HomeMy WebLinkAboutEisenreich, William •
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ELIZABETH A.NEVILLE , y. l/,y Town Hall, 53095 Main Road
TOWN CLERK �� c 1 r P.O. Box 1179
v� Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS :%v Fax (516) 765-1823
MARRIAGE OFFICER �Oy O Telephone(516) 765-1800
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER * '
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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. 1994 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : EDWARD FAIVRE
Address 1 : STONERIDGE CONTRACTING & INT.
City St Zip MILLER PLACE NY 11764
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 #R10-97-184
Name Of Owner EISENREICH, WM. & CHRISTINE
Mailing Address 1 9 OREGON DRIVE
City St Zip HUNTINGTON STATION NY 11746
Property Address 1 BAY SHORE ROAD
City St Zip GREENPORT NY 11944
Tax Map No. section 53.00 block 3 lot 10.000
Cross Street KERWIN BLVD.
Building Permit Number Cross Reference:
Issue Date: 1/26/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
/
•
JAN 2 5 1999 I,' VFFot
•
ELIZABETH A.14EV) A � 0 , Town Hall, 53095 Main Road
TOWN CLERK tr11fi DEPT. i1 P.O. Box 1179
i = UTHO m -
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS (516) 765-1823
RECORDS MANAGEMENT OFFICER MARRIAGE OFFICER ,�O�0 W.
� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER
•••••iii 00"I
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: January 22, 1999
Transmitted herewith is a copy of application No. 2074 for a Cesspool/
Septic Tank Construction Permit submitted by:
Edward Faivre of Stoneridge Contracting & Interiors Inc. for Eisenreich
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:
ignatu
Dated
Liucucc ..
OFFICE OF THE TOWN CLERK Oc��FFOUr •
Town. of Southold � . CSG
Judith T. Terry, Town Clerk - Application No. 16:74.
-41
Town IlaII, 53095 Main Road ` Construction t��
P. O. Box 1179 ----
Southold, New York 11971 Alteration
Telephone
°l �� ► Residential
12
(516) 765--1801 - ' ' Non Residential
•
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT.
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE SLti_ 2 /-I n1 g
APPLICANT NAME: reivgE_ +
APPLICANT
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SEPTIC CESSPOOL t."7.-***-
/
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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of -_N??..)
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LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION : ,
OWNER OF PROPERTY :
OWNER MAILING ADDRESS:
�To s7-A d/u ivy _ ra y
OWNER PROPERTY ADDRESS :
TELEPHONE NUMBER OF CONTACT PERSON: 331_ -��5_-_-_____
TAX MAP NO. : Section _ -53 Block
3. Lot ___1 Q.__
CROSS STREET
BUILDING PERMIT NUMBER CROSS REFERENCE:
4213-5'
Signature of Applicant
RECEIVED BY :
-�- Town Clerk's Office
DATE:
,:
SURVEY OF
LOT 8 & 9
AMENDED MAP `.`,1 " OF
PECONIC BAY ESTATES
FILE No. 1124 FILED MAY 19, 1933
SITUATED AT
ARSHAMOMAQUE
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-53-03-10
SCALE 1 "=20'
SEPTEMBER 16, 1997
JANUARY 30, 1998 PLOT PLAN
FEBRUARY 8, 1998 REVISE PLOT PLAN
FEBRUARY 23, 1998 REVISED AS PER S.C.D.H.S. NOTICE
APRIL 25, 1998 REVISE PLOT PLAN
MAY 8, 1998 REVISED PLOT PLAN & ADDED ADDITIONAL WETLANDS
NOVEMBER 13, 1998 ADDED WETLANDS AS FLAGGED BY THE N.Y.S.D.E.C.
DECEMBER 1 , 1998 REVISE PLOT PLAN
•
AREA = 18,912.30 sq. ft.
(TO TIE LINE) 0,434 ac.
CERTIFIED TO:
WILLIAM L. EISENREICH
CHRISTINE M. EISENREICH
TEST HOLE DATA
(TEST HOLE DUG` BY AM.DONALD GEOSCIENCE ON AUGUST 29, 1997 AT 3:15 pm)
51.1V. 10.6
i// NOMM L0.01 a
11110011 LOMIY 1111.T M.
• WATER el MORN MCDIIM
TO COURSE Sam vn 10-2o1S MVO. sn
_M
- Is'
DXG.=1Vi\T1��N! ir�i�,,PiC;TFRYNTS
RECIUIRED
F"f:'r� E;,r�i`•�1T!',+CPV TEiP;1E3Y hiFAP_TlaiZE�! MEC�T
:ED TO N.O.V.D. 1929 DATUM
3 ARE SHOWN THUS: £9
SHOWN THUS: --` —a-- — — —
NS ARE SHOWN THUS:
TAKEN FROM: FLOOD INSURANCE RATE MAP COMMUNITY—PANEL No. 360813 0076 E
OF 100—YEAR FLOOD: BASE FLOOD ELEVATIONS AND
HAZARD FACTORS DETERMINED.
LIMITS OF THE 100—YEAR FLOOD AND 500 YEAR FLOOD;
AS SUBJECT TO 100—YEAR FLOODING WITH AVERAGE DEPTHS
1 : T OR WHERE THE CONTRIBUTING DRAINAGE AREA IS
;!SQUARE MILE; OR AREAS PROTECTED BY LEVEES FROM
iN POOL
StiFFCLICARIIIV.OQPA TMENT OF HEALTH SERVICES
' ;. '. FOR APPROVAL OF CONSTRUCTION A
:Mdla FAMILY RESIDENCE ONLY
Dim . ., 1",:: Att. .(oZir:04(;),jeagokill.ii
' PPRO :404, ._
r
FOR 4 I UM OF,..1,..BEDROOMS
HORIZED EXPIRES THREE YEARS FROM DATE OF APPROVAL TOU�THIS SURVEY IS RATION LATIONAD0OF�10N
SECTION 7209 OF THE NEW YORK STATE
n EDUCATION LAW.
JAN 1 4 1999 C`r v% s t 7 COPIES OF THIS SURVEY MAP NOT REARING
THE LAND SURVEYOR'S INKED SEAL OR
EMBOSSED SEAL SHALL NOT RE CONSIDERED
TO RE A VALID TRUE COPY.
CERTIFICATIONS INDICATED HEREON SHALL RUN
API)rOVed z : r
THE PERSON FOR IADSHe with cardaieeTHE q 1' LENORIG INSTITUTION LISTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INSTI-
TUTION. CERTIFICATIONS ARE NOT TRANSFERABI.F.
THE EXISTANCE OF RIGHT OF WAYS
AND/OR EASEMENTS OF RECORD, IF
ANY, NOT SHOWN ARE NOT GUARANTEED. '
`.. Joseph A. Ingegno
Land Surveyor
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5 µ~lN ,
0 ` A Title Surveys — Subdivisions — Site Plans — Construr_tion Layout
•411 33
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r' )�o;,iw , PHONE (516)727-2090 Fox (516)727-5093
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