HomeMy WebLinkAboutSchneider, Kenneth Il,�%SUFOiit; \
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ELIZABETH A.NEVILLE ��= Gy1 Town Hall, 53095 Main Road
TOWN CLERK ` y Z P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER .f� l ,1� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER ;��,� iNg �a0�lll Fax
(631) 765-1800
FREEDOM OF INFORMATION OFFICERr•�
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2420 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : KENNETH SCHNEIDER
Address 1 : 1005 MASON DRIVE
City St Zip CUTCHOGUE NY 11935
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-00-0215
Name Of Owner SCHNEIDER, KENNETH
Mailing Address 1 1005 MASON DRIVE
City St Zip CUTCHOGUE NY 11935
Property Address 1 1005 MASON DRIVE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 104.00 block 5 lot 36.000
Cross Street HAYWATERS ROAD
Building Permit Number Cross Reference:
Issue Date: 10/10/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
,I �o\oSu�FO�A,0O
ELIZABETH A. NEVILLE / �r4 Town Hall, 53095 Main Road
TOWN CLERK ; y P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER �� .f� �1 Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER = �l �a0'�� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER r��
••11
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: October 2, 2000
Transmitted herewith is a copy of application No. 2508 for a Cesspool/Septic Tank ALTERATION
Permit submitted by:
Kenneth Schneider
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.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: Maintain required setbacks from adjacent wells, buildings, property lines and water
Bodies. EXCAVATION INSPECTION REQUIRED.
ignature
Dated
. im,
OFFICE OF THE TOWN CLERK ``C
TOWN OF SOUTHOLD ; ��1` f1 QG Application No.4 Se)
ELIZABETH A.NEVILLE,TOWN CLERK � �V
P.O.BOX 1179 ;L Construction
SOUTHOLD,NEW YORK 11971
Alteration
Telephone 4 ����i, $10.00 - Residential c-
(516) 765-1801 �l 4't �,,''$ 25.00 -Non-Residential
• - '
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCT ION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE /04/4000'
APPLICANT NAME: ieentie J G „o/c/tor
APPLICANT ADDRESS: /c705 iaso , Lr,
Cv7`c%oovet IV /193s'
SEPTIC ✓ CESSPOOL 'i)\\;\16-
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
2nd S toyle-ante add'r l-on and l S_ St/n ry aGta'�1'roa
A04 Sep/1c sysi4ot
LOCATION MAP: Must be attached hereto before permit may be issued. ✓ .
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: �`e a-Ala/he
OWNER MAILING ADDRESS: /ods MaSoti QY®
C�f d �P N7 <!93
OWNER PROPERTY ADDRESS: Same as gkve
TELEPHONE NUMBER OF CONTACT PERSON:4'n SGhtre/oftr 7.3 y- ZZ7V
TAX MAP NO. : Section /09 Block S Lot 3 G
CROSS STREET: lyleY u/a l e 6 Drive
BUILDING PERMIT NUMBER CROSS REFERENCE:
•
Signature of Applicant
RECEIVED BY: .
Town Clerk's- Office
DATE: ( )/��p
Key Notes _
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.1 !, General Notes
T o y��� M^J( 4'DEEP GSR 1GE 1
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:� '� ADDITION I 1 1
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ti 1 y/F �R• 1 I ,I t/F "n. ( 1 SEPTIG TANK �'� � .T ; O
KOMI c'.�� i N Ira Haspel4rciaitect, P.C.
NBEACH ASS(XSATION
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PLUMBING RISER DIAGRAM 1 NEW 44.,T �- lumina
' ��� SCHNEIDER RESIDENCE
MX A RY[
1 STORY 2ND STORY ADDITION +
/ 1 iD ON \ 1005 MASON DR
4120' �' ��.' ''�8, SOUTHOLD,NY
1 -,— `�O • CONSTRUCTION DOCUMENT DATE
.�� oa4 BASED ON SURVEY BY: a RENIPRELIMINARY REVIEW 6/2000
ATE _--" I
1 �r�� .� �Qa 30. �O ROB IAROPOLI I 2 CONSTRUCTION DOCUMENTS 00/30/M =
r�sp1J 17 / 8 12/00 pt I F NY 10801 a Ctx5f0.UCtIOND DWG REVISIONS m/66 I'
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES �- S HEALTH DEPT.SUBMISSION 9-4/66
PERMIT FOR APPROVAL OF CONSTRUCTION FOR A r SITE PLAN
SINGLE FAMILY RESIDENCE ONLY / SCALE: ,=2D_o
. DATE q2( O HS • —.NO.R io CSO' 0�. 5
APPROVED /,`,:,� 4 .441i ... �'� PROPOSED SITE PLAN •
AND PLUMB.RISER DIAGRAM •
FOR MAXIMUM OF L B lit I r MS [ . .
1000-104-5-36 CONSTRUCTION DOCUMENTS •
EXPIRES THREE YEARS FROM DATE OF APPROVAL WARNING anl /,...b. NA— N
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it is a violation of the In%for any MR 106400
c "'V ld 'i
person,a unless acting under the g the a` ,
t 1\zi supervision enf in am�w1•baring the JUNE C'\E 00
f.'
. seal of an architect.If an alteration u
^_ v ` made,the altering architect shall affix
or
m Aram*"C
ver^` his kern sal and the notation
1 -1
"Altered by:"followed by his signature,' doe dare of such alteration,and a
specific ducription of the alteration.
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