HomeMy WebLinkAboutSynan, George ,,���iii
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ELIZABETH A.NEVILLE �4�`Z� �* pTown Hall, 53095 Main Road
.04
TOWN CLERK c P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ‘y Southold, New York 11971
s Fax(516) 765-6145
MARRIAGE OFFICER ` , Tele hone (516) 765-1800
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER _'.. ' Ji #00'4. p
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2044 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : DIAMOND BUILDERS, INC.
Address 1 : PO BOX 2100
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 #R10-99-0014
Name Of Owner SYNAN, GEORGE & CARLEEN
Mailing Address 1 112 WOODLAND AVENUE
City St Zip CENTRAL ISLIP NY 11722
Property Address 1 645 BRIGANTINE DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 79.00 block 4 lot 48.000
Cross Street BAYVIEW ROAD
Building Permit Number Cross Reference:
Issue Date: 5/05/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
e7 OFFO(,j
ELIZABETH A.NEVILLE y� Town Hall, 53095 Main Road
TOWN CLERKr/y 1 P.O. Box 1179
y2 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax (516) 765-1823
MARRIAGE OFFICER Tele hone (516) 765-1800
RECORDS MANAGEMENT OFFICERNt4f
elf O P
FREEDOM OF INFORMATION OFFICER Ol jig ' '-
OFFICE
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 3, 1999
Transmitted herewith is a copy of application No. 2146 for a Cesspool/
Septic Tank Construction Permit submitted by:
Diamond Builders for George and Carleen Synan .
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 reco endations:
APPROVE
DISAPPROVE
Comments:
ignatur
614144
Dated
OFFICE OF THE TOWN CLERK �,to �,"/p",,,/�►
TOWN OF SOUTHOLD
s'
CAMILA`
Oji�: Application No. 14/i,
IIIZA13IflhI A.NHVII,LE.'1 OWN CLERK ►► •
P.O.BOX 1179 1 ;� Construction
SOUT1101D.NEW YORK 11971
Alteration
Telephone iy .1Q�li', $10.00 - Residential V—
(516) 765-1801 re
(516) 44 -7,"'„o' $25.00 - Non-Residential
• -- • "I,
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. •
Fee $ •
j
DATE Iflh1iicic1
APPLICANT NAME: / A H041,1) 130 / L CICS , /AM,.
APPLICANT ADDRESS: f 0,46N z / on
G L drT
SEPTIC I ' ESSPOOL ✓
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY : &e0/?,6 f C (t'LE�IV 511\119n/
OWNER MAILING ADDRESS: / / 2_ �0 Q b i-ii-,(V D AvcAiut
(1,e Alit I 1 P
OWNER PROPERTY ADDRESS: ( tf5 /((c /A1C DK/v5
So / L7 1/91/
TELEPHONE NUMBER OF CONTACT PERSON: /17 7 ` /joc ' 2\jc,,,r-;-S -
TAX MAP NO. : Section `79 Block o7 Lot 48
CROSS STREET: 12)0..0 t/ lP.u3 -a -
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of la • ' _ _
RECEIVED F3Y: ✓
Town Clerk's 0 ice
DATE: 67 3// ,'
411 •i
f I r—
SCDHS. Ref. # RI0-99-0014 The locations of wells and cesspools SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES , �,
/ shown hereon are from field observations
�N, and or from data obtained from others. PERMIT FOR APPROVAL OF CONSTRUCTION 11012 A
ELEVATIONS ARE REFERENCED FAMILY RECJDTNCE ONLY
TO AN ASSUMED DA TUIL
4) (0.^—j r DATE -15 -9..
�\ t2 e 3 i 0 Test Boring ! APPROVEDi
2 e� , 4Or L a Brown FCR hLt Y.ix.i;h OF ooMS
`�(/ yer Eg Cs,, I'1 T[� Br. y Sand EXPIRES THREE YEARS FROM DATE OF APPROVAL
1 v 44.1 a �•Q � „:57.63.7°.� z3
° `. \,� sy4'c--,,,'
`' PON Br. Fins la EXCAVATION INSPECTION REQUIRED
�� \�h' Z aT a x. soars. sane SW
FOR SANITARY SYSTEM
lo
% `Y,L s` HEALTH DEPARTMENT
�' Br. SO/le1 Clay
Lp
o � z8 €4).'
3: cl / am familiar with the STANDARDS FOR APPROVAL
/ �� t AND CONSTRUCTION OF SUBSURFACE SEWAGE
\ bo /g2e DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES
/ 9 �' 12'--
Pale
and will abide by the conditions sal forth therein and on flu:
rAQ' O permit to construct.
V • L�
Pala Brown Fin*
to Coors. Sand ---"'j
62..3.$ / SW r l
/i to o "7 �� h -e r_._.. pt EASE I�iOTc ,
Ile r for /8' s� stem is nct tc hie
e/ z8o ® c paced under driv_�v iy Area. ;
HO Q 3oe 4 > --"
h �
u N �� v SURVEY OF PROPERTY
sp os%. AT BAY VIEW
Ts. TOWN OF SOUTHOLD.
SUFFOLK COUNTY, N. Y.
a •I G� 3 �„ \o t woo - �s -,04 - 46
/ a ,2t..,_-. SCALE r - 30'
/ zor ..0,-c, !L° Alt 3 DEC. 31, 19984- (additions)A.:....._ cw .� Z JAN. l2, 1999 (B.D.H.') ` '"'
�c 96 — Y— ) Feb. 7, /999 dlNo $ ,
`�/ h. Ma 2, /999'(revs,ons )0+
Q
B-7�//''-- /"etc NOTE' LOTHARNUOR LIGHT. ESTATES SECTION ONE"ERS REFER TO "MAP OF got, 8 155`
ry FILED IN THE SUFFOLK COUNTY CLERK'S
OFFICE ON JUNE 8, 1965 AS MAP NO. 4362 (5.0,'"W
•\1?' NEW O Erni '`a r
O40 CERTIFIED TO, 1^
GEORGE W. SYNAN ��`'T µeTrc ��
CARLEEN E. SYNAN /' 3s►' 1'
ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION COMMONWEALTH LAND TITLE
OF'SECTION 7209 OF THE NEM YORK STATE EDUCATION LAW INSURANCE COMPANY �' / . LIC. N0. 496/8
EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTFICA'TIONS c. A �44 r
ON ARE VALID FOR 7715 MAP AAP COPES THMEOF ONLY F SAID MAP OR COPES BEAR THE DRESSED SEALTME SURVEYOR P locci " ' U-- -,—,, ; u. IC '.YO. • , ".C. j
eWell E-1. 1 , ,
WHOSE SI6NATCA4E APPEARS HEREON. (5
•
ADDITIONALLY TO COMMLY WITH SAD LAW THE TERM 'ALTERED BY' 230A.I, TREE
MUST BE USED BY,,A�NyYy AAV ALL SURVEYORS U +LRJJ6 A COPY -. 44
OF ANOTHER SLRVEVORS MAP. TERMS SUCH AS 'INSPECTED'AND AREA = 2Z800 sq.ft. l..) SOUTHO ', •. . 119T1
'� '
ROUSNT-TO-DATE•ARE NOT 0COMPLIANCE WITH THE LAW.
98 - 385