HomeMy WebLinkAboutAlverez, Roger ,���,,o�SUFFOUr ==.
ELIZABETH A.NEVILLE t _t OGy- •; Town Hall, 53095 Main Road
TOWN CLERK o P.O. Box 1179
y Z Southold,New York 11971
REGISTRAR OF VITAL STATISTICS
st
MARRIAGE OFFICER
� _SS Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER : Ql 4: ,i* Fax
(631) 765-1800
FREEDOM OF INFORMATION OFFICER _ jW southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3176 R Residential X Non-Residential
Fee $ 10.00 Septic x Cesspool
PERMIT ISSUED TO:
Name : ROGER ALVEREZ
Address 1: 20-06 36TH STREET
City St Zip ASTORIA NY 11105
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR ONE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-00-0258
Name Of Owner ALVEREZ, ROGER
mailing Address 1 20-06 36TH STREET
City St zip ASTORIA NY 11105
Property Address 1 7205 ALVAH'S LANE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 101.00 block 1 lot 16.003
Cross Street COUNTY ROAD 48
Building Permit Number Cross Reference:
Issue Date: 5/17/04 Elizabeth A. Neville
Southold Town clerk
(TOWN SEAL)
OS11EF01,�c;;;
ELIZABETH A.NEVILLE G •
y� Town Hall, 53095 Main Road
TOWN CLERK o - P.O. Box 1179
REGISTRAR OF VITAL STATISTICS % W Af Southold,New York 11971
MARRIAGE OFFICER ` �,f, ��� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER i� Telephone(631) 765-1800
�a
FREEDOM OF INFORMATION OFFICER . D"1southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD _ 5 2004
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 5, 2004
Transmitted herewith is a copy of application No. 3314 for a Cesspool/Septic Tank Construction
Permit submitted by:
Roger Alvarez
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.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: 4009
C�r
Sign �ature
?
Da-ted
.
�� g11FF0L,f
ELIZABETH A.NEVILLE 'it VITown Hall, 53095 Main Road
TOWN CLERK ' P.O. Box 1179
ti : ; Southold, New York 11971
REGISTRAR OF VITAL STATISTICS v.
MARRIAGE OFFICER _A�1� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER "--'Wf it"
o�'�,,1' Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER = 'I �� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10 or Non-Residential @$25 Application No. 334.
-2/5;rS--( Permit No.
Applicant Name
Applicant Mailing Address 70,--C3 G S-7/—
45iew.
1 - --
t �/ i `/los
Septic Tank )( or Cesspool_
Brief Description of Proposed;Construction or Alteration
Location of Proposed Constructio Iteration: /
Owner of Property: l a Ao
ei .
Owner Mailing Address: 20 —o 6 36 75 j5itag.74
fQ-- - ', I� - /1/ Y IUDs--
Owner Property Address: / Cos--- 41 U 4 S, Le-et-,
co 21- 4.9, t4ia
Name and phone number of contact person
Tax Map No: Section 1 D I Block ( Lot 1 G• 3
Cross Street
NOTE: LOCATION MAP . BE SUBMIT E 1 WITH APPLICATION. NEW
`
CONSTRUCTION REQUIRES ' Y WITH H L • T ! PARTMENTPROVAL
AP
. 509
Signa,tee of Applicant Date
Received by: WILUI
(BY GIINOD�--.`
Non's: SURVEY OF
I. ELEVATORS ARE REFERENCED TO AN ASSUMED DATUM \
.` EIDSTRIG ELEVATIONS ARE SHOWN THUS:YLQ \ LOT
1\
2: REFER TO FILED MAP FOR TEST HOLE DATA. 'o4.. • MAP 1 i.
3. 1N 1 TAMC FOR A I TO 4 BEDROOM HOUSE K 1.0013 GALLONS. N \ °I MAP OF
4. 1 l TANK; a• FOR Al TO 4 BEDROOM HOUSE IS 300 sq tt SIDEWALL AREA. ��o° �‘:")._3
EAST COAST PROPERTIES
PROPOSED POOL . FILE No. 9225 FILED MAY 27, 1992
40 f Y
lt,:,o., SITUATED AT
PROPOSED ` POOL s0. �. 9 CUTCHOGUE
® SEPTIC TANK I>. TOWN OF SOUTHOLD l
S. 1HE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. ---
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-101-01-16.3
SCALE 1"=50'
\ ego N0
vt \ \ OCTOBER 26, 2000
�' APRIL 1, 2004 ADDED PROPOSED HOUSE
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES ,11°I s��E�gR "9 \
C�s OCG I. ��, 4000 N01 AREA = 94,142.54 sq. ft.
PERMIT FOR APPROVAL OF CC3NSTRUG'TION FORA o o�� / \ �,� 2.161 0c.
SINGLE FAMILY RESIDENCE ONLY �' / >A° _ r ll' \ �'Y!
mss. ''`
DATE, 1711 z-/7° S REF.NO. I -(70-02-5' ! �,- _ _ o
o ook — – \ Loo �o. 1F
APPROVED ila/t/1 ,y -- �,,':��_ . _ \ \ ( 1,i
F MAXIMUM OF `� BEDROOMS jl� = _v�� '. / ,...4,:(.,
�
EXPIRES T YEARS FOM *A OF .. AL /� \ 4 \ f
�D� f2�6N1�t12,Vt^et ',it f 1Z5i /O\G \ \ � � \ G,�.b�� ,� /
O \ s
n .
.y,L10 ' -,_ ► • `' \�� \ A / ter'
e / '�o.
im /' distance • = \—____ _�a: . $ . •i is be too feet. "• /
6 .\ -0
;-,-:1„,.--,--:'
. \
tv
i 112.si - � .. TABrLIiSH—ED1
� CO-<
O n \ •/ / • ��.. / ' CR� E
SUY{
A
MD ADOPTED
Oy a���l•�✓' 1 \\ /' • III 3' i !
L��G��p�y `>e�� DAA w y r
��% . �\ SFS 6 \?,..
�^ ��fj g • c'(� "ss ` l�� N.Y.S. LIG. No. 49668
�"p C�� ' \ 11•`t�-1 UNAUTHORIZED A TO THIS SURVEY IS A via Amara oN p! �'�.�/'
-I` :,y t.T-Jo \ SECTION 7209 of THE NEW YORK STAR -
ykr.‹) �o QA'CO , �, \ OF ,APT Jo eph r . Ing gr o
E11BOS'SFD SEAL SHALL NOT BE CONSIDERED Q`,
IHE LAM
d001- j O� O \O \ TO BE VADA TRUE COPY. Land u v e 7 o r I
J� �• ;-59-
,\Q,
`L CERTIFIED TO: curnFTCATwEs INDICATED HEREON SHALL RUN
OG ?j mak- - ONLY TO THE PERSON FOR*HON THE SURVEY
y >> \746'
p 5 FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK is PREPARED.AND ON His Baia,=TO THE
L�; S PECONIC ABSTRACT INCORPORATIONTITLE PLENDING I T NSTITUTION LISTED ANAND
rale Surveys - Subdivisions - Site Plana - Construction Layout
ROGER ALVAREZ TO THE ASSIGNEES OF THE LEMDUVG INsn-
DENA ALVAREZ TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. PHONE (631)727-2090 Fax (631)727-1727
THE EXISTENCE OF RIGHT OF WAYS - • - OFFICES LOCATED AT MAILING ADDRESS
AND/OR EASEMENTS OF RECORD. IF
ANY, NOT SHOWN ARE NOT GUARANTEED. 322 ROANOKE AVENUE P.O. Box 1931
RIVERHEAD, New York 11901 Riverhead, Nee York 11901-0965
20-805A