Loading...
HomeMy WebLinkAboutGendot (2) • -: ELIZABETH A.NEVILLE ��� Town Hall, 53095 Main Road TOWN CLERKossa a P.O. Box 1179 REGISTRAR.OF VITAL STATISTICSN +�� Southold, New York 11971 MARRIAGE OFFICER Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER -�® ��i��, Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER Bis 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. 2968 R Residential X Non-Residential Fee $ 10.00 septic x Cesspool PERMIT ISSUED TO: Name : GENDOT HOMES Address 1: PO BOX 534 City St Zip WADING RIVER NY 11792 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 #R10-02-0070 Name of Owner GENDOT HOMES INC Mailing Address 1 PO BOX 534 City St Zip WADING RIVER NY 11792 Property Address 1 875 LIGHTHOUSE ROAD City St Zip SOUTHOLD NY 11971 Tax Map No. section 54.00 block 3 lot 26.008 Cross Street OLD NORTH ROAD Building Permit Number cross Reference: Issue Date: 12/26/02 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) • «. _.y •11:,0004 --4. %1S. ELIZABETH A.NEVILLEtti,x# 0�; Town Hall, 53095 Main Road TOWN CLERK % ® - % P.O. Box 1179 REGISTRAR OF VITAL STATISTICS 1` uso rya',� Southold, New York 11971 MARRIAGE OFFICER �s Fax Fax(631) 765-6145 RECORDS MANAGEMENT OFFICERx__19/ iii ia®ii. Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER --.-4. southoldtown.northfork.net southoldtown.northfork.net ----, an "e. 1 ,1. •- "" {!' OFFICE OF THE TOWN CLERK ,. U�6 1 6 ��p` '_ , TOWN OF SOUTHOLD . ' TO'r' r�_I�' 'Southofd wn Building Department o,., ,, p ...�.-� Y mWu.� FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: December 16, 2002;: Transmitted herewith is a copy of application No. 3092 for a Cesspool/Septic Tank Construction Permit submitted by: Gendot Homes. 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: _ /V-._...l n -%,.%g ."--- - _ ` G " Signature / /c/-/-7 Dated G. OFFICE OF THE TOWN CLERK /�`ttF TOWN OF SOUTHOLD ,•'•O uC{ Ll1 QG=• Application No. ?V) Fi f7ABETH A NEVflJ F,TOWN CLERK I• P.O.BOX 1179 .G � Construction SOUTHOLD,NEW YORK 11971 T �. i4 yc : Alteration Telephone �Q ��• • $10.00 - Residential (631-) 765-1800 Ol 1; • �,,•• $25.00 - Non-Residential TOWN OF SOUTHOLD • SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee •$ DATE /2//3/ APPLICANT NAME: 6e-/--k-,-/i74. / ' -5APPLICANT ADDRESS: ).4 )Q ��g 1 ��%�4ie0/-„ ',V // 7'5 2 SEPTIC f< CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION CS'// lwl//9 LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: P ,1KIIC #0/1/ s OWNER MAILING ADDRESS: 0 d cc�� /7/1),,i /(iV //-7472- OWNER PROPERTY ADDRESS•.�5L/ 4ADJSe. 10 / G TELEPHONE NUMBER OF CONTACT PERSON: 455-Q24"-4'/b7 TAX MAP NO. : Section 54- Block ai Lot z.6., CROSS STREET: Old Vcf2? Rd BUILDING PERMIT NUMBER CROSS REFERENCE: ^ ,� • Signatu o Applicant RECEIVED BY : ca�iW\ Town Clerk's Office DATE: F' rr _ .—�.._.—S -.a+-----_-_- '•j—'• 'hk.,!.,..-.(.