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Home My WebLink AboutMoeck " ' -- ',to"0,®�OFFO(�4& ELIZABETH A.NEVILLE ��0 Town Hall, 53095 Main Road , TOWN CLERK ® % P.O. Box 1179 * Southold, New York 11971 REGISTRAR,OF VITAL STATISTICS +�� MARRIAGE OFFICER Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER `�_ i�®�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. 2979 R Residential X Non-Residential Fee $ 10.00 Septic x Cesspool PERMIT ISSUED TO: Name : STEPHEN MOECK Address 1: 1525 AQUAVIEW AVENUE City St Zip EAST MARION NY 11939 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 #R10-01-0195 Name Of Owner MOECK, STEPHEN Mailing Address 1 1535 AQUAVIEW AVENUE City St Zip EAST MARION NY 11939 Property Address 1 1060 SIGSBEE ROAD City St Zip MATTITUCK NY 11952 Tax Map No. section 144.00 block 1 lot 2.000 Cross Street MAIN ROAD Building Permit Number Cross Reference: Issue Date: 2/18/03 Elizabeth A. Neville southold Town clerk (TOWN SEAL) 4— _--s % 71 ,I�,�®�®SOFFOl,��®� ELIZABETH A. NEVILLE ,ti h� '��; Town Hall, 53095 Main Road TOWN CLERK % O . % P.O. Box 1179 w Southold, New York 11971 ze t REGISTRAR OF VITAL STATISTICS : ® *. 0 Fax(631) 765-6145 MARRIAGE OFFICER ,fe �1 RECORDS MANAGEMENT OFFICER =___®iiNg .4%®'.i Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER .�� ,ror southoldtown.northfork.net �'f! �2 i f� 4 OFFICE OF THE TOWN CLERK H' i � c 1 al2 Q TOWN OF SOUTHOLD i TO: ,,fir''; ,`Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: December 20, 2002 Transmitted herewith is a copy of application No. 3100 for a Cesspool/Septic Tank Construction Permit submitted by: Stephen Moeck 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: (41--é' .6. ,7.,,,ee - . ' /1- .4f./..-e-Z .,Ale- ,-fr-- - ,r, at, l Signature Dated ``'-. ,•,o"Q IFO(4. OG ELIZABETH A.NEVILLE Town Hall, 53095 Main Road TOWN CLERK y - • P.O.Box 1179 REGISTRAR OF VITAL STATISTICS 'yr Southold, New York 11971 MARRIAGE OFFICER Fax(631) 765-6145 RECORDS MANAGEMENT OFFICERQl •$ ,• Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER // 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 20, 2002 Transmitted herewith is a copy of application No. 3100 for a Cesspool/Septic Tank Construction Permit submitted by: Stephen Moeck 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 • f .-ter s OFFICE OF THE TOWN CLERK s. TOWN OF SOUTHOLD �� cJ��fDCQI/ Application No. 3/DC) ELIZABETH A.NEVILLE,TOWN CLERK P.O.BOX 1179 :,}� Construction SOUTHOLD,NEW YORK 11971 0 • T i Alteration Telephone -10 dire' ' $10.00 -Residential (631) 765-1800 -_—. 