HomeMy WebLinkAboutPerkins, Richard „� �OS�FFO�,�0 .
ELIZABETH A.NEVILLE Town Hall, 53095 Main Road
TOWN CLERK o P.O. Box 1179
REGISTRAR OF VITAL STATISTICS �` ,1,� Southold, New York 11971
MARRIAGE OFFICER ?i Fax (631) 765 6145
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RECORDS MANAGEMENT OFFICER '/Q �a .0 Telephone (631) 765 1800
FREEDOM OF INFORMATION OFFICER - - ,S”
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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. 2273 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : RICHARD PERKINS
Address 1 : PO BOX 1894
City St Zip SOUTHOLD NY 11971
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 #R10-00-0045
Name Of Owner PERKINS, RICHARD & BETSY
Mailing Address 1 PO BOX 1894
City St Zip SOUTHOLD NY 11971
Property Address 1 305 OLE JULE LANE
City St Zip MATTITUCK NY 11952
Tax Map No. section 114.00 block 12 lot 14.002
Cross Street NEW SUFFOLK AVENUE
Building Permit Number Cross Reference:
Issue Date: 3/21/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
,I° 0OFFOLcOG
�-
ELIZABETH A. NEVILLE ,li•
t Town Hall, 53095 Main Road
TOWN CLERK tc=t t P.O. Box 1179
ti Z
v, n� Southold, New York 11971
REGISTRAR OF VITAL STATISTICS � Fax(631) 765-6145
MARRIAGE OFFICER 4.6 � 1�,
RECORDS MANAGEMENT OFFICER '/Ql jig 1a�'i� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER 1���
.01
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: March 17, 2000
Transmitted herewith is a copy of application No. 2361 for a Cesspool/
Septic Tank Construction Permit submitted by:
Richard and Betsy Perkins
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 recomm dations:
APPROVE
DISAPPROVE
Comments:
ignature
3//"l / 00
Dated
T
OFFICE OF THE TOWN CLERK •it"C` UL/ n
TOWN OF SOUTHOLD �' U �1i 4pj� Application No. (.
ELIZABETH A.NEVILLE,TOWNCLERK i Construction
P.O.BOX 1179 z
SOUTHOLD,NEW YORK 11971 v �T
Alteration
Telephone 0� �Q��i�' $10.00 - Residential
(516) 765-1801 - "1 l � $25.00 - Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
QECEIVED
APPLICATION MAR 16 2000
for
louthOid IoWn Cliff
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE 3/slat)
APPLICANT NAME: 'RrchGf-
APPLICANT ADDRESS: / Q A 6•/-
/77
L/ 7 //i/ AA/ G Sr,Z .
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
.tie(/ S,/7/4 7,m,/ bve�/�il
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Pic,i rJ a- Qc /4-4/.,1
y
OWNER MAILING ADDRESS: /OD &r 4Cy
LA !V/ /4)/
OWNER PROPERTY ADDRESS: 305-- Vic. JJ/e Ls
m ' -41/
TELEPHONE NUMBER 9F CONTACT PERSON: 765- 603/
TAX MAP NO. : Section Block /Z Lot /c/-2,
CROSS STREET: ties 5,[i,p 4k
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
,
RECEIVED BY: �"
V Ti' n Clerk's Office
DATE:
4,4
i..
LOT 2
IN
MAP OF HENRY APPEL
NEW SUFFOLK AVE. -
SITUATE
MA TTI TUCK,
TOWN OF SOUTHOLD
R= 25.00' � SUFFOLK COUNTY, N. Y.
L= 35.32'
W N SURVEYED FOR RICHARD PERKINS
3 v BETSY A. PERKINS
I CO
* LOT 1 • TM 1000-114-12-14.2
FAA9327 1;
FILED FEB. 16, 1993
I W RESIDENCE SURVEYED 30. DEC 99
SCALE 1"=4O'
I AREA= 4Z750 SF
--. CESSPOOL WELL 0.981ACRES
•S 82' 27"20"E225.00 ZONED R40
SET
I STAKE \ ELEVATIONS ARE IN
p \ Q ASUMED DATUM
TA
SEPTIC V C:%:)
NK OQ • \PIPE O
— t) SLEEVE 14 C
lT... ......
TEST IN
CESSPOOL I ® HOLE O' (‘10)-
oil �
CESSPOOL I 60. 35' 16 \
PROPOSED PROPOSED
I CESSPOOL 3 BEDROOM \ "OPEN SPACE"
` ' — VACANT LAND t
�U � l 1.��..--`_ , � � RES. \
J 8 SxAON- PROPOSED o ,
J sION SEPTICr.
TANK \
18
_ — _PROP_OSED_ _ _ —
Li_ v. It."1 ER SERV. ------- Q—
J
PROPOSED C\1
O ASPHALT PROP.
ORI t/EWA Y GARAGE \ to
,(iiirk
�� _ 20
tx
25 \ \ o
- _ \ . \ . ,;
STAKE N 82' 27' 20" W 225.00' <
LOT 3
SEPTIC TANK HOUSE UNDER
( UNDER CONSTRUCTION FONSTRUCTION
1-1
GUARANTEED TO
i RICHARD PERKINS '
BETSY A. PERKINS
FIDELITY NATIONAL TITLE INS. CO.
TEST HOLE DATA TOWN OF SOUTHOLD
�..— !T I
• +n PERFORMED BY : McDONALD GEOSCIENCE
i:3 =
. p -6
k'' EXISTING GRADE
y l Guarantees indicated here on shall run
j 7: '� ,\, 'f\\j�\. BROW LOAMY SAND SM only to the person for whom the survey f_
t1 C� res }�.3 0 ��' / — —2' and on his behalf to the1 is pr,74
7.1
�� title ccmpary, Coverr,:entGI Agency,
i' 7 j> len`ing i:"slititicn, if list-..,d h_�reon, and
t) to the assignees of the lending institution.
,, �.; Czt
C,i 4 j „xJ Guarantees are not trans; raLle to
:i :7i ,Z, 'ar' ?'` additional institutions cr s bs..quent ownera
'13 pt s 0 PALE BROWN FINE TO COARSE SAND SW
.� ' 2; ..., e H Unauthorized alteration or addition to thi>
4} 0 survey is a viclatien of Section 7209 o'
t:1 [ `:7 ,,„4 5. the New York State Education Law.
`` t6 E`" r.....: 4 - , rot beanny
C;� w. F› i Ccpies c# this survey map
, �; �`` tha lend Sirvayors embossed seai shall
p. 0 not be ccnsiuered to be a valid true
d. copy.
+� i " SURVEYED BY
STANLEY J. ISAKSEN, JR.
r P.O. BOX 294
NEW_SUFFOLK, NY 11956
63 -734-5835 /
ii. „,-'1 Ale .. /Aar"
ICE, To LAND :'RVEYOR
NYS LC NO. °273
99C860