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HomeMy WebLinkAboutBraverman ELIZABETH A.NEVILLE Town Hall, 53095 Main Road TOWN CLERK ® - P.O.Box 1179 H Southold, New York 11971 REGISTRAR OF VITAL STATISTICS V' r MARRIAGE OFFICER ` Fax Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER %.4.*01 #.011 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. 3065 R Residential x Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : MICHAEL BRAVERMAN & M STEFURAK Address 1: 425 WEST 23RD STREET City St Zip NEW YORK NY 10011 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 #R10-03-0080. Name Of Owner BRAVERMAN, MICHAEL& M STEFURAK Mailing Address 1 425 WEST 23RD STREET City St Zip NEW YORK NY 10011 Property Address 1 2755 CEDAR BEACH ROAD City St Zip SOUTHOLD NY 11971 Tax Map No. section 91.00 block 1 lot 1.000 Cross Street PARADISE POINT ROAD Building Permit Number Cross Reference: Issue Date: 7/29/03 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ®��SFot�-�; ELIZABETH A.NEVILLE 1�++=°,f° ®4 Town Hall, 53095 Main Road TOWN CLERK o - P.O. Box 1179 REGISTRAR OF VITAL STATISTICS i Southold, New York 11971 MARRIAGE OFFICER y 11 Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER � �Q! $ ,,� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ifig 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. 3065 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : MICHAEL BRAVERMAN & M STEFURAK Address 1: 425 WEST 23RD STREET City St Zip NEW YORK NY 10011 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 #R10-03-0080. Name of Owner MICHAEL BRAVERMAN & M STEFURAK Mailing Address 1 425 WEST 23RD STREET City St Zip NEW YORK NY 10011 Property Address 1 2755 CEDAR BEACH ROAD City St zip SOUTHOLD NY 11971 Tax Map No. section 91 block 1 lot 1 Cross Street PARADISE POINT ROAD Building Permit Number cross Reference: Issue Date: 7/29/03 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ---- ' - 304r ' r ,��®S'FFO',�c ELIZABETH A.NEVILLE ;'��0 o4_ : Town Hall, 53095 Main Road TOWN CLERK cz % P.O. Box 1179 % H ' Southold,New York 11971 REGISTRAR OF VITAL STATISTICS 0 MARRIAGE OFFICER Fax(631) 765-6145 ,L RECORDS MANAGEMENT OFFICER \\y_Weijik $ Z's,"�1 Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ',,'' southoldtown.northfork.net -------- r OFFICE OF THE TOWN CLERK �1 TOWN OF SOUTHOLD � Y _ VC -?.\ —3 SO3 )'k. \ TO: �,>>''--• S_outhold,Town Building Department ,t FROM: -co'Linda7. Cooper, Southold Town Clerk's Office DATED: July 3, 2003 Transmitted herewith is a copy of application No. 3192 for a Cesspool/Septic Tank Construction Permit submitted by: Michael Braverman and Mark Stefurak 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 1/ DISAPPROVE Comments: r 52% -.......i......- '�,,,....',..........g , oIf = t� IL S .! ., ✓ - IP . 2tIe* t Signature Z B o-od3 D st/' / / OFFICE OF THE TOWN CLERK ,,,'�,�i/�•our";-___��� c��FF31�� TOWN OF SOUTHOLD �� Q �� � � Application No. Rid7ABETH A.NEVILLE,TOWN CLERK O f P.O.BOX 1179 % Construction ✓ SOUTHOLD,NEW YORK 11971 v . •T • t� i Alteration Telephone ‘‘00.1, ��Q7;�'. $10.00 - Residential (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 July 3, 2003 APPLICANT NAME: Michael Braverman and Mark Stefurak • APPLICANT ADDRESS: 425 West 23rd. Street. New York, NY 10011 • SEPTIC CESSPOOL X DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION Construct new relocated cesspools LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: As applicant OWNER MAILING ADDRESS: As applicant OWNER PROPERTY ