HomeMy WebLinkAboutStuckart, Kathleen (2) t' a FO(,'c
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ELIZABETH A. NEVILLE 1' ��� y�; Town Hall, 53095 Main Road
TOWN CLERK ` y P.O. Box 1179
REGISTRAR OF VITAL STATISTICS i Southold, New York 11971
MARRIAGE OFFICER :�1i ��•��, Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER = //, �a� ie Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER �����
OFFICEMOFTHSSEppTOTTWHppNLLppCLERK
SOUTHOLD WASVERUDISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2389 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : KATHLEEN STUCKART
Address 1 : 12 STANFORD COURT
City St Zip SAG HARBOR NY 11963
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 #R10-99-0063
Name Of Owner STUCKART SR, KATHLEEN
Mailing Address 1 12 STUCKART COURT
City St Zip SAG HARBOR NY 11963
Property Address 1 550 RENE'S DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 511.00 block 6 lot 4.005
Cross Street SOUNDVIEW AVENUE
Building Permit Number Cross Reference:
Issue Date: 8/24/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE �t
iii=0 7 1''{Jn Town Hall, 53095 Main Road
TOWN CLERK % o P.O. Box 1179
C/3
REGISTRAR,OF VITAL STATISTICS ;,r..,, Southold, New York 11971
MARRIAGE OFFICER :. 1i ii Fm Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER 1#Ql �.0 .. Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER �ss�
-S.
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: auugst 17, 2000
Transmitted herewith is a copy of application No. 2479 for a Cesspool/
Septic Tank Construction Permit submitted by:
Kathleen and Pual Stuckart, Sr •
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
DISAPPROVE
Comments:
2nature
Fri ( jou
Dated
,
OFFICE OF THE TOWN CLERK �' QC{�n //
TOWN OF SOUTHOLD 4%64 .
ELIZABETH
'``O Application No.�7 7/q
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 11791 1.4 Construction
SOUTHOLD,NEW YORK 11971 •Fri
tra Alteration
Telephone �Q�P' $10.00 - Residential
(516) 765-1801 = l � ��'s $25.00 -Non-Residential
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TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE .1' /7. OU
APPLICANT NAME: /I LLC,4/ee.t./ /- 7
APPLICANT ADDRESS: l� Ji' /9R AouN71-
NICX3 �ai or- AJIy. // 9‘:3
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: n �j/ee,j/ 4 P1ic/ 746ce+ Aa-iL 3 •
OWNER MAILING ADDRESS: 61(k7ne a5 pt/Q...,
OWNER PROPERTY ADDRESS: �5O /eive S t--i.u�,
S7 holes; 71., . 7/97/
TELEPHONE NUMBER OF CONTACT PERSON: (‘ /) 7 '.303 .
TAX MAP NO. : Section ,...5.17/ Block Lot 4/
CROSS STREET: SoC,i6 fry I c /942E .
BUILDING PERMIT NUMBER CROSS REFERENCE:
Ad&tiS/-LACM,Z-
Signature of Applicant
RECEIVED BY : a-4..-6 e
Town CIrk's Office
DATE:
/ 7 bU
r LK COUNTY DEPARTMENT OF HEALTH SERVICES t _
• :UF"0
PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
poi, OF Nos, SINGLE FAMILY RESIDENCE ONLY
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5�Q� FISC%r�i, .,ATE SEP 1999 HS a_)0-g 9 -�3 i , o-w H�•g v,�vE•Q av0r.
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Oi& 11 FOR MAXIMUM OF 'BEDROOMS �� ,� ..rLJ 0
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NOTE .�`iT �►� TG`9T ' OLE �( �` o
111 �o �fG/l�LCr ^ �t
by Dept. of Health Service Ec.��.� vY ��!!!"'
/VeT�v% a. All roof runoff to be directed to drywells S �a.-,yylcw.r�y�t►av1/y o 1
b. Site shall be graded t 'edi aiii all,runoff on site: -•�,.- - 1 f, i
c. During construction of sanitary system,remove all impervious soil within 3 feet 0! �,e - I
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