HomeMy WebLinkAboutKaufman, Scott (2) ,/� o� FF01,:
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ELIZABETH A. NEVILLE �� G'f� Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ‘ ,� Southold, New York 11971
MARRIAGE OFFICER �� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER '/0 *0��� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER - - �i��
,,,i
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2380 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : SHARON GOELLER
Address 1 : 4725 NEW SUFFOLK AVENUE
City St Zip MATTITUCK NY 11952
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 #R10-00-0111
Name Of Owner KAUFMAN, SCOTT
Mailing Address 1 249 EAST 48TH STREET
City St Zip NEW YORK NY 10017
Property Address 1 2895 EUGENES ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 97.00 block 3 lot 20.001
Cross Street BEEBE DRIVE
Building Permit Number Cross Reference:
Issue Date: 8/15/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
/� SFOLI _\ •023
ELIZABETH A. NEVILLE ���ti y�; Town Hall, 53095 Main Road
TOWN CLERK 4:= ? ; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS
v, n� $ Southold, New York 11971
MARRIAGE OFFICER :�'_
0' '
RECORDS
Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER nor *ao,,O Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ..��"a"
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: August 4, 2000
Transmitted herewith is a copy of application No. 2469 for a Cesspool/
Septic Tank Construction Permit submitted by:
Sharon Goeller for Scott Kaufman
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.
‘4"4-‘16
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following/recommendations:
APPROVE ./
DISAPPROVE
Comments: S _C Aub.`
7/nature
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Dated [[[
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OFFICE OF THE TOWN CLERK �•,����",I,•,,����' /
TOWN OF SOUTHOLD •,•• g�FFOtKeOG Application No. q0,•
•
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 ; Construction•
SOUTHOLD,NEW YORK 11971 Z `
tAlteration
�
Telephone 490 � '
$10.00 - Residential
(516) 765-1801
$25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE /2-./(9 0 .
APPLICANT NAME: Sr 1a,r011 C-)6-e
APPLICANT ADDRESS: L{ 725 New Six-Pio-a
Vim( a4L--uc I - II
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
New 5,,k,5(.e, eavviikti C u, Le ► i
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: •O rrvtCL,�
OWNER MAILING ADDRESS: 24th E
Now `f o-rk N y 0017
OWNER PROPERTY ADDRESS: 295 E9.e.A,Les Ic
Ct,ckc og,_D— N /
TELEPHONE NUMBER OF CONTACT PERSON: (o3I I2.6318;"-i g
4n
TAX MAP NO. : Section 1 Block -19C0 Lot 2001
CROSS STREET: �je-e-(e Dr .
BUILDING PERMIT NUMBER CROSS REFERENCE:
4gki/.149 /, '
Signature of Applicant
RECEIVED BY : 1/Lii(j4--
ya)Clerk's
Office
DATE:
Y VYiWiI_ - .,_ _ _...,._ r .swag _eri. ,wr rx+_ . 4x.a.w.n ry.4,_,.r:.wJiie ri.,.e. wuisreeuw•:wwa .a.-wu n.mi u `tiar..W.n6..ert xu aruri rillnW"lu Wn w.r i, mo. i. i.!1,.1 I_I. �l�_1L
.
FIRST FLOOR EL. 12.0 -
. rel. 9.5f
'\v/ ��n� j }`����\1 SURVEY OF
in v.M. e.3 — r h LOT 1
in v.el. 8.0 u invel. 7.5 /nv.M. 7.3 0 _ Ill
FOUNDATION-� - _ el. 4.8 MAP OF MINOR SUBDIVISION
o c\----CROSSOVER PIPE TEST HOLE DATA: APRIL 27, 2000 PREPARED FOR
3' CESSPOOL GROUNDWATER
SEPTIC TANK e/ 18 SCOTT KAUFMAN
6� 150 PERFORMED BY : McDONALD GEOSCIENCE
o SECTION N. T. S. '` TON411 PF1 SITUATE
N N .81' 43' 00" E N/F LOVEI�O RESIDENCE °FTo PN EL. 5.3 EXISTING GRADE EAST CUTCHOGUE, TOWN OF SOUTHOLD ,-
,
=
3 30
IP / ,...,w, \.
,�� �� `� - DARK BROWN SILTY LOAM OL SUFFOLK COUNTY, N. Y.
eTUMOLT IN I\ ------------ \8 -- 1'
STUMP I '-f'ROP \
0 Iv ,- ,-'� BROWN LOAMY SILT ML
p' P ,� �'/ Co
� j�; .'� PROPOSED %� Ni� =:.1;'
SURVEYED FOR TZ4O
OMS D. G.OELLER
�/ �� I Q'QE TfjgN 7 / i'C iP POOLSE�_^ 5o9`EXPANSI(�N
N W. GOELLER
- P \ OJ , r ,�, , O (j� \ - WATER IN BROW LOAMY SILT ML ?/-•
*�, / .'PILO D `-1-,,-/-4,.-% '' ' 01 EL. 1.8
\.} �� `
\ �0 / YANK /N 7.5,. �_� �1ti i
ct- TAX MAP N0.
