HomeMy WebLinkAboutBender, John 1, i„‘j ,,,z,-4 li r-.
( —
tr' ' Town Hall, 53095 Main Road
rte- P.O. Box 1179
add: ,,, } Southold, New York 11971
"zkJUDITH T.TERRY # ,� TELEPHONE
TOWN CLI.RK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
March 11 , 1987
John D. Bender
95 Clearview Avenue
Southold, New York 11971 •
Re: Grange Road
Southold, New York
Enclosed herewith is the Construction, Alteration or Modification
Permit for a Septic Tank or Cesspool System for which you applied.
Please be advised that each owner of real property operating an
on-site sewage disposal system, such as a septic tank or cesspool must,
prior to such operation, possess in the name of the owner an Operation
Permit for the system. The Operation Permit is issued by the Town
Clerk's Office.
The fee for an Operation Permit is ten dollars ($10.00) for
residential use and twenty-five dollars ($25. 00) for non-residential.
Please have the owner complete the enclosed Application for an Operation
Permit and return it to this office along with the proper fee.
For your general information I have enclosed an Informational
Bulletin regarding the Scavenger Waste Laws adopted by the Southold
Town Board. Should you have any questions pertaining to either permits
or the Scavenger Waste Laws, please do not hesitate to contact this
office. We will be glad to assist you in any way possible.
Very truly yours,
gogseacendr....00,0.....0
Judith T. Terry
Southold Town Clerk
Enclosures (3)
JTT/Ijc
•
OFFICE OF THE TOWN CLERK c�FF(Aire"
Town of Southold � eGe,
Judith T. Terry, Town Clerk
- Town Hall, 53095 Main Road * *
P. O. Box 1179
Southold, New York 11971
Telephone "l c ��'
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 119 Residential,% X
Non-Residential
Fee $ 10.00
Septic x Cesspool x
PERMIT ISSUED TO:
NAME: John D. Bender
ADDRESS: 95 Clearview Avenue - W
Southold. New York 11971
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New Single Family Dwelling
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Ji hn D. Bender
OWNER MAILING ADDRESS: 95 Clearview Avenue
Southold. New York 11971
OWNER PROPERTY ADDRESS : Grange Road
Southold, New York
TAX MAP NO. : Section 75 Block 4 Lot 15
CROSS STREET: Bayview Road
BUILDING PERMIT NUMBER CROSS REFERENCE: Pending
eorforee,;4$09
Judith T. Terry
Southold Town Clerk
DATE : March 11 , 1987
(TOWN SEAL)
OI FICE OF THE TOWN CLERK
Town of Southold
Judith T. Terry, Town Clerk Application No. /6,2
Town Hall, 53095 Main Road Construction
P. O. Box 1179 Alteration
Southold, New York 11971
Telephone Residential 4"- '
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. / / 7
Fee .$
DATE 3 //87
APPLICANT NAME: J)yx/ 1� , //},c,2,
APPLICANT ADDRESS: ?c--- Az6- - ftl
Sd�7,4't _ Xi!i //97/ 7;5-- 30fr9
SEPTIC V CESSPOOL V
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 2 'A/
OWNER MAILING ADDRESS: Fi- C/�,g2 v/6-4g, Ave-
-S-0v
vgS0v T,z,/d //P7/
OWNER PROPERTY ADDRESS: - ,dj Pd-
TELEPHONE NUMBER OF CONTACT PERSON:.Tovv _205-
76s". .SCS'- 75��e�cvoek
TAX MAP NO. : Section /:20/7s-Block 2' Lot /S-
CROSS STREET: /�.,ay(//4-4/ /go
BUILDING PERMIT NUMBERUCROSS REFERENCE: �-
/ Signature of Applicant .T.�?
RECEIVED BY:c =L--`Ky./C..-R`c _
EIToD nv Clerk's ffice
DATE: •
Ail:l 7 7987 •
En'^'^ Southold
r.
t
i
,
1
1t
, John D Bender
95 Clearview Ave. W. 765 3089 Home R
CQVthQl rl NV 11071 1P5 Q f119R Wnr
now or formerly ✓ H �ehr
IOO.001
w N . 85°3540 1E. _�.3.
__ — C�io Lot 6
--_
0.5' /8493 SF
Aree -- , \
1E
I
to
1
\ I
`O
\ -
\ $ i.
