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HomeMy WebLinkAboutSidor 4 •0110tVFa4. 0 ELIZABETH A.NEVILLE �� �A Town Hall, 53095 Main Road TOWN CLERK ; I P.O. Box 1179 REGISTRAR OF VITAL STATISTICS � � Southold, New York 11971 MARRIAGE OFFICER �1 Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER `�® ��,i� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER � i'� OFFICE OF THE TOWN CLERK SOUTHOLD WASTENASUBEITEICSPEDSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2590 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : CAROLYN SIDOR Address 1 : 10845 SOUND AVENUE City St Zip MATTITUCK NY 11952 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 #R100225 Name Of Owner SIDOR, CATHERINE Mailing Address 1 3980 WICKHAM AVENUE City St Zip MATTITUCK NY 11952 Property Address 1 4470 WICKHAM AVENUE City St Zip MATTITUCK NY 11952 Tax Map No. section 107.00 block 10 lot 3.000 Cross Street MARYS ROAD Building Permit Number Cross Reference: Issue Date: 5/30/01 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) I I , \ a 5iz • , ,, ,_ ,,����®Q� ELIZABETH A.NEVILLE �i1,, , .... �`� ���� Town Hall, 53095 Main Road TOWN CLERK ` © % P.O. Box 1179 r� t Southold, New York 11971 REGISTRAR OF VITAL STATISTICS `` C ,;1,,,4- �.',ll \ Fax (631) 765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER �,_�®� ,ss'22., �� �1� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ----eases x,91 .,,, OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: May 18, 2001 Transmitted herewith is a copy of application No. 2678 for a Cesspool/Septic Tank Construction Permit submitted by: I 1 Carolyn Sidor \, 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 I Linda J. Cooper * * * * * * * * * * * * I I have reviewed the application and location map of the project cited above and make the following recommendations: \ APPROVE \ DISAPPROVE Comments: I \I I Signature • II Dated I I — OFFICE OF THE TOWN CLERK s"COULKC' TOR'NOFSOUTHOLD �Q Q -; Application No V7 Ri.WABETH A.NEVILLE,TOWN CLERK i O P.O.BOX 1179 Construction SOUTHOLD,NEW YORK 11971 0 cts Alteration Telephone ®,�� • 0�'�',"' - $10.00 —8 esedeeutea� (631) 765-1800 -_ Y ,�' �5- .00 -Non-Residential TOWN OF SOUTHOLD • SOUTHOLD WASTEWATER DISPOSAL rr >'RICT APPLICATION 'AY 18 2®®' for **a n Clerk . CONSTRUCTION or ALTERATION PEi" MIT SEPTIC TANK or CESSPOOL • Permit No. Fee .$ DATE /7 ,do 6 ( APPLICANT NAME: Catzkin Sl 6r APPLICANT ADDRESS: lOrcK SO01(14 Hct-!f i u a.. UY 1 I?Sa- SEPT I C CESSPOOL DESCRIPTION OF PROPOSED CQNSTRUCTION OR ALTERATION LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: C*Qnh(1, �lddr OWNER MAILING ADDRESS: 7T ' 3q8-e) LJ4cleita, OWNER PROPERTY ADDRESS: jne 1/g7J Cxlc,d14,- ., TELEPHONE NUMBER OF CONTACT PERSON: 29 -a Fie TAX MAP NO. : Section )01-7 Blo Lot 3 I . CROSS STREET: fl[\O ....L9çb 7 • • BUILDING PERMIT NUMBER CR S REFERENCE: ca A.s. L_ • Si ature of Applicant t . RECEIVED BY: 1 Town Clerk's Office DATE: / . SITE PLAN OF LOT #2 N-_' ,a • .,,,,. A5 SHOWN ON "MAP PREPARED FOR . Test Hole THE PROPOSED SALE OF DEVELOPMENT W E 8/23/00 EL. 21' RIGHTS WITH SET OFF 4 BOUNDARY • , \ BLOAM ROWN LINE ALTERATION" FOR GATHER NE 5I DOR 2 NOT F I LED AS OF MARCH 2001 S 0 aV,2 c<\ mac, c,2a�\� 51TUATE: MATTITUCK c:,,,a TOWN: 50UT>f-}OLD — ` � ,� �. {N, PALE `� ,G ' 0 0 BROwN -- \ FINE SUFFOLK COUNTY, Ni' - TO \X), �`�� • \\ , \� COARSE SITE PLAN PREPARED 03-08-OI 0 '\ VV SAND SUFFOLK COUNTY TAX # �,�p�`•• I \,,\h '\ PART OF IOOO-10-1-10-3 oc\'" ceN�gvv_e •. I111 " 9,'.\\`4\v,f i i ,\S� -/h Lel• �J1000 TER I N 6 \ Pim O e 1 .„,,,..‘0,\00Px\G `� p '' ‘R.,OW �9 �i KA TER , �`T',1�' / PALE BROM 1OUJ I \,^�� "�J O{� SOS UC FINE rl 4,‘ ` VVfj, 6 `, S-\\ Vim /QC�'�D \ / TO \O •1�_V 1•VL /I 1 e\\/\• `/{,) r•-\v c - ` COARSE I 0\' - ci- , , .1'' --,•, \ / �` cLO s' Co '/AVVV�� °S, --/-;\:\e--------_,.. �- �/ / \ t \l ,S e1�c6, a\a` / I , / 9�' ; - J �3 1/ SEPTIC DETAIL \\`� �� \ / FR^F^SEG V 0, ;/ not to sale GYtELLINS ��� \\ t 'rJ 'O / /. p-apo`yd { (1 • r - it �' (X`j `\ .,. \\ 'j �- / S'' '\a EL-IE e.clscing grade no 2 3- 1�' \bs , ` -- - , / / ,0\o 0\ min~I' ULv. min l UtV 1 t `,\ Y` ` ^ � / / • '. er 11.O 162 I✓oPt9al I6.1 v v • ,9� `\ „ . •�" ^ • / •//1 i2)Ieo hing task i4°pe' is 0^0,, • •\ \ ^\ C /0 V - bP I Jp 1/4"per f t 7. n' '%1-, �te 'O � \ Q Q +Jy ^v^�,9• emin v parat e n ground water ` J .a ,G(Noo XPi '` Cf $4 � .. ..,. T-,- _, .....�._ �'. , . r.. -�{r� \ -- P• - 6 1 o� �� .;SMEOTTOGONVENANTS&RESTRIOTIOT:LBER . - PSP \)) 0\.� Z ©LINTY DEPARTMENT OF HEALTH SERVICES Co n -'1-P\- „. C PERMIT FOR APPROVAL OF CONSTRUCTION FOR A olI ''`Q NEi j' SINGLE EAI LY ItESI3JEI�ICE ONLY #�°�� G• E t'��/�" O�� _-111';:p4;53% OOt o,sl'e�licensed 120g StU-O lons7 Of'the -_s REF NO. /J/O—d© ,,,_O ' Pr ' *111,(A �a NF r Turk Stats l of Ihtsn DATE 61668888!} T O� mJ , ' [ DATE _... .. .. . ....... . two`r! ti o�eaco has From tte Brig al of[t s ey t, y!�' *,1. .?-k wl ¢n p lomol of the land w.vv¢ 5 APPROVED ! * .S )V stamped seal 51.11 be corEaderea to to Naha e APPROVED.._ . _. ._.. .--. . ,_. L r , L rt lio ma sea f�[hdt 1 es- a 1 ' iii Sated mere-n s .r. d In:Cordon: i the ex- -I is[ Lode of romote e for La.S.rve adopted FOR MA)CIMUM OF /c .BEDROOMS R�� • r� �ir o��� ry h¢ 1¢w York Stale n ert rr mar.al Pr,fan .. NOTES: Land Srveydrs sd0 cerl�ficot.rs shall r n only �A�/ C �� to the pz an for whom the xr ey I5 prepared, � � �`_ O O� O H APPROVAL •'. o O• JO , •. 0f and.an hos behaul le to the Motutie cn I.=teI hr eon and • �, C_ * to1 agency dnd Ieramgntvt�on I�=tea.arson ad ■ MONUMENT E3(OA�IATION lNSPECTI®N'F�EQU6R�D ��o the,ore not t the a to odddlttn L¢rNtlon- 6 tide ore not trof t e lerzl la oddtutIon inS rtIFIt^.rn FOR SANITARY SYSTEM ••,."•.-- ��vv �p AREA = 42,OGq SF OR O.GII ACRESt JIB•'" E C C. 1- 3LE S LAND) SU" Y�0 BY HEALTH DEPARTMENT 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 GRAPHIC SCALE l"= 60' RIVERHEAD,N.Y. 11901 -MIS 369-8288 Fax 369-8287 REF.E:\PROS\01-99.PRO 3!)13!]001 9.IZOIMI EiWR0.199R+0 4