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HomeMy WebLinkAboutBeinert, Michele „.,o��FFoLAr�o� o T Town Hall, 53095 Main Road V. �� P.O. Box 1179 _• "`tel,/, `ate�0'� Southold, New York 11971 JUDITH T.TERRY 7='1 �, ''/r FAX(516)765-1823 ”'"� TELEPHONE(516)765-1801 TOWN CLERK REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 591 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : LYNCH HOMES INC Address 1 : 321 COUNTY ROAD 39A City St Zip SOUTHAMPTON NY 11968 Descripton of Proposed Construction or Alteration NEW SINGEL FAMILY DWELLING WITH CESSPOOL SYSTEM. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES ON 9/22/89. Name Of Owner BEINERT, MICHELE Mailing Address 1 148130 MAIN ROAD City St Zip SOUTHOLD NY 11971 Property Address 1 SOUTH HARBOR ROAD City St Zip SOUTHOLD NY 11971 Tax Map No. section 75.00 block 4 lot 27.000 Cross Street MAIN ROAD Building Permit Number Cross Reference: 18595 40044(5.40„,..„... Issue Date: 3/28/90 Judith T. Terry Southold Town Clerk (TOWN SEAL) INV ' cc9/ L ';,r . : VI ' �.* $ Town Hall, 53095 Main Road 0,.. ®,_ P.O. Box 1179 Vl a.•. JUDITH T.TERRY .• Southold, New York 11971 ��.�������I TELEPHONE TOWN CLERK %65-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK pi .i_ OF SOUTHOLD U . MMR 1 910 • To: Southold Town Code Enforcement Officer p . From: Linda Cooper, Southold Town Clerk's Office Tnt" r``` ` ~ Dated: March 19, 1990 Transmitted herewith is a copy of application No. 606 for a Cesspool/ Septic Tank Construction Permit submitted by: *** Michele Beinert submitted by Lynch Homes 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. Thank you. *** Submitted survey does not show SCHD approval. c Linda J. Cooper . * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE x . DISAPPROVE • Comments: q,, A K,L ,t 61 (+f1., ii cake ua. Cc...-41.� 1 Ca ke�12.0. ' tn„ Qitc‘17- Iliz • Vara.. Ckva Q.,.42...... Signature 3`. .....\\c‘13 Dated OFFICE OF THE TOWN CLERK ' '• OC3 FOUr . ' Town of Southold rown -Clerk* 'C Application No. ,04' Judith T. Terry, Town Hall, 53095 Main Road Construction p` P. O. Box 1179 Southold, New York 11971 � Alteration 0_1 Residential PS Telephone (516) 765-1801 Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ /0,00 DATE "fgt./4 j, , / 910 APPLICANT NAME: ,4 ' - - APPLICANT ADDRESS: V.:413 0 3Ov i r/o i- I ` Ny /1 5'7 ! SEPTIC DL CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION .:17„41/ I - /O (' 5,/jO r- /J f� cS / .s[�Tr G.- ^�Y�4 G....0 Z "" l.. X 8 roc IS LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: ,i/c/Vet, — /le,,ueXT OWNER MAILING ADDRESS: `ai3 a if 1,..) fL0.4N Soorf/oc?> • OWNER PROPERTY ADDRESS: So„T1/ f/rgjZ/!oA aoAL So.�Tt/oma ]) TELEPHONE NUMBER OF CONTACT PERSON: 7(.5—_ yoY9 TAX MAP NO. : Section 75- Block y Lot 2 7 CROSS STREET: /Y/. /.v aa,gD , BUILDING PERMIT NUMBER CROSS REFERENCE: , g5-9,,-- P SS`1,,-- T e LL Signature of A plic( 6rr\ t RECEIVED BY: Town Clerk's Office RECtiVMd DATE: 011 ; MA Southold rw li o-a `` `- ," ,• ,•"_ "'„ ": •.,..rye _ .