HomeMy WebLinkAboutOzolins, Helmars ELIZABETH A. NEVILLE 'l •
Town Hall, 53095 Main Road
TOWN CLERK C - a P.O. Box 1179
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‘ 466.
n� Southold, New York 11971
REGISTRAR OF VITAL STATISTICS , �� Fax (631) 765-6145
MARRIAGE OFFICER �if� `. �1
RECORDS MANAGEMENT OFFICER =_ Q! �a��i. Telephone (631) 765-1800
4.
FREEDOM OF INFORMATION OFFICER - ����
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2247 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ROBERT SAETTA
Address 1 : PO BOX 72
City St Zip GREENPORT NY 11944
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 #R10-99-0147
Name Of Owner OZOLINS, HELMARS & JACELYN
Mailing Address 1
City St Zip ROCKY POINT NY 0000
Property Address 1 600 MAJORS POND PATH
City St Zip ORIENT NY 11957
Tax Map No. section 26.00 block 2 lot 39.013
Cross Street WILLOW TERRACE
Building Permit Number Cross Reference:
Issue Date: 3/01/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
•
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••1 0004 R9 (17
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ELIZABETH A.NEVILLE �� � G'y ; Town Hall, 53095 Main Road
TOWN CLERK ti P.O. Box 1179
REGISTRAR OF VITAL STATISTICS t Southold, New York 11971
MARRIAGE OFFICER •fi l �1 Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER ;�Q 4$ •ii Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER _ iP"
• ••••
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: February 18, 2000
Transmitted herewith is a copy of application No. 2335 for a Cesspool/
Septic Tank Construction Permit submitted by:
Robert Saetta for Helmars & Jacelyn Ozolins
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
grrecommendations:
APPROVE
DISAPPROVE
Comments:
Signa
9/d d
Date
' OFFICE OFT�TOWN CLERK ,,o''.,��FFULk -:- Application No£3 9
TOWN OF SOUTHOLD 11
ELIZABETH A.NEVILLE,TOWN CLERK
.0.BOX 1179 Construction
it-
SOUTHOLD,NEW YORK 11971 T
cn Alteration
t.tTelephone O,y �iri $10.00 - Residential
(516) 765-1801 --Ol Jl�,o'� $25.00 -Non-Residential
-- ,,..>,''
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE4,,,[,...„
APPLICANT NAME: h e -,441-4
APPLICANT ADDRESS: ' f'k 'jam_ zs.P j 4 , -; v/ (141-14q
SEPTIC / CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION dbilijaV
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION ORALTERATION:
OWNER OF PROPERTY: (��111d174 3-"- -. 1.,y1,1 tj L it Nlj
OWNER MAILING ADDRESS: rL y0 I Ur'
"I
OWNER PROPERTY ADDRESS: Kp 7O Nj Az-0 i V p N P PA 7-ft
ORie-AfT
TELEPHONE NUMBER OF CONTACT PERSON: 746 "4'1 efOd
TAX MAP NO. : Section 06 Block 2, Lot 3/13
CROSS STREET: V J(1/1 O -re c A
BUILDING PERMIT NUMBER CROSS REFERENCE:
..:1fr' 11
Sign- - • plicant
RECEIVED BY : V"4
own Clerk's Office
DATE: P— !(766
SURVEY OF LOT 4*2 SLr"'r.OL?:Cous—iYL' Ai-: !_71.7"OF.1-1EALIE SERVICEs SEPTIC, DETAIL r
not to scale 'E''..-"E:-='.'
MAP OF "WILLOW TERRACE FARMS, INC.." NrEFINillT
FILED OCT. 4, 1994 AS # 9512 w---4*--E ,.,,,�:, 1--,1'..,::7.2:-..-;:i-7.,..72:
SITUATE: ORIENT _AUL 2 J , J r- 014 E,--1-
TOWN: SOUTHOLD 131999
S TJ 4 w l i inv.' i31_!-
12 f3.4
' SUFFOLK COUNTY, M' Jier .-
SURVEYED 06-23-G101 ::+•_F._.r ..-.. _ _ >> r_vlTuS
SUFFOLK COUNTY TAX EXI'Ci'.E` i i 'AI ROVAL
1000-26 - 2 -3 .13 _
-- _
Lot#1
1
i GERTIFIED TO: VACANT
Lot#4
. Helmars E.Ozollns
Land now or formerly of: 1 y I i VIII VACANT
Jocelyn 5.Ozollns Nancy R. Douglass ^B,1PcT7p Cp.;r` f;-;;,RF:T.^,1t;;;r�p4s t.BcP
P.'>3'=__j¢3�p f TEST'HOLE
W 1
WAteh 0-,...41/4.,,n) fro Filed Map
C7 `.._..�...�. N TESTE
p,„,.
HOL0.0'
Seven
00 EI=15 �O�"
1 Cr
..
S88°21'50"E
270.00 .Vey
..WI888°21'50"E 110.00' Z I Lean
EI=15 +„, existing 2 5
septic
1 E1=16
cci
Pole
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o ® n
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so
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9 so.to
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] cii3O .O ° - O existing
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Ct 17
-
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41,
well ,-
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N88 21'50 W 't� NFIy
/ °g�d° 302.9 E1=i5 •,'Qt C.Ey4c`,♦ „<,..„,.<
--- 5 N
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:CO/� p� ��;
ROW 9 ..o
NOTES: EI=16 •
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MONUMENT Z, 7 O
4s .1i2p2 • ..
o PIPE Land now or former) of: FO P,���
Stuart Mager 8y LAND
AREA = 61,495 5F OR 1.55 ACRES Carol Mager «..,...e,.<_.•.<,ee.
• JOHN C. EHLERS LAND SURVEYO
6 EAST MAIN STREET N.Y.S.LIC.NO.502C GRAPHIC, SCALE I"=50' _ RIVERHEAD,N.Y.11901
NMElm=
369-8288 Fax 369-8287 REF.-TIGER\PROS\99-1