Loading...
HomeMy WebLinkAboutBerman u r ,,,iii, ELIZABETH A. NEVILLE �� 'u` ��: Town Hall, 53095 Main Road TOWN CLERK :, Y P.O. Box 1179 REGISTRAR OF VITAL STATISTICS t r ` �s �� Southold, New York 11971 MARRIAGE OFFICER � *� 'q , ` �t Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER ��i% Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER _ `L.r ' OFFICE OF THE TOWN CLERK SOUTHOLD 'REAISTRTI3ISIESSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2614 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : FAIRWEATHER BROWN Address 1 : PO BOX 521 City St Zip GREENPORT NY 11944 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 #R10-00-0081 Name Of Owner BERMAN, ALV I N & ELLEN Mailing Address 1 50 SUTTON PLACE SOUTH, 18C City St Zip NEW YORK NY 10022 Property Address 1 215 HILL CREST DRIVE NORTH City St Zip ORIENT NY 11957 Tax Map No. section 13.00 block 2 lot 8.016 Cross Street Building Permit Number Cross Reference: Issue Date: 7/24/01 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) V . ELIZABETH A.NEVILLE �t Town Hall, 53095 Main Road TOWN CLERK - P.O. Box 1179 se REGISTRAR OF VITAL STATISTICS v' Southold, New York 11971 MARRIAGE OFFICER : 4;6 �• ���, Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER "�p ��', Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: June 28, 2001 Transmitted herewith is a copy of application No. 2702 for a Cesspool/Septic Tank CONSTRUCTION/ALTERATION Permit submitted by: Alvin & Ellen Berman 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: Maintain required setbacks from adjacent wells,buildings,property lines and water Bodies. EXCAVATION INSPECTION REQUIRED. Si ature Dated �. ,, OFFICE OF THE TOWN CLERK ,t' TOWN OF SOUTHOLD �''��JtFOk+OG% Application NV Rt 17ABETH A.NEVILLE,TOWN CLERK P.O.BOX 1179 }� • Construction SOUTHOLD,NEW YORK 11971 Alteration Telephone O,f ,, $10.00 -Residential (631) 765-1800 � $25.00 -Non-Residential TOWN OF SOUTHOLD • SOUTHOLD WASTEWATER DISPOSAL DISTRICT • APPLICATION for CONSTRUCTION or ALTERATION PERMIT - SEPTIC TANK or CESSPOOL Permit No. Fee .$ DATE p/ APPLICANT NAME: nit4/'1 1EI/Pl' i1//ng-A APPLICANT ADDRESS: CA 4Z, go 4 (5 ( SEPTIC CESSPOOL 'vY DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION //PA) Gt'1&_) • LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: OWNER MAILING ADDRESS: .10 .E.di��i )f //et- .e� � , /86 Nyx7 /00= OWNER PROPERTY ADDRESS: 4/" j1/ &ea"- �� ir®ie-P-x/ vefer- TELEPHONE NUMBER OF CONTACT PERSON: ' 77-975 . TAX MAP NO. : Section 749412gq3Block o. Lot CROSS STREET: BUILDING PERMIT NUMBER CROSS REFERENCE: . SiNature of Applicant ikc;, ( EIVED RECEIVED BY: J(j 5I bis Office DATE: ,okevoeo gown derk Yy j - ' 41 . SURVEY OF LOT #14 Ji MAP OF HILL CREST ESTATES {s� ®� * N — SECT I ON ONE -fire ra,pguir, FILED AU&. 15, IaS3 a �W = "P, , t0F LTHsER AS MAP # 121S 1.S1 , , ; t" a c s SITUAsTE: ORIENT suer rtEF. AVON 1. �,� TO1NN: SOUTHOLD 10:4 ° , - - ' ' DA AY �' R � ©I; ,0 SUFFOLK COUNTY NY "81 S 0° '3° -, - ' - _ , -- - -, APPROVED N�. • ` o " r SURVEYED o3-20-00 ®V;�D - ip ' - - -, - - - , 2� ESR R/ OP !�'�' SUFFOLK COUNTY TAX # BEDROOMS 1000 - 13 - 2 - S.16 E YEARS FROM D - '_ - __ _ - _ , - , - _ -- An°FA'PROVAL _ - - GERTII=IED TO: ' _ _ _ g0 ALV N BERMAN -� ' ' ', - r '- - ' - ` '- ' ' '- ' ELLEIN BERMAN V.o - ` - - - ' COMMONWEALTH LAND TITLE Id`, _ -- ' '_ , - ' - ' - INSURANCE COMPANY -0%,..._ � - - - , Test Hole # I �5 from Filed Map -- - - - from _�_i- - / - -50 Top 5011 i i V 1 ;. J _, moi; , !, - _ _ _ - - - - , _ y - --- ' /}� \I.� Loa 1, 9�fh�7 • o^ � � !! <% ?p i �� CGS" r�z� C �.�� F� l. 6c�G59� �/ �� \ _ — /! \�`...- , Fine ��J sant BY i"�Ea°LT Da:PAR k ENT q �G+."�'0 `.o,� \� �' 4 ��� with Cf -- .5.5 “-•S, l/J / N�,S% Layers �� ,�/Lq� ,1 i 6, ��' / of O O� & Clay wi/ O '/ O 041.0) 44 7 oXIS Q =� rti cap= , '-t(, ' te,) VP I ,..-- \ ,,Igk, 5). =.) a) W --, t- cti U? S ..`4V1 `-:: it ^ 1 � � _.,„� _ .� - W n ��� e���rI II � 1�, o` NES- . �^ �� �� ���, �) 1 �V C• E/•/ / \ •Unauthorized icensed on dr addition tp a surrey /. O ,,,,._41, I" ; \\ , �� �, map oearinB a licensee lane surveyor 9 s 1 is a NOTES. � J \`N @ < ,��0� L�^ s��! violation of section720g. YorksStatevision 2. of Education Lawn. `- 1 Z)`/ r I --?..7 4 y `�� _TV• / - 'Only capias from the original of this 5u ey S ,` �/, ; e l f markeo with an original pf the lana surveyor's ti� Stamped seal snail he considered to he voile true 'S'// �6 �� �G� r j n. \. II ,a,flX 'Fp *'4 copies' MONUMENT h��h �� ' 4.). t \`\ I1� , 1 'Certifications indicated hereon signify that this G rr�-� ` �! t� 1 survey was prepared in accordance with the e O AG�4/ Oyr� •�, \ +�*� h..r 4, _ I��� • < _ �'��� Q$ fisting Cade Of Practice for Lane Surveys adoptee s PIPE ��'�`//,/G Y , e �_a� 'Y \ % V 1 ;�� Z��/�� �O Land Surveyorsby the New .rkSaidCe Association of certifications Shallerunlon'y O� y, \\/� N0,Vy �� (` '.� to the person farwhomthe survey is prepared. �` J dna on his behalf to the title company. governmen- tal agency and lending institution listed hereon, and /"' .�.•�O s; //- to the assignees of the lending institution Certitica- LAND tionsnot transferable to additional institutions 4 ���il.� ELEVATIONS SHOWN ARE TAKEN - �® C. EHLERS are SURVEYOR FROM COUNTY TOPO. MAPS '- -_ _--'" LAND 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 GRAPHIC SCALE I"= 60' RIVERHEAD,N.Y. 11901 369-8288 Fax 369-8287 REF.-TIGER\PROS\20-131