+s..N., .,.. !r+„sae+ W .euerwnm.w.uueuuW.w.,wawrwwww..W raw reere nh law xauu..uW riiuWdwuYu WYalWe,liWYW rr or+rr r+U. nl i i iJ IiY iYl i _ i U i Yl _ }-1 --d �t V \V i d l,.1 { fur tULK (...0. hf V. tAi 11 uar t . P►rrrtvvAL Y � H. S. NO. 4 Is l (/) 1 I -oy. 4 ,-fest fro/e 0 • 1 � 5`. Ca'f.�jb�rrl o r t Z' 4 V1.'3 r4 A Cr.. r !—'),� . t :—,.y.. i . STATEMENT OF INTENT Zt THE WATER SUPPLY.AND SEWAGE DISPOSAL sj ik - 0 0.1 6 N. ° 40°Z0"e. 23/.5 6 `�U' '��E)`F" ) FOS SYSTEMS FOR THIS RESIDENCE WILL Ula' N.?(�'Z7•$O _ -_- Cr�'v _. l Yt t I � � F. ,r1 l,'�+I+\J r j CONFORM TO THE STANDARDS OF THE � ';.ac Bdd -__l__-` ti --- ---__ - ----- SUFFOLK CO. DEPT. OF HEALTH SERVICES. '` - .l - - zoo.76 �, NI 1.0 = 4 ' Z7 4" J APPLICANT tt1` 5 $,'76 , •• _11 3 "-` SUFFOLK COUNTY DEPT. OF HEALTH Q a; E _ �'-= �„ °° S CI F'Pt1[,illi Co. �'1. Y. 31 2� — � t � e �_, SERVICES - FOR APPROVAL OF { p L . CONSTRUCTION ONLY -. -„ � �,d.i ( DATE: r ►NI 1 © --- c: s L ._...,...� �r -�_\ H.S. REF. NO.:_ • { + - ~ F `. { APPROVED: 1� . ..I , septic- ' { CIS ........___-- SUFFOLK CO. TAX MAP DESIGNATION: Oil / ' 1 DIST. SECT. BLOCK PCL. / �-ex ars»-� bc�f { /00 0 07r' 4 Z7 - ti� I + - OWNERS ADDRESS: . Pa i ` Cd/e 6O !” a4 LYVCH NOF4ES, lac• i T ,y 1 ( ; 3Z1 GoVArrY 1249. .39 R I I y ( {{ i ;du •t>l l•Wrahr, N. Y. 11968 • Area . 2.3. 9 At.r�5 { `' -jam �- I j Tec.. 283 -0009 /-3. DEED: L. 11.1./..411.1./..4P. = urt E 1710 rtrr7e t. TEST HOLE STAMP CO x pbe ( —___—_- 1 { Une!•tharaedalteration orteketfon • to this survey is a violation of r + Section 7209 of the New York State { I U- rddcatton Law. ft 41. +e Got ,winber$ refe•- to brown Copies of this serve,"me"not beefing the land a irdced seal cc ' f( t.. I l77/l7 0r' .$a,�b d:'v 1 a'lei rt p lo a tl't z.z' embossed seal shalt not be considered '( p ,� ' Su e" .$a Iva fo re ca fa1ta n o. to be a valid true ooptr. Guarantees indicated hereon shall run _� t r I— a only to the parson for whom the survey l t i rY_ Z p t b rate t? Is prepared,end on his behalf to the _ ' i �r'-%tl pi NO. d�05 "S - 46,4o utte CcmDanY•governmental agency and — — 40 ars 4 tending institution listed hereon and { l' 1 1 `� s to the assignees of the lending inti- . y!t^- ea N,d tution.Guarantees are not transferable to additional institutions or aubsequei — 9ru�:f,��a.S awn«: Guarding-edge/ to First ArslCrrtorl SEAL 0 81. 66 iso.0 ;b _______._ ._-- rifle trrcurorrce co. and �_ t.pFN • 1.. : 5.80'14'3O'34' 5.79 49 30"W. • to PeCArt%>v lbs tr4G gv- OGK V 44e-11 ✓ . SD Uth H a/•Igo.- iiodre�4ei" _-__ __T Yi11Qf8 0 G J'es�tis tav't as .Sur✓ yed •� jet. 1 198 _ ,' o X13, G.cIt r.s49 - ccs. mai , 409 RODERICK VAN TUYL.P.C. t• T r- ¢ la 'L CS 266 eev%sed A.rg. 29, (99.s, LICENSED LAND SURVEYORS 7 J7. s�DCAND�' � • GREENPORT NEW YORK num*POST ten» 9Z1 - 6