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HomeMy WebLinkAboutGusmar Realty * } I�ei fFOL, •;. f 4 ELIZABETH A. NEVILLE G* � Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS �+' i Southold, New York 11971 MARRIAGE OFFICER ��i ���� Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER ; Q! ����.� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER _ i•'� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2828 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : DONNA GERAGHTY Address 1 : 22855 SOUNDVIEW AVENUE City St Zip SOUTHOLD NY 11971 Descripton of Proposed Construction or Alteration SANITARY SYSTEM FOR SINGLE FAMILY DWELLING. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. REF #R10-02-0096 Name Of Owner GUSMAR REALTY Mailing Address 1 1315 37TH AVENUE City St Zip LONG ISLAND CITY NY 11101 Property Address 1 City St Zip GREENPORT NY 11944 Tax Map No. section 35.00 block 8 lot 5.004 Cross Street Building Permit Number Cross Reference: Issue Date: 6/21/02 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) W.\ ifi OFF0 c49 ELIZABETH A. NEVILLE ti h y Town Hall, 53095 Main Road TOWN CLERK % O % P.O. Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS Oy � ,,�� Fax (631) 765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER ' Wel 4010 Telephone Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD ) n (1 7' r, TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: May 31, 2002 Transmitted herewith is a copy of application No. 2930 for a Cesspool/Septic Tank Construction Permit submitted by: Donna Geraghty 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. Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: -s�►►.%. ��'611 ,AgrSignature Dated AF OFFICE OF THE TOWN CLERK ���oour � TOWN OF SOUTHOLD ;%'O 'c Application No. 9,9- ELIZABETH A.NEVILLE,TOWN CLERK �� P.O.BOX 1179 : !� Construction SOUTHOLD,NEW YORK 11971 Z c:a r71 Alterations ifs Telephone _*�,� Qom ' $10.00 - Residential (516) 65-1801 _'1 46 �,." $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 ( APPLICANT NAME: - DW.)%i..:1k C r\' APPLICANT ADDRESS: 2z c:3 3Ci1 Ci( E.-L(3 Gq C1� k© ( r1J qs ( (sc ( SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION ( Pim( LQ LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: 62,_ (_, 3` 14 !2_ (2C4 L 7` 'l OWNER MAILING ADDRESS: 2j C F'7 ..f11 OWNER PROPERTY ADDRESS: TELEPHONE NUMBER OF CONTACT PERSON: `-'( - l - f 4 76 TAX MAP NO. : Section ?D J Block Lot P G . `( CROSS STREET: BUILDING PERMIT NUMBER CROSS REFERENCE: L±Se- Signature of Applic( RECEIVED BY: VelkA Town Clerk's Office DATE: SI��10v W 631-727-2303 l : i1 N .I Alden W. Young, P.E. & L.S. (1908-1994) FW<�'"� Howard W. Young, Land Surveyor xn Thomas C. Wo/pert, Professional Engineer xlv� Robert C. Tast, Architect `_` i \... e \ ,...„ .. w ._ ...- \ 1/1/ E _ - ZF.' \ €iZj foil 42a ,\ .�1g HEALTH DEPARTMENT USE O=W= SUrr0L.iC COJ4it�'t.X'PARr I ^ r �£ `3iczs :N� �)WPf:ZZ2J .6° PERMIT FOR APP OVAL Or COt�TRUC r iC i�OR A >8R8 SINGLE FAMILY REVD-UM ONLY 'V€` 66 Foo now or formerly g:`= •' New York State Public Works AAsE5 k16)-1?.S -EF ' ^oa _4)499J =I< oy APPROVE.) <T ;1yy� FOR �9AXIMUM OF 9SEDRO -`z: • 1'ti Fl= Lot 11 CXt E THS . Ff L tti, y ` y. . tA No5.0( ��.b�rn 13.36 PR r( • 0, 05.04. 5 0� s '�E.N' 'g 92 osE0 ,'OCO nv Gpstlk— 0. �1 e NOTE PR� s4 eE�pO'"� giA Q AREA = 30,000 SQ. FT. 9.55 t o �3 �� .� • SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF o I. N" ��f\� • 48s�. ^Ory \ SUFFOLK COUNTY. J .- A\'•, O�RLooJ� \‘ • VERTICAL DATUM = N.G.V. DATUM (M.S.L. 1929) q;15 1 tn�� z . n\N y0 4. / tgo So 10.33; A\ra CO ` m'<� .40 `, ry� SURVEYOR'S CERTIFICATION ' E 1_7188. . !` \ • WE HEREBY CERTIFY TO GUSMAR REALTY & a0. , 0 , v. 0 4) �\ MASPETH FEDERAL SAVINGS AND LOAN WTo ,,, -6+ ASSOCIATION THAT THIS SURVEY WAS PREPARED IN -W • �O' S.~ i' 0 \ ACCORDANCE WITH THE CODE OF PRACTICE FOR LAND SURVEYS e� �� ADOPTED BY THE NEW YORK STATE ASSOCIATION 0 i �/�/ PROFESSIONAL LAND SURVEYORS. Lot 10 W. r0 O °° i x 15.0 - - 0 *11, A * Q 1 — r = rr j ' o Subdivision \ tl I �o� (.�: 1i0V2WL0 - iki %, „ e„ d;It m \` r� Summit Estates, Section 1 HOWARD W. YOUNG, N.Y.S. L.S. NO. 4589 ���� Y Suffolk County File No. 9426 �i ¢58934 o. \�`� ZAPFDS��J