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HomeMy WebLinkAboutJester OFFOUr dO CO, ELIZABETH A.NEVILLE �� '� Town Hall, 53095 Main Road TOWN CLERK ® - P.O.Box 1179 REGISTRAR OF VITAL STATISTICS +,i Southold, New York 11971 MARRIAGE OFFICER �i Fax Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER � ®� �� ��� Fax (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. 2977 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : ROBERT JESTER Address 1: PO BOX 1133 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 #R10-02-0152 Name of Owner JESTER, ROBERT Mailing Address 1 PO BOX 1133 City St Zip MATTITUCK NY 11952 Property Address 1 1200 WELLS AVENUE City St Zip SOUTHOLD NY 11971 Tax Map No. section 63.00 block 7 lot 10.000 Cross Street HARPER ROAD Building Permit Number cross Reference: Issue Date: 2/18/03 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) BA , ,„,,,,,,,,,,,,, 029 7 7 ' ELIZABETH A.NEVILLE �,'I'•ii oFFNA, -- ®G* Town Hall, 53095 Main Road i , TOWN CLERK % o % P.O. Box 1179 y2 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS % 1 MARRIAGE OFFICER `� ,ji � � $ Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER =_ ��®1'i1• Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER gissoutholdtown.northfork.net ,,---:-: - ::::--:-=-- '',-11-4,11 .'-'-'1 Fd F, N II' -\':1 -k--s 4",1-1 ri 1 `,:_ _=_��" ,t�;1 '' OFFICE OF THE TOWN CLERK i -°•,1 , ) •''19 ;i TOWN OF SOUTHOLD ;'I' DEG r ,2002 LTTm l ,T So tholdl own Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: December 18, 2002 Transmitted herewith is a copy of application No. 3098 for a Cesspool/Septic Tank Construction Permit submitted by: Robert Jester 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 c \ Comments: /- , r r Signature `: t Dated t �,�°'�S% F04 ELIZABETH A. NEVILLE Town Hall, 53095 Main Road TOWN CLERK r P.O. Box 1179 Southold, REGISTRAR,OF VITAL STATISTICS v' New York 11971 MARRIAGE OFFICER : ,fiL ��, Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER "'/p a i� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER00��� southoldtown.northfork.net •_ OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: December 18, 2002 Transmitted herewith is a copy of application No. 3098 for a Cesspool/Septic Tank Construction Permit submitted by: Robert Jester 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: Signature Dated ti rOFFICE OF THE TOWN CLERK 1,'' �F 1 lli TOWN OF SOUTHOLD ,�'�� K�OG Application No. c) ,(5- ELIZABETH ELIZABETH A.NEVILLE,TOWN CLERK Q :' P.O.BOX 1179 Construction c� SOUTHOLD,NEW YORK 11971O T Alteration . . 01 Telephone �y0,y �Q ��'�, ' $10.00 -Residential (63•x) 765-1800 _=��1 *It0° $25.00 -Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee .$ DATE V���%\?Z APPLICANT NAME: %- APPLICANT ADDRESS: \-10 , )( \\ )5 \C`4, `Cl'\0 SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION QAA LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: Wo OWNER MAILING ADDRESS: S5 , K \V)) OWNER PROPERTY ADDRESS: \')--Q70 Sb04,0\6\._ TELEPHONE NUMBER OF CONTACT PERSON: 61\— 1-06) TAX MAP NO. : Section ‘,3 Block 7 Lot /0 • CROSS STREET: \AU,Y(1ex �. BUILDING PERMIT NUMBER CROSS REFERENCE: Sig ure of Applicant RECEIVED BY: � Tow Clerk's Office DATE: • I1, �. ISURVEY OF LOT 12 I /0 AA 0/6 N ,_ , SAP OF HARVEST HOMES ESTATES, r RECEIVED SECTION ONE Q SUFFOLK COUNTY _ !�i �,� FILED JULY IS, IQS MAP No. 5337 , HEALTH SERVICES �� �p �� SITUATE: ` �v ' ��D ` DWELLING DWELLING 2002 SEP -9 P 3: 00s TOWN: SOUTHOLD ' , SUFFOLK coUNT I , NY public water public water i SURVEYED 03-12-02 \' ' / PROP. H5E. 06-21-02, , add'I sanit 0a-06-02 \\ SUFFOLK COUNTY TAX # ‘\ // 1000473-1-10 �� I ?ER ROAD WEST clIE T�IID TO: 1 \\o / ROBERT R.SEWER W \`\ W i' W WATER MAIN W W DONNA M.PESTER ‘ \ ii Fn I (-)F PAVFMFNT cot,c��coag N69°04'00"E ,' / 175.00' GONGFN, -- \ EL 24' — k \ EL 25' / , / TEST A Ii / HOLE Test Hole .) � / o Iti w e 4 O / :§ t%)N 6 Cl Gown OL ] ,� ° `� / ' song V \l ; tit \f ,i / O (� rrr- Loam + tttlllIM Z W i snit' ML V1 b >4 • 0. J \ 8 I \A / / L m f f I rapp. �11../ / N Vl 3 1 \ 1 �� / 5epttc (E-P\ 14 w I PROPOSED 2 STORY FRAME�, \ \ �' HOUSE 8 GARAGE , ,-�(L P� O Pale `/A "I Q C Broom Q Ivo © \ — ✓ 1 , — Fine [^ ,�] _ To n�7' i. /� i Coarse SW ® 1�,. �y �./ w Z I 1 �` — —''_/— ' 1 D V _ rn end Q ; I` H I :— p.0 BUILDING ENVELOPE— — __ 6 rA cc A a wV 12 D ,�► Ia._ --`5° 2 GARDEN , n g g 1 wIr-+ pC0 . \.... �-' '/ U� COURT 17 U 1 A R 20— W \ ' O W IT a, cm O p" Q a '� A \ \ G ��'QF NE \ S69°04'00EL 25'm °'W 175.00' •,��� �. �' %Incuthorlaad tllialteration tyo to segay �`O,/ \ \ /11._�►O. •. mmHg„of section-1209,aw-dlwloe z of the NOTES: /{• . y Naw Yo k State Ed caGan Law' / \ \ ' 'tartly copes from the trig nal of tAlz efr'veey / �it ked wiN .,orlVbal of the IoM wrveycr MONUMENT FOUND (a \ \ I f t� i rn s a pBd,gal=~all be acne dared be valid we DWELLING .„�, / \ la hapte, ��.1jfi,• '. _ Co' rtlficatlan5 indicated hereon signing that this C/ A '4*I r Z survey was prepered m accardmce'; tho ex- '�I ^ 1st Lotla of Practice For Land of ado tap ,°/ \ DWELLING r '-',X1 , ,,,,i .J 4 by flCo New Ye k State Assocmtmn of Professoml public, water / is Q aM sN agars xm corufmavons span an only AREA = 23,625 SF OR 054 ACRES ' \ �(P �� -���, ado hla behalf f o the title company.g�ep� �ed / septic reputedly In front yard .tis �� p2 , o nal agency and loMbg mstlbbon listed hereon,and / with public, water �.�Fp SVP�i� to assignees not nsiorf the obI;lm iiionalInsutaelons ZONE DISTRICT R-40 NON-CONFORMING p LOT JOHN C. EH: LANDL7 � RVEY®i �' , 14 It, GRAPHIC SCALE I"-30' LOT 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 15 INN IM MI MIIINMIN k RIVERHEAD,N.Y. 11901 369-8288 Fax 369-8287 REF.-\\Hp server\d\PROS\02-138.pro 9/6/199] 1.19.9d, Vas ferver.EWtOSO2-13aDro '