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HomeMy WebLinkAboutMandel (3) • OFFICE OF-THE TOWN CLERK cOFOLA- Town of Southold Judith T. Terry, Town Clerk -#IA Town Hall, 53095-'Main Road kr P: O. Box 1179 •u" '1* rile* 4,„ Telephone Southold, New York 11971 O `µ,ms �. : Telephone /l * t1; 0- (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 201 Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: NAME: ' Fairweather-Brown / Architects ADDRESS: P.O. Box 521 , 308 Main Street Greenport, New York 11944 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION New Single Family Dwelling with Sanitary System APPROVED as approved by Suffolk County Health Department LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: Herbert R. Mandel and Lorrain Mandel OWNER MAILING ADDRESS: 443 Main Street, Green ort, New York 11944 OWNER PROPERTY ADDRESS : n/w corner of Beach Road and Landing Lane Greenport, New York TAX MAP NO. : Section 43 Block 4 Lot 11 CROSS STREET: Beach Road and Landing Lane BUILDING PERMIT NUMBER CROSS REFERENCE: Judith T. err - Southold Town Clerk k DATE: July 13, 1987 • (TOWN SEAL) I SsflSSdr., - - • • 44, V' Y=€;4 jTown Hall, 53095 Main Road - ,, , +j u �; P.O. Box 1 179 -•„k, � Southold, New York 11971 JUDITH T. TERRY "r•rmur_, TELEPHONE TOWN CLERK (-516)765-181)1 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD July 13, 1987 Fairweather-Brown Architects P.O. Box 521 Greenport, New York 11944 Re: Herbert and Lorraine Mandel n/w Corner of Beach Road and Landing Lane Greenport, New York 11944 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 ($25. 00) for non-re3idential. Please have the owner complete the enclosed Application for an Operation Permit and return it to this office along with the proper fee. For your general information I have enclosed an Informational Bulletin regarding the Scavenger Waste Laws adopted by the Southold Town Board. Should you have any questions pertaining to either permits or the Scavenger Waste Laws, please do not hesitate to contact this office. We will be glad to assist you in any way possible. Very truly ours, Judith T. Terry Southold Town Clerk Enclosures (3) JTT/Ijc • 0.0 I . T• I.iii + . c i , ,„.:\ , . - /,‘ ,:: :,..,-,..,1t--:,,r,v, 64 BLDCs. ®EP'f ` V� `t wTi &�..- �` .. y�� • Town Hall, 53095 Main Road '"V N$Q es P.O. Box 728 •�.r...�-� ; / / Southold, New York 11971 JUDITH T TERRY - TELEPHONE • TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD 7/9/87 To: Victor Lessard, Southold Town Building Department From: Judith T. Terry, Southold Town Clerk _ Transmitted herewith is a copy of application No. 204 for a CONSTRUCTION or ALTERATION Permit for a cesspool or septic system submitted by FAIRWEATHER-BROWN/ARCHI_TECTS FOR H.R-. -MANDEL. Please review the application and location map and advise if the - _project has received Suffolk County Health-Department approval and if we may issue the permit. Please complete the form below and return it to my office. - Thank you. i•_=• .im --rt ,..,000, th,„...9143407........ . Judith T. Terry Southold Town Clerk * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendation: APPROVE - TX - DISAPPROVE - COMMENTS: CleogITAL,,A.c.AASii54(.. 14, . I ra.0..1/4 OP -. Signature - -77 LT/ 1 . Date - OFFICE OF THETOWNCLERK c0FD(A'1," ipt Town of Southold - '•' 114 . Application No.�Jud-ith T., Terry Town Clerk i� Town Hall, 53095 Main Road ; L Construction '- P. 0. Box 1179 ,F= 3 . Alteration Southold, New York 11971 K i � ��. , 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. Fee $ /0 ' DATE July, 8, 1987 APPLICANT NAME: Fairweather-Brown/Architects (Agent for Owner) APPLICANT ADDRESS:Box 521 , 308 Main Street, Greenport, N.Y. 11944 SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION New Single Family Residence LOCATION MAP: Must be attached hereto before permit may be issued. • LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: Herbert R. Mandel and Lorraine Mandel OWNER MAILING' ADDRESS: 443 Main Street, Greenport, N.Y. 11944 OWNER PROPERTY ADDRESS: n/w cr. Beach Road and Landing La. Greenport, N.Y. 11944 TELEPHONE NUMBER OF CONTACT PERSON: 516-477-9752 (F-B/A) TAX MAP NO. : Section _4).3(1 Block 4 Lot 111 CROSS STREET: Beach Road and Landing La. BUILDING PERMIT NUMBER CROSS REFERENCE: (V1,0, Signature of Applicant RECEIVED BY: Town Clerk's Office • DATE: '- - SUFFOLK CO. HEALTH DEPT.`APPRQVAL H. S. NO. . CLE214.'5-OFFICE 'A A . MAP N0-'4709, - EF-152 TO MEAN 5E/5, LEVE L.._. _ STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. D`.-PT, OF H-AL H S ICES. (S) / ' ,- .r..a... _ ./..-.4i.?`,. APPLICANT . .....".:: i _ i . .. SUFFOLK -`.COUNTY DEPT. OF HEALTH �� SERVICES — FOR AP RO AL OF I 0 CONSTRUCTION ONLY /( 1,2,:c � r J " fir- DATE: H-. S. REF. NO.: .• •4. �0 APPROVED: ,�..0" SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK PCL. 10 43 ii OWNERS ADDRESS: SCALE- 50'.•--.1" " . 300 N012,I I-I r2D. , -ACE ! i5, 2 .5,Fc E. PC)127; +l,'( 11944 1 - 0 U _.1 v3 PIPE 4 7-7-J04o TEST HOLE STAMP 1 ! Unauthorized alteration or addition to this survey Is a violation of • ; Section 7200 of the New York State Education Lava. Ni.ttiVt% I Copies o9 MIS gunnu y mop net rine ill the land survoyo!a Inked Deet©r embossed coal shell►tot bo corstalentil a % to be a valid truo copy. . 'yaw .6 Guarantees Indicated for hereon chaffI is only to the garcon whom the survey (� is prepared,and an hla b5#1slf to the t� title company,governmental agency and 1%, - lending institution listed hereon and . to the assignees of the lending Insti- iJ:'t, " ti Guarantees are not transferable t' " to i C,droonel Institutions or subsequent iii ' ow. — SEAL ' GUA2ANTEEDTO.;COMMO€I '.A.Tht : , " • . ' LA):1R r -L tip 5UIZA\t`.4(e,'".Ci� OLITI-IS 1-0 U ' ,• • EAVUNG5 SANI.E ;4545 U ' !E``z''ED, tl41 5 , • RODER9 K VAN,UYL,P.C. r .••-•1 ,'' , -LJGENSt`D'L.AND SURVEYORS ' ..::..,' • : . .' GREEN` NEW YO€ K fi = Y - - • ` `:L DT N0t5 2E ' . IhJ THE SUE . 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