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HomeMy WebLinkAboutKober, Thomas • OFFICE OF THE TOWN CLERK �FFOUQ, Town of Southold Judith T. Terry, Town Clerk Z • ? '' Town Hall, 53095 Main Road i P. O. Box 1179 v' Southold, New York 11971O� 0 ���, Telephone el [ o, (516) 765-1801 ' TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 270 Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: NAME: Brian H. Saunders (Inside Out Construction Co. ) ADDRESS: 36 Portside Drive Holbrook, New York 11741 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION New Single Family Dwelling with Cesspool System. APPROVED as per Suffolk County Health Department approval. LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: Thomas Kober OWNER MAILING ADDRESS: 500 Peconic Street, Apt 107B Ronkonkoma, New York 11779 OWNER PROPERTY ADDRESS : 2000 Aldrich Lane Laurel, New York 11948 TAX MAP NO. : Section 125 Block 1 Lot 2.19 CROSS STREET: Franklinville Road BUILDING PERMIT NUMBER CROSS REFERENCE: • Judith T. Ter Southold Town Clerk DATE : December 15, 1987 (TOWN SEAL) c2 7c7 k- Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 JUDITI1 T.TERRY TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD December 11 , 1987 To: Victor Lessard, Southold Town Building Department From: Judith T. Terry, Southold Town Clerk Transmitted herewith is a copy of application No. 274 for a CONSTRUCTION or ALTERATION Permit for a cesspool or septic system submitted by B. Saunders (Inside Out Const. Co. ) for Thomas Kober. Please review the application and location map and advise if the project has received Suffolk County Health Department approval and if we may issue the permit. Please complete the form below and return it to my office. Thank you. erc • ede. Judith T. Terry Southold Town Clerk * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendation: APPROVE - eC DISAPPROVE - COMMENTS: n (C\NN\ A-' 141A C'er1 42-4:01N ‘ dtS1t1-41-"S RECEIVED DEC 151967 l.� i` ,M 4,2-0 QA.c�C Signature Town Clerk Southold I2-1 ‘\ S1 Date 1, 0 "',. OFFICE OP THE TOWN CLERK c0F0L4 Town of Southold 4% COIj ' 7c` Judith T. Terry, Town Clerk : Application No.a Town Hall, 53095 Main Road -' mac Construction P. O. Box 1179 �$ Alteration Southold, New York 11971 Olik Residential 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 DATE ^ C . /// /p(r7 APPLICANT NAME: gle(/f (..‘i. /11,-t.AN-rjRAS S!mc- 0 .5z4/1/4)s-i:Co) APPLICANT ADDRESS: /p! r�(�, �� , / �, © N,y! /1 7 V/ SEPTIC CESSPOOL 1---- DESCRIPTION 7&DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION cQfKSGf,E• • LOCATION MAP: Must be attached hereto before permit may be issued. • LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: II4011. 1-S (O&2, OWNER MAILING ADDRESS: O Zr. A . C0713 O NfcJ(C) -�N��o,— OWNER PROPERTY ADDRESS: I'OOC) //4-bZ k L.A' J k ia-vt- N . ,' / T (Y TELEPHONE NUMBER OF CONTACT PERSON: 374- T-6 7. 