HomeMy WebLinkAboutLanger, Wayne o �
Il' T Town Hall, 53095 Main Road
', ���;� P.O. Box 1179
=270 `� � Southold, New York 11971
JUDITH T.TERRY %.,,i.�ii'� FAX(516)765-1823
TOWN CLERK TELEPHONE(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. 636 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : WAYNE AND DEBORAH LANCER
Address 1 : 3905 PEQUASH AVENUE
City St Zip CUTCHOGUE NY 11935
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 8/20/90.
Name Of Owner LANGER, WAYNE AND DEBORAH
Mailing Address 1 P. O. BOX 775
City St Zip MATTITUCK NY 11952
Property Address 1 ORIOLE DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 55.00 block 6 lot 15.001
Cross Street BOISSEAU AVENUE
Building Permit Number Cross Reference:
Issue Date: 8/29/90 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
Town Hall, 53095 Main Road
`c- P.O. Box 1179
`,,,ro _. •�0 ► Southold, New York 11971
•
JUDITH T.TERRY -- „m„ „it TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Southold Town Code Enforcement OfficerAUG 1990
fl.
From: Linda Cooper, Southold Town Clerk's Office 2 9
Dated: August 29, 1990
BLDG. DEPT.
TOWN OF SOUTHOLD
Transmitted herewith is a copy of application No. 653 or a Cesspool/
Septic Tank Construction Permit submitted by:
Wayne and Deborah Langer
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 recommendations:
APPROVE )c
DISAPPROVE
Comments: i vt�'�� - A,«
/ . L/✓.'/ / `') r.irk
Sig .ture
Dated ” j' 71 76'
1
OFFICE OF THE TOWN CLERK ,,,'"'"
Town of Southold � ak
Town Clerk �� CSG Application No. 63 3
Judith T. Terry, %O�
Town Hall, 53095 Main Road Construction
P. 0. Box 1179 � � z
Southold,
New York 11971 tl� Alteration
Q���! $10.00 - Residential
Telephone �i
(516) 765-1801 4101 $
'' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 6,3- -
Fee $ iU
DATE ?/ 24/96,
APPLICANT NAME: alay/t/e* .0rQi4/y/ L-/9�6z
APPLICANT ADDRESS: �"�Q� , V4 / 6' , eet 64,,,e/.// 49
SEPTIC T/ CESSPOOL LV
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
.S�i,,./7/e ms �i�-r e
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: vara i.„9.,u9el--
OWNER MAILING ADDRESS: 77(- /MfV)iCia XX //j SAY
OWNER PROPERTY ADDRESS: D' /pLc ,Ox' .5.22Q4//5//27, /(i
X
J/ 2/
TELEPHONE NUMBER OF CONTACT PERSON: 73y-f--y/g
TAX MAP NO. : Section 55 Block Lot//p
CROSS STREET: noislcce i.4 ,d
BUILDING PERMIT NUMBER CROSS REFERENCE:
A
'--IdA '
Sure Applicant
RECEIVED BY: `? r DC_.ii( n��
Town Clerk's Offie
DATE: /�2` y���
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36 a 9S6 '7,/075- SURVEY FOR , i&ALi�t JSi;FIUtJ
SUFFOLK COUNTYWAYNE LANGER a DEBORAH LANGER
DEPARTMENT OF HEALTH SERVICE; LOT NO.37,11 HIGHPOINT MEADOWS,SECTION 211
AUG. 20,1990
AT SOUTHOLD DATE: JULY 6,1990
FOR APPROVAL OF CONSTRUCTION ONLY TOWN OF SOUTHOLD SCALE I"=40'
oATE'UG 24 I'''� L EF. NO / Q' Q SUFFOLK COUNTY, NEW YORK NO 90-0505
R UNMUTHORITIO ALTERATION OR ADDITION TO TNI% GUARANTEED TO 0F
7 SURVEY O A VIOLATION Of SECTION 7709 OF THE (E
wvROVED / �, / HEw YORK STATE EDUCATION LAI WAYNE LANGE 40 NEIL.
'uJ�_ r coPIEs Of MIS SURVEY MOT BEARING THE LAND DEBORAH LA ER p ib
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ALTH DEPARTMENT-DATA FOR APPRONeL TO CONSTRUCT
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NEIL An[ ID OW[LLNMS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION GUARANTEES ARE NOT TRANSFERABLE
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OWNERS
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L CCINfONM TO THE STANDARD,OF THE SUFFOLK COUNTY DEPARTMENT N OI!TAMC(, SHOWN HEREON FROM PROPERTY LINES
WEALTH fQvICE, TO EKISTING STRUCTURES ARE FOR A SPECIFIC FyT/ —
•LICAMT, /�f q.G //\ PU11 POSEINT ANO ARE NOT TO BE USED TO O TFENCES � �NQ SU'.:.1
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MI[n C`(),hoi 77.5,yrif;- /v-`E /jiiS - •
"L Z-45NLt YOUNG a YOUNG Rot ERRE DNNEW YORK
TE: •:MONUMENT 0:STAKE
IBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN W YOUNG,PROFESSIONAL ENGINEER
IFFOLK COUNTY ON MAR.19,1990 AS FILE NO.8911. AND LAND SURVEYOR N'CS LICENSE N0.12845
HOWARD W YOUNG, LAND SURVEYOR
B LOCATTaI OP WQLIWI,,EPTIC TAMYI,T)S CEHwOLSICP)SHOWN MEREOM • N.Y S.LICENSE NO 45893
FROM FIELD OBB[RMATION%AMOR DATA OBTAIM[D FROM OTHERS
CA.
'ANO,s • SO''s INC.