HomeMy WebLinkAboutVan Huele (2) o v Town Hall, 53095 Main Road
�j� P.O. Box 1179
®� ! Southold, New York 11971
JUDITH T.TERRY 'r �S ��!',I FAX(516)765-1823
TELEPHONE(516)765-1801
TOWN CLERK
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 576 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : STEKY, ROY
Address 1 : P. O. BOX 217
City St Zip AQUEBOGUE NY 11931
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 12/11/89.
Name Of Owner VAN HUELE, BYRON
Mailing Address 1 117-07 FIRST AVENUE
City St Zip BAYSIDE NY 0000
Property Address 1 1300 ALDRICH LANE
City St Zip LAUREL. NY 11948
Tax Map No. section 125.00 block 1 lot 2.014
Cross Street ROUTE 25
Building Permit Number Cross Reference:
Issue Date: 2/01/90 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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� Town Hall, 53095 Main Road
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�`` P.O. Box 1179
TOWN_OF SSOUTHOLD =c�� 4 °� i
�•0+ Southold, New York 11971
JUDITH T.TERRY
01% TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Victor Lessard, Southold Town Building Department
From: Linda Cooper, Southold Town Clerk's Office
Dated: January 10, 1990
Transmitted herewith is a copy of application No. 588 for .a Cesspool/
Septic Tank Construction Permit submitted by:
Roy Steky
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
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OFFICE OF THE TOWN CLERK %cc1FDLj'• _
Judith• T. Terrn ofSouTown Clerk thold A ? , CSG ` SW
y, .� Application No.
Town Hall, 53095 Main Road Construction
P. O. Box 1179
p ' ' ` �$ Alteration
Southold, New York 11971 1410 �-
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 .$
DATE (p
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APPLICANT NAME: n 6 y SSC
APPLICANT ADDRESS: [' /5,7, 2-(
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SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: ��� V l �`� re-
f
-/f 7-92 7 ,,
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS: C 3-04-7 4 (1, ,
TELEPHONE NUMBER OF CONTACT PERSON: 7 )- 2- - 3 vO (
U_41
TAX MAP NO. : Section l)-s. u Block d (a d' Lot 00 r `' l Y
- CROSS STREET: ,'j�
BUILDING PERMIT NUMBER CROSS REFERENCE:
Si nature of App cant
RECEIVED BY:
n ,Clerk's Office
DATE: _� 1 ?°
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SINGLE FAMILY D'AWE ISM"; Q'�LY `
EXPIRES TWO YEARS FROM DA'a
OF APPROVAL \
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NII
SURVEY FOR
BRYAN VAN HUELE 9 YOLA SZKODZINSKI
LOT NO 5"LAUREL ESTATES EAST, SECT.I"
8UPfOIY COUNTY DEPARTMENT OP HEAYTH SERVICE! AT LAUREL DATE NOV.7,1989
FOR APPROVAL OF CONSTRUCTION ONOTOWN OF SOUTHOLD SCALE' I":50'
SUFFOLK COUNTY, NEW YORK NO 89-1251
DATE I 1-11-c--1 HS REF. NO:<:: :D\3')1 *UNAUTHORIZED ALTERATION OR ADDITION TO THIS GUARANTEED TO'
SURVEY M A VIOLATION Of SECTION 7209 OF THE BRYAN VAN HUELE
NEW YORK STATE EDUCATION LAW
_ *COPIES OF THIS SURVEY NOT BEARING THE LAND YOLA SZ ,�'
APPROVED / SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL COMM. ET! T. AI�&YT E INSURANCE
A _ NOT SE CONSIDERED TO RE A VALID TRUE COPY S
\ \ ",•J ~�
*GUARANTEES INDICATED HEREON SHALL RUN ONLY TO COM'•NY D w O,P
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED - .910.4s /•O t
AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERN- O
N NEAREST WATER •AIN__MI • *SOURCE OF WATER'PRIVATE—PUBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED -8 -,
N SWF CO TAX MAP DIST 1000 SECTION_VA_I,.DCK__Q_L-LOT 2 jg. HEREON,AND TO THE ASSIGNEES OF THE LENDING 0 •
*THEME ARE NO &WELLIES! WITHIN 100 FEET OF THIS PROPERTY INSTITUTION GUARANTEES ARE NOT TRANSFERABLE 1 "-`
OTHER THAN THOSE SHOWN HEREON OWNERSTO ADDITIONAL INSTITUTIONS OR SUBSEQUENT ./ i /
N THE SUPPLY AND SEWAGE DISPOSAL SYSTEM FOR THIS REIIDENCE 0 �'^' -: ,' L,`
WILL CONFORM TO THE STANDARD!OF THE SUFFOLK COUNTY *DISTANCES SHOWN HEREON FROM PROPERTY UN[! '
TO EXISTING STRUCTURES ARE FOR A SPECIFIC
OF HEALTH SERVICES PURPOSE AND ARE NOT TO BE USED TO ESTABLISH~ iC, hO. 4599'
APPLICANT.. PROPERTY LINES OR FOR THE ERECTION OF FENCES N fy Q•
/\!�rf -�TGL t'C n (J SFO LANG SUB�F'4
ADDII[ff �?6 ' ox o2 q F��U e b o0e, /� ✓• --
�/9 3! '—v TEL �Un�_ ,y YOUNG- 8 YOUNG 'RIVERFEAD,NEW YORKTRANDER
NOTE' ■=MONUMENT O*STAKE ALDEN W YOUNG,PROFESSIONAL ENGINEER -
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF AND LAND SURVEYOR N Y.S UCENSE NO.12845 -
SUFFOLK COUNTY ON APR 4,1985 AS FILE NO.7870 ..
HOWARD W.YOUNG, LAND SURVEYOR ••
*TN[LOCATION OF W4LUW),SEPTIC TANKISTI•CESSPOOLS(CP)SHOWN HEREON = N.Y S LICENSE NO.45893- - • .
ARE PROM FIELD ONSERVATIONS AND OR DATA OBTAINED FROM OTHERS , •
--� BRANDIS A SONS INC.1046