HomeMy WebLinkAboutDeWinter, Rudolph z
LTown Hall, 53095 Main Road
O P.O. Box 1179
Southold, New York 1 1971
JUDITH T. TERRY TELEPHONE.
TOWN CLERK (516)765-1801
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. 478 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : PHILIP C. HANCOCK INC.
Address 1 : 341 EAST MAIN STREET
City St Zip RIVERHEAD NY 11901
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH SEPTIC SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON2/15/89.
Name Of Owner DEWINTER, RUDOLPH
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Mailing Address 1 62 PLYMOUTH ROAD
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City St Zip PLANDOME NY 0000
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Property Address 1 GRAND AVENUE
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City St Zip MATTITUCK NY 11952
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Tax Map No. section 107.00 block 2 lot 2.005
------ --- ------
Cross Street REEVE ROAD
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Building Permit Number Cross Reference:
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Issue Date: 4/04/89 Judith T. Terry
-------- Southold Town Clerk
__ _ (TOWN SEAL)
MAR 2 8 1989 ���FFO ��
�f L
BLDG.DEPT.
TOWN OF SOUTNOLIT t.-'. Town Hall, 53095 Main Road
P.O. Box 1179
f.
Southold, New York 11971
JUDITH T.TERRY 1 Y" TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Victor Lessard, Southold Town Building Department
From: Linda Cooper, Southold Town Clerk's Office
Dated: March 27, 1989
Transmitted herewith is a copy of application No. 488 for a Cesspool/
Septic Tank Construction Permit submitted by:
Philip C. Hancock Inc. for Rudolph deWinter
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.
Linda J. Cooper
I have reviewed the application and location map of the project cited above
and make the following recom'inendations:
APPROVE
DISAPPROVE
Comments: c�.,. a
z.
Signature
Dated
w
1 n
OFFICE OF THE TOWN CLERK
Town of Southold y0� Application No..
Judith T. Terry, Town Clerk .0
Town Hall, 53095 Main Road C? j'�C Constructions`
P. 0. Box 1179 Alteration
Southold, New York 11971 .yt �-
Telephone �! t Residential
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. �` O
Fee $
DATE
APPLICANT NAME: �� � I t� \ � ���� "-��•IC
APPLICANT ADDRESS:
SEPT I C_�CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTI N OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: ���� l� �� �.� JT-o
OWNER MAILING ADDRESS: `1 T1 yq-� ,
OWNER PROPERTY ADDRESS:
6 2t�n 7 7-(Jo v , J czj ��-t K_
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section to -7 Block Lot _,;LJ
CROSS STREET: -R`� [ _Plo 2�
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
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Suffolk ou� IGreton Estates 11
y -9L ntY File No 6447
NOrGX •1•`''tl �'
__ El 2:V4T/vti/� q�p� QEfE 2Eit/LED Td
HEALTH DEPARTMENT -DATA FOR APPROVAL TO_CONSTRUCT Nd VD �wlvit /9�9
#NEAREST NATER VA�N—Mi ± SOURCE OF W47ER rN VATE—_PUBLIC.
I SURF CO TAX MAP DIST IM SECTION I07 BLOCK 02 LOT
# THERE ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY 1J '��
OTHER THAN THOSE SHOWN IEREON. i�\� v _
# THE WATER SUPPL'AND SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE
WILL CONFORM TO THE STANDARDS OF THE SU-FOLK COUNTY DEPARTMENT
A P HEALTH
T SERVICES E EN-CONSULTANTS INC. SUFFOLK COUNTY DEPARTMENT OF HEALTH SERYICP
ADDRESS -1328-NORTH- SEA-RD, ---
-- ---- - SOUTHAI4PTON N, Y.-11968 -- FOR APPROVAL OF CONSTRUCTION ONLti -
--_- -516-283-6360---_---- SATE FEB 15 1989 �
NOTE: •=MONUMENT 8=S TAKE -- --- -- H5 REF. NO'
RE; LOT NO. 3, "MINOR SUBDIVISION FOR LYNN SAN ANDRES" }
IkPPROVED r `� ;
I
*THE LOCATION OFNELL(W),SEPTICTAW(ST)9CESSPOOLS(CP) SHOWN HEREON
ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS.
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°ry A.Smith
Revlslorvs YOUNG & YOUNG
FEB. 28,1985 400 OSTRANCIEF2 AVENUE. RIVERHEAU. NEW YORK
' JULY 22,1957
JULY. 7, 1989 PROFESSIONAL
W. YOUNG HOWARD W. YOUNG
PROFESSIONAL. ENGINEER AND LAND SURVEYOR
LAND SURVEYOR, N.Y.S. LIC. NO, 12849 N.Y.S. LIC. NO. 468193
SURVEY FOR: ^
.au,ITORIZED ALAI PATfON iN iUfi!tluM 'C
<�S ",'FNLY 5 A .I(:LATlf•r. � -41,1 RUDOLPH de WINTER _
S�P�E OF New}
tHf .•\fW •"W• STATS f ;.;:',A'I
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ti,t= Na::Ar F., ti .HA_. IS.v — -- --- TI RTI RANT
t 104-M TuvvN OF —� ( T1 )
SOUTHOLD I
u f ;MCAS :c VA;MFV ..4b.-__
,r SUFFOL-K CO.. N. Y.
SCALE. (�� = 100 985 5- 136
w ,r.: FEB. 27,