HomeMy WebLinkAboutGusmar Realty Corp (4) ,e%OF SO;jyo
ELIZABETH A.NEVILLE �•
• � 'lam l0 `� Town Hall, 53095 Main Road
TOWN CLERK ; 41 41 ; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS
H �r Southold, New York 11971
MARRIAGE OFFICER �� 'G�► �O ,I� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER `, to i0°, Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER ' . OUNri
, sail 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. 3367 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : GUSMAR REALTY CORP.
Address 1: 13-15 37TH AVE
City St Zip LONG ISALND CITY NY 11101
Descripton of Proposed Construction or Alteration
-FINAL APPROVAL REQUIRED FR(14 THE SUFFOLK COUNTY HEALTH DEPARTMENT
Name Of Owner GUSMAR REALTY COPR.
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 10.170
Cross Street SHIPYARD LANE
Building Permit Number Cross Reference:
Issue Date: 9/28/05 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
0,1%pF SO(,7j
ELIZABETH A.NEVILLE I
• '`� l0 Town Hall, 53095 Main Road
TOWN CLERK l l P.O. Box 1179
cn Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ; G @ ,1
MARRIAGE OFFICER �O 11 Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER l 1�1 Telephone (631) 765-1800
�mI 1
FREEDOM OF INFORMATION OFFICER `=qC('Un 1',� 0 southoldtown.northfork.net
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. 3514 for a Cesspool/Septic Tank Construction
Permit submitted by:
Gusmar Realty Corp. (Lot#29)
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: +► `/ 1000.1"
-/-41114417:6:-
!- 4417:� X'4.r
Signature
a-3 02100.5—
Dated
vo —Dated
A
e \,.SUFFO(�c
ELIZABETH A. NEVILLE - f l'h`Z` OGS`` Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
x Southold, New York 11971
REGISTRAR.OF VITAL STATISTICS by A?
MARRIAGE OFFICER : O t f Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER \y 00iiil Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER '_e'� 4 '� •'' 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 @$25 Application No. 3S t`{
Permit No. , �7
Applicant Name (:(i Si" AO e,49 L f Co eP
Applicant Mailing Address /3- /5 '"7 '> R..
L. I . C. ivv tk tot
Septic Tank or Cesspool
Brief Description of Proposed Construction or Alteration
Location of Proposed Construction/Alteration:
Owner of Property: 6 crSLt AOL. 2 cAcN C— (
Owner Mailing Address: 13- I S 1'-)4" 1 6-.lc
L1.0 A.) J (O,
Owner Property Address:Lit-ii ag (y Gt S " °Q.(OE
Asi LO Pet 0 '-3.- '. S
Name and phone number of contact person 010.otSesa-.$ 477- 15/7j
Tax Map No: Section M Block 61 Lot ( O 11
Cross Street Sikt( -NAS C- c
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
v&(J -Jg"Signature of Applicant 6-"c c, Date
Received by:^1))
^ NOTES Young & Young 111
,► V' , 400 Ostrander Avenue, Riverhead, New York 11901 0
clil ► C AREA = 30,000 S . T. 631-727-2303 E
4. - Howard W. Young, Land Surveyor is
► • SUBDIVISION MAP "SUMMIT ESTATES, SECTION 3" FILED
► Thomas C. Wolpert, Professional Engineer •
► \ IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON Robert C. Tast, Architect ter
< ► MAY 21, 2002 A5 FILE NO. 10769. "
t. / ►► Ronald E. Pfuhl. Landscape Architect
► • VERTICAL DATUM = N.G.V. DATUM (M.S.L. 1929) Douglas E. Adams, Professional Engineer
XIIa ►
o t 4 o
0 itrvtHEALTH DEPARTMENT USE 11
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D 0 ► _ X i
g • - 1 ` x 15.0 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
a - - �_ - • -' iiit - - PERMIT FOR APPROVAL OF CONSTRUCTION FOR A I i
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evoe
- I3 1, - - - a GLE FAMILY RESIDENCE ONLY X C
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a c� / DATE \0 ®� HS O. R to-o S_00 8`'1 t
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s yos�' i��_� S . APPROVEDtn-- \ �� fir; ''
4 RF'-ba � G6 ip'
ss �,�,� ,3 q� FOR MAXIMUM OF BEDROOMS
s 'c� ill �a
�� vJ ANiTnRY ; ` Sego\ '`sz EXPIRES THREE YEARS FROM DATE OF APPROVAL 0.
SANITARY ISYS �'
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n. q_-,,. SURVEYORS CERTIFICATION gi 1
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�. 1 ), ,. (S O • WE HEREBY CERTIFY TO G U S M A R REALTY CORP.
�� ie,o/ 5.T.� II di ��\ 7� e9lt THAT THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE ,._- o 11
CO 1111111;-
- 11 gpt ��\ Los CODE OF PRACTICE FOR LAND SURVEYS ADO' 0 .i
�/�y' 1 15' NEW YORK STATE ASSOCIATION OF PROFS//!s. /• • !!- $
�[/ ± 152,4'u 14.14'u it �' S S / �' / / g ,
w 4 Ur = . 1299' u \ \oo c SURVEYORS. ,s` w /41.
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O a o I�P`TION ti� �'O Z V
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$ ,2p ,it" �Y� 11 TC�CI` - --
I ^ „ " V C �� Lot 2ci — _ HOWARD W. YOUNG, N.Y.S. L.S. NO. 45893
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s \ �� ceTh u,1 Co -61 SURVEY FOR lel
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\ r r/ Co 0GUSMAR SALTY CORP.
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--� x,6 w - V ,•• E 0 LOT 261 "SUMMIT ESTATES, SECTION 3" iW
A iin � 0� co o Y m At East Marion, Town of Southold 111,
a folk Count New York •
no _ � m o SC � Suffolk y, , I
Jenn or former' _ _ _ _ 210 56'
County Tax Map District IOOO Section 38 Block O-I i otl0.l7 Ili
SRI
Y S�hoenst n N34032,32„w , / 111 0 6 BU�LD�N6 PERMIT SUR1�Y a o
• Natant) ' nO ' 40
or s 1
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red R rmer� 7 �gi
Jennie S�hoenoest je, f ^c :11 ' Z ��tl �il.v p51 1
m MAP PREPARED t•. *1/4t10.411 ....
k ry{ JUNE 10, 2005
2 i i'r)„,e, ',stein - - 'i Vq y 1 411
fang) SCALE: 1"=40' ' 1 1 r+1", iP!
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