HomeMy WebLinkAboutMehr, Michael , ,a '-
•#01 FOFFOL1j-
ELIZABETH A.NEVILLE .Z� Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
t Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS rry
Fax (516) 765-1823
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER Is.** ��0\/ Telephone (516) 765-1800
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. 2037 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : SCHEMBRI HOMES INC
Address 1 : 2042 NORTH COUNTRY ROAD
City St Zip WADING RIVER NY 11792
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 #R10-98-0173
Name Of Owner MEHR, MICHAEL & ELLEN
Mailing Address 1 76 OVERLOOK DRIVE
City St Zip WADING RIVER NY 11792
Property Address 1 1300 PARK WAY
City St Zip SOUTHOLD NY 11971
Tax Map No. section 70.00 block 10 lot 45.000
Cross Street BEACHWOOD LANE
Building Permit Number Cross Reference:
Issue Date: 3/17/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
632
St4(74
• ELIZABETH A.NEVILLE 1* C0Town Hall, 53095 Main Road
TOWN CLERK c -4 P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS N
MARRIAGE OFFICER �'� Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER � #1 Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER 1jig
I
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: March 9, 1999
Transmitted herewith is a copy of application No. 2117 for a Cesspool/
Septic Tank Construction Permit submitted by:
Schembri Homes Inc.
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:
'gnature
3 . 0 / 1i.
Dated
OFFIC€'U'F THE TOWN CLERK ,��'",,,..
Town of Southold �,''I stfaKe'.
Judith T. Terry, Town Clerk ,%'' , cf,
el/�'; Application No "
Town Hall, 53095 Main Road ; Z Construction c./
P. 0. Box 1179
Southold, New York 11971 'iA rn i
Alteration
0 0 , $10.00 - Residential
Telephoneai
(516) 765-1801 `- gi �`
,, ' $25.00 - Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE3 y
APPLICANT NAME: .j \ i
. . -
APPLICANT ADDRESS: 02 4 0- , ,��
tif,,,t- .. .0)--(27 f6144/b- 8 x 4 '
SEPTIC CESSPOOL( � "" - f . `f 197
DESCRIPTION OF PR• • 'SED Co STRUC/IONOR ALTERATION
___./.►. _ ...LAW_I ..w.
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTIO R ERATION: ,e �� �,C-C-z,�
OWNER OF PROPERTY: 4
41
OWNER MAILING ADDRESS: 1
itilirAilliL.
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: 929 _57
TAX MAP NO. : Section 0 Block Jv Lot V
CROSS STREET: AI • , / ,+..7f
BUILDING PERMIT NUMBER CROSS REFERENCE:
isi
Signature of Applicant
RECEIVED BY: *.ir.,.e.ne*.._.
Town Clerk's Office
DATE: ,,,1,4k 9 ,i 99
WW1 UM( JUul11UIU
11
C'' SCOHS Rel. # len Rl0-,98-0/ 73 ANY AL T1ERATION oI? ADDITION TO TIES SURVEY Is A VIOLATITAN s��Nes 4'eoy is
`�-' ' c.p. of SECTION 7209 of 77E AEW YORK STATE EDUCATION LAW �� I�
f,, '-� EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL GRTFIC'A 0S.
l`. HEREON ARE V THIS MAP AND COPES THEREOF ONLY F 666/ t Nur
SAID MAP OR S BEAR THE NFAESSED SEAL OF TIE SERVE ' - luno,
IIIIOSE SJGINAAPPEARS H REAK Aad e�rs �� E
ADDITIONALLY TO COMPLY wVTH SAD LAW THE TERM 'ALTERED BY'
; i,- LOT 0 i MUST BE USED ND BY ANY AALL RVEYORS UTL/ZIMG A COPY
OF ANOTIR SURVEYOR'S MAP. TEIWSS SUK.N!AS *INSPECTED'AND
- 'BROUGHT-TO-DATE'ARE NOT IN COMPLIANCE WITH THE LAW
�c'. �' LOT 50
00 0I LL�1e CP The locations of wells and cesspools
5 (6t
1'. r N. 89'40'00" E. 194.10' v .uor -Lew OF ; • shown hereon are from field observations
N '001 ONIPI LEK NNW FL
and or from data obtained from others.
EL 47.0 he• EL. 11.9 - _..-s,„,..
��� � ---_ lam familiar with /he STANDARDS FOR APPROVAL
e In7-c----------
N
CONSTRUCTION OF SUBSURFACE SEWAGE
so",. O N DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES
�` N weir :se
Nand will abide by Jhe condi/Ions set forth /herein and on Jhe
Qo cr So,+ O permit to construct.
Sib
aCO
;_; OT 10-17 -6\ '
n, `J
b �� I prop ����� SURVEY OF
`=D , r �. „ LOT 8
O �.' FLED NOV 24, 19OF 5 MAP 2141
�` 'o �' �� or 51 AT SOUTHOLD
N o TOWN OF SOUTHOLD
prop SUFFOLK COUNTY, N. Y.
/5 o Wei1 NOTE CHANGE(S) % L ?
E Y' = 40'
c C by Dept.of Health Services NOV.. 5, 1998
1 y EL 50
a ® o JAN. 5, 1999 (Additions)
p
'Co-
el
e s4" WELL
a00 bor�n9
SUFFOLK MI'UM DF.PARTh ENT OF HEALTH SERVICES
Q
TEST HOLE "� PERMIT�'UA.AprRov L:of co_tir,i;;F OIsi
DarkEL IBP . ■ lou INCL 7�.ru`1'I 9,�k'E�;r.SID t'C.E ONLY
sand brown Z 7E• l`t
sandy lop ora„"I , ,,/ S. 89'40'00' W. 188.48' r
I• DATE 01410_1k.-0 17 ?
Brown band
UIN
sand j 0� LOT 28 APPROVED
LOT 9 Iv 1 owELL114 FOR MAXDALT 'OF
V1 P �BEDROOMS
Pala Mown g EXPIRES TEM'YEARS PROM DATE CF
the Yn
CERTIFIED TO
r �,
• Ia' , MICHAEL E. MEHR 0 a EACH1 I p►/ 3-..,.1,...1,4- 1 _
to own ELLEN M. MEHR • N LL ik 41.o. 8 NE ja ,c;a,� .
•
b�.r • .8. LIC. NO. 496/8
SP11 mmithan -
I�6' P ., , lit. /..iii,, ,. ,, P.C.
(51. 7.T V.: o
Wolter b Par. P. O.
• rea . 1230 TRAVELER STREET
Ir AREA = 36,329 sq f • SOUTHOLD, N.Y. 11971 l •
•
98 - 337