HomeMy WebLinkAboutWankel, Ed 000
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ELIZABETH A.NEVILLE �h`1` Gym`.` Town Hall, 53095 Main Road
TOWN CLERK ; c :4 , P.O. Box 1179
\ CAZ Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Vet ��,
MARRIAGE OFFICER Fax (516) 765-6145hone (516) 765 1800
RECORDS MANAGEMENT OFFICER ' *D •OS'1Telephone
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. 2086 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : WANKEL/GORDON RESIDENCE
Address 1 : C/O WARD ASSOCIATES, P.C.
City St Zip BOHEMIA NY 11716
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 #R10-99-0073
Name Of Owner WANKEL, ED / GORDON, JUDITH
Mailing Address 1 57 HARRIET ROAD
City St Zip BAYPORT NY 11705
Property Address 1 820 MOUNT BEULAH ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 51 .00 block 3 lot 2.007
Cross Street OLD NORTH ROAD
Building Permit Number Cross Reference:
Issue Date: 5/25/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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Io�liS�FFO(,.c0
t ELIZABETH A.NEVILLE may. l/y Town Hall, 53095 Main Road
TOWN CLERK c < ,�� P.O. Box 1179
k N _ Southold, New York 11971
REGISTRAR OF VITAL STATISTICS �. Fax
MARRIAGE OFFICER =O `� �' Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER l'41
�� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER �l l �`�II r
•• �a I
OFFICE OF THE TOWN CLERK ' - i r`' iC 5 p�'? r il
TOWN OF SOUTHOLD `' . -
i
TO: Southold Town Building Department ( L
FROM: Linda J. Cooper, Southold Town Clerk's Office I ,, . ' n, 71-.^'
DATED: May 21 , 1999
Transmitted herewith is a copy of application No. 2174 for a Cesspool/
Septic Tank Construction Permit submitted by:
Wankel/Gordon .
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:
Sign.-
s/..a/R4,
Dated
OFFICE OF THE TOWN CLERK s,'+ ///,
WN OF �'+ CORA-
TOWN
= Application No. a 7u
To lj
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 :_ ; Construction t/
•
SOUTHOLD,NEW YORK 11971 Alteration
Telephone $10.00 -Residential
(516) 65-1801 = l � ''�� $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
RIFer11/cn
APPLICATION MAY 2 1 1999
for
town ClerK Southold
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 490 8'4
Fee $ 11 Q�p�p�
DATE PAq-\-f oZl \ ( ✓ JJ
APPLICANT NAME: WAN x.€ Gok)
APPLICANT ADDRESS: e.4 .
/' LRO OC TSS ' \' (' '
' coo L , 2Acz+, 9 • j $e .ti-ec3 0-e 1 x`71 CA
SEPTIC X CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
k- )A) �sE
LOCATION MAP: Must be attached hereto before permit may be issued.
Ed W(11-h k".l
LOCATION OF PROPOSED CONSTRUCTION OR A TERATION: j- t, core,
OWNER OF PROPERTY: ,'. -- - == ,• 61 .J-1 avrit+- -d
�c
G" �► 4AyPn''tNY II76S
OWNER MAILING ADDRESS: .`( X i'.. ,••
I .0
OWNER PROPERTY ADDRESS VII 1 , etA.\,. A.Nr
TELEPHONE NUMBER OF CONTACT PERSON: CQ ` SCp3 amOCx
TAX MAP NO. : Section Block 6'3 Lot a ,r7
CROSS STREET: ,C LQ aLLot.DVI ll\1 k 6
BUILDING PERMIT NUMBER CROSS REFERENCE:
•
) a."
n Signature of Applica
RECEIVED BY:
Tow Clerk's Office
DATE: 5 9 1
,
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EXCAVATION INSPECTION RECIUIRED_ ,. ..„- . '.x'..! • t
FOR SANITARY SYSTEM , , .,,.-
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BY HF.ALTH DEPARTMENT • Vs,
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St" a SUFFOLK COUNTY DEPARTMENT OF HEALTH SER. ....
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ct nN FOR A
PERMIT FOR APPIOVAL Cr COITIMIICTIO
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O SINGLE FAMLY F.ESZDEN=ONLY _ ,•,.. ....
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, 0 0 APPROVED -4046.1.11ftw..0 _A
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FOR D4.AXII-v;J1.1 OF.. E P A. 4:
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a) 3 .."...= _- ,.A
EXP_ R11
ES 121:E YER3 FROM DATE OF APPROVAL
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NOTE
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AREA = 44134 SQ. FT. ' , .'f
O SUBDIVISION MAP FILED IN THE CfFICE OF 1HE,CLERK DIP`: ,. 01,
SUFFOLK COUNTY ON MAY 29. 1981 AS MAP NO.41284 .. .:. ...;•,,,,-\_.' ''-
‘. .'',"t ".45-7',/, 1•'
O VERTICAL DATUM .. N.G.V. DATUM (#1..S.L 4829) .''• ,',',le.'..,'
O WE HEREBY CERTIFY TO COWARD g.iesaws, ; _ t_•,cie
JUDITH A.11101ADON THAT THIS SURVEY wiya : - - -J.'
FROM OFFICE AND FIELD DATA COLLECTED BY tHIS"'•..-_• „: ,
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'#1:) ''''''74- ..•..i; :''
TEST HOLE 'ceL
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, LOAti • , SCHNURR, N.Y.S. L.S. \;::',..,, -7'..."--`. ,,--,,,A. ir,., .';''.•
,, HOWARD W. YOUNG, . L.NO.N.Y.S. N4.9512O. •••.• '-,, .,• `,,, -14,' .. .7%4-::.
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SANDY PLOT PLAN -' ------ --V '' '''
LOAM
LOT 4 "MOUNT BEULAI$ ,..•.,..-.ltib.,-4i-*. i',..
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1 EDWA1?D E. VtAtilita ec • _-.. , ' ‘ , ,
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AND i At Southold, Town of- •vr---•°, z: ".
GRAVEL
1 Suffolk County, New "izeit , -'•...•'-'7".,:' '".` •.,i•'`.
TEST HOLE DATA County Tax Map ost,.t 1000 S. 51 beak 03,.
MOUNT BEULAH ACRES SUBDIVISION
SOUTHOLD, N.Y. BUILDING PERMIT PLOT'PLAN ••-•.' -.. -, 1••• • •
MAY 6, 1981
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D Nicolino Precht
Lot 5 r4I
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Lot 3
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Vincent L. Tirelli
& Louise Tirelli
(Existing Residence)
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OLD Nps
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