HomeMy WebLinkAboutRand, Michael 0,s 00u Co
ELIZABETH A.NEVILLE ��`1��" *4N Town Hall, 53095 Main Road
TOWN CLERK ; p P.O. Box 1179
y 2 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS � 1,7‘‘ 4-I
• Fax (516) 765-1823
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER :y�-I �� �� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER .y
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1865 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : MICHAEL C. RAND
Address 1 : 55 PHEASANT HILL DRIVE
City St Zip FAL HILLS NJ 07931
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 #R10-98-0045
Name Of Owner RAND, MICHAEL C.
Mailing Address 1 55 PHEASANT HILL DRIVE
City St Zip FAL HILLS NJ 7931
Property Address 1 1085 BIGHT ROAD
City St Zip ORIENT NY 11957
Tax Map No. section 14+.00 block 2 lot 11 .000
Cross Street PETTY'S DRIVE
Building Permit Number Cross Reference:
Issue Date: 5/18/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
/
'et Of R4
o
ELIZABETH A.NEVILLE •P$t y �` Town Hall, 53095 Main Road
TOWN CLERK i p -� P.O. Box 1179
y Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Dy **, Fax (516) 765-1823
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER ��
.1,••��f. Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER - go
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 14, 1998
Transmitted herewith is a copy of application No. 1939 for a Cesspool/
Septic Tank Construction Permit submitted by:
Michael C. Rand .
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 Jr
DISAPPROVE
Comments:
/Signatu�r
Dated
e.
OFFICE OF THE TOWN CLERK 4cIFUL,f O
Town of Southold '�.� Application No. /C',1
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road ; j Construction IVP. O. Box 1179 r Alteration
Southold, New York 11971
fit [ Residential 4--
,Telephone
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ (!'.
DATE .5"---/1
APPLICANT NAME:r7774e/C' ,jc7
APPLICANT ADDRESS: 5---,5"��jcnc cct,-- /4(//42.--„,
/X7i , ZDV O
SEPTIC ✓CESSPOOL l>
DESCRIPTION OF PROPOSED
CONSTRUCTION OR 7ALTERATION
q,.✓,J FO's[
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: ���'/=1eee' /'' ,grtrb✓
OWNER MAILING ADDRESS: 65-,/Jec7..r , %j77,�i--
-:;/'"77-47/2"/Z(/-
OWNER PROPERTY ADDRESS: IC ) 4 .7- 7
TELEPHONE NUMBER OF CONTACT PERSON: F.0&.----49-eq—Cit/3
TAX MAP NO. : Section /7. 0 Block „Per Lot //, C�
CROSS STREET: ,/c. -'71--/}41"
�•��(/�
BUILDING PERMIT NUMBER CROSS REFERENCE:-.
Signature of Applicant
RECEIVED B Y: RECEIVED
Town Clerk's Office
DATE: MAY . 1998
Southold Town Clork
O
O A i
F Young & Young, Land Surveyors . ,
�t),, 400 Ostrander Avenue. Riverhead, New York 11901 i [i.
► �:
S 516-727-2303 qi
r
goung 0R/� t,
Alden W. Young, P.E c� L.S. (1908-1994) "ii,
6
Howard A'. Young, Land Surveyor
D12n Thomas C. Nolpert, Professional Engineer
�2p00, Kenneth F. Abr.Lzzo, Land Surveyor
_� C.---:t:::: -4:7‘ John Schnurr, Land Surveyor ,
R
'limning 3 it o i
^'SAO R I
I £ngtnrrrtng �.� i�,
gn
E.
6urveyiug
(N/ 400
NOTES: §
-
1. la = MONUMENT FOUND
6 s
C' o • 2. LOT NUMBERS REFER TO SUBDIVISION MAP OF "PETTY'S BIGHT"
FILED IN THE OFFICE OFTHE d�
CLERK OF SUFFOLK COUNTY �;
0 f ..
CD q, Q
11 - EXISTING NON JAN. 26, 1973 AS FILE NO. 5859. 2ii
I
�_ C P 111SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
(Vacant)
PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
Lot 12 oi SINGLE�I�AMILY RESIDENCE ONLY ,b i'
R t0—4
") 7------- _ nATI:�PR' 2 71998 S • o. ��
I ao SANTAR��N iso. APPROVED /�� §"
--- I 20.00
tl
_ E1=�s o FOR MAXIMUM OF J .,II; PR•• S
P\ O 1 PPOSE�� v
I N 8210'4 Ic v J EXPIRES THREE YEARS FROM fl TF.OF APPROVAL
110.
E�=12.2 EAVATION lIVSPc�710iv rEi�►JiRED W
�� N
FOR SANITARY SYSTEM t i
Or formerly 91.3'------ sq,.$ ,, 0,0r----e O (Vacant) BYHEA[.TMDEPARTMENT o
now �OZZInO <Zsb o PRWA� P DATE: REVISIONS: 3°
Philip F. � oR 93.0__-- — b
90tR
Pil G�. - : —1 SURVEY FOR: W'
0 100°TG Z PNK ri i
MICHAEL RAND i,
P 1et
�/�P 1 Ott' g;
E`•,Z7 1 PRS OEEP *s LOT 13 "PETTY'S BIGHT"
i/ --t `� co Pte` A —
\ At: ORIENT Town of: SOUTHOLD 1
ys
1 •
Suffolk County, New York v
to.
00 v 1 L° 40700 S f Suff. Co. Tax Map: , 1000 14 2 11
vn 2a Are°
O District Section Block Lot a
O t (Dwelling) "i
'1 E1=15.5 b
I 220.00
formerly ,<�OF NEW), >t
r1OW or ,`Q' „Ql0 W )10C3-
(ow
O ,
Sled�eski EL=11.6 ; ' . • C' 0 ffi
Henry qeen
PLEAWell 7:imam dist5 t. r Q�'tI til ` DATE :APR. 7, 1998
Min oot is to be �'�....- :,.r _iv
and cessp ° SCALE :1" = 50' t
(Vacant) tel? ,43x8.3 JOB NO. :98 - 0179 I
eDLANDS SHEET NO. :1 OF 1 O
"980179.DWG"