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HomeMy WebLinkAboutTechet, Steven (2) t 1 4- SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3470 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : MARK K. SCHWARTZ - ARCHITECT Address 1: P.O. BOX 933 City St Zip CUTCHOGUE NY 11935 Descripton of Proposed Construction or Alteration -1200 GALLON SEPTIC WITH (4) 2" DEEP X 8" DIA. LEACHING POOL AND DUT. POOLS FOR NEW HOUSE -FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT Name Of Owner STEVEN & JOAN TECHET Mailing Address 1 P.O. BOX 19776 City St Zip RALIEGHING FL 0000 Property Address 1 400 OLD SALT ROAD City St Zip MATTITUCK NY 11952 Tax Map No. section 144.00 block 5 lot 18.000 Cross Street ROCHELLE PLACE Building Permit Number Cross Reference: Issue Date: 9/18/06 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) l 0' c SOi/Ty- o ELIZABETH A.NEVILLE �� '` l4 � Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS G �t Southold, New York 11971 MARRIAGE OFFICER Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER . e /0, Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER - 'yCOMNT'1,**6.1 southoldtown.northfork.net 1 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: September 8, 2006 Transmitted herewith is a copy of application No. 3625 for a Cesspool/Septic Tank Construction Permit submitted by: Mark Schwartz for Techet 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: Aide�._ - oriv Signature V///0 Dated ��g0FF0(�c I. ELIZABETH A.NEVILLE -�I�`t` 4 Town Hall,53095 Main Road TOWN CLERK �* P.O. Box 1179 REGISTRAR OF VITAL STATISTICS �• Southold,New York 11971 MARRIAGE OFFICER : O �� Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER yv/D' AP/ Telephone(631)765-1800 FREEDOM OF INFORMATION OFFICER '- ' * -volt. 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 )c or Non-Residential @$25 _ Applicatioi •. (0 AS— Permit No.3-1 SPermitNo.3-1 Applicant Name IA(lc %C N acs k z M c S\NA Applicant Mailing Address ' . . . ' N 1- S Septic Tank X or Cesspool Brief Description of Proposed Construction or Alteration 1.20 a • 4,1 , S 4 t,t k4N Location of Proposed Construction/Alteration: Owner of Property: S)e%.st cc a eN e 0e, Owner Mailing Address: •0 . S4.1tqc 19 "7"7 6 Raike$1.,tn5 F�a . Z-? 619 Owner Property Address:of o 0 0 t 4A So,\ r c�a cl A-0-ucic. `i 1195 Z- Name and phone number of contact person Tax Map No: too a Section 14-4- Block ©S Lot I �3 Cross Street (Z oC-\•f, ?\4C& NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH :I / I EPARTMENT AP ROVAL /toll r 07 of/o‘ Signature of Appli t Dat Received liy: PO. \-1,01.1k4 —42.00' Q . V Cd....., ® / a \ 00't�Z ® ,, \ i , / I I N ,, i I I GO 1 I _ 11 0 - I I Q ® , o - - ea - , . , 16.0' / //, I �� \ / �_ / � F.. / / \ 'v1 1®b ,e '� / / . b " \ 0 an Ifs_ € . .etc .,),s_ . _..s.. . . .4 .A. .d.€ £ �s€ . ..,1,i. () --..i ;)--i;)--i . ,'& ..1,-1 .i .��E 1t£ .:1i ..Y1_ fit€ �`i . € 2Y*._ Z£..'Kr .5`'m .i` ads .ti 1 S.• ) Z ► M"tr ai n .rn an ar. .n an an .+n ;+.r an 41.7 an an an an a -n an .*r an an m a., an an an an an an an an an J.., an -a, an ILS'I9I M ,1LS1Io6L S i j: ,; . i k u) g . ..,...,.... ..„ ..--z.......„ , ,- .1m , ...‘. • ,. toia .4,, rn + . o ,11 r ' m. ,\1114444 I:1142.no i&,.. .p./,:ir CD Z 19 g 1 Techet House PROPOSED HOUSE K Shcwrrrfz,Alit I. CA Ps w•- I Architect,PLLC 4' 1 8 • ;i 400 OLD SALT ROAD P.O.BOX 933 hostitMAT1TTUCX,NY SITE p citcnnr 119350j. r� Phone(631)7346185 Fa(631)7342110