HomeMy WebLinkAboutRichardson .
JUDITH T.TERRY � Town Hall,53095 Main Road
TOWN CLERK kg P.O.Box 1179
1 1 Southold,New York 11971
REGISTRAR OF VITAL STATISTICS Q Fax Fax(516)765-1823
MARRIAGE OFFICER �;�® ®'�
RECORDS MANAGEMENT OFFICER l 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. 1260 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : SAMUELS & STEELMAN ARCHITECTS
Address 1 : 25235 MAIN ROAD
City St Zip CUTCHOGUE NY 11935
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR NEW SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. SCHD REF. #R10-94-0094
Name Of Owner RICHARDSON, FRED & MARY
Mailing Address 1 P. O. BOX 12521
City St Zip PITTSBURGH PA 15241
Property Address 1 7930 INDIAN NECK ROAD
City St Zip PECONIC NY 11958
Tax Map No. section 86.00 block 7 lot 7.003
Cross Street ROBINSON LANE
Building Permit Number Cross Reference:
Issue Date: 12/12/94 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
e .. 70Z6.6
De"
JUDITH T. TERRY % Town Hall, 53095 Main Road
TOWN CLERK ® P.O. Box 1179
to � Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax (516) 765-1823
MARRIAGE OFFICER ' �y� �•1 Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER ==7® 1� ��-
FREEDOM OF INFORMATION OFFICER /°4°'
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
RMNOWN ?:
D
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DEC ® 7 •
DATED: December 7, 1994
BLDG.DEPT.
TOWN OF S•UTHOL®
Transmitted herewith is a copy of application No. 1306 for a Cesspool/
Septic Tank Construction Permit submitted by:
Samuels & Steelman Architects for Fred and Mary Richardson •
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 /�e
Comments: yle,(/---- -P i (re /9 7.714ea a-9;7 Oaf,
DEC
9 S gnature
fawn Clerk Southold Dated
9
OFFICE OF 'THE TOWN CLERK
Town of Southold '4 .'1 � A lication No. ��
Judith T. Terry, Town Clerk pp
Town Hall, 53095 Main Road �,. vvief4• J Construction
P. O. Box 1179 Alteration
Southold, New York 11971
Telephone *04 -0° Residential
(516) 765-1801 I Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ / C' —
DATE �a 6Of
APPLICANT NAME: 63402 5' 4 6)FEZ `MTEC7Bf
APPLICANT ADDRESS: X036 &Jig/A/ 6C9n,C7
0.6/ CfirOc-UL l 41/ /79 36
SEPTIC 17 CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
a5'EE //c(o CEP c 4/v/90€06/ED kS'/7-E- 0e/51A/
LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: re&D 4- IrmAoy 7.7 3-A44e.asO/(
OWNER MAILING ADDRESS: PQ2 COX /c?,?/ P/773' /e6jff P,4 /5-0 //
OWNER PROPERTY ADDRESS: V' 30 / .D/62A/ /Vcf KSIE04D
pb—cOrvi y
TELEPHONE NUMBER OF CONTACT PERSON: -/(�J6yatt4.- -e4
i 731/_&zOE
TAX MAP NO. : Section Block / Lot
CROSS STREET: •
BUILDING PERMIT NUMBER CROSS REFERENCE:
4!""'"--
Signatur- - Applicant
RECEIVED BY:
Town Clef k's Office
lDATE: /Z /c� y
• •
4 • ,
• -- ;1,
V
- . .
' ' -
i . ,. - ' ,
. .
. .
, ,
- . - - .
. .
. „ .,...,•.
CTM # " 1000 86 - 7 - 7.3
' ROPERTY: 7930 Indian Neck Road
DDRESS PecQnlc, N.Y. 11958 , . ; , •
WNER: Ed and Betsy-Nolan - . .
10 East End Avenue
New York, N.Y. 10021
Tel # (212) 439-6056 ' -
- ITE: '‘ 1.30 Acres .. .
REA
- URVEYOR: Rotkeri,ck Van Tuyl
Greepport, N.Y. ,11944 . • ,
License # LS 25626 .'_..` a
Dated: 2 / 7 / 80 . _ _ . ._
Amengl�d: 101 16 180
' OTES: Elevatjont shown are ' V
based on Suffolk County
Department of Public Works - . 1 ;
Aerial Survey. Public Water '
is not vailable-.within 500 ft
. of pro erty , . '
The to atIons of wells and V
cessp ols shown hereon are . ,
from f old obfiervations and -,
or dat from data obtained
from Others. .
,,
OEALTH 'I am familiar with the • , ,
DEPARTMENT stand4rds for approval and -. _ .
TATEMENT , constrictioh Of subsurface • , . V
sevVagge disppsal systems for
. Single family residences and •
will abide b the conditions . ' '
' set forth th rein and on the ' V
permit, to c' nstruct."
'
IGNED: .. //j i 7c,►� , ✓ 1n r
1 y / giti� Y(1) /1
/
,
/
/
.
. ,
/
/ ,
/
, / '
/
r
I/
//
,-.
; .
!4'NdLE HITAti MELLNG ONLV '
VPIRES THREE YEARS FROM DATE OF APROVAL
ia\
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICE
FOR AFPROVAI. OF CONSTRUCTION OF
SINGLE FAI,,,,in RESIDEI\CE, ONLY
DATE NOV 0 3 1991 , -- - ,
! s a- --0
•
, i., lAPPROV 4
EXPIRES THREE YEARS FROM DATE OF APPROVAL I ,
,..... ,
......-..6.1.
PLEASE NOTE
Minimum distance between well
and cesspool is to be 150 feet.
, \,
(
"•••,.
I-- ,, ..
•. ,
1 :
•
1 -•
I
--,,
- .
-o._.___/--\____ ,----ter Rns-z--.0 ,5A1,1 r•-rA,
,'
1 .
3
.
.. •
. , I1 -
//
1.? .%r;101-..1 1....EAC4-4r
PRO PO SEP .
,
.• • ,,_
I FA,Isit 1....Nr, 1
i -z.2___. ,
I '--I'l•W1-.1.7e> ,.,...) PLESI Ce.t..jOtt, ,
Cc
i 1 ,
.'
1-1/-‘41..)0-1--Z-c.14.2.Cvir-4i::,
,------ •
1 ,
1 _ ____.---- Is,, •' ,_•• , • ir.. .....j__:--- '-' e..r 1---5--f L P - - • -, • •• • • - .. • • .
\
S .
I
_.- ---_. ____ __ . .
' i- •- * :, ,...p.e..... ' , .
/—N 1 ,
--I - • ill
. .
I \ .
\ i ,
1 l2"i9 ,---) • 1 \,-.14- • •
..1. '\
..r. ../4- r..1%-- , i. N .,. -
\ , I-; • c__,- o- •
-- s I „
v.I. L"
/.. <v:._.1.4.. :,,,T,'
:
' 1-4°).,,..,...ko••••‘
•• 1 -:‘ '
1 10,7,1) k
. . •. • a a
\ i
• : i . . . ;'
.\•
'• .• „
! •
. ••• ..41.R. . . .
CA CIII..•-- .- I ' • _ ." .
,
A -. -.". , ,
. _
: 1 _
...L
11 )4 •
1 00
19.2.....• I• 1 •110
IMMO •01••=o
11•MME.... .. . k/.;-/mm• lb • 1.1
i .
r .
41111111111 I
; I"....'''...' h.........a
%
......-....- ' . 1--,,,-.... I
,
1....../ i
mor........ ............ ........ro•mr........mminm..........76......... .......emmrftra -.
^ '...) --). ) °
..