HomeMy WebLinkAboutKerbs (2) ELIZABETH A. NEVILLE e 4 Town Hall, 53095 Main Road
TOWN CLERK ® P.O. Box 1179
REGISTRAR OF VITAL STATISTICS � Southold, New York 11971
MARRIAGE OFFICER �. 1�, Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �_ ' ,ss22, ��i�� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER `zs' •1 �
OFFICE OF THE TOWN CLERK
SOUTHOLD T( T19IL SAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2581 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : JON KERBS
Address 1 : 440 RILEY 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 #R10-99-0062
Name Of Owner KERBS, JON
Mailing Address 1 440 RILEY AVENUE
City St Zip MATTITUCK NY 11952
Property Address 1 425 RENE DRIVE
City St Zip SOUTHOLD NY 11952
Tax Map No. section 54.00 block 6 lot 4.001
Cross Street SOUNDVIEW AVENUE
Building Permit Number Cross Reference:
Issue Date: 5/17/01 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
ELIZABETH A.NEVILLE �O , � ? - 8 2001 Town Hall, 53095 Main Road
TOWN CLERK ; c ) ; ` P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ,
� Southold, New York 11971
MARRIAGE OFFICER `.® !�!``4°' 3 f i. ` `'f n= J' (631) 765-6145
RECORDS MANAGEMENT OFFICER ���®I ,,..rr��,, ale Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER `zs' �/'.
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 4, 2001
Transmitted herewith is a copy of application No. 2669 for a Cesspool/Septic Tank
CONSTRUCTION/ALTERATION Permit submitted by:
John Kerbs
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.
Signature
et. ) a 1
Dated
r'P
$ OFFICE OF THE TOWN CLERK e,,+'���f 0�re l
TOWN OF SOUTHOLD ��� o ®Gy-; Application No. 2 Z..0 �
FT J7ABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 % _� ; Construction
SOUTHOLD,NEW YORK 11971 : = Z Z
0-3 Alteration
0 �.. ' $10.00 - Residential L./.'"Telephone - .f' 0o/10
(63a-) 765-1800 - - , $25.00 -Non-Residential
-- -,,,,,,00
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE S/� 6
APPLICANT NAME:
vA ,� \, , �bS
APPLICANT ADDRESS: 4/96 Wit,,,
4
/ii 4 g, .4, .L . ' ivy- -/.9( s---7_
SEPTICX CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTS TIO
Ge--- A-cc_. S a_
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTIONRIALTERATION:
OWNER OF PROPERTY: PilA.5
OWNER MAILING ADDRESS: 4-1-(t-D k \Uc� Ave.,
OWNER PROPERTY ADDRESS: 40-S.- PewEa DV ,
C6uvleV
TELEPHONE NUMBER OF CONTACT PERSON:
S YC,�
TAX MAP NO. : Section Block Lot
nn //��
CROSS STREET: cLUL,S-uteu' ANI- -
BUILDING PERMIT NUMBER CROSS REFERENCE:
411rAl -- %,
O. .
egnature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE: •
{
0.
op ..i,
i/ Y� !o
?f"'_____ C ,729 ititt S.* r Y N
L,„ a
...
o
2t .? ip.,...1* '•
:••••••; .0 4"
'• *4"
1/4/� i OLT Oe • � 1F7
e • • • C
SEC SEC M ,, - e ` •.+
s •• ! S 4111.1111!0.
O'b • ',. e L 4 b F~Ao
d P � `cy` F y. =�i° �Vc'I' :°+kid b + `'�• •• qr
vQ r 9 • @O,, •�' ik
or
•
•
-`i \ r` .,19: f, ' wy I .°i• ��`r +.• �i do a ti. '6�`\ B ., Z/15::
• 1 • „ _ tot rNa &44,O �, 'Ie ;<NXNNN4N+ai3 e vI •,, �•t%I .
44,
it, 440
‘, - 41kt 4%; ''' i• 4 s...- •• . .
d0• '
�( 'tai ( '4• ffDYc)
• P • I 'X\
'.' a• 4401411k: 41:7: f
4.4
"'x
F 4. e 0`tea•.a I y/C ��I ` a t.
* •
4.
All ..4.4. 4 ' • ''�: 4441 Ar .r. I,Id mob. ♦ .4p 'Vt.:,♦ v ;
O ,Ett,
- a tf... .
.. / sa ..,,4,
•
s
•
lif
, , 'o
o• ,,,
`, Q-- / 4 , , hFOR PAAC[i. NO
^;R 311.190 _ ,% O f/� p A ( p d: h . 2 Dp' sec s[L to oft-as-eel t• 41014/
o
' 410p 4., •
�`tt"
9 _
1 \p _ ll M[
'� 4. /\ 0 •4'i ..... •R••■ 0/•1••11a. ALL •atana
/aO 4, AN/ ■.11.�R m rwc0•rs Mn•1n-
, 4.j. sc•00. t w0 .0111
d' w.__._2L.=____:
•• 4rwfc 1 wt i•vara.a�Of -
fActiAseR at P+-a r s Legend - P•OPCIaly Tan •110.011' •C
J
.�1„f 0•....•C O•r ' l� swaw..L... _—
` "' 2''�"t' .,, tea..... _ �.s--�R'�'^.owW *. ��..^ ar, [W
:f g� 3-, 9t i4i- •!fi^, __ e `.v-f +.. - �. r� bP. • �(��
*, .� rte. _ :� 'ei".,- f <t. k lc 'r. .,- - . -1Iis,-,:. ,111.,`4,. .'1_*,, _ • ,,., ,,,.... -.r� ?" ..I . __ #'A�i/ �Is�l�
/ ..,�. ..�' �•'. : �M_r.. ... t• .
-s • .. =
. Ula 1 U G LUUU =: ' ' % --
a -r. -----h-T... . ",: ----4- ,-----"7-,----- -;-2,2,-.....'-r'--Tit&APIt'Vtt.,
{ ; l. 1::,,r1.:-.' . . , •4-'•. ... ... :. •. 7_...rTTiN iir..•l A
~� 1L
//� _ __1 •...._ .A.,xd:.d.. �grS�1.11 _ .moi Cie •
4'of NEW } ;,1�' _� 30 �i ,M 1� �,�=�s L
•S� O -
. �F�scr7 9 F,- mot �y, �L,U,r 11.--',Vi.i"��,• 4%161),...
�0 LAIy� -
tk:
P' _
�� fitEv �` 1 '�' hi_r9,:Caiii !C,C' i:`:LiLrl7irY5 V �� ��Q �.[.
.4..11.4q.,. 2 EXPIRES'.%:i =.l; t YEARS T.4 :,t aa r.,iii`APPROVAL 2- , . �L` 15'.
NO "ti
ft vGI- 0525 See ec�JTIvNS ` '
OFESSIO„ir�� �yR ; •
,/..
--__••- � � C NES .yo,r/� �.vO6� CavpT•J . Y;:,.�J
laNN, I ' .Ne
• ' .w Eeae7G �E.t/A/Y • ,,,,,, ,,t ,j-4::";,:>i. 'i-: 7,,..r.:!,,:-.- : - ... .. M
OF,�n� �, 42"z " I,/, ' a 9 0,F It
ze.
kj
vIC�L /�1 0 ?C•
N - ,7.�oEv
P
�S3of.//3a • V
G�i >• 'l (E1 y'u/4 o/A/ 2 z //d/Z.�/5o�11. f UyZ, qB -�zo� E1,117yl
`V — —?-----r--‘°'
� f—o, /STC. 7.z � P�ar� 9 ' 1 �
OC 6,-,6-, .-_ E00JW •I toff-- 2lei /
85.E• `
v
"� ' � 01Z; '1 , 7 ry:��o� r
^
�1 , V , 1 .04,10,0' o�1iiih. 12��p -g � -
s. k ,j/
t,‘
�•� '
{�- zoo,oo• 'i. o t/z2�' t ti ,o - oma ,sa- e �3 s/ ZDQl� � 2� -�"k/ �/O� G ( E' � or✓� • Lel „sir
056VoT"r � • 1� % (Eo�For- S�.vVD/NG T /D7 *x,76 ��N
(...,
Q ........_
��D NE X91.76 . .4/24)3/' 4' .3
Ne- 30 .,6 7 ,�g / __, / /
/
v$6 __�c' /
71: - "/c
,.c �''� ��GE �, ,' Tz�T/f/otE#z l'rE"7T h/oGEIZ
l - '�,v;� �LL �/07 _ JP �� r.�, . - o x•« 2 ,,(o ►:r Ez..416•9
aeorwAi
`�t 7, >Pb� 0 C yJrC•gc/TJ d ? CcAPY ,Leseive a,"zik,
✓�/,QVEYFIa,t ✓aN .E�EQ8,5 ` / / h/ E� l.ecyy,✓<<,oysy�'vuo 5e
cz /,s/l qyc /2./
Wolive/•✓. isw W7s'./o SG
467. 3;/Yl/�✓4Q.0dP�O/Y/S/Gec/dF/NO/AN/�ao0¢ , . - /5, •
ZdG97/cw•_5d!/T;Y04. , 5U, -3e..C�aUN�/4Y f, - .-- - --..-
2/4 W97e.c 'v Aim wr/Ce,vYEy
6.0,c
a,o.vn.ro4,s.8v�'GC.oy Sc 1 CL
).9iC.Q ,Po vo rx T BE IJic°G"c)i--o.7 D�cyry �3
2)O/7Z0-"N/". ,( 4S0.4wo Z_43.1i7A/v"siteASkie•pA-cuT),i- /76.- y/ Adrors'.s/F 39'
TAttAe/OGd-S4/-at',-y./ r 3J /Ny: vf� Ti /a.,-.~il Y0-Y>TE�� 4 4e II « �? ro,Hiu4s>a vo
- 44/7.6440V),W• Z..EJ'S/i�NOo4'ci1.r/ .SCALE• /6 rid, .�Vl .t'✓, !+),•e.- rt',# -/.3Jr Tf +PiXps.7.tetev/�'-v�e:Fee� S/6 We7ere /n•eeiVy vice
• L.swp emer --) O.g74. ' 4e)'/4/999 /'cad:cY,afIglo...c-xcc'1WAs'�.-Yom+•,s,r4,7E• A-ic ry y/E,tt/NA:4re afIrrew,v T.yEo�dn, 4.i%c,C, f'
/Q. � £Er,4Eb Ao,Q.cs/ , I �P FirfToa�o, /�a•vo
`'bu�7yex04,4} /i ./e.44,‘,46._
‘�/r. -.re- ..6=-- P� w�r�,,,✓cDYD,E.e, /VG/..11(44140 ��eieer� y3
/ Fyr/c C014/vaac 1"..ZG .r/�Das/i�.-o Gro iEi�ce-
//97/ Coei97�cOM/leeWeCo 14977 27, = 6T�"o.vc w� CoGvrEo�ti�v /�'�� 3/S/9f
/ Lo4,70d E.y F,e4/10 C,72:x.e_12 0,c,Rm,y/c til vvi £CEYf97/4/ _4NOj+'N <o 4I F/ELOSTA
-NT.