HomeMy WebLinkAboutZellner (2) OFFICE OF THE TOWN CLERK c31FOLA-
Town of Southold
Judith T. Terry, Town Clerk ‘ �
Town Hall, 53095 Main Road a ;
P. 0. Box 1179 uit rte, fir- � ,.
Southold, New York 11971 O ' d
Telephone • O1 %
(516) 765-1801 '
TOWN, OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 142 Residential X
Non-Residential
Fee $ 10.00
Septic Cesspool X
PERMIT ISSUED TO:
NAME: Russell J. and Marla K. Zellner
ADDRESS: P.O. Box 61
Greenport, New York 11944
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New Single Family Dwelling
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Russell J. and Marla K. Zellner
OWNER MAILING ADDRESS: P.O. Box 61
Greenport, New York 11944
OWNER PROPERTY ADDRESS : 975 Horseshoe Lane
Cutchogue, New York
TAX MAP NO. : Section 95 Block 4 Lot 18.30
CROSS STREET: Gold Spur Street
BUILDING PERMIT NUMBER CROSS REFERENCE:
•
Judith T. Terry +�
Southold Town Clerk
DATE : April 7, 1987
(TOWN SEAL)
ht cf' `` ' f=~`•' d'i Town Hall, 53095 Main Road
tido' .rf
. - P.O. Box 1179
bay `W.11:'''' Southold, New York 11971
JUDITH T TERRY TELEPHONE
TOWN CLI RI. (516)76521801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD ,
April 7, 1987
Russell J. and Marla K. Zellner
P.O. Box 61
Greenport, New Yo rk 11944
Re: 975 Horseshoe Lane
Cutchogue, 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 ?fours,
�,. .," .two,"
s�-�'
Judith T. Terry
Southold Town Clerk
Enclosures (3)
JTT/Ijc
�1•
/ 44V
OFFICE OF THE TOWN CLERK
Town of Southold Application No. 1 Tse
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road Construction
P. O. Box 1179
Southold, New York 11971 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.
Fee .$10
DATE /9 'R/ L /9g7
APPLICANT NAME: Pt) 3e- 1 ( 0049 K -a/A
APPLICANT ADDRESS: `�Q ® , Box GI
Re,exp Rt- , New yO 1k 1 i7994
SEPTIC . CESSPOOL__X
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
QN)EU) CO S -u c C0k) — t FiotEUV (2-ES c`DEOcf`
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: /
OWNER OF PROPERTY: 1IQCI} t Kassel ( 7e/Jjvel2
OWNER MAILING ADDRESS: Pk ® , B o / 1 ' I ,
6-Peerunewt) �b . 1 lc'cicl
OWNER PROPERTY ADDRESS: 9 '25- /Io/5 0E_ L t4 3Ne
Cv'tGitO3ve. 3 �` / 1 /935
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section / Block ( q Lot I ' 3 0
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
( (Jatliba-
• o//
Signat e of Applicant
RECEIVED BY:
Town" Clerk's Office
DATE:
iO r v/.JL1 C. O/t r-i-4I v,' ( 6r. ----a'✓ / 'vr�• //-" ,t �!
y , /GyL .
/SC - -)i ,. , `._,�. 5/ 5 ii/7/ ✓� ,.
)0Z- O P/ao/O5e W N/ DIS'` .e `C -'%1119✓ 02i —y D7 i t ilin 4i4 < ,'// a •P.>er �
F o eig>2 or//d�.s.�
r
The water supply & sewage disposal sys•
tem for this residence will conform to the .' 0O• '
standards of the Suffolk County Depart- 'V til ; Iif,�'
ment of Health Satvlces, a g 4) � ;
:4 \ ,
c%.
0)1 Ce6 ,,..le s, 'Nix C- 5 15-' '''r
se{ 0 %
.�
n
k 3
9
GA
�o Bag . 4�f1 \.k,,„ ,. ,�,�ee \ �t
:t 50 y�t /�7 0.04 us '
o•L' LOT 30 pPN�� 'ti - �"
f �• ., 6'v, / `, 44.86
\.
13 TO
0 \ films,/ . :fs,the
i(4 4 . / .
/ , ,, \
2 G't ®' '�^� �I
•
`� se �a 2 /&(� f ��� �� �../ �
_
,.i/. 2L11' S¢/C L% � �I`f1tfl ilia! i.'n the �i'ifi i•'� I'C;'. ir,i !� -,1‘,...,. i
n ,Lay• O� c��f�� .. °' . ;i rt .. ;t1Z�C
a� 'I r ri; ; , f;s L',:
D`O'1�6 r\ls V' ���'l CU ti`urlJ Irv; ,c r $i i�,ur' SII �iltS c:n rirt I f0
der Irs‘a �,`',,,,, /4...---7.:;'.
, / -
�h k --- �..�, .� v. .ign�afuras_ '�9 9
1, II A, , A ,„ .q.'
Seo \ O e.��� \(5.v CY/.( " /
/1 %.? ti ,c) r 3 �N y (iC V/
G Joe SURVEY OF
Ee 0 /O`. co
ti� A, ��..,,�. 'j;s� LOT 3
�• _D E� � G .ONLYtt ApF OREGON VIEW ESy2T4E1SA " •
�t��L � � " �� x - ..ONLY"
APP D A P R. 4 , 19 7'S FILE IVO 6
KP13 ° Y,- ;-a �� AT C UTC H OG U E
4- TOWN OF SOUTHOLD
AREA ® '79y 297 SQ. FT. SUFFOLK COUNTY , N . Y.
1000 - 095 - 04 - 18. 30
1 ,F +,,. ,f1-.11Y tat-P/,tIM NT OF HEALTH SERVICES a
SCALE III = 50'
R,R A PROVAL CF CONSTRUCTION Cl',,iY _-.,
�— MAY 9 , 198 6'''•:
=' !�;;
02, ZI/ I� R;EF. NW 0 S� JLi N . 16 , 1987 `;;' ^
.7,,,
10 5:CY cr- d
DATE �t
e 1
--74rFEB. 5, IC8 7 - try' c'"+
APPROVED :. - h
CERTIFIED TO ' Q+m{ '
Prepared in accordance with the minimum 3
FIRST AMERICAN TE ?' `
standards for title surveys as established by �"
INSURANCE COMPANe, '-� 1
- the L.l.A.L.S. and approved and adoptee, 0 F N E 0 R K. ui
/ LEAN 1. for such by The New York(State Land LONG ISLAND MORTGAGE CORP.. I�, )
X0ca- a,. rN c,Q,:,-, Asso, ,,,.n. RUSSELL
! E f�R1, Ai .
/,' , • -_y t.Y`s. LIC. NO. 4966 8
F?'E.I OOt I lir y - EYr "t.'. a ENGINEERS P. C.
( 5I k ' 0 0O ,, p ,, ELEVATIONS ARE REFERENCED
P. O . e'' ,- �® TO AN ASSUMED DATUM .
MAIN ''• 'IV THE LOCATION OF WELLS a CESSPOOLS SHOWN
SOUTHOL 1 .V. 1I97 I . HEREON ARE FROM FIELD OBSERVATIONS AND
DATA OBTAINED FROM OTHER
11 ;P4 86 - 261