4�, 0 • $25.00 -Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT • APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee '$ DATE (2/04V APPLICANT NAME: 5r6Plied l'1oac c APPLICANT ADDRESS: IT 1- 4Q0406r-4i AVE F / A5r `f MA-HIDA) A 11131 • SEPTIC /CESSPOOL 7 DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION s7O, 1.07)/4iJ- ac- 506.7c- 5ysTj 1 foie Alga) / v-.7 LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: • OWNER OF PROPERTY: 5 PH / maecK / 5.F.vD/,4 M,vi_,44ern•-c- c OWNER MAILING ADDRESS: /5-z5- /-P/1-vf,aa1j2', FIs r p14/e/oI X1/-Y 1,737 OWNER PROPERTY ADDRESS:/"5/6-5 6/4,� RE, A44-7-7-frock TELEPHONE NUMBER OF CONTACT PERSON: X63,) #» - fi'z7V TAX MAP NO. : Section PPP/ Block of Lot o2 • CROSS STREET: fn/4rN A01 BUILDING PERMIT NUMBER CROSS REFERENCE: 41 ' Signa' ure • Applicant . RECEIVED BY: • To n C erk s Office DATE: lcf �, v , , • ‘ •-.. • 4 - . . . • . , . IV l . 7*I‘1"1". - . 14'....."*Mi' ".11."71"iii.M177...M....7.M.°""M""."1".."1"1". '• V ''1..........-Pr6P.POW • ,A1101. 0' •• SUFFOLK COUNTY ,.: -- MAIN ROAD (S.R. ':-.;;!) . SURVEY OF PROP st IR TY . 'LOI SEP 214 Ilti 10: 03 AT MATTITUM tt)T OF HEALTH SEVILLS P/U LOT 21 ; :';,1- ,TorN OF SOUTHOLD OFFICE WASTEVIATER Hail', vwELLING WITH PUBLIC WATER Zim - ,517.—Fr OL IC COUNTY NEW YORK , 1000-144-01 -02 .- . Ft EL 2a4' .....' SCALE: 1 "=20' N 692E/00' C 0 4'S ....„4... ,. 242.31.-f _, 21 — , JULY 31, 2001 • - t• , 14,..ea.9, ii3 . • AUG. 27, 200/ t prop. hse. 1 TracKAPENCE 737:7EL771 -.Sept. Z42,20/ t Ws) P/C LOT c) . , ,,, , ,. a A . -. R.14DWELLING WITH PUBLIC WATER AV ' A . ?ft', _, 3, .--, , /4: Peit / . II T . - n T..H. N7 ' s' . jp / 14- r1-i(4—n.i DWELLING WITH PUBLIC WATER `,i- p, /5 - /9' ," - e‘o rn . ' LAT _aL, -, r•, :,•. fit5-: i,t-, EL 214' - . 1 . •;:.',',-' , E. 0.0' • ,' . • , '" 'S E:9421)04 W 1> ;(6, 0 ,. '''''•,'EL 19,5' i' : . . ? L DWELLING • ,,- , . .. , , . . - .;..., , SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES 1,4-11._0___ . . - —1 i*ST•HOLE , • PERMIT FOR APPROVAL OF CONSTRUCTION FOR A .• , i - #,• • , ' ', ' ''• I . I '''', ' Tap sag , SINGLE FAMILY RESIDENCE ONLY ' . 1 , _ OL Doe N I t 10( m.Rii . No. , ! - 4.0" ' NUMBERS ARE REFERENCED TO...AWN MAP 'OF . APPROVED • ":,: 1F4WPER i Y OF 'MA TT',TUCK PARK PROPERTXS INC. FILED Said ,, f, - .04 THE SUFFOLK COUNTY CLERK'S OFE ICE ON JAN, 12, FOR MAXIMUM OF ....4BEDROOMS .......... MI6 AS MAP NO. 8D1, SW .,. - EXPIRES THREE YEARS FROM DATE OF APDROVAt. ,. i .. , s- .riT4''_:-.L. i .- t:.' - . , .:''''_..-.:- '--.1._ -`,....-: %, . - - ' _. -• -. i ' ' .--- -- I NEW?49 -' I. oti --Fai4lt4ar -** the STAIAI.14:idgv,t1lk't,)!VII)R.CIVOL • , .. '7 /-...<c.. /4.. 1.MEtz "t. . - „ Pitsit CONSI4RVO,Iisi, IiF fSLIBtA:0#g .t-ii.ga _. . . • - . , • 0 ...... . lii SPO SAL S Y Sit:XS flDR STI4ia-47:4MitrY .t-arDEN:CES , •IS. iVe9'° .... 'ani:;1 witt abide by` the• -- .(anitior *et:.,:#1:07, 01 therein and ' , 4( A,:,,,,;;,1:\ 1 • 6i1 the pe-i,rgit- locOnt*rl.'Att'.-'- - ..-: ... ',:s . • . „ : .' - ,,_ i , zi- (-,.. ; ,,,e4, .., , af "I.-"-' '1.--;,.. 1-1,-,ie todb.tion of welts aripu 0,• .-sr.):60C*'-'sh.__.,e`,01 heft'Porl ‘o're' • -' ''. '''':;-: • . i 'i ro7iii- - 1 '--:'41 A• ' SLIC NO 44.5'. .- ron- fiel - d cibservations anal- of,' tfaita itiatained ,f rorn ot.hers,, ' , :::: ,-' A - . ' 618 'f .,, :,.. . , ANY 4L 111:11*--C1R Aormil rtkn-as SURVEY L .4 VIDLATIbN - , :•'e:CONIC ' 1/41197C)RS, P.C.