� ;" ,-''' INV a60' . �' /c : EXCAVATION INSPECTION QED 1000-097-03-20.1
�0 \ 1 { i' PROPOSED 8.3 ,%~ nl FOR SANITARY SYSTEM
(�.P Oe -\ \ P-11 i Oi + 4 BEDROOM V HEALTH DEPARTMENT ENT
4, i 0 `D o`% c RESIDENCE GARA : ,' SURVEYED 21 MARCH, 2000
��Q- 4(7 \ 2 0\`,m% 1st FT EL. 12.0 MIN. '' — SCALE 1--60• a
P �P \ c�\\ 0�0�\ ',�,. -- AREA - 140060 SF'
? - ---- N/F KAUFMANOR
-,
�C7� V \ �� `. 8 CONTOUR l'' J WATER IN BROWN FINE TO COARSE SAND SW .1216 ACRES
- \VACANT _
��F \ CR,6 CONTOUR aN15�r o TESTI '
�'a ', )- HOLE GUARANTEES INDICATED HERE ON SHALL RUN I
I O ONLY 70 THE PERSON FOR WHOM THE SURVEY
O I IS PREPARED, AND ON HIS BEHALF TO THE
"� c� Ico LOT T 2 FOR S.C.D.H.S. USE ONLY TITLE COMPANY, GOVERNMENTAL AGENCY.
LENDING INSTITUTION, IF LISTED HEREON, AND
1 O I O • TO THE ASSIGNEES OF THE LENDING INST)TUTION.
VACANTN/F VIVIANO \ O i 941 AD:CA A1 NALSINSfTunavTRANSFERABLE
OR SUBSEQUENT OWNERS.
\ \ N CD
'PROPOSE'
C� UNAUTHORIZED ALTERATION CR ADDI710N"TO THIS
\ WELL' '� 7C VEY IS A VIOLATION OF SEC17ON 7209 OF
\ \ \ \ i ..-
y .72
d U� HHH� NEW YORK STALE EDUCAliON LAW. ;
\ I 1:;,-. • x I (,) COPIES OF THIS SURVEY MAP NOT BEARING ''
\ _ _ 1 t• THE LAND SURVEYORS EMBOSSED SEAL SHALL
' -� I C �y ro NOTBE CONSIDERED TO BE A VALID TRUE
\ \ ...--4.---- I Q 0 > ELEVATIONS` SHOWN ARE
�.
Z I y 3 Y 7d NVGD BM H326 RESET 1968 •-
lb W N Kr
p \ Z I v �) 3 -p PO O iill „° O ELEV.= 13.052 •
-
` Q �6� 1-)1 00 n-i 0 . n GUARANTEED TO :
�� i” I — ''* > 0 O t� O THOMAS 0. GOELLER
—8..._--
-2".v ----- (/) y C0 t f Z 0 SHARON W. GOELLER
CO `.1 — -1 — �u f TO SKUNK LA r•+ n m t FIDELITY NATIONAL TITLE INS. CO.
N
TIE a BRIDGEHAMP T N NA 7r
� I � 1 GcD Z ;, �
' - TCI O ONAL BANK
o — —6--- — — — =1,128.33' CT CT O T' ' Q G t- TOWN OF SOUTHOLD
193.02' 6 co ;D ...1 eh. yy
71 S 77' 08 106.3sW "'
CJt Cp txf
6 , EUGENE'S ROAD �T , ,X o D G ► x •
724 7.s6 E 1,140 ( ,, > 0 < SURVEYED BY
744 ,r) 1}', 7 L a " 0 x$ n STANLEY J. ISAKSEN, JR.
6.61 SEW • ' KU
0E ��,j'; ii1 ,., •'', ►`j • oars) ,� cD --- > rn P.O. BOX 294 •
'�', aii_t ' 'oEsr%�� '-NTREou�iEEN - 63W SUFFOLK, N� 119:�'
kili %
I 1 1 - iu-mr�'TIs— ._ , �.. `\ ,a 1 = �%
�„ ,,,jn �,,� LICEN 'D AND S l VEYOR
CO .µ ; '' i. - NYS C C. NO. 492 3
W 2. 19 JUNE , 2000 REVISE SANITARY ', >i IZE.ii i ,. . ON.
LU 1. 12 MAY, 2000 SHOW D.E.C. WETLAND .d' ,_; '" ON,
CO REVISE LOCA770N OF• HOUSE, SANITARY do WELL. 0OC889