HomeMy WebLinkAboutRuland (3) OFFICE OF THE TOWN CLERK c•vFFULA- '
Town of Southold
Judith T. Terry, Town Clerk .,OPtz '
Town Hall, 53095 Main Road
P. O. Box 1179 .cn 4 ^ PAMSt 1-11
Southold, New York 11971
Telephone Ol „,
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 47 Residential yX
Non-Residential
Fee $ 10.00
Septic Cesspool XX
PERMIT ISSUED TO:
NAME: Winds Way Building Corp,
ADDRESS: 1020 Glen Road
Southold, New York 11971
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
••
New Single Family Residence
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Wilfred & Louise Ruland
OWNER MAILING ADDRESS: Main Road
Mattituck, New York 11952
OWNER PROPERTY ADDRESS: Bailey Road
Mattituck, New York
TAX MAP NO. : Section 99 Block 3 Lot 4,5
CROSS STREET: Reeve Avenue
BUILDING PERMIT NUMBER CROSS REFERENCE: Pending
Judith T. Term~
Southold Town Clerk
DATE: October 3, 1986
(TOWN SEAL)
'wit.ice..
L ' ,' a,, }') ' Town Hall, 53095 Main Road
_._ �r ' � 4, Southold,. Box New York Vo, Pea PI / k 11971
JUDITH T TERRY .164%.....0,0414" TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
October 3, 1986
Winds Way Building Corp.
1020 Glen Road
Southold, New York 11971
Re: Wilfred & Louise Ruland
Bailey Road
Mattituck, New York
Enclosed herewith is the Construction, Alteration or Modification
Permit for a Septic Tank or Cesspool System for which you applied.
Please be advised that each owner of real property operating an
on-site sewage disposal system, such as a septic tank or cesspool must,
prior to such operation, possess in the name of the owner an Operation
Permit for the system. The Operation Permit is issued by the Town
Clerk's Office.
The fee for an Operation Permit is ten dollars ($10. 00) for
residential use and twenty-five dollars ($25.00) for non-residential.
Please have the owner complete the enclosed Application for an Operation
Permit and return it to this office along with the proper fee.
For your general information I have enclosed an Informational
Bulletin regarding the Scavenger Waste Laws adopted by the Southold
Town Board. Should you have any questions pertaining to either permits
or the Scavenger Waste Laws, please do not hesitate to contact this
office. We will be glad to assist you in any way possible.
Very truly yours,
•
.i- ,...o: u..04.0.47,-m.
Judith T. Terry
Southold Town Clerk
Enclosures (3)
JTT/Ijc
_,..111
OFFICE OF THE TOWN CLERK
Town of Southold RECEIVED s
Judith, T. Terry, Town Clerk Application No.
Town Hall, 53095 Main Road SEP 24 1986 Construction
P. O. Box 1179
Southold, New York 11971
Town Clerk Southold Alteration
Telephone •
Residential
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
• CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
c6-
Fee •r /b //
DATE f/H/tt
APPLICANT NAME: Atihf 4% .
APPLICANT ADDRESS: /O).-u /a—d
SEPTIC CESSPOOL I/
DESCRIPTION OF PROUPSED CONSTRUCTION OR ALTERATION
l
LOCATION MAP: Must be attached hereto before permitmay be issued.
LOCATION OF PROPOSED CONSTRUCTION/ OR ALTERAT N/:
OWNER OF PROPERTY: �'/4b✓� t `t�. iC' l�eib
OWNER MAILING ADDRESS: 101.44/ 4ii71 ✓4CK/� 4p
OWNER PROPERTY ADDRESS: 0,/ 44A, 1, '4404 • 141 •,C/O G�w
TELEPHONE NUMBER OF CONTACTCC • PERSON: ) ' ' /93r-
TAX MAP NO. : Section t' //Block tp 7 Lot
CROSS STREET: Z 't i
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY: -c .
Town rkTiftej
DATE: si �. _ ,i L.)cW, /
O'
O
<< f.
