HomeMy WebLinkAboutGlass, Stuart JUDITH T.TERRY �� yJ` Town Hall, 53095 Main Road
TOWN CLERK oCA 2 P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS O 1�
MARRIAGE OFFICER �� � Fax(516) 765-1823
RECORDS MANAGEMENT OFFICER ': � * Aa dl,1Telephone(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. 1466 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : STUART D. GLASS
Address 1 : 302 SOUTHAVEN AVENUE
City St Zip MEDFORD NY 11763
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.
Name Of Owner GLASS, STUART D.
Mailing Address 1 302 SOUTHAVEN AVENUE
City St Zip MEDFORD NY 11763
Property Address 1 HALL'S CREEK DRIVE
City St Zip MATTITUCK NY 11952
Tax Map No. section 116.00 block 7 lot 2.000
Cross Street NEW SUFFOLK AVENUE
Building Permit Number Cross Reference:
Issue Date: 4/30/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
6-49 ' / V 06''
,I°#11 OFFOLit,:'
JUDITH T.TERRY 11 0 �t % Town Hall, 53095 Main Road
TOWN CLERK t H Z 1 P.O.Box 1179
REGISTRAR OF VITAL STATISTICS
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MARRIAGE OFFICER 0 Southold,New York 11971
0. Fax(516)765-1823
RECORDS MANAGEMENT OFFICER --we? * `0,0 Telephone(516)765-1800
FREEDOM OF INFORMATION OFFICER zzzz?...m. or.'
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OFFICE OF THE TOWN CLERK 1 APR 2 3 1996
TOWN OF SOUTHOLD 1 1
BLDG.DEPT.
TO: Southold Town Building Department
TOWN OF SOUTHOLD
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: April 22, 1996
Transmitted herewith is a copy of application No. 1525 for a Cesspool/
Septic Tank Construction Permit submitted by:
Sturat D. Glass .
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:re
APPROVE v
DISAPPROVE /
Comments: E , ;e ..- �i dpi,.!" /- ` #
i
-
RECEIVED /( /° -
APR 2 9 1996 _,e,v,,,, -
Signature
Town Clerk Southold 5 9A-_‘-
Dated
A
OFFICE OF THE TOWN CLERK i,," "
Town of Southold G��
000fOLK
Judith T. Terry, Town Clerk ��`, 4 '' v&_I. Application No./�� s
Town Hall, 53095 Main Road . .O �' Construction z/
P. O. Box 1179 'C
Southold, New York 11971 : to11 .LL Alteration
Telephone ;`'O � $10.00 - Residential L�
a�� �•'l.
(516) 765-1801 0� > `` 25.00 - Non-Residential
.01 $
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ n
DATE ApiZ ZZ 1 19 5
APPLICANT NAME: i' Li A0-7 . g L 433
APPLICANT ADDRESS: 3o2 `---So (..)44,)&•-•1 ��2
m a 420, ev t/ /I 7G 3
SEPTIC CESSPOOL A.
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
12--e--e---c) 4U1 >/<_.
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY : 51 upalf- D. a LA.Vs
OWNER MAILING ADDRESS: 302_ Sn,,-I 1-4,4 A✓e
rn 2? D /,U,y 117c, 3
OWNER PROPERTY ADDRESS: ,_Dd- 31 NA-ll P CLezte. Mg�..V� iNiaritoeK,
TELEPHONE NUMBER OF CONTACT PERSON: 89- 7D/
TAX MAP NO. : Section //j. Block 0 7 Lot 6 2.—
CROSS
CROSS STREET: /Oct..? 3,,-cCI4, A,E,
BUILDING PERMIT NUMBER CROSS REFERENCE:
0 `i
„or."'
Signature . Applicant
RECEIVED BY : /V
1/4_ '7E/W-,
Town Clerk's Office
DATE:
Y
ur.. `r� s
Ew SUFF
/ TLSE :
A --
If
1 Sanitary sy�
a stem is not to be Y�za £ONFORM M,,� X •
_0,4 �s�TF
41. placed under driveway area. , o LOT , T E
1 , b NO SCALE
o. tir�7S�1'E. v t
j I I , 1 I 320.00'
•
Don .N.\V• - ,, , � i I i 313.318'.
SURVEY OF
W , < ; r- LOT 31
V W le , , , 1 m . r (n "HARBOR VEW AT ASA TTITUCI
o, tom„ 50 � I 1 , o FLED AUG2 1887 FLE MQ 8377
N , , ; ; a I m C1 A T MATTITUCK
•`�� �D' o a ( LOT 31 Y ZI TOWN OF SOUTHOLD
Z ; �'"r�' l .s\, ( O o _ ; Rt SUFFOLK COUNTY N.Y.
E' , 4 il - m 1000- 1$-07-02
r S
v o
�, ax.
4 7995
0 ^ \inrn., I �,n� z. '7�,, ) . I c I 1 N n Aprilr
y K m \ v' �'u'A-9s- � � i a r, a June 26, 1995 !Revisions)
' u 2 .,/ Vim. I I , $
, 1 \ t q..I � t u 1 4. O
/ .
I a+, 1 I 331 EID ' Q SUFFOLK COUNTY DEPARTMENT OF HEALTH SEI
�1 / N. 87.0T50' W. , t
b .oN o I ' 354.22'
PERM*FOR APPROVAL OF CONSIRUCHOT
�" m ,yLOT 0 I
=GU FAMILY RESIDENCY ONLY
v cc c ev,-, t m DATE 3--1-9 6 '- NO. I ejmi b
I an familiar with the ST ',P FAR APPROVALAFPDOVBD ..0 ai
�
AND CONSTRUCTION OF " : ACE SEWAGE aRTFiED TO* . 1
DISPOSAL SYSTEMS FOR ' a.., r,;. Y RESIDENCES Tt EWS JE M4STRO FORMA7lRtuA,tt DEDROCRAS
and will abide by Ms wed/dans s and on me MOI11►iE' a MASTRO
penal to eanslrlct. • 1 /;`o,4 B OOKEISTHREEMUM PROM DMTSOFARA
0 ..�,..�
s 1996 :yv.
• =AREA =50,259 sq.ft. c,o�...N.4
7 clef
1.1
'FOLK COUNTY DEPARTMENT OF ' > .w t/ 'i'..*
FOR APPROVAL OF CONSTRUCTION • `Y 471;;• AMY AL TERA TSN OR ADDITION TO THIS SURVEY i A VIOLA TKW /. I„
" ELEVATIONS AND CONTOUR LAWS ARE of N we oF THE few STATE gA eary LAM
ASPIER attT►c+t a ALL c>FxTirASxws �j ,,�r r`• LIC.
REFERENCED TO gilt V.D. • • ARE VALAD FON MN AND t6PE5 THEREOF ONLY F lir '>,. /r •
TE HIL REF.NO. sowM K AAPP APPEARS SEAL of its suavely"' PEC, 7.41{L;-"""-,,. .-17,, P.C.
0161 76 4.;'ie
Y TC Y MTM SAD LAW THE TM ALTERED sr P. 0. BOX 909
The locutions of wells and cesspools �t DV ANY AAD ALL SIA VETEVIS MOWS A WHY
ROVEDMAIN ROAD
T?iR/linVEYQRg NAP. TEIM S SUCH AS INSPECTED'AND shown hereon are from field observations jp T ro-oArr ARE NOT IN CO I DANCE TM THE LAE SOUTHOLD, N.Y. 11971
— — and or from dale, obtained from others.
95-143