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HomeMy WebLinkAboutGlasser - ,,,,,,, : ,,�,,o�osesFFat,�t*; ELIZABETH A.NEVILLE r je OG'yd Town Hall, 53095 Main Road TOWN CLERK o P.O. Box 1179 REGISTRAR OF VITAL STATISTICS � Southold, New York 11971 � Fax(631) 765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER = "I l Q1� i� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ,�' 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. 2969 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED T0: Name : FREDERICK GLASSER Address 1: 220 OAK AVENUE City St Zip SOUTHOLD NY 11971 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 #R10-01-0257 Name Of Owner GLASSER, FREDERICK Mailing Address 1 220 OAK AVENUE City St Zip SOUTHOLD NY 11971 Property Address 1 3120 CHESTNUT ROAD City St Zip SOUTHOLD NY 11971 Tax Map No. section 59.00 block 3 lot 16.004 Cross Street HICKORY ROAD Building Permit Number Cross Reference: Issue Date: 12/26/02 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ry i ,,,,,,,,,,,,,, i , , - .@ (1 1 ELIZABE A. NEVILLE ` • it�_�® OGt� Town Hall, 53095 Main Road TO CLERK ` y P.O. Box 1179 REGISTRAR OF VITAL STATISTICS V b Southold, New York 11971 MARRIAGE OFFICER . ,L Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER �y_19 �a�0 Telephone (631) 765-1800 FREEDOM OF INFORMATION-OFFICER- ilig--"---..0'.��� southoldtown.northfork.net fel �- (' ;; ��� 2002. 002 , ,OFFICE OF THE TOWN CLERK !!�.;f 1 TOWN OF SOUTHOLD „In, TO: T°1'-'S�oilthol'dj Town B 1 ding Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: Transmitted herewith is a copy of application No. 3093 for a Cesspool/Septic Tank Construction Permit submitted by: Frederick E. Glasser 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: A! 1/�i, / .may " � : ,7,—" f -77,4„,-/ez,,e, ,g4 Signature /2.--/A#7/,Z. Dated J v r •,........, OFFICE OF THE TOWN CLERK ,�.' I.`FU�K''," TOWN OF SOUTHOLD ��s�05 CDG Application No. 3 v �'i .5 ELIZABETH A.OF S LE,TOWN CLERK ' �, P.O.BOX 1179 ;� Construction SOUTHOLD,NEW YORK 11971c . : Alteration ,77 • $10.00 -Residential Telephone �.N9,/ y0 %P, '' / (631-) 765-1800 = 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 /(/ � /,— APPLICANT NAME: fig,0%/Q/ K .t ; ;f5'‘' APPLICANT ADDRESS: 9- ® 9 ' Sou"Tlft4i) /V)/ /0 /// SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION ,d0-(rs-e-(_ i-cr,-- CL---Q--e-ex-- LOCATION MAP: Must be attached hereto b-fore permit may be issued. G2tr: LOCATION OF PROPOSED CONSTRUCTIO'• '��j -/T • dW -�\ • OWNER OF PROPERTY• !I�t/ t�, 11 .-- ;/ - ‘1-14.1"."1111 ° / D OWNER MAILING ADDRESS: Me/ © f ' r o -_ u _- ice / . �' OWNER PROPERTY ADDRESS: 57.'0 Iva7 / 5au77 /L /`71 / TELEPHONE NUMBER OF CONTACT PERSON: 7 Co' ) - 3 'l" TAX MAP NO. : Section :/-‘4/ Block Lot /4' • ALc--)A-‘ CROSS STREET: BUILDING PERMIT NUMBER CROSS REFE0 CE: '1V, '1. - ' , ,- Signature of Applicant RECEIVED BY: z T w Clerk's Office DATE: /� /Cr ( v `-- AA^OA � � y1t • 1 1, i 5 ''c +'� SURVEY OF r= 41- ,' o t sA?.,v , LOT 3 h '��'so- MINOR SUBDIVISION PREPARED FOR 'r'°s RHR REALTY CO. 1,,, .� yy S FILE Mo. 8811 FILED SEPTEMBER 13. 1989 �`� .9',3. '�� SITUATED AT �� 4. 1'a``s LAURA 'e s, a�, moo, SOUTHOLD TOWN OF SOUTHOLD A`Z'; •',` �p�rD rmu Ar? .N ' 'y- SUFFOLK COUNTY, NEW YORK 0 yV., ~y, \ S.C. TAX No. 1000-59-03-16.4 y,y03 X44)\ • onSCALE 1"=100' yo� 4 , OCTOBER 22, 2001 - 2 �0. x FEBRUARY FEBRUARY26. 0021R�VISOED AS 2 PEER PROPOSED ETTTER®DA D 02/24/02 I• O�QA. -us d'• ' / AREA = 132,187.41 sq. it. REQUIRED1. , / \ .>ti.E `�vj 3.035 ac. YATlOP9 9TYMI°N j� • . FOR � �°� BY HEALS"DEPARTA9EPCC 11. ; CERTIFIED TO: 0,(PO'Qq J/�O J3�lit ,• \ ,�� f'4. FREDERICK E. GLASSER 1 �N� " ''' t s�41� by b �\ 1.ELEVATING ARE REFERENCED TO AN ASSUMED DATUM >!, 111 • EISTRI ELEVATORS ARE SHOWN TIM_IO.O b� ..s.r \ 2.REFER TO HIED WAP FOR TES,HOU DATA- 't:-3Z„:4-11111011� 3.YWWUM SFP11C TIN(CAPACIIES FOR A 1 TO 4 BEDROOM HOUSE G 1.000 GALLONS. 1 TANK;IF LONI.1'-3-NIDE.M-7.DIED '-',.$'-' 141'' -a 4.IMAM LEAG/I SYSTEM FORA 1 TO 4 BEDROOM HOUSES 300 40 R SIEWALL AREA 1'•F001.;12'D .8'dka ..4.1.0 ^Lrm ..."_; ••a N PROPENED EIPA SIO POOL + .'� O PROPOSED MO•O POOL 1T O PROPOSED 9711CRN( C TA °- • TI A - k 5. E LOCATION OF NELSA S ANI Cil O0Iy WN HEREON ARE FROM nos r@�' �Aps Ot oNSERVATIHS IO/OR DATA OB,Ar1ED TROY 01NER5. V, 6.CON C.MON.MUM • 4 SET CAPPED RE-GAR:• <o A 42° sTANNnM•sNaR' �MIYM ?*O 60.0 bgl) -i' r j•;_A� s. 4 5 / Qv$,A.Uye7 '•y - - OLK COUNTY EPARTMENT OF HEALTH SERVICES a 4, r Ea� cc. ' p' r . FOR APPROVAL OF CONSTRUCTION FORA i p i } s , LE FAMILY RESIDENCE ONLY 4 (�,r l P A i�Y� • N Y. ut..No.49888 a`+s'c DATE ;N0. - ! ro suRw.Y EDN VIINALOF J. ,.. APPROVED /• 'i, 1� ;�A mph SECTION y>f,��+F ac STATE Jos ph A. Ingegno no 00. 111 OP* .H Y .....w,.n ti Yn�Y�MP oe �Y�' �:Ao FOR MAXIMUM OF BEDROOMS TDn° WEVAL N TRUE`cgv rr452 C0�"•D Land Surveyor • 0 'oa��J[PIRES THREE YEARS FROM DATE OF APPROVAL qE PES r6R ` nEr "1i• umasctornimot •. 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