HomeMy WebLinkAboutArias, Albert o
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ELIZABETH A. NEVILLE %; Town Hall, 53095 Main Road
TOWN CLERK o - P.O. Box 1179
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REGISTRAR OF VITAL STATISTICS i Southold, New York 11971
MARRIAGE OFFICER : ,y ��, Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �,_��l �a �i� Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER ���� southoldtown.northfork.net
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2799 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ALBERT ARAIS
Address 1 : 195 OAK AVENUE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
ADDITION TO EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES.
EXCAVATION INSPECTION REQUIRED.
Name Of Owner ARIAS, ALBERT
Mailing Address 1 195 OAK AVENUE
City St Zip SOUTHOLD NY 11971
Property Address 1 195 OAK AVENUE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 77.00 block 2 lot 10.000
Cross Street CEDAR DRIVE
Building Permit Number Cross Reference:
Issue Date: 5/17/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
••• oil OFFOUr ".% 02 7 Sit
ELIZABETH A. NEVILLE t���_a G* Town Hall, 53 5 Main Road
TOWN CLERK % o - % P.O. Box 1179
REGISTRAR,OF VITAL STATISTICS
% Southold, New York 11971
MARRIAGE OFFICER :"5 4'
�����, Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �,_�Ql ilit *a�,�� Telephone (631) 765-1800
FREEDOM OF INFORMATION, 'ICER �,r��� southoldtown.northfork.net
5 202 OFFICE OF THE TOWN CLERK
p0R TOWN OF SOUTHOLD
T -�`- Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: April 12, 2002
Transmitted herewith is a copy of application No. 2903 for a Cesspool/Septic Tank ALTERATION
Permit submitted by:
Albert Arias
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.
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE I/
DISAPPROVE
Comments: Maintain required setbacks from adjacent wells,buildings, property lines and water
Bodies. EXCAVATION INSPECTION REQUIRED. .
7,,tr.,,a,,k,,4
Signature
0 /70.1--6740`2..--
Dated
OFFICE OF THE TOWN CLERK .''' F�O�ti q 1,
TOWN OF SOUTHOLD 0; 0 �1 QQG Application No. r 3
ElT7ABETH A.NEVELT F,TOWN CLERK 0. �►
P.O.BOX 1179 : ; Construction
SOUTHOLD,NEW YORK 11971 0 rn
Alteration V
Telephone � �,j- �Q .i� $10.00 -Residential
(631) 765-1800 _ l � ►�' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE `--(/) D.--
APPLICANT NAME: p Le T 6Z iq c'
APPLICANT ADDRESS: ( c S o 1 v t
SEPTIC V CESSPOOL 2- ✓
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
Mc� ul ►vG Ntr � CESS e0 •6 L A2) I� l J6 !� IVir,/t�Q
C6S' SPZSoL 1
cEPTIC Y N
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 1RC2 _t- C'� I -A $
OWNER MAILING ADDRESS: k F
S L-D Li Y ti*
OWNER PROPERTY ADDRESS: 19 C 0 A k, �, J
TELEPHONE NUMBER OF CONTACT PERSON: G 3 6 S S �V
TAX MAP NO. : Section —7-1 Block 0 Lot / 0
CROSS STREET: Il D (Z
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY: 4"' \
Town Clerk's Office
DATE: �C�2h _
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SURVEY OF PROPERTY
AT SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y.
1000 - 77 - 02 - 10
SCALE: 1" = 20'
r JAN 28, 2002
NOTE°
LOT NUMBERS ARE REFERENCED TO
" MAP OF GOOSE BA Y ES TA TES "
FILED IN THE SUFFOLK COUNTY --�
CLARK'S OFFICE AS MAP NO. //76 (4 L E l t T, Y
• .
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OF NE
AREA = 9810 sq. ft - Ate w yo
CD �x0.4T. ME-i- 90
ANY TERAT OR ADDITION TO THIS SURVEY IS A VIOLATION <-ANY ,' "
OF 'CTION WV OF THE NEW YORK STATE EDUCATION LAW
EX TAS PER SET 7209 -SUBDIVISION 2. ALL. CERTIFICATIONS �'`a ��-I..� f
4' ME VA POR 17/S MAP AND COPIES THEREOF ONLY F l
SA M'AP OR C S WAR TIe ACRESSED SEAL OF 'THIE SURVEYOR
M� SISNATU APPEARS HEREON. Ad N •yo, '��C49 - `"
ADW 4.,Y TOC Y WITH SAID LAW THE TERM 'ALT BY" -ECONC S 17 YOBS, '�' '
MUST BE ' ; BY ANY AND ALL SURVEYORS UTA ct°Y (5/61 765 - 5020
OF Amor .tee SteVEYOR'S MAP. TERMS SUCH AS 1 -- : D AND P. 0. BOX 909
'BROUNI' TO DATE"ARE NOT VI COMPLIANCE WITH THE LAW. 1230 TRAVELER STREET
t SOUTHOLD? N.Y. 11971
l 411•1101M02 — 112