1113
• t
......1
i
0 _
o (----I
Lot 7 : - 38.
R
P2oPo`�C-:"
La
1
0.3' 25.0' O F 1.1"t }
'� W
8/11 c. 1l>N K�
DWELLING 3 l--" __r
o `h
\ .. .cit ,- c....„,.:,,,,,,,fieL t
_
/' ��IvEwq tri Lot 5
h sc
o \\
s.
i QL
3,
/ 4I � t�T A
\ ti-` Of cT �"
al =1 \ • Q u1 w— -
�� • o�oPo7E2 • 455.00 3 .S, f
L
U
"E,4P
0.3'.t ,.;n,el' HYDRANT. S 85°0960 W. E
..�.i- 1 -
/ i
- --
lIg
—
f —
KUNv
•GRANGE EL-----.Y,' -'': =. �
311-17::'.,..'.-:\:---,.1
n r
• q ..—
...,:i3-1
L�
t ry d
\ \ s
1NG ONS-�PR�V AL � .,
SLY D��Li..�� OF A8/ IF
EFp,M o
SiNGi. /exRS F E
$ DWELL/NG
DWELLING
/036Sr.
—
E.
SURVEY FOR
JOHN D. BENDER
}FFOUC COUNTY DEPARTMENT Of HEALTH SERVICES LOT NO. 6, SOUTH HARBOR HOMES" FEB. 5, /987
AUG.21, /986
AT SOUTHOLD DATE_ AUG. /5, /986
FOR APPRO AL OF CONSTRUCTION ONLY
TOWN OF SOUTHOLD SCALE: /11= 30'
DATE 'O "i77--- (((?'' C — . SUFFOLK COUNTY, NEW YORK NO. 86- 906
- RaF. NO. - ,..- u 3'
/ N UNAUTHORIZED ALTERATION OR ADDITION TO THIS GUARANTEED 70:
SURVEY IS A VIOLATION OF SECTION 7209 OF THE JOHN D. BENDER
APPROVED NEW YORK STATE EDUCATION LAM AMER/CA- ! ,. TRANCE CO.
N COPIES OF THIS SURVEY NOT BEARING THE LAND
SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL S't,P `
NOT BE CONSIDERED TO BE A VALID TRUE COPY
*GUARANTEES INDICATED HEREON SHALL RUN ONLY TO A M; ��
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED 0'� ypG 1''
AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERN- 4*
N NEAREST WATER BAIN_MI. *SOURCE OF WATER. PRIVATE_PUBLIC X MENTAL AGENCY AND LENDING INSTITUTION LISTED
N SUFF CO. TAX MAP DIET /000—SE CTION 75 BLACK.4_LOT /5 HEREON,AND TO THE ASSIGNEES OF THE LENDING
*THERE ARE NO OMIELLIINS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE
OTHER THAN THOSE SHOWN HEREON. ',....//)
TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT _4.-�►
N THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE OWNERS
N DISTANCES SHOWN HEREON FROM PROPERTY LINES
WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT TO EXISTING STRUCTURES ARE FOR A SPECIFIC (4. 4Q5
OF HEALTH SERVICES. PURPOSE AND ARE NOT TO BE USED TO ESTABLISH /yam 41589
APPLICANT, John D Bender PROPERTY LINES OR FOR THE ERECTION OF FENCES �f0 �9�
148/0 SO��1'
ADDRESS 95 Clearview Ave. West _
TEL
YOUNG & YOUNG Riiiii IVERHEAD, NEW YORKNDER E
Southold NY 11971 516 765 3089
NOTE- ■ =MONUMENT Q = PIPE
ALDEN W.YOUNG,PROFESSIONAL ENGINEER
SUBDIVISION MAP FILED/N THE OFFICE OF THE CLERK OF AND LAND SURVEYOR N.Y_S.LICENSE N0.12845
SUFFOLK COUNTY ON JULY /4,/964 AS FILE NO. 4096
HOWARD W.YOUNG, LAND SURVEYOR
r-
0 THE LOCATION OF WEL L(W),SEPTIC TANK(ST)BCESSPOOIS(CP)SHOWN HEREON N.Y.S.LICENSE NO.45893
ARE FROM FIELD OBSERVATIONS ANO OR DATA OBTAINED FROM OTHERSio