HomeMy WebLinkAboutWalser (2) t!. 01,1/FI, .
CZOLA
11131
•
Town Hall, 53095 Main Road
`.0
$`� $`�, P.O. Box 1179
* NZi Southold, New York 11971
i
JUDITH T. TERRY �����'Ioogo TELEPHONE
TOWN CLERK (516)765-1801
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. 481 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : BOB KEHL'S HOME IMPROVEMENT
Address 1 : P. O. BOX 520
City St Zip SOUTHOLD NY 11971
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 3/29/89.
Name Of Owner WALSER, LAWRENCE & DIANE
Mailing Address 1 KENNEYS ROAD
City St Zip SOUTHOLD NY 11971
Property Address 1 NORTH BAYVIEW ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 79.00 block 2 lot 4.002
Cross Street SHIPS DRIVE
Building Permit Number Cross Reference:
Issue Date: 4/06/89 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
T„_me
fr
!ate -1; ,;;,-Aire
„
Town Hall, 53095 Main Road
BLDG.DEPT.
TOWN OF SOUTHOLD a��r, � P.O. Box 1179
0 '�`� /�• Southold, New York 11971
JUDITH T.TERRY = „0 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: April 4, 1989
Transmitted herewith is a copy of application No. 492 for a Cesspool/
Septic Tank Construction Permit submitted by:
Bob Kehl's Home Improvements, Inc. for Lawrence & Diane Walser
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 D�
DISAPPROVE
Comments: ct-,4 G (9- c.. 4
\r;e31
Signature
Dated 41
I 3 I
„G
OFFICE OF THE TOWN CLERK r UVFO •
Town of Southold p� OG 7
Judith T. Terry, Town Clerk Application No.
Town Hall, 53095 Main Road cry , lJ
o �” ' - Construction
P. O. Box 1179 �. x
� Alteration
Southold, New York 11971 ..
P
Tele hone 01 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 I
OpKii
APPLICANT NAME: I o Ke h 140,-•��
APPLICANT ADDRESS:. CD �� 2 Q
:5C)k.k4-flE» 0 / N- Q) /
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Lau.) Yen( 4—Th) ani USI Cord
OWNER MAILING ADDRESS: e n >'m P s,,l1
c�uF
-S �- to 1`x,( I ( Qr
OWNER PROPERTY ADDRESS: I V Ota 'i( e.k.3
cY4 '7 /
TELEPHONE NUMBER OF CONTACT PERSON: )2 , 4J�7
TAX MAP NO. : Section 1 ` Block d2 Lot (4 . 2—
CROSS STREET: A p� f�/C-,
BUILDING PERMIT NUMBER CROSS REFERENCE:
! ' ' L- c /cam (�
/04. •
Sign re of Applicant
RECEIVED BY:
Tl wn Clerk's Office
DATE: APR 04. Me
:. •--,:.r,?:- -_ _ - -,.: ::_-i, y --'•6^,,-:_,ai i_ut,--'-- ,_,—.,n--.o -�.�_..t-e••.x:-..-•c -x`e-srz .: +-—7,r.;,,.c n :y.,cas,-- --jr,--4.,,:k '
1 up e y� Ar`� `t'
a Air O
O7 S 6, E,[7/2/e
g• SD' o0 /C / _
c: 2 - 4:71.144:0)4'
PO - - A/qy
/e
F;, - i `i';':"'''s
ce /7 .0 _
cil .-'..
v. O
- 7/ -
i _. . �� - ;1 -- .i G55w,2"- u `, -°-J," J/,
j.. /a �^T y ~.
- tiCi k- A ._
O ... . , 'm
2.2
v _ SCbf-,•-— f —t5. N
. 2 y = /
' 247" ' S ;f _
` `: ` Ni`
AREA _ - .• - _;. ,_r ...;.•-_-4• 4;.:•-•'
-., N2000 _J �' " _- — - _ -0
Nis
/ W a FNO ..,'-',^-.1:';174,:_:,!..f.:.,,,,.:';,,,-..--....„,;.,::";:::
at -
O P�— �yeaL OvY.w.� .i' O DP' ' ,^ - e• `t `T,r_ ",:'x•a
• ~ j.- .1. �J.',yam:
/� LOT NUMBERS REFER TO MINORr .,-..T5,-'
ASO.
.-V`. - SUBDIVISION MADE FOR JOSEP_iH-Si E
cry Prepared In accordance r!/h Me minimum . •„ '...-::-..;,4-".7-.;: `_,:s
' standards for blue surveys as established „-:;•,....?„.
' '
2 by the LIA.L.S, and approved and adopted , - FOR - -- -- - ' 7,":':__-
•- for such use by The New York Stole Land SURVEY:
Tile Association. L A. RENCE- WALSER _ --
,- ��t1 .CV Pm, A L SER, M.D. ' ‘,:-,:i;,'-'-':---
......
�.ay J ? opt ,,. _ - _-.- - _& DIANE - WA L SER - ',-, :-:-•":,',.----
--,.....
_ry D BA YVI -
c' 'p s 30'0 " '� A T E TEST NOCE : - -';
— �;•- . W ?D' O - '.?! - _ ,,' TOWN - OF S DATA MA/S -'
ROUTHOLD ;:s,.,
' 1,..0 .4CO, — 141"' - SUFFOLK COUNTY, N, Y.
:a p,' y -- Dwraa.ro.n tDAu
ce- I, - •.''.' 1000 - 79 - 02 ;- '4.2 ®Marr.SAAor LOAM ••
CERTIFIED TO: {; „,":.1,-.'Z-.; - Scale -1'.! a- 3UO'. ■.ALfi morn
LAWRENCE WALSER. AL D. DBC. 22 1988; '
DIANE WALSER BAWDY
The water supply oud•sewage disposal r
March 14, 1989(rev'_i--- Pr«�Aes ' -
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES• systems for this residence wAl conMrm rAw_
to Me standards of The Suffolk County i/�AND S
FOR APPROVAL OF CONSTRUCTION ONLY`; Deportment of Hod b Savlces. •
• . ? G
A...ye A.'Noe'9G AWA ,. -,.�R 2 198 N CI-9O:'Z PLEASE iNOTE �, & ^ �. LI
DATE""` 9 HS REF i! r •4 _Z It) s Lid-Na 49899
<t.
/ Requires, se^tic tank I' ”` :�.1-s P '
APPROVED ' . cover to `grade. .- �,.• ' > ' •" Q : a- '
no locations of wells and cesspool shown hereon are from field - - - AIA •�t1• i 44
observalkun and or from data obTdned from others - - - . SOLI _ . 11971 -
- - '2' _i --- ' ` - - PR„
_- A'oc d . _—_