HomeMy WebLinkAboutGusmar Realty Corp (3) •
,1',c S002,-
&
ELIZABETH A.NEVILLE 1�� '`& l0 L Town Hall, 53095 Main Road
TOWN CLERK 4E
iNg , P.O.Box 1179
REGISTRAR OF VITAL STATISTICS
G Southold, New York 11971
MARRIAGE OFFICER '� � ��� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER ,�l� urV Telephone (631) 765-1800
C
FREEDOM OF INFORMATION OFFICER - OUP � 71i�� 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. 3366 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : GUSMAR REALTY CORP.
Address 1: 13-15 37TH AVE
City St Zip LONG ISLAND CITY NY 11101
Descripton of Proposed Construction or Alteration
-FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT
Name Of Owner GUSMAR REALTY CORP.
Mailing Address 1 13-15 37TH AVE
City St Zip LONG ISLAND CITY NY 11101
Property Address 1 640 GUS DRIVE
City St Zip EAST MARION NY 11939
Tax Map No. section 38.00 block 7 lot 10.160
Cross Street SHIPYARD LANE
Building Permit Number Cross Reference:
Issue Date: 9/28/05 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
o••• *pf S004,
ELIZABETH A. NEVILLE $ '` O : Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
N
REGISTRAR OF VITAL STATISTICS ; G Q � Southold, New York 11971
MARRIAGE OFFICER �O Fax Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER O40 ���I Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER UUNTI, , southoldtown.northfork.net
01°OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department ' 2
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: September 22, 2005
Transmitted herewith is a copy of application No. 3513 for a Cesspool/Septic Tank Construction
Permit submitted by:
Gusmar Realty Corp. (Lot#28)
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: Ao" �._ ___ _ '�
Signature
023 ,sod---
Dated
/4.ELIZABETH A.NEVILLE - .‘ Town Hall, 53095 Main Road
1
TOWN CLERK a d P.O. Box 1179
REGISTRAR OF VITAL STATISTICS � ) Southold, New York 11971
MARRIAGE OFFICER O 0 Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �. ill Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER �'� �a��i southoldtown.northfork.net
OFFICE OF THE TOWN CLERK -
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
0)
Residential $10 or Non-Residential @$25
Application No. 1
@ pP
Permit No. 3icip
Applicant Name C((SA k e ie ilc--0'1 GoQ-e
Applicant Mailing Address i 3— IS 3 ) Ave_
L. 1. C, ti 'f It 'd
Septic Tank or Cesspool v'
Brief Description of Proposed Construction or Alteration
Location of Proposed Construction/Alteration:
Owner of Property: ,-US t•AkW_ e.e c(4 Ca 0
Owner Mailing Address: 13- IS' 3') -t.
L, 1-6- w'-f kkl01
Owner Property Address: d 2( G-us 0e(UL
E 146T 1,.._t-VQ to nl ►J 1 t k9 33
Name and phone number of contact person 316 ride Tc.s ( Li?)_ /c,/7 O
Tax Map No: Section 3 Block Ow] Lot I G. t c
Cross Street S4-t P-to ciko E
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
. t&to' fi/Oo43-
Signa e ofL sN4 z /16_ i Date
-E9
Received by:
.
l'. ".' _ Young �c Young l_t� I
t 400 Ostrander Avenue, Riverhead., New York 11901
f N i 631-727-2303
Ota
• i Howard W. Young, Land Surveyorts
Z _ Thomas C. Wolpert, Professional Engineer A�,qii
EP
g o t Robert C. Tast, Architect � !
t Ronald E. Pfuhl, Landscape Architect ! id
5 . Douglas E. Adams, Professional Engineer €
t4 o t
! 4/
)k �► t
t u
S-1-
13 HEALTH DEPARTMENT USE
-� LI
, •
, — L
GJ . ; G , , SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES E F z
0� i1.. t I
PERMIT FOR APPROVAL OF CONSTRUCTION FOR A i t
of 2"i ,,tion 3 a GLE FAMILY RESIDENCE ONLY
\ , I
�' ctte 5e � s�F
\ y�mm g5t ,
it � DATE � 3�
` 5ubdtvt5lo" - NQc,ant) ,� F. RI 05 -009 0 >m= j.
��a,
V APPROVED k f...,. hnvrt�� P
\\ \V ‘-
1 FOR MAXIMUM OF L BEDROOMS SFR F
_ + - 6� 1
3 t
o , x is o EXPIRES THREE YEARS FROM DATE OF APPROVAL
• \ o , Rill
a
\ i _— ___- -- .sisr\--4-5.De,' - • - IR
554o56 t �"� <,- ty SURVEYOR'S CERTIFICATION glii
c %to
• WE HEREBY CERTIFY TO G U S M A R REALTY CORP.
+� � 9� THAT THIS SURVEY WAS PREPARED IN ACCORD• . THE \ o
U . , ��' CODE OF PRACTICE FOR LAND SURVEYS AD%,„- . Yi_
80.22, �' �y k \ \ NEW YORK STATE ASSOCIATION OF PROF -; •0 gibil"A. \-
us ,� " \.� \ SURVEYORS. W. y g 1,
g ® �.
ra a z° , �!Iii 0 tr 4 () ,. ,,„„ 1,.,1,::?-7,0,jf-* VIZ
r, 6 aQLV V,;4,1, 4546,1S V,�
�0 iO , f /- q
r dX ' � ;'(Al
vin
"D 9,90 Q 0 �► a
-4‘ 7r
�1 ��' HOWARD W. YOUNG, N.Y.S. L.S. NO. 458x3 'FLAW o
C 0 04- W 7rO b' �,Q
s N � 4/ r SURVEY FOR le Ii
e >"TO U) N Lot 28 .3 r
ri `� ,� zQ GUSMAR R!ALTY CORP. ��
`� k IR LOT 28 "SUMMIT ESTATES, SECTION 3" i'
v v c At East Marion, Town of Southold 1
ry
\o Suffolk County, New York fern
_ _ (0� - . County Tax Map District (000 section 38 Block 01 Lot10.16 l
ql
r----- x,3j ��° NOTES
BUILDING PERMIT SURVEY
N34.3�, n AREA = 30,043 5O. FT.
$ 32 W • SUBDIVISION MAP "SUMMIT ESTATES, SECTION 3" FILED ii
"' •1 r "� �'• �+ CI'is,/' gs�8�
' h 4��O' _ _ IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON t
Or fOr- _ _ MAY 21, 2002 AS FILE NO. 10'769. MAP PREPARED i t.. l g
Jena mer' _ r a e , - JUNE lo, Zoos a
Plw
i y Sch y . VERTICAL DATUM = N.G.V. DATUM (M.S.L. 1929) E' 'N oenstejn iSCALE: I"=40' lebe
' (Vacant) p.HowrExr ser ■- xr'o-* A•sr ser A.sr ranm JOB NO. 2005-0Ix4 $P Sebe
G.awl Ro•r+oor OVER 5•STOOP CE•CELLAR ENTRANCE ` DWG. 2000_0585_028_2005_OI94—bp = it