HomeMy WebLinkAboutGunther, John tl�
Town Hall, 53095 Main Road
‘Y'& P.O. Box 1179
10';►O ` ;O.` 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
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 328 R Residential X Non-Residential
Fee $ 10. 00 Septic Cesspool X
PERMIT ISSUED TO:
Name : GUNTHER, JOHN
Address 1: P.O. BOX 478
City St Zip EAST MORICHES NY 11940-0000
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM
APPROVED AS PER SUFFOLK COUNTY HEALTH DEPARTMENT APPROVAL.
Name Of Owner GUNTHER, JOHN
Mailing Address 1 P.O. BOX 478
City St Zip EAST MORICHES NY 11940-0000
Property Address 1
2195 ALDRICH LANE
City St Zip LAUREL NY 11948-0000
Tax Map No. section 125. 00 block 2 lot 1. 150
Cross Street FRANKLINVILLE ROAD
Building Permit Number Cross Reference:
Issue Date: 4/28/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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B 1 ' Town Hall, 53095 Main Road
TOWN OF SQI�'TI TOLD ✓"I , . '-.-0, s• P.O. Box 728
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Southold, New York 11971
JUDITH T.TERRY
TORT!CLERIC TELEPHONE
REGISTRAR OF VITAL STATISTICS (516) 765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
April 22, 1988
To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 332 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by John Gunther
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.
err •
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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 - x
DISAPPROVE -
COMMENTS: C— J.4.4.12auL S. D CiTt 0.CA L LAti
CIL CI: c4.4. 12..
Signature
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Date
C
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OFFICE OF THE TOWN CLERK cc0FDL
_Town- of Southold Off,_ Clj
Judith T. Terry, Town ClerkApplication No. 3301-1
Town Hall, 53095 Main Road a ' Construction
cn
P. O. Box 1179 Alteration
Southold, New York 11971
4'oj . ��� Residential
Telephone _
(516) 765-1801
Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCT ION or ALTERAT ION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $/fd
DATE April 2d, 1988
APPLICANT NAME: John Gunther
•
APPLICANT ADDRESS: P. 0. Box 478 East Moriches, New York 11940
SEPTIC ✓ ESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
New one family dwelling one and a half stories high with two car
garage.
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: John Gunther
OWNER MAILING ADDRESS: P,O. Box 478 East Moriches, New York 11940
OWNER PROPERTY ADDRESS: s aVi5 kn
k-P u,e e Y �i 9 CleK
TELEPHONE NUMBER OF CONTACT PERSON: 298 5311
TAX MAP NO. : Section 1000 Block 125-2 Lot 1 . 15
CROSS STREET: Franklinville Road
BUILDING PERMIT NUMBER CROSS REFERENCE:
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Signature o Applicant
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RECEIVED BY: !Audit
'fir wn C : rk's Offi e
DATE: APR 2 21988
Tow Clerk Southold
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SURVEY FOR HEALTH SERVICES
JOHN GUNTHER
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES LOT NU.2, " RICHARD J.CRON"
/ JAN. 6 ,1988
tAT LAUREL DATE: SEPT. 28,1987
FOR APPROVAL OF CONSTRUCTION ONLY =10I
TOWN OF SOUTHOLD SCALE- It
it
`/ C (( SUFFOLK COUNTY, NEW YORK NO. 87-1465
\Z�\ 6 1C)
=; DATE HS REF. NOF ((Y�� ,�
�.- / *UNAUTHORIZED ALTERATION OR ADDITION TO THIS OUARANTE F nr,F_
SURVEY D A v10LATION OF SECTION 7209 OF THE JOHN G a t' h-
J '. NEW YORK STATE EDUCATION LAW
APPROVEDCOMM' ;� r
*COPIES OF THIS SURVEY NOT REARING THE LAND JW • A 19.:, ' NSURANCE
SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL
t(,.`7S"1 CSC) NOT BE CONSIDERED TO BEAVALID TRUE COPY COM- rp Q6.
YJ ( / *GUARANTEES INDICATED HEREON SHALL RUN ONLY TO 'M
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY 13 PREPAREDrr'
AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERN-
N NEAREST WATER WAIN
UF �.MI.± *SOURCE OF WATER, PRIbNTE PUBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED
-44 40
f M SF CO. TAX MAP 01ST 1000,SECTION 125 BLOCK_22...LOTT.15 HEREON,AND TO THE ASSIGNEES OF THE LENDING n, 14
*THERE ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE
t `F OTHER THAN THOSE SHOWN HEREON. TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT �IlO• 45,
M THE WATER SUPPLY AND SEWAGE DISPOSALS STEM FOR THIS RESIDENCE OWNERS
N 013TANCE3 SHOWN HEREON FROM PROPERTY LINES �. lt
WILL CONFORM TO THEATAN OF T OLX CO QTY DEPARTMENT TO EXISTING STRUCTURES ARE FOR A SPECIFIC . 1 , rj r
Of HEALTH SERVICES. i/ �Z ) /'��L/ PURPOSE AND ARE NOT TO BE USED TO ESTABLISH , (!
APPLICANT' ,' -,, PROPERTY LINES OR FOR THE ERECTION OF FENCES F
ADDRESS
54° d F-7-116fel61165- �lrit 9' 53,f YOUNG a YOUNG R400
OSTRAN DER EW YORK
NAVENUOTENOTE: a:MONUMENT 6=STAKE, /'/9
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN W.YOUNG,PROFESSIONAL ENGINEER
SUFFOLK COUNTY ON SEP 30,1985 AS FILE NO.7975. AND LAND SURVEYOR N.Y.S.UCENSE N0.12B4g
HOWARD W.YOUNG, LAND SURVEYOR
*THE LOCATION OF WELL(W),SEPTIC TANK(ST)S CESSPOOLS(CP)MOWN HEREON ` N.Y.S.LICENSE NO.45893
ME FROM FIELD OBIEW TIONS AMD OR DATA OBTAINED FROM OTHERS
DRANOIS & SONS INC. Z.B.