� Q co
\___________.....................,...- •
o
CA-13\ el
o�2N `^L
co
/" fin,
002 ot^ 0O6 O
Op or n
CO
6'01
90
41)
ai 6' Gi-
.....-- 0 III
tP0 Off" ,��' 3 ;IN 46.
O' tt
-I,.o t - r
�. I O�\�00 S
. . Nom•
_/
N
*0" OpO?' � •
��5
V
N °a;N Dead
00
/
� / _
� �' —<�
"0\� .01o . -
ul
'O.
01 I
NcA"
• SNC\°S
M31N
3N338
r_
3d
.4,i.I ,...
Vv \f:(1 0.'66O o\830 OS
•
�c�0 l
EV`b4 0 0 -
• til 1
,.i. i
1.4
' Sa ; , ^':,.+ `
ri :VA110 '9Ii]'a ' s : }pjteFo: P v,,,,,,--,...
LC 9 _
til
' tb.11..":"9 i
f
. . c ,,i f-d r,I. . . 3 ., . �U"
' '''' ‘‘ ' I ;,'' f ' ''.- ; 1 V i JO V A . l' qb
I
SURVEY FOR
- WILFRED RULAND & LOUISE RULAND
. UFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES LOT NO. 151'HONEYSUCKLE HILLSII
AT MATTITUCK DATE: JULY 15,1986
FOR APPROVAL OF CONSTRUCTION ONLY TOWN OF SOUTHOLD SCALE: I" = 50'
9 i f' S SUFFOLK COUNTY, NEW YORK - NO. 86-675
DATE - ,/ Y� -?''',/L' HS REF NOX) 0 i
P *UNAUTHORIZED ALTERATION OR ADDITION TO THIS GUARANTEED TO:
�� �
'SURVEY IS A VIOLATION OF SECTION 7209 OF THE WILFRED RULAN LOUISE RULAND
-� - NEW YORK STATE EDUCATION LAW
gPpR�yyED v%` G' �jAMERICAN T ••e•/1N6URANCE" O.
ti� ,may *COPIES OF THIS SURVEY NOT BEARING THE LAND
SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL RD i- 0
NOT BE CONSIDERED TO BE A VALID TRUE COPY 1 yZP y F,r
*GUARANTEES INDICATED HEREON SHALL RUN ONLY TO O O
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT
THE PERSON FOR WHOM THE SURVEY IS PREPARED, G
AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERN- a. I-
*
* NEAREST WATER MAIN,1111.* *SOURCE OF WATERS PRIVATE_PUBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED •-.l`c m 6
M SUFF CO. TAX MAP DIST WOO SECTIONQ2�BLOCK la_LOT jj HEREON,AND TO THE ASSIGNEES OF THE LENDING 4
*THERE ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE "'% a-`
TO ADOITIONAL INSTITUTIONS OR SUBSEQUENT "',
OTHER THAN THOSE SHOWN HEREON. OWNERS
N THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE l
*DISTANCES SHOWN HEREON FROM PROPERTY LINES �i 9j
WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT TO EXISTING STRUCTURES ARE FOR A SPECIFIC , rS r'' 44„+,
OF HEALTH f ICES. PURPOSE AND ARE NOT TO BE USED TO ESTABLISH • 4,0/1// AND SURAPPLICANT /A//f / 16./giNG 6PROPERTY LINES OR FOR THE ERECTION OF FENCES r _
G ADDRESS 03-0 G lll�C:%.`/ • ('O G•//10 in Al •. j/4 )/ I 1 r
fa
+: :,, 400 OSTRANDER AVENUE
7 �c>D� -/33' YOUNG a YOUNG RIVERHEAD, NEW YORK
�� NOTE: = STAKE • 11,, •
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OFI y,• ALDEN W.YOUNG,PROFESSIONAL ENGINEER
• '•';,:'.w AND LAND SURVEYOR N.Y_S.UCENSE NO.12845
SUFFOLK COUNTY ON OCT. 16,1981 AS FILE NO. 7019 ;•.
HOWARD W.YOUNG, LAND SURVEYOR
*THE LOCATION OF WELL(W),SEPTIC TANK(ST)O CESSPOOLS(CP)SHOWN HEREON N.Y.S.LICENSE NO.45893