5-3 CC- TAX MAP NO. : Section r c- Block d 1 Lot , i 7 CROSS STREET: Pe..4 Jd uJ I((4 RSA BUILDING PERMIT NUMBER CROSS REFERENCE: 1 , :(finj-_.(_,,._oti Signa Applicant RECEIVED BY: , Town O fice DATE: `c - //-e7 P ii\;\,) - moo ,`F T' ` ' S., N.,.......... LSI 0 •,,, 0 J n0 O cP0 °o ttl 11 of aK V4.. \ ..kt. \ i cg1 \ '0' - ____---e 1. • 1.,. � � s ,.:. [, ,• 1„ N \<4•0 \eb ,a�< A,, G Q ` oq,� a is, S70 \\ un, A�•°.' S 00 5• j' It !i J �CSo \ �OQO I'; A 1= 1' r./ ' " s Y ._ ___ .tl I' 2\' 3ga* o c p� ti ' Sll�Ini.-F.'. rt"St.' LY. 1I1��i4�( IRI �, S.i,. �j-�T i ,��!L•Y rlEALTH --'.,of XP1RES TWO �t E iS t ►i11r`� L)A i i' APPROVAL "-R<<CFS SURVEY FOR ^L couNTy DT ?� 01.1 EALTh 1 , , THOMAS„ KOBER a THERESA KOBER„ LOT 10 ,. LAUREL ESTATES EAST, SECT! APPROVAL C-)F r , .,r;y , `iJd Or`i` AT LAUREL DATE: NOV. 10, 1987 TOWN OF SOUTHOLD SCALE: 1 50' C • y _ j - 7 - ss JU -1 -2i ,/ SUFFOLK COUNTY, NEW YORK NO. 87-1759 T — *UNAUTHORIZED ALTERATION OR ADDITION TO THIS ''—' SURVEY 4 A VIOLATION OF SECTION 7209 OF THE Jam- �6 k'PK�V''4�___'' �� �� ..�-..„._._ NEW YORK STATE EDUCATION LAW ' N COPIES OF THIS SURVEY NOT SEARING TAE LAND -° r�r Y SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL / 7 44'x' . y ", "3< i y� y NOT B! CONSIDERED TO BE A VALID TRUE COPY i ' U ,. 4 J + �' NGUARAMTEES INDICATED HEREON SHALL RUN ONLY TO 11, f 2• o-1 ',THE PERSON FOR WHOM TME SURVEY IS PREPARED fa ' HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT ANO ON HIS BEHALF TO THE TITLE COMPANY,GOVERN- l.,11--,7,_-.- 'n Ca N NEAREST WATER •AIN_MI.• *SOURCE OF WATER PRI1A►TE_PUBLIC _ MENTAL AGENCY AND LENDING INSTITUTION LISTED I j M SUFF CO. TAX MAP 01ST}000 SECTION 125 .BLOCK AIL-LOT 2.19 HEREON,AND TO THE ASSIGNEES OF THE LENDING 4,,:-:-A,:.7-.i' -' E J c. *THERE ARE NO OWELLIININSTITUTION. GUARANTEES ARE MOT TRANSFERABLE S WITHIN 100 FEET OF THIS PROPERTY " OTHER THAN THOSE SHOWN HEREON. TO ADDITIONAL INSTITUTIONS OR. SUBSEQUENT e, 4 OWNERS - N THE WATER SUPPLY AMC 3EWAB[ DISPOSAL SYSTEM F01!THIS RESIDENCE *DI STANCES SHOWN HEREON FROM PROPERTY LINES �'. WILL CONFORM TO THE STANDARD! OF THE SUFFOLK COUNTY DEPARTMENT TO EXISTING STRUCTURES ARE FOR A SPECIFIC OF HEALTH BENVICES. PURPOSE AND ARE NOT TO BE USED TO ESTABLISH 4 :UR1`� APPLICANT, r PROPERTY LINES OR FOR THE ERECTION OF FENCES ADDRESS -0�3 / CO-."l C S i 4j OT, /o 7 13 • j J r _ ze.-Kv,r/:_0"74 /t-i'. L. 73'7``6:'1vy YOUNG a YOUNG RRIOVEORHEAD", NEW YORKE 0,4 NOTE: ■ = MONUMENT 6 = STAKE SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ' ALDEN W.YOUNG,PROFESSIONAL ENGINEER AND LAND SURVEYOR N.Y.S.00ENSE 45 SUFFOLK COUNTY ON APR.4,1985 AS FILE NO.7870 • HOWARD W.YOUNG, LAND SURVEYOR *nit LOCATION OF WELL(W),3EPTIC TANK(STIA CESSPOOLS(CP)SHOWN HEREON `_ N.Y.S.LICENSE NO.45893 ARE FROM FIELD OBSERVATIONS ANO OR DATA OBTAINED FROM OTHERS SPAWNS & SONS INC. 1046 • /4/Q J