner COADY, ROBERT AND BARBARA
Mailing Address 1 14 CHERYL LANE
City St Zip NORTH BABYLON NY 11703
Property Address 1 WILSON AVENUE
(3150 BEEBE DRIVE)
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 103.00 block 9 lot 1 .000
Cross Street BEEBE DRIVE EXT.
Building Permit Number Cross Reference:
Issue Date: 5/06/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
•
gliifOFFOL,j-
JUDITH T.TERRY 1��= 1.1‘ Town Hall, 53095 Main Road
TOWN CLERK ; N Z P.O. Box 1179
^T Southold,New York 11971
REGISTRAR OF VITAL STATISTICS Fax(516) ?65-1823
MARRIAGE OFFICER \**,
RECORDS MANAGEMENT OFFICER 0/ 4g 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. 1472 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ROBERT AND BARBARA COADY
Address 1 : 4 CHERYL LANE
City St Zip NORTH BABYLON NY 11703
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. #R10-95-101
Name Of Owner BOADY, ROBERT AND BARBARA
Mailing Address 1 4 CHERYL LANE
City St Zip NORTH BABYLON NY 11703
Property Address 1 3150 BEEBE DRIVE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 103.00 block 9 lot 1 .000
Cross Street WILSON AVENUE
Building Permit Number Cross Reference:
Issue Date: 5/06/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
y 10
,, c{7 't/
Ile 0004
� 1.:' y
JUDITH T.TERRY ; o ‘ Town Hall,53095 Main Road
TOWN CLERK a Z , P.O.Box 1179
tk REGISTRAR OF VITAL STATISTICS O •F��, Southold,New York 11971
MARRIAGE OFFICER �1'� ������ Fax(516)765-1823
RECORDS MANAGEMENT OFFICER : �.( * 41:8116
�►a8,1 Telephone(516)765-1800
FRE M OF INFORMATION OFFICER o „„ ,,""�
r
P ted n , rye
3 0 i� ' OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO ,,..i- •oEpr thud Town Building Department
FRO. .: ' '' J. Cooper, Southold Town Clerk's Office
R
DATED: April V 30, 1996
Transmitted herewith is a copy of application No. 1532 for a Cesspool/
Septic Tank Construction Permit submitted by:
Robert and Barbara Coady ,
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 ei.
DISAPPROVE ,�
Comments: iciip,,,r1 CCS,/D lee-/./ /60 - 9S--/a /
/
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Si ature
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Dated
4
OFFICE OF THE TOWN CLERK ,,goo' IP 0000000
Town of SoutholdNo. / ��
5
Judith T. Terry, Town Clerk •d•�Q�,:' *1- a
Town Hall, 53095 Main Road ,� '�9 r‘• Construction
P. O. Box 1179 o
' Alteration
Southold, New York 11971 %Ls"
yc
Telephone ��O Q��••• $10.00 - Residential41'0 *6
(516) 765-1801 �� $25.00 - Non-Residential
se
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE �Y1.4L 301 / q1(0
APPLICANT NAME: Romp-7- F • DAtLbrr t' , GoPcD '
APPLICANT ADDRESS: 4 Gk L LAO&
/ '�1 • bitS ti, N i N
SEPTIC v CESSPOOL V
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
SWUNA; itikvvirLi let:-410JW
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PRQ,,POSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY : 2 v� •� t C)t. t - Ce' 1
OWNER MAILING ADDRESS: 4 CH L Lettib
N • 601 wW, Nom( • t (T03
OWNER PROPERTY ADDRESS: 6/W 6j)(2.4)64... WI/4,0d Po .
51Cotoib t2 Avg E07-•
\tr.) TELEPHONE NUMBER OF CONTACT PERSON: r mo -eborj
TAX MAP NO. : Section 1 OBJ Block Dq Lot t29
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
- (41/g4/144/
Signature of Applicant
RECEIVED BY ; eniot --
Townilerlk's Office
DATE: °V4.-)e9-n--6
•
I A = GAM E KA LOCATION e• DI tzEGT1oN.
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
[SUBJECT T b COVnENANTS 8,RRSTR!GTfONi USERt ' 4_{i? /c,-c-�n> ep PAGE_
FOR APPROVAL OF CONSTRUCTION OF
SINGLE FAMILY RESIDENCE ONLY RD
........N
DATE FEB 0 2 HS REF. No. Rio - Q-7;- lot WILSON
APPROVED o .w
EXPIRES THREE ARS FROM DA OF/APPROVAL
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Approved in accordance itis Board of Review f �'
A�
cc�� Q+9p r
determination dated ---•---- 2 1g r
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0 % /7 \ S r s6 F. 9.,
j 0� 56V `� 'J AREA OF OPLA)JO = 31OCc 1 S.F.
FS' 960 c• O PERC EN1T of UPLAND LOT C.ovEgACwe
r Q� Pte, . �c` I-louse : 2 1 ZZ S.F. OK ee.9 0/0
O X49„\(If • o'• ' d�.rn0,4,�P _ OEG1C = 4SS S.F. otZ I I . 0/0
5.84 14 , �,►• SHED = 1 00 S.F. Of? 0.9 %
26.84 S� OftIVEJAY = I 900 S.F. OR d,. 1 lo
Qo6v POO
7o7 LI-/Al. •i•FrIC, TANK. TOTAL 4580 S.F. OR 14.'7 le
F�oPpot'Quo O •• kin / '��.�N iTARY” F.1INV7 ( I (2r �,)
TEST HOLE r r e. 12.0 r! % 2C1 M i kl.
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DUG 6-16-95
EL-7.2 0.0' ,E1....8.0 . e -77
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I COARSE
L KOEINP WATER 7. MIN El .= 1.0 �� �✓
' SEASONAL HIGH j
GR.WATER 6.2'GROUND WATER EL= r,:"'%1J7a
COARSESANDI�ETAI L - SAN I 1. nlro�AL -rs1 r I 1'aC..►:,F
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I . 458!3�A '
SURVEY FOR
LA '`f
ROBERT F. COADY a BARBARA A. COADY .,...,-''
'' SEPT. 25,1995
1.)'1 AUG. 2, 1995
AT EAST CUTCHOGUE DATE. JUNE 151 1995
TOWN OF SOUTHOLD SCALE]1'1=50/i-�1'1
,1 SUFFOLK COUNTY, NEW YORK NO. X95-0428
rI N UNAUTHORIZED ALTERATION OR ADDITION TO THIS CERTIFIED TO : VI
:3 SURVEY IS A VIOLATION OF SECTION 7209 OF THE ROBERT F. COADY
,1 NEW YORK STATE EDUCATION LAW BARBARA A. COADY
'I N COPIES OF THIS SURVEY NOT SEARING THE LAND
SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL FIRST AMERICAN TITLE INSURANCE
NOT SE CONSIDERED TO BE A VALID TRUE COPY COMPANY OF NEW YORK
$GUARANTEES INDICATED HEREON SHALL RUN ONLY TO
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHO THE SURVEY IS PREPARED
AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERN-
* NEAREST WATER MAIN_MI.4 *SOURCE Of WATER. MATE PUBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED •
N SUFI CO. TAX MAP DIST 1000 SECTION 103 SLACK OS .LOTTO HEREON,AND TO THE ASSIGNEES OF THE LENDING
*THERE ARE ND DWELLINGS WITHIN 100 FEET OF TINS PROPERTY INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE
OTHER THAN THOSE•SHOWN HEREON. TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT
N THE WATER SUPPLY AND SEWASE DISPOSAL SYSTEM FOR'MIS RESIDENCE OWNERS
WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT T DISTANCES SHOWN HEREON FROM PROPERTY LIMES
OF HEALTH SERVICES. TO EXISTING STRUCTURES ARE FOR A SPECIFIC � �
APPLICANTS PURPOSE AND ARE NOT TO BE USED TO ESTABLISH � 9�
PROPERTY LINES OR FOR THE ERECTION OF FENCES (i/(
ADDRESS
TEL. YOUNG a YOUNG R400 IVERHEAD, AVENUE
NOTE• s(') =NUMBERED LATH SET ALDEN W.YOUNG,PROFESSIONAL ENGINEER
ELEVATIONS SHOWN HEREON ARE FROM ACTUAL SURVEY AND LAND SURVEYOR N.Y.S.UCENSE $0.12843
AND ARE REFERENCED TO N.G.V.D. (M.S.L.1929) .
. HOWARD W.YOUNG, LAND SURVEYOR
*THE LOCATION OF WELL(W),SEPTIC TANK(ST)SCESSPOOLS(CP)SHOWN HEREON N.Y.S.LICENSE NO.45893
ARE FROM FIELD OSSER'AITIONS MID OR DATA °STAINED FROM OTHERS
Mf
BRANOIS & SONS INC. 1046