HomeMy WebLinkAboutNeumann, Michael SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3502 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : FREDERICK R WEBER ARCHITECT
Address 1: 41 E MAPLE ROAD
City St Zip GREENLAWN NY 11740 00000
Descripton of Proposed Construction or Alteration
DEMOLISH EXISTING HOUSE, REMOVE EXISTING SANITARY, CONSTRUCT NEW HOUSE
W/DETACHED GARAGE W/A NEW SCDHS APPROVED SANITARY SYSTEM
Name Of Owner MICHAEL & BETH NEUMANN
Mailing Address 1 240 RIVERSIDE BLVD
APT 5H
City St Zip NEW YORK NY 10069
Property Address 1 3329 GRAND AVE
City St Zip MATTITUCK NY 11952
Tax Map No. section 107.00 block 1 lot 1.200
Cross Street
Building Permit Number Cross Reference:
Issue Date: 2/26/07 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
,
o�,�%pF SO(/16,
ELIZABETH A. NEVILLE 1•4 .1 to % Town Hall, 53095 Main Road
TOWN CLERK % P.O. Box 1179
REGISTRAR OF VITAL STATISTICS y Southold, New York 11971
MARRIAGE OFFICER ; G $ Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER .� 0� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER -�4eOUNT`1,* .0 southoldtown.northfork.net
•••t.... 04
7 OFFICE OF THE TOWN CLERK
i\N 2. 9 TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: January 29, 2007
Transmitted herewith is a copy of application No. 3660 for a Cesspool/Septic Tank Construction
Permit submitted by:
Frederick R. Weber for Michael & Beth Neumann
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
i
Comments: ,,� .. �'
Per /Jird— ", i
N.
Signature
o1/313/7
Dated
,
111 SlIFF042-%
' 0 v
ELIZABETH A.NEVILLE �. ��hto4,
Town Hall,53095 Main Roac
TOWN CLERK d 1 P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER :10t` 1� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER L y�f �O ''il Telephone(631)765-1800
FREEDOM OF INFORMATION OFFICER --....°1 4, .„0southoldtown.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 Applicatf. 1 o. c-6
Permit o�
Applicant Name ri ZWL1Z.1.(,k R. X22., , Are-cka-`
Applicant Mailing Address 41 tL• V Ak 2 L- R
G12. i KJ. , 111'-1'0
Septic Tank X or Cesspool ,
Brief Description of Proposed Construction or Alteration0641401-ISt k•- .15:.-C) !JUL 1I01
Gl5 A. Neu,' 'e,0.0,10. kp,' sl c rkrr s15A-44.„r .
Location of Proposed Construction/Alteration:
Owner of Property: ktit,aNah/1NrN
Owner Mailing Address: Q1 ' ptv 12,1-kiD. , . B 14
N,4 1.3,x. 100(ec)
Owner Property Address: 3329 (124-111r> .N.)E.
1\11-errti-t c 0)
l h�M - 1\ S
Name and phone number of contact person
Tax Map No: Section I '1 Block tiQ I Lot 12
Cross Street
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SY H HEALTH DEPARTMENT APPROVAL
S gnature of Applicant Date
Received by: 9
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SUFFOLK COUNTY.NEO YORK
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PROPOSED LOT COVERAGE OVER ADJACENT AREA-4.413 1%It IORRJLO%OF ADJACENT ARE
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L Iso' RADIUS DATE: SEPT 29, 200E
A from LEACHING FREDERICK R. WEBER, ARCHITECT
N.Y.S. LICENSE *15568 FLD NRNEL C.Ca,X
;t A • wN N� POOLS ALL CONSTRUCTION TO OCCUR IN FLOOD ZONE X or X*
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41 E MAPLE ROAD
�j :# N• FOR GREENLAWN, NY 8 •-. EXISTING CONTOUR
0 t A s , •. • , . N/p�F -0 TEL (431? 154-5555
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