°•4„:,;4:-..,-...,,,--;f-sr v{te - .�i = -t- <Y - _ t ' , r�,,,, < ' - _ - "REV 41902,r$ . ,-, : JOB-Nip. -15 ,r ; -TIE c 7456 . TAXE D. No.' t000-54-03r26.8- '- 'Y -t =i' V` ` r;,,-_ _ ( TAX LOT 1000-50-05-9.1 TAX LOT 1000-51-02-2.5``.;,y VACANT OCC RES APPROX 70'TO WELL -, EDGE OF PVMT , 58.5 *LIGHTHOUSE ROAD 55.6 ' [ 49.5' ] ,44I - _ S 41°18' E 70.00' ' ,` E V • 58.0 - 4 55.8 '_ ,E . TIE 745.66' _ ,r •o EX LP + A { .,,y,---.4-- O 8D' Q M1 LOT 1 SEPTIC LOT 3 0 VACANT I VACANT 13 , - 900 y ,,,� 4o, 8 FF 58 0 40' ;f1 o GAR 56.5 (.).q I ' V t • } PROPOSED 'r, > I SINGLE FAMILY1. DWELLING 6 • O lf) MI . , .:: Vi, -. , , \\1111116' „ '' • '3-1,54',T., , ' . ,: __ , ,.., -::7 •, ....:,,, PROP 1 . , 51 0 WELL 0 - , P ; €3y''ro1. . O�`ITYr3 AR�TOFHEALTH VICES e" N 41°18'20"W 170,00' y�,�.a� q � q o�yFy g �I�.� T F,4", : - - [NO SEPTIC WITHIN 150'OF PROP WELL] ; / j�? 7N w h f n Y71:1,:irNIZTKIczToJCIINLy014 aa ///7 - -` f ' ��FS,'I 7 2-Z/e HSP P . ;ki°* /LTJ ' • LOT 4 { _ "y. OCC RES WELL ' D ." . t? OVE -__ � . , FOR mArmum OF BEDROOMS { ,;,' } EXPIRES E YEARS FROM DATE OF APPROVAL # :. - ELEVATIONS-IN S C.DEPT OF PULIC WORKS • _ ;:`j•;� HIGHWAY DIV.EAST END TOPO MAPS FILE MAP"NO, 10656 8/0112001 - " t i Unauthonzed.alteration or addition to this document is a violation of Section 7209 l 1 • of the New york State Education Law, i SURVEY OF: LOT 2- - - , - Certifications indicated hereon shall run only to the person for whom it is prepared- ' and on his behalf to the Tkle Compaoy,Govetrirnental Agency and'Lending I ©R SUBBIVISION' FOR,' Institutions listed hereon,and to the assignees bfthe Lending Institution or • `.. { subsequent owners LIGHTHOUSE ROAD X26- `„I Copies of this document not bearing the professional`s inked seal or embossed ' ' ` • l seal shalt not be considered eyelid true-04)y: i G� r� 1 t pry,r ��t n .?,;, :Ti' - The offsets ordimensions]sh tri ereofrom structures the SOUTHOLD TOWN,OF BOUT H v - ®F NEW [ ok h property lines are , ,a f54, , - ' .ct, �'0 for a speOlfrc pprpose and use and'therefore are not untended to guide the erection of �+� t V �+ r t 1-t v w���n �1© ' i,^ • °�Q► �` fences,retaining walls,pools,.patios,planting areas,addition to buildings,or any other SUFFOLKCOUNTY-;OUN I i',"IV if S_I�' l_R s ?•'° y I construction ,. - = l DESTItd G.GRAF The existence of right of ways and/or easements of record,if any,not shown are I SURVEY DATE: 0'119/02' - .SCALE ..i." 60' C:i nal guaranteed_ s - ;r ' r • a z;. `' 'r ® CERTIFIED ONLY TO: \ 4, . . • - D-ESTIN . GRAF-`,, .. ” y T '� ENDt)T HOMES G , " 'LAND,SURVEYOR „,-.4 --'; •'.-:=3:--• SS ., �.,%.‘316 — 73 Wood]dwrti'Road ,. :� _-- _ •- ___-_ - ... _._._ ._. ...._._- _ .- _-- _-- I Rocky Point`New Yolk,11778, - 631-821-3442 !' `s ' By;DESTIN G. GRAF N.Y.S. LIC NO.50067 i - , , ' JB esh .. , . „ - - - . -i• _ e , ,. q,C. r ^ » .• . , _ . ,,. _., - -',:S,-.4.^-..t4.'r`..-Si.:;l',ii.,2,«S