HomeMy WebLinkAboutE R Yanke Homes Inc ,,�,o�o �-
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ELIZABETH A.NEVILLE y� Town Hall, 53095 Main Road
TOWN CLERK o - P.O. Box 1179
H Southold,New York 11971
REGISTRAR.OF VITAL STATISTICS ert/�i
MARRIAGE OFFICER Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER .0. , Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER ,�'� 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. 3185 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : E. R. YANKE HOMES INC
Address 1: 75 WAMPUM WAY
City St Zip SOUTHOLD NY 11971
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 #R10-04-0053
Name Of Owner E. R. YANKE HOMES INC
Mailing Address 1 75 WAMPUM WAY
City St Zip SOUTHOLD NY 11971
Property Address 1 1710 NORTH BAYVIEW ROAD EXT
City St Zip SOUTHOLD NY 11971
Fax Map No. section 79.00 block 6 lot 3.002
Cross Street JACOBS LANE
Building Permit Number Cross Reference:
Issue Date: 9/01/04 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
f 1
N.
o�uFFotxo 313
ELIZABETH A.NEVILLE �� � Gy� Town Hall, 53095 Main Road
TOWN CLERK o P.O. Box 1179
,o Southold,New York 11971
REGISTRAR,OF VITAL STATISTICS W row I
MARRIAGE OFFICER � Fax*. Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER _ Q ia',,� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ��' southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
-
....w.V;ED
TO: Southold Town Building Department
)4
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: June 1, 2004 <,: '' (s14, Tr1"9 C°2rk
Transmitted herewith is a copy of application No. 3326 for a Cesspool/Septic Tank Construction
Permit submitted by:
E. R. Yanke Homes Inc
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
Aor
1 4101
Comments: �+
�
Signature
4004.--e.ZG y
Dated
r ,
,/��,oi OFFO�te;;
ELIZABETH A.NEVILLE ��h`1` 4`; Town Hall, 53095 Main Road
TOWN CLERK 41 O P.O. Box 1179
REGISTRAR OF VITAL STATISTICS � Southold, New York 11971
MARRIAGE OFFICER ".`641,.. �` �� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER = 9 0'0 Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER O'� * ���'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..33 Zg '
Permit No.
Applicant Name i: /1Z /ANA"- ft'D r'1i 5 /rel c.
Applicant Mailing Address 75 ;f)/"1/'i1 t'/ &04 I
.fie tiT#o,&o ,N `/ // 7 7 /
Septic Tank or Cesspool )(
Brief Description of Proposed Construction or Alteration 3,;t 84r,-- 9.942 ,e,v5:
/ ,s-77,/z1 r.t.i/c3RSA�1 T' Sd,iG.C�— p-i9/h Ii_./
Location of Proposed Construction/Alteration:
Owner of Property: ,E.. /?. / ISIASl4" /-7/9/11/ /nl c....,.
Owner Mailing Address: 7 ,� 4)67/4i'}fr1 t))%'/
5 '7f I.z , N. .y // 9' 7 /
Owner Property Address: / - - �� ---- 1'7
Name and phone number of contact person A ; 1 A --• 07-.- ., - r o .
♦ K.L,7 ko
Tax Map No: Well Section 7 7 Block o & Lot .;1, ,2.
Cross Street /®,33 ' GJ)/c! ftc 0155 is/b"--
NOTE:
V/iNOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEP , MENT APPROVAL
--04-(9,2 k/°"77 6 i/0.91
Signature of Applicant' i .to
Received by:
SURVEY OF PROPER
. N
AT BAYVIEW
TOWN OF SOUTHOL.
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SUFFOLK COUNTY, A
10W-79-08-32
SCALE: 1'=50'
MARCH 29, 2004
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(er ii Mil:FOLK COI.ThlrY Dr.' ARTMENT OF IfEALTH SERVICES
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PERmIT IONRaPEITPRAT':ILYRE
AL OFECIDr, CEONLY
°NNSTRIjOCTIM FOR A
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ilt) 774%20 A PPROVED
FOR MAXIMUM OF BEDROOMS
0 424
750.co 'ft 2p.i„,
EXPIRES THREE YEARS FROM DATE OF APPROVAL
4,
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(2), ,(442+1,101/44, 0 7EST HOLE DATA
40.4 FROM "MINOR SUBD/WSION FOR
(.411-qii.Al . MICHAEL ISEINS TETN"
SEPTIC SYSTEM:
(1) 1000 GALLON SEP17C TANK
LO4M
(2) 6' DEEP 8' DIAMETER LEACHING POOLS
4'
I am familiar with the STANDARDS FOR APPROVAL
AND CONSTRUCTION OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES
and will abide by the conditions set forth therein and on the SAW&GRAM
permit to construct.
NEVI yo
The location of wells and cesspools shown hereon are
1. mErzo
from field observations and or from data obtained from others.
Elevations referenced to an assumed datum. - 0 •4 rr,
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ANY At.1F4 RON OR ADD/TION TO THIS SUR VE Y IS A V?OLA TION
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OF SECTION 7209 OF THE NEW YORK STA TE EDUCA RON LAW.
EXCEPT AS PER SEC TTON 7209—SUBDIVISION 2. ALL CERTIFICATIONS 1 .2 <, s
HEREON ARE VALID FOR THIS MAP AND COPES THEREOF ONLY r /'-`e , ., Na 490• %
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR . 4;/'---- / iz,.1.47.1ilitengtb..c. '- NO. 491
*HOSE SIGNA TURE APPEARS HEREON. " CONIC
LOT NUMBERS FROM "MINOR SUBDIt4SION FOR MICHAEL 14E/NS 7EIN'1-S :01111 9- ddV imot. (631) 765-5020 FAX (631) 765-176
II'11490?..,1130.4.4nc
M=MONUMENT P.O. BOX 909
AREA=63,902 SQ. FT. 1230 TRAVELER STREET I r)A 4 0