HomeMy WebLinkAboutWeathers, Llyod ELIZABETH A.NEVILLE ( < Town Hall,53095 Main Road
TOWN CLERK *•
4; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold,New York 11971
MARRIAGE OFFICER Fax Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER ` f�/y� • Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER vtlUNTI
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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. 3348 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : JOHN PRIZEMAN
Address 1: 131 HICKS STREET
City St Zip BROOKLYN NY 11201
Descripton of Proposed Construction or Alteration
SINGLE FAMILY HOUSE
FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT
(631) 852-1400
Name Of Owner LLYOD WEATHERS
Mailing Address 1 C/O JOHN PRIZEN1AN
131 HICKS STREET
City St Zip BROOKLYN NY 11201
Property Address 1 2200 NAUGLES DRIVE
City St Zip MATTITUCK NY 11952
Tax Map No. section 99.00 block 5 lot 26.000
Cross Street
Building Permit Number Cross Reference: •
Adsta
Issue Date: 8/24/05 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
0,14
ELIZABETH A. NEVILLE • '` O 11,. Town Hall, 53095 Main Road
TOWN CLERK ; 41 lig , P.O. Box 1179
cn ,,c Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ; 't3, Q ,�
MARRIAGE OFFICER . -O �1 Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER l .01 Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER -Cour Court,0001
, southoldtown.northfork.net
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1�' (� rOFFICE OF THE TOWN CLERK
;
LLL;' AUG 8 2005 'i r;
TOWN OF SOUTHOLD
ITO: ,vv':, T Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED:
Transmitted herewith is a copy of application No. 3499 for a Cesspool/Septic Tank Construction
Permit submitted by:
John Prizeman
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 v
DISAPPROVE
Comments: -°—
_.060' �ai _ -
4-9' - --
Signature
ae--"op-a-7°L. 9 -2-wos--
Dated
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ELIZABETH A.NEVILLE 4` Town Hall, 53095 Main Road
TOWN CLERK ale P.O. Box 1179
REGISTRAR OF VITAL STATISTICS � Southold, New York 11971
MARRIAGE OFFICER : Oy , Fax Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER . V-oe Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER RI jig 4a,'" 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.g---1 q
Ci
Permit No.
Applicant Name TO H / v P I.Z F,&1,A 1
Applicant Mailing Address 1?'( fl i 5 5 r
l�D 0 k e._`,iN' Ai ' C t 1 '--0 f
Septic Tank - or Cesspool
Brief Description of Proposed Construction or Alteration
oti t,----: .-11P-4 16- `c 146 u S r?
Location of Proposed Construction/Alteration: t
Owner of Property: 0 Q- ( '+ /'/i MA (`-'1 \'\iq KOPP) Ui joc
Owner Mailing Address: T fr t `7 r A- 5 4 (3a U f���
&E2C1:)..A.n..4..,C*0) Dit,LCQ,_)
Owner Property Address: / - C i - - k 6.-/7 -1a ,6( c1(
Ai ---/ 1( ,2 0 1
Name and phone number of contact person J?)t(l► 12/Z I 2F-it'/A/� 71W LZ4- O 3 /'J C,
Tax Map No: Section/ 'C ° Block 9' 9 — Lot Z 6
Cross Street ,I=A GU c G 1515 p l u!-'
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WIT HEALT , EPARTMENT APPROVAL
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(7' 3 1 f� v(7 Z. c o
Signature of Applicant ;' ! Date
Received by: '''
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GUARANTEES INDICATED HERE ON SHALL RUN
ONLY 70 THE PERSON FOR *NOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF 70 THE
. TITLE CQNPANY,, GOVERNMENTAL AGENCY,
LENDING INSTITUTION, IF LISTED HEREON. AND
70 THE ASSIGNEES OF DHE LENDING INSTITUTION. TEST HOLE BY RESIDENCE
GUARANTEES ARE NOT TRANSFERABLE 70
ADDITIONAL INSTITUTIONS OR SUBSEQUENT(JOINERS. MCDONDALD GEOSCIENCE
15 JAN 02NSF Sp,MPs �o
'.fYY IS UNAUTHORIZED aALTERATIONAiloF SECTION OR ADDITION a IS RESIDENCE ^�<v�,
THE NEW YORK STATE EDUCAnav LAW. ORIG. GRND. to
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HEIE S SURVEYORS EEM EMBOSSED
AL SH BROWN SANDY LOAM OL 1-- u OM
NOT BE CONSIDERED 70 BE A VALID TRUE 2'ALL 0 1=EE( � CM 4
COPY. 1LL (NEWS Z
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FOR S.C.D.H.S USE ONLY
BROWN CLAYEY SAND SC 102.32 11110 G ,
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n. 8 i. .I O 4 RE 00L +150' TO
® a t' m W CEssP • , - 35'0, WELL
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' 1 61' a I
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e 0 ® 0 a = $ TO WELL \ '0
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WELL �'� BFUE ppAOLISHED WELL PROMP�L — r
cs)is) m 0 B + ' LOCp,T10N • C _\O �Q\\
CESSPOOL 5- 7 1, .
(TO BE REMOVED �•r o'00 W CM2 \I '
AND FILLED IN) 2' S Z9 D `.- V VACANT
CM. a FROM EXIST 'p_ 11
100• pOOL o.
NIF IFOGRANDE CESS
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SURVEYED: 14 JANUARY 2002SUR'FEY OF VAS LAND (FARM)
SCALE 1'= 30' DESCRIBED PROPERTY
SITUATE
AREA = 13,202.72 S.F.
RMATTITUCK, TOWN OF SOUTHOLD
.303 ACRES SUFFOLK COUNTY, N.Y.
SURVEYED .BY'.'
• TM# 1000-0994-05-26 ,,.^
SURVEYED FOR: LLOYD R. WEATHERS STANLEY :�.'`ISAKSEN, JR.
ZONED R-40 BARBARA H. WEATHERS -,BOX 294
",• NEW SJFFOL1 '• N.Y. 11956
,6311-:734-5835
GUARANTEED TO: 4-, ,,111
LLOYD R. WEATHERS / ._
BARBARA H. WEATHERS a�/'` / _/
FIDELITY NATIONAL TITLE INS. CO. _LI NSED NTD SURVEY fi"_
1
1. 08 MARCH 02 ADD PROPOSED HOUSE, SANITARY, WELL LOCATION 'YS Lic. o. 9273 0X1102