HomeMy WebLinkAboutVanmeter f
0110 f
JUDITH T. TERRY z Town Hall, 53095 Main Road
TOWN CLERK ® e P.O. Box 1179
REGISTRAR OF VITAL STATISTICS s, > Southold, New York 11971
MARRIAGE OFFICER `�V �•, Fax (516) 765-1823
®1 ' Telephone (516) 765-1801
ill
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 933 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : PETER VANMATER
Address 1 : P. 0. BOX 1764
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or. Alteration
NEW SINGLE FAMILY DWELLING WITH SANITARY SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 11/5/92.
Name Of Owner VANMETER, PETER
Mailing Address 1 P. O. BOX 1764
City St Zip SOUTHOLD NY 11971
Property Address 1 170 CHABLIS PATH
City St Zip SOUTHOLD NY 11971
Tax Map No. section 51 .00 block 3 lot 3.018
Cross Street SOUNDVIEW AVENUE
Building Permit Number Cross Reference:
Issue Date: 11/27/92 Judith T. Terry
Southold Town Clerk
(TOWN SFAI
Tairl
i, ,
40- %%sum p --„
,„, „,,,,, ,.
0,, c/-,: ;,.
Al -No
JUDITH T. TERRY a �, Town Hall, 53095 Main Road
TOWN CLERK ` fey P.O. Box 1179
REGISTRAR OF VITAL STATISTICS H l .% Southold, New York 11971
MARRIAGE OFFICER ~tp. �, Fax (516) 765-1823
_..® ��0. Telephone (516) 765-1801
-`4i4.4-ww/orl!-
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD r
473„,,,,
1.,3„----„„_,,. p._,yE,,,' �f ,
e
TO: Southold Town Building Department yt; Ain
;1 II Vd;2/ 92 lib pit'
r
FROM: Linda J. Cooper Southold Town Clerk's Office "� ?t,�_, i,� �'
� `=-�-;-P- u,-
DATED: November 12, 1992 :-� Mfg"-r .2 _JQ,�T'�..- 5
Transmitted herewith is a copy of application No. 959 for a Cesspool/
Septic Tank Construction Permit submitted by:
Peter, Van Mater -- "- .
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.
4
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE
DISAPPROVE
Comments: D - r. 4,4.295.§...qc -.13 . ��
ilA.U*A.C..2.16# Ifs" 1` V\ % -.
off
�c1,crw OLIM-4--a--.
Signature
t1\ 11\cS,1____
Dated
-C'FFICE OF THE TOWN CLERKOF�(,l;`;-
Town of Southold � Qi
Judith T. Terry, Town Clerk ,!'K 614 Application No.
Town Ha41, 53095 Main Road
P. O. Box 1179
cn } � , Construction [/
Southold, New York 11971
O Alteration
Telephone 1 fi �� � 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 /071/902-•
APPLICANT NAME: pe.
APPLICANT ADDRESS: jq7 ,/-50)c X76
SEPTIC K CESSPOOL NC - \
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
/1).e.-\,J C0zAl 5?-2z _ s l�o�v — i, � �=
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 17.e /4,i
OWNER MAILING ADDRESS: A2. &91c , 76 tie
G9ir /Z)--' ((O X7I
OWNER PROPERTY ADDRESS: / 7O GRwgz s77*
•
e-bmoi L£1 11-11.)-? ins /
TELEPHONE NUMBER OF CONTACT, PERSON: �“ 3���
TAX MAP NO. : Section SY Block 3 Lot 3
CROSS STREET: 59vj )/e(.3
BUILDING PERMIT NUMBER CROSS REFERENCE: •
'741-ili /X
Signature of Applicant
RECEIVED BY: W
wn Clerk's Office •
DATE: ///( r7
. .
, .
. ., . . .
. , .
, .
. . ,
_
- . -
,...•
• A SURVEY NO 89-07.
. ,
, , -. . •
, . . .
. • m/o Chardonnay Woods U.Sou/hc
, . ..
- Filed Sep/ember 28, 1989 os Mop No. 8822
.
,-- - , , . - .
. . -
, -
, .
•
- A • '
- '
• '
-
.
/ .
, .
- .
,
>4..-....-4e° 11
,
. ,
, -
.. N. 19° 37' 00" E, 14.5,40'\,- . . 16.93' .'
' ZONED 'A BO"RESIDENCE
----, ,Nr-. - AREA OF PLOT - +0 00C t 5 f
Q,OT 17) ..5 . - . ,
, ?ROP 1st FLOOR lb 9 f
_
(LOT 18) tpP
,, _
foqif........ .terardrarza".....Msasay4P1 , PROP 2nd FLOOR 10 30 s f
PROP BASEMENT M.)-So s f
/ , PLEASE-NOTE - . . .„
. .,
- - L . _ PROP. GARAGE r..,So • 9.t
, Minimum distance between well : .
. .
,
. - - i F.nc1 cf.:ssc.iccl iS ta be 150 fect. . ., ., • .
.- . , _ . . ASSUMED DATUM
..
, --.4....,,,*----*.......„,...,,,,,,....,....,,—..:... .
, Thera are no surface waters within 300 .
-
,
\_ ' feet of this plot.
i .
- , . ,
, • 'Pte.. ,
,
....e t-I..
SI) . .
V - AREA = 40,000 S.F. or 0.918 ARCES
0 .
. - ',‘ Unauthorized alteration or addition to a survey map bearing a Professional Land
Surveyors Sea/is a violation of Section 7209,Sub-Section 2,of the New York State
0 A ' Education Law
. 4,N NI - , -
t7s4„,ves•
- 0 - ,
G41 , , , , Guarantees or certifications indicated hereon signify that this survey was prepared in
, . 0
. --• - . ^ accordance with the existing"Code of Practice'for Land Surveys adopted by the
I, _
1 k '-. "New York State Association of Professional Land Surveyors" Said guarantees or
' 0 . ir\) , ' kl - I certifications shall run only to the person for whom the survey's prepared,and on his-
_ 0 ' - l'''17i'''F'. i Lim.;se i; ? ' CA!
,. ' LU R
.,// - behalf,to the title company,governmental agency,and lending institution listed,
hereon and the assignees of the lending institution Guarantees or certifications are
^ -
L. 4.•its-r 1 qsji 0 not transferable to additional institutions or subsequent owners
FF 4.i m '-I - - - 2 , f.
. .
, ... A. 0 ' Co , i Copies from the"ORIGINAL"of this survey map not markerfiwith an"ORIGINAL"of
-
/ ' , , the Land Surveyor's.RED INKED seallor..Ems;'EMBOSSED' 1 in nil:of be considered
' X
t„... ,
, / to be a valid true copy
Grti nes / , ;,
/ t '
I' '^' '' '-'' ..
.;. .
r\) s%. r , s • ' , 4 y
• A „.,„
0 ••._,.
. P.)
.
. ,
Nvi .
,
P)- ' .
,
- . .
0) ‘3 .
OCT ,23 1992
. ,
• , SO'34711.4CX[PE , 1.. . ,S C. DEFT OF
, • .. .
EXCAVATION INSPECTION BUMMED HEALTH SERVICES
_ . — _----...... ____-_-- .7-- •
, .
, .
- __ :
. ' .. .
%
.
, .. F•FE.c.. .-40.,54 LOG-. ELVIS 5-2 f..ci.
ct ' -4./ +T.. '
, -
. COUNTY TAX MAP NO /000 - 051.00- 03.00- 003.0/8
^-P . _ ,
.
, .
42
' , , CERTIFIED TO: HOWARD DOUGLAS•
. .,
,• North Fopr ok pBero snk AnsdiroTcr4usint fompony
_____S_ 1,9373/7411- 3ctod. ,-•
- ..
.
. ,
• ..„ ..
. .
• ,
. •
,
. .
•
. - ' . SURVEY OF LAND AT. o
ADDRESS
. ..
. .
. • •
NORTH SOUTHOLD .
.
, CHABLIS - PA'TH -- - _ r
, -
,
' . , .' _
TOWN OF
PHONE •
-P a 10.1.. I-)t,4. - - .
CITY Soul-LA 0,_b s)•-j 1‘41-11 , . ' , (50' WIDE) . ,
,
.
, • ,
_%.$ -14.a: bl-LP ,- .
. . SOUTHOLD -
, . _
The water supply and sewage disposal systems far SUFFOLK COUNTY DEPT OF'HEALTH SERVICES - • SUFFOLK COUNTY NEW YC
1 1
this residence will conform to the standards and FOR APPROVAL OF CONSTRUCTION ONLY
lc.
epoch f ice ons of the Suffolk County Department of
REF. NO.: - ---5° -75
, I hereby certify that this map was made Edward A. Bullock Jr. BY: EAR
DRAWN:
Health S ices. from an actual survey completed by me on Professional Land Surveyor Et Engineer
,
rg•rs,-I 8 J.P.S. 02/01/89
-- - i DP V5 Anti
al Mier
APPROVED ..1..., A d_ -."'"111-""-' - ''/V..::_ - 'edu-let.et Q.la/.04,/. PoAvenuest Mignon Stetion SCALE: 1" 40'
..”1,cant'a a1 rina41”-n ..-..". t it...,..,-.4. i 1-rx• --- - --
,