HomeMy WebLinkAboutGunther /,®�®SUFFO(,�0
ELIZABETH A.NEVILLE %��� �% Town Hall, 53095 Main Road
TOWN CLERK ; co a P.O. Box 1179
rftREGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER � 44, �1 Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �__ ®,( tot. Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER gip ��'
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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. 2537 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ATLANTIC CONTRACTING ASSOC.
Address 1 : 194 OLD STUMP ROAD
City St Zip BROOKHAVEN NY 11719
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 #R10-01-0051
Name Of Owner RICHARD & JUDY GUNTHER
Mailing Address 1 63 MAPLE STREET
City St Zip ISLIP NY 0000
Property Address 1 2100 YENNECOTT DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 55.00 block 4 lot 31 .000
Cross Street LAUREL AVENUE
Building Permit Number Cross Reference:
Issue Date: 3/27/01 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLETown'Hall, 53095 Main Road
TOWN CLERK ; p T— �= —" P.O. Box 1179
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REGISTRAR OF VITAL STATISTICS . � �-��--'�"�'��' " r- 1` Southold, New York 11971
MARRIAGE OFFICER - Fax (631) 765-6145
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RECORDS MANAGEMENT OFFICER =_ ® � Telephone (631) 765-1800
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FREEDOM OF INFORMATION OFFICER oil�i
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: March 16, 2001
Transmitted herewith is a copy of application No. 2625 for a Cesspool/Septic Tank
CONSTRUCTION/ALTERATION Permit submitted by:
Atlantic Contracting Associates for Richard &Judy Gunther
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.
Signator
-3// 6/D
Dated
4 •
OFFi E OF THE TOWN CLERK ,i' U[ `o
TOWN OF SOUTHOLD %`' Application Application No°
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 �, 41 Construction
SOUTHOLD,NEW YORK 11971o • T
tt3 Alteration
TelephoneO, �Qr i ' $10.00 -Residential c�
(63t) 765-1800 •‘%41.1
-'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
APPLICANT NAME: 1E-,-,1oTe Cru1 Z4c1jn.)c 4i'e5
APPLICANT ADDRESS: I 9 OLV Si-i v 7 (3) O'
1,004- uevu qa i e1-, 1"uei.0 jO4 117 l S
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
,,iI L, L aY iL(y IGeSI Je wC
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
• OWNER OF PROPERTY: (2, cIi i7 r VU17`° gow-aJe2
OWNER MAILING ADDRESS: ( -c /` ( t e l5-�Pee5
.1-SLI p /U LU o k
OWNER PROPERTY ADDRESS: wy,w2C.0 T �r21i)f t.ns'S aI0
? l
TELEPHONE NUMBER OF CONTACT PERSON: (31 - 286 - /e,c
TAX MAP NO. : Section /0o0 Block D$5. 60 Lot 03/.000 032.500
CROSS STREET: L?O►2eL e,
BUILDING
BUILDING PERMIT NUMBER CROSS REFERENCE:
•
Sig , - ure of Applicant
RECEIVED BY:
Tow�rk's Office
DATE: ,L3/Cc n(-
Survey for:
-- RECEIVED
SUFFOLK COUNTY y RICHARD GUNTHER &
��� � � 20 QIP �: 9 JUDY GUNTHER
1 a �'T � � �SR,J�C£ p/o Lot 42 & Lot 43
I`� , OFF CC ' AS1 AT fi�IGMT "Yennecott Park"
At
isfisi, \ W�Publ11410
ic`N°terl Southold
LDWe\\�n9 - y Town of
65 W
1 �_ 57556 p0 G
1 _ ,J/ Southold
'73
,N Public Water) _ ' --.1000/-
.10 MAIN/ E-.2g 9
(pwelling g C� Suffolk County, New York
_ _ _ _ _ - -1-,.. ..1011. p R s 7L S.C.T.M.: 1000-055.00-04.00-031.000 & 032.000
c C L., EOCE of PP MEN 6(0 ,4 230"`N
EN 6► i b „E. g v` s Z NOTES:
EL=22.6 '/k'1`L'30 9' G
X8..13 N N (D . � 1. AREA = 39,995 S.F.
1 5.00. -
M - 2. • = MONUMENT FOUND
UL 16 N83'42'00 E IST 3. SUBDIVISION MAP FILED IN THE OFFICE OF
-0 11 1 1 HO13,LE os° 42:: THE CLERK OF SUFFOLK COUNTY ON.� =
I.,;
1 1 0` ps iM O _ — - _..:: .,__ . . . r T. 09, 1968 AS FILE N0. 5187.
•-,,t--
in a II 0 1 1 ` 5 rrj SUFFOLK COUNTY DEPARTMEhI O; HEALTH SER?ICES
-"c I I o% JcP1 (FE\
my 1 J 'IA 1 IcP?.-1\�/ \_/ PERMIT ORAPPROVALO CONSTRUCTION FOR
rz- 1;' o I O` r,�. il--� f $IiNGLE F iM1LY' RFm5FU1~NCE ONLY
O 11 A l No �� ` 5 O
01 1 f. rnN
11 -, I ��o � 1— ) o � �t-- Q�� �
op 1 O DATE4,ACI. k(1-1.S )i 1 DATE: JAN, 26, 2001
0 111 I `�� NOVS6 - fl. r' `, SCALE: 1"=40'
f PROPO55) 115) --_g4.5'-'�— . APPROVED ED
D
m C�BFo,2�tl .�- a JOB NO:2001-016
r PROPOSED \o lF N FOR A i(�1tAfJ� OF BEDROOMS
0
>GARAGE a%
r+ I / oLEAR\No - EXPIRES THREE YEARS FROM DATE OFAPPROVAL CERTIFIED TO:
c szo' vM\j °F RICHARD GUNTHER & JUDY GUNTHER
Fi .p. --52.6' 1 -30.0
g
1 -
a
', 1
,...,„,tor.,.., ... . _.
0 .. _ ._. .._ . _ . __ .
PECTARY
z TEST HOLE DATA •
IRED-
BY HEALTH DEP42 ANT
z f JAN. 26, 2001
z J 1 r
m O 11 P/o Lot 42 io _ — EL=24.7 0.0
LOAM --\
DC.).
m Lot 43 ' 22`9.22' 4.0
4. DAVID H. FOX N.Y.S.L.S. #50234
- - -- S83'42'001'W FOX LAND SURVEYING
• PO BOX 224
nOW or formerly ,Malley SPEONK, N.Y. 11972
Patricia BROWN (631) 325-2902
O'Malley & COURSEA
SAND
FrancisUNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY
Cant) IS A VIOLATION OFSECTION 7209 OF THE NEW YORK STATE
(VOC0110 EDUCATION LAW COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL
SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY
CERTIFICATION INDICATED HEREON SHALL RUN ONLY TO THE
PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS
BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY
17.0 AND LENDING INST TUTION LISTED HEREON , AND TO THE
ASSIGNEES OF THE LENDING INSTITUTION CERTIFICATIONS
ARE NOT TRANSFERABLE TO ADDI TONAL INSTITUTIONS
OR SUBSEOUENT OWNERS
DWG: 2001-016