HomeMy WebLinkAboutMeyer, Bernard Town Hall, 53095 Main Road
ELIZABETH A. NEVILLE
TOWN CLERK P.O. Box 1179
H Z
v. � Southold, New York 11971
REGISTRAR OF VITAL STATISTICS � Fax(631) 765-6145
MARRIAGE OFFICER y �1
RECORDS MANAGEMENT OFFICER • '/Qljig * ,10 Telephone (631) 765 1800
FREEDOM OF INFORMATION OFFICER •_ i�
at
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2327 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : BERNARD W MEYER
Address 1 : PO BOX 946
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 #R10-00-0109
Name Of Owner MEYER, BERNARD W
Mailing Address 1 PO BOX 946
City St Zip MATTITUCK NY 11952
Property Address 1 1545 COUNTRY CLUB DRIVE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 109.00 block 3 lot 2.033
Cross Street MOORES LANE
Building Permit Number Cross Reference:
Issue Date: 5/24/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE ���_ y_A Town Hall, 53095 Main Road
TOWN CLERK o P.O. Box 1179
H Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER ,L Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER `�..'*e,, Alig 44* 06,, Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER -"•-•~,
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 22, 2000
Transmitted herewith is a copy of application No. 2415 for a Cesspool/
Septic Tank Construction Permit submitted by:
Bernard W. Meyer
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:
Signatu b /
Dated
'
OFFICE OF THE TOWN CLERK ,4' CAVetk � _ -47//.5-
TOWN OF SOUTHOLD �'� Ccc.../Q Application No.
ELIZABETH A.NEVILLE,TOWN CLERK I, G�. c
P.O.BOX 1179 : ;L Construction
SOUTHOLD,NEW YORK 11971 t. p rn ;
Alteration
Telephone o0,_ Q ' $10.00 - Residential �\,
p
(516) 765-1801 = ol �,��'' $25.00 -Non-Residential
-- >••'
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ /® s
DATE 4/7 j X440
APPLICANT NAME: /J&�'t1 1) vit &/E'€.
APPLICANT ADDRESS: /05-7,5— t/eib , v ,? e1. ocx 944.
'1 rr-, Kik, All 9,6_.2.
SEPTIC X CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
ONF. Fi¢M/L y J W e=L L-i/J Cr-
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 8Ele104•42O fr1J /l/Eye?
OWNER MAILING ADDRESS: A . 60X f94
/Vi A-7-r- / ne e%C, 41/ /19 5�.2--
OWNER PROPERTY ADDRESS: J,35'5 eocr v779/ CL[r 5 1)RQ/v�
CuTV 646 N .7 •
TELEPHONE NUMBER OF CONTACT PERSON: 6 3/ - yZ yc1'--5-1 74
TAX MAP NO. : Section ic99' Block D3, 00 Lot 400:1 • 0j'3
CROSS STREET: / O ,f 5 L�iVe4-
C
BUILDING PERMIT NUMBER CROSS REFERENCE:
41 X74
Signatu of A4ricant
RECEIVED BY: .'' CZ-
Town CI rk's Office
DATE: S Zz O
j � VEY OF LOT # 12 SEPTIC DETAI
: o stole
not
t __
"MAP OF COUNTRY CLUB ESTATES"
FILED OGT. Ii, 1115 A5 FILE # 6136 N „. o�H �� "`
SITUATE: GUTGHOGUE
TOWN OF SOUTHOLD
W �`� " E
SUFFOLK COUNTY, NY .r
SURVEYED 12-10-q8 ,OLNESTE OLE
AMENDED 12-Ib-98S - ala
AMENDED 04-21-00
6eoSc'ler e
IR I
SUFFOLK COUNTY TAX# oO
1000 - IO9 -3 -2.33
GERTIFIED TO: ;P.•r3L?;C3ft:7:DT.'.i,..p >?.1 ' i
�o;y
BERNARD MEYER P.'V' TX)4 4 T .T Y .,X: •k` ,, ---- ., I
BARBARA MEYER .r
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-,:I:L-4::i i i.:; HEDGE '• F_.LAND SJ..
AREA = 40,603 SF OR O.'-3 ACRES
_ N v.5. _IL NO SO202
JOHN C. EHLERS LAND SURVEYOR
6 EAST MAIN STREET
GRAPHIC SCALE 1"= 40' RIVERHEAD,N Y. 11901
.--------- 369-8288 Fax 369-828/
--- -- REFEHENC[ a 98-0294