HomeMy WebLinkAboutLeaden, Christopher (2) 4,00
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ELIZABETH A.NEVILLE t�h`Z` �y�, Town Hall, 53095 Main Road
TOWN CLERK p 'L P.O. Box 1179
y = Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax(516) 765-6145
MARRIAGE OFFICER ` (516) 765 1800
RECORDS MANAGEMENT OFFICER SIJ O / Telephone
FREEDOM OF INFORMATION OFFICER .• '* ,111
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2233 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : CHRISTOPHER & LYNN LEADEN
Address 1 : 3205 WESTPHALIA ROAD
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 #R10-99-0122
Name Of Owner LEADEN, CHRISTOPHER & LYNN
Mailing Address 1 3205 WESTPHALIA ROAD
City St Zip MATTITUCK NY 11952
Property Address 1 935 FAIRWAY DRIVE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 109.00 block 5 lot 14.031
Cross Street PATHWAY
Building Permit Number Cross Reference:
Issue Date: 1/08/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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' ELIZABETH A.NEVILLE �`� Gy Town Hall, 53095 Main Road
TOWN CLERK % o % P.O. Box 1179
tiZ t Southold, New York 11971
REGISTRAR OF VITAL STATISTICS W T i
O • 0 Fax(516) 765-6145
;"""�AI�RIAGE OFFICER �` ,y � ��
` RECORD$MANAGEMENT OFFICER �Q a�10. Telephone Telephone (516) 765-1800
FREEDOM INFORMATION OFFICER .'•L* 0 ,s•"
JAM 27 , ,
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office •
DATED: January 26, 2000
Transmitted herewith is a copy of application No. 2321 for a Cesspool/
Septic Tank Construction Permit submitted by:
Christopher and Lynn Leaden .
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 rec mendations:
APPROVE
DISAPPROVE
Comments:
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OFFICE OF THE TOWN CLERK ,'"' A`I OLK
TOWN OF SOUTHOLD ,;' �'QG Application No.___
Ft.17ABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 %_ Construction -�
SOUTHOLD,NEW YORK 11971
Alteration
Telephone V0,�� �Qiv . $10.00 - Residential
(516) 765-1801 -_Ol l 0/
(516) $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
RECEIVED
SEPTIC TANK or CESSPOOL AN 2 6 2000
aourhold Town Clerks
Permit No.
Fee $
DATE //(95/ 00
APPLICANT NAME: ! r'j -)►",e./" 4 1,tir 1c) Leader
APPLICANT ADDRESS: L_ c905- r" ei ,cel/Q, Road
rna��i fu c K N y. I / 959,
SEPTIC V CESSPOOL'
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
.Sit-)j k iQ mi lk, resid enc c
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Chr/S phir qd Lcrn Leader
OWNER MAILING ADDRESS: A G 05" ViP nha )ILLI /'E Dad_.
illa1 hL Mi. 1r11.(15aOWNER PROPERTY ADDRESS: q3 - 2 i r W. . ()rive..
al-f`c h o j,i e, AI I l 6/35"
TELEPHONE NUMBER OF CONTACT PERSON: O,9qg - Q 0 p9 (p
TAX MAP NO. : Section 1 o9 Block 5 Lot /14.3 1
CROSS STREET: pap,\AI /Jai'rt&xty Lrl v - (corner i&-BUILDING PERMIT NUMBER CRO S
REFERENCE:
'Cit-tyL-i'M 1A-).
110 Signature o A plicant
it
RECEIVED BY: . -4,,
t on Clerk's Office
DATE: \-. o\ O
•Y: " '"- ... ., ., . 10
Jam ,'libr *Mt the STANDARDS FOR APPROVAL ELEVATIONS REFERENCED TO AN ASSUMED DATUM - .. -
ANO) TRt)CTtQN.OF SOIBSURFACE SEWAGE -
. .... 1
,,Ic1 111SYS EMS FQR, SINGLE FAMILY RESIDENCES �"
and Abide Dy the conditions set forth therein
•
cnd do t*ermit to construct. (—) r
. O� SUJR .Y OF O4 . i 4
The locgtianS..of wells and cesspools shown hereon °r�P �'`'
ore ftgm held observations and or doto obtained AT
trom'attlers.
LOT ® I a TOWN OF .TOW 'SIF
4;R Z (dwelling) (dwelling) SUF• 44 'FOI K COUNTY' , N. Y.
gal,1 * O vAbli so tem
-. A/.� vgr+✓n 1000f0Q61./.8/
(dwelling) 00 S 88'59'20" E 284.93, SQIl3: 11'0,40
MAY 24. 1999
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aa `'',.-4.,*t/• 0
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off' <;•
ACS Al 4.30'
— 19 40 z (MAP)
SUFFOtX COUNTY DEPAR MENT OF HEALTH s$Rv�ws
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� �� NI4 !Mar FOR APPROVAL OP CONSfRilCl10N FQR A
F
�, -c SIIVGL$FAMILY RESIDENQ ONbY
PATH wAY 1 ,A186-23-9gHS • =' O. ► - 0 aa,
— in
z9*. AFe�wVFD l ..a%.i
�;_� FOR DdAX�II/�KU�M�OF —.�B•�••••�� �*
l� m BILI YEARS '.' DA1 OF APPROVAL Li) m L,--
wQ II
(dwelling) /50 t
( .
,PSE OF Myy
I _•aro. or S'a"r'T.MFTjo gP
LOT NUMBERS REFER TO "MAP OF FAIRWAY FARMS" * 1.3.,;;I'
,;;I'A N.Y.S. LIC. NO. 49618
FILED IN THE SUFFOLK COUNTY CLERKS'S OFFICE is�r4A/d�l#tei,m a+'
`nest. ON FEB. 15• 1974 AS FILE NO. 6066 ANY ALTERATION.. OR ADDI I TO THIS SURVEY ISA VIOLATION t'��y `' :YORS, P.C.
= 4���s 8(1. ft. OF SECTION 9 OF THE ,:!:.3,,,, Ys STATE EDUCATION LAW. t•'3 • 7`5s �-• /
EXCEPT AS PE7�'$1'CTI9N +N3IC J 2. ALL CERTIFICATIONS 1
=MONUMENT HEREON AREf-, L &P
? .e< � {;r J ':.CG�?IES.THEREOF ONLY.IF • 19�•� � '
SAID MAP OR 1 D;SEAL OF THE SURVEYOR I +• / STREET
WHOSE SIGN - p i,� 1
�! STHeLs, N.Y. 119,71