HomeMy WebLinkAboutScharadin, Jeffrey • �,, iii.
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ELIZABETH A. NEVILLE ,�1 1 .� Gy�; Town Hall, 53095 Main Road
TOWN CLERK o - P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ‘%34 t Southold, New York 11971
MARRIAGE OFFICER 4. ���,�, Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER '/Ql �a�.1� Telephone (631) 765 1800
FREEDOM OF INFORMATION OFFICER �0'
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2226 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : JEFFREY A. SCHARADIN
Address 1 : OLD NORTH ROAD
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 #R10-99-0244
Name Of Owner SCHARADIN, JEFFREY & ELIZABETH
Mailing Address 1 PO BOX 1856
City St Zip SOUTHOLD NY 11971
Property Address 1 OLD NORTH ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 55.00 block 2 lot 8.009
Cross Street ROUTE 148
Building Permit Number Cross Reference:
Issue Date: 1/26/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEV LLE ,',• D •
y Town Hall,53095 Main Road
TOWN CLERK % o �'� P.O.Box 1179
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REGISTRAR OF VITAL STATISTICS � Southold, New York 11971
MARRIAGE OFFICER 1 $ Fax(516) 765-6145
RECORDS MANAGEMENT OFFICER 4j ao�� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER = '� 1II salt.
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: 1 /12/00
Transmitted herewith is a copy of application No. 2314 for a Cesspool/
Septic Tank Construction Permit submitted by:
Jeffery A. Scharadin
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 v
DISAPPROVE
Comments:
L
ignature
(h.-to /6 0
Dated
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• OFFICE OF THE TOWN CLERK ,t'��."�'+``�F01K`
TOWN OF SOUTHOLD - Application No.a 31 y
41
ELIZABETH A.NEVII.I.F,TOWN CLERK __� II'
P.O.BOX 1179Construction v
SOUTHOLD,NEW YORK 11971 Alteration
Telephone ;v ,s� $10.00 -Residential
ir
(516) 765-1801 `_ [ 14112 �,�' $25.00 -Non-Residential
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TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTR c1,,,.,.,,,,,,
RICEIIVID
APPLICATION
JAN 12200
for
boun1Nd fawn Oak
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE O
APPLICANT NAME: j6-r,1"F2l A ' SCLJ424O)"/
APPLICANT ADDRESS: 0.2-0 rt,c,a-f /LO. r0L/1/1961,0
SEPTIC
/ESSPOOL -
DESCRIPTION
OF PROPOSED CONSTRUCTION OR ALTERATION
r-LIL.,}41f2Th
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: J C J-TC-al oi- GL)7-4 (36,I'.:1 Sc-1.1-41I14/Qtly
OWNER MAILING ADDRESS: .40ey s -k( /0 /li:J. )1 f 21
OWNER PROPERTY ADDRESS: CLQ ./vciAA•1 n,a
Sv./I/1 i. A.1)
TELEPHONE NUMBER OF COSNTACT PERSON: 0-6F,t/ LI 7 6,C. ' 2.2-C/Li
TAX MAP NO. : Section o-&-ev=, Block Lot 0 • q
CROSS STREET: CT Z 2/
BUILDING PERMIT NUMBER CROSS REFERENCE:
Xedture plicant
RECEIVED BY: 1
o rn Clerk's Office
DATE: tI)2.100
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LOT 8.6 , -`� �;.,
M Dee North LOT 8.5 N/F 2, , �,�
In
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D N/F GRIGONIS ,. �`� t'��
• LOT 10 TOTAL LOT AREA GRIGONIS
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Gos+ N/F 1 = 2,000 ACRES POINT OEr,
• CARROLL BEGINNING-::.:;--%—' SE -- y '
to ST KE
'- _ N05e09 i 0 — 651.75' 2 ,, ;
_240.80' AI '
aGRAVEL ROAD
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730 ° z I I 114.0 "113.8 0 —iii
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DWEWNG If
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FILE MAP REFERENCE: CERTIFIED TO: .._._.__.. . ..
THIS MAP IS AND IS INTENDED TO BE A SURVEY OF MINOR JEFFERY & ELIZABETH SCHARADIN
SUBDIVISION LOT 3, SHOWN ON A MAP PREPARED BY RODERICK
VANTUYL, LAND SURVEYOR, TITLED "MAP OF LAND SURVEYED
FOR JOSEPH WIEDERMAN AND JOHN GILOWSKI AT SOUTHOLD FIDELITY NATIONAL TI TLE INSURANCE
N.Y." DATED OCT. 10, 1973 AND APPROVED BY SOUTHOLD
TOWN PLANNING BOARD, JAN. 30, 1974. COMPANY OF NEW YORK
Field Work: Project Na:
fMH, JS PLSC 96—OS JEFFERY & ELIZABETH SCHARAD
Pro''FI SCHA�DN2 DWG
Onecked
Hy T1s . 60, PROPERTY SITUATE AT
FM
Reviewed By. Oot.: OLD NORTH ROAD
FMH 29 NOV 1999
UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING R•rbkne: SOUTHOLD, NEW YORK
A LICENSED LAND SURVEYOR'S SEAL IS A VIOLATION OF SECTION
7209, SUB—DIVISION 2, OF THE NEW YORK STATE EDUCATION LAW. COUNTY OF SUFFOLK, TOWN OF SOUTHOLI
ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WITH AN
ORIGINAL OF THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL DISTRICT 1000, SECTION 55,BLOCK 2, P/O LOT
8.
SHALL BE CONSIDERED TO BE VALID TRUE COPIES. CERTIFICATIONS Prepared
INDICATED HEREON SIGNIFY THAT THIS SURVEY WAS PREPARED IN F. Michael Hemmer, L.S.
ACCORDANCE WITH YE EXISTING CODE T E PRACTICE FOR LAND
SURVEYS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF ' 41 Rosewood Drive
PROFESSIONAL LAND SURVEYORS. SAID CERTIFICATIONS RED. RUN
ONLYHETO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON Sag Harbor, New York 11963
THEIR BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND 1
LENDING INSTITUTION USTED HEREON, AND THE ASSIGNEES OF THE , (516)725-7199 he rohamptomcom
LENDING INSTITUTION. CERTIFICATIONS ARE NOT TRANSFERABLE TOSheet
ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. (idl Sheet Title:
TITLE SURVEY & SITE PLAN I 1 QF