HomeMy WebLinkAboutBaner, John (2) C `\
ELIZABETH A. NEVILLE �' � Town Hall, 53095 Main Road
TOWN CLERK c/1. Z ; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS
Southold, New York 11971
MARRIAGE OFFICER %A
� n �� Fax (631) 765-6145
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� Telephone (631) 765-1800
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RECORDS MANAGEMENT OFFICER 1 �
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. 3273 R Residential x Non-Residential
Fee $ 100.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : BANER, JOHN & DENISE
E‘ddress 1: 1 NORMA LANE
City St Zip FARMINGDALE NY 11735
Descripton of Proposed Construction or Alteration
M/D
FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUTNY HEALTH DE-ARTMENT
Name Of Owner BANER, JOHN & DENISE
mailing Address 1 1 NORMA LANE
City St Zip FARMINGDALE NY 11735
Property Address 1 NORTH SEA DRIVE
City St Zip ORIENT NY 11957
—ax Map No. section 100.00 block 1 lot 7
Cross Street NORTH SEA DR & GREENWAY EAST
Building Permit Number Cross Reference:
Issue Date: 1/27/05 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
32,7 3
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ELIZABETH A. NEVILLE Town Hall, 53095 Main Road
TOWN CLERK via Z $ P.O. Box 1179
k'tEGISTRAR OF VITAL STATISTICS %O frt ,
Southold New York 11971
MARRIAGE OFFICERFax (631) 765-6145
RECORDS MANAGEMENT OFFICER yet( Jig 4:8" Telephone Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ,,,• southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: JAN SLthold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: January 5, 2004
Transmitted herewith is a copy of application No. 3417 for a Cesspool/Septic Tank Construction
Permit submitted by:
John Baner
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: C \ �
7k(46'4' ,
Signature
//447/61S-----
Dated
°7/S---Dated
',�,%•pSt1FF0(,�oaf;
• ELIZABETH A.NEVILLE d til4' Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS , Prt Southold, New York 11971
MARRIAGE OFFICER : O t � Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER =y a •II Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER �' * i',.1� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$101 or Non-Residential @$25 Application No361 1 7
Permit No.
Applicant Name J E,G r, tin bCUn`e
Applicant Mailing Address 1 k C(mr{ Ln
u f r+t`r.y 1 lU 1)'1
Septic Tank or Cesspool �J
Brief Description of Proposed Construction or Alteration
Location of Proposed Construction/Alteration:
Owner of Property: J '- r' + 0-en isc g oft CA"
Owner Mailing Address: t X16 • L G-r-E-
rc.i`rn(ftcjArll N4 I1 -) 3 s--
Owner
Owner Property Address: 1%41A- SrU Ty tj-e
0( •K h �y
Name and phone number of contact person U>An T T 'nSQ3-Ant(' rlio SO (919 c
Tax Map No: Section 1()C 0 Block C; I Lot 7
Cross Street N a 14h ,51-4. 1131 • .1-- 6.-r-tem wo.f 40---
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
47,4,),„.„ /21340y
Signature of Applicant Date
Received by:
i
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• Young & Young, Land Surveyor.
400 Ostrander Avenue, Riverhead, New York 1190
631-727-2303
Alden W Young, P.B. k L.S. (1908-1994)
Cr"
Howard W. Young, Land Surveyor
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Res\ Q r\ Thomas C. Wolpert, Professional Engineer
•aer r ..- o<\er\. c
Subd\`i`SP�re5 1,,,$c_ HEALTH DEPARTMENT USE
G<eer
SU
„Map o FFOLK COUNTY DEPARTMENT OR HEALTH SERVICE.
PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
\ SINGLE FAMILY RESIDENCE ONLY
No./2/0\ DATE` 2/47H.S. :No.��0` `o/z C
\ APPROVED
07---- (....k„...e▪ ► \► FOR MAXIMUM OF BEDRQOMB
\ EXPIRES THREE YEAR8 F QM DATE OF APPROVAI.
! \ \...i
►► NOTE _
\
1 ' AREA = 20,879 SQ. FT.
► • SUBDIVISION MAP - "MAP OF GREEN ACRES AT ORIENT"
-1 1I ► FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON
122 I APR. 13, 1962 AS FILE NO. 3540.
\,O\ I ► • VERTICAL DATUM = N.G.V. DATUM (M.S.L. 1929)
Subdw Pcce4 r'1/4k.
` • SURVEY AMENDED NOV. 5, 2004 TO ADDRESS S.C.D.H.S. NOTI
1 •
OF INCOMPLETE APPLICATION. THIS SURVEY MAP IS BASED ON F
o{ G<een I ► SURVEY COMPLETED MAR. 2002.
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APPROX. LOGoOF WELL - �-
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'� SURVEYOR'S CERTIFICATION
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i • WE HEREBY CERTIFY TO JOHN BANER Sc DENISE
F // ► BANER THAT THIS SURVEY WAS PREPARED IN ACCORDANCE
a / \ WITH THE CODE OF PRACTICE FOR LAND SURVEYS ADOPTED BY
1 Co
▪ _ / 23 THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL •ND
�' 0 / Ot SURVEYORS.
410 NEW Y
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► HOWARD W. YOUNG, N.Y.S. L.S. NO. 45893 e. o -s;
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\ Q` SURVEY FOR
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Lot 24 JOHN BANER & .-DENISE BANE
Subdivision - r0 LOT 41 "MAP OF GREEN ACRES AT ORIEN
Acres
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„Mop of Green �,,, At Orient, Town of Southold
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County Tax Map District 1000 section 15 Block 01 Lot
WELL BUILDING PERMIT SURVE`
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MONUMENT SET • - MONUMENT FOUND A- STAKE SET A- STAKE FOUND •