HomeMy WebLinkAboutPenny, George IV 0•
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ELIZABETH A. NEVILLE to,``1` yam►`�` Town Hall, 53095 Main Road
TOWN CLERK p re. • P.O. Box 1179
REGISTRAR OF VITAL STATISTICS • Southold, New York 11971
C
MARRIAGE OFFICER O .tFax (516) 765-6145
RECORDS MANAGEMENT OFFICER �y�fO �����/ Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER '� 4 . .4.
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2132 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : JOHN BERTANI BUILDER INC.
Address 1 : 1380 OAKWOOD DRIVE
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 #R10-99-0098
Name Of Owner PENNY, GEORGE L. IV
Mailing Address 1 SOUNDVIEW AVENUE
City St Zip SOUTHOLD NY 11971
Property Address 1 PRIVATE ROAD OFF SOUNDVIEW
City St Zip SOUTHOLD NY 11971
Tax Map No. section 54.00 block 6 lot 2.001
Cross Street SOUNDVIEW AVENUE
Building Permit Number Cross Reference:
Issue Date: 8/16/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
555...
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ELIZABETH A.NEVILLE o A`t, t,, f'"'�' Tow h1a11, 53095 Main Road
TOWN CLERK t% p :'91., P.O. Box 1179
REGISTRAR OF VITAL STATISTICS % P f "' ou I4eid, New York 11971
MARRIAGE OFFICER V O 1 1 ax (516) 765-6145
RECORDS MANAGEMENT OFFICER `�#2- , 40�'�� o e BLDG.DEPT Teleph (516) 765-1800
FREEDOM OF INFORMATION OFFICER 4 * ad TOWN OF SOUTHOLD
5551 .
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, 1999
Transmitted herewith is a copy of application No. 221$ for a Cesspool/
Septic Tank Construction Permit submitted by:
J . Bertani Builders for George L. Penny IV •
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:
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ignature5
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Dated
1 ,
OFFICE OF THE TOWN CLERK ,.'
COW*TOWN OF8wn:to ,,'`
D Application No. 2A L
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 Construction 4-----
SOUTHOLD,
/SOUTHOLD,NEW YORK 11971 ;
Alteration
Telephone � ,"y $10.00 -Residential 1---------
(516) 765-1801 $Q 411,,*, $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 c3Igq
APPLICANT NAME: J O h n 6er hIn ogutide -D c
APPLICANT ADDRESS: J 3�-U ax-ke,.)OJcL Or(vr
fo\Al-fio14 � (-(' iri) I
SEPTIC // CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
C-uA L . c_-i-- I ccLrn 1 1 CI u.-e_.I . i n
d_.
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
• OWNER OF PROPERTY: Geer l_- I'nLnr1LI • 1
OWNER MAILING ADDRESS:D ESS• Sou (v-Aihtv A-\,�
$01. -I,o N 1v v cn I
OWNER PROPERTY ADDRESS: Pr‘ VLA. - ,g_8_ U f+ Sou,(\c-0 to a
cSc,,,•rim 0U- PI 1 lq.)l
TELEPHONE NUMBER OF CONTACT PERSON: `-l(pf- j cq
TAX MAP NO. : Section .5 y Block L Lot . I
CROSS STREET: So���o ke J
BUILDING PERMIT NUMBER CROSS REFERENCE:
('---- >ti/t_dc,- . k.".L.(crat-L-
Signature of Applicant
RECEIVED BY: /1-A-4-frt-eurTo n Clerk'sfice
DATE: ceig 97
AIL . b
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S.C.T.M.NO, DISTRICT: 1000 SECTION:54 BLOCK:6 LOT(S):1.1 Ny p in
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NOTE: S.C.H.D. REQUIRES WATER SUPPLY TO BE TESTED
N FOR TEMIX.
REVISE WELL LOCATION AS PER S.C.H.O 7-8-99
REVISE DRIVEWAY 5-25-99
A:49,573.4 S.F. OR 1.1 ACRES REVISE HOUSE LOCATION 4-5-99 PROPOSED ELEV.SHOWN(40.0)
TNONZED ALIERAfCN OR ADDITION TO THIS SA EY IS A VIOLATION OR SECTION 7209 THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY
NOT REARM TIE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES NO/CATED HEREON SHALL RUN
Y TO THE PERSON FOR*OU TIE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY AND LENDING INSTITUTION
HEREON,AND TO THE ASSIGNEES OR THE LENDING NSPTUTION, GUARANTEES ARE NOT TRANSFERABLE.
OFFSETS OR DIMENSIONS SNOW.,HEREON FROM THE PROPERTY LOPES 10 THE STRUCTURES ARE TOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
T INTENDED TO MONUMENT THE PROPERTY LINES OR TO GIUDE THE ERECTION OF FENCES ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS
/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OR SURVEY
WATER AVAILABLE 0 YELL WATER 0 INDIVIDUAL SANITARY SYSTEM 0 ELEVATION DATUM: ASSUMED
Y OR:LOT 3 CERTIFIED TO: CHARLES S. & SUSAN SCHNEPPER;
OF:MINOR SUBOMSION FOR GEORGE L PENNY IV ALLIANCE ABSTRACT OF NEW YORK:•k
TED AT: SOUTHOLD
• joF:SOUTHOLD KENNETH M. WOYCHUK L.S.
)LK COUNTY, NEW YORK Land Surveying end Design
,. _// y ua Calverton, New York 11933
'f19-10 SCALE:1"=40' DATE: FEB. 26. 1999 !�+-vi( �'IN PNONL(8/8)727-8117 PAX(810)727-8127
N.Y.S.UC NO.50227 aWUWRg JM rowel H lobed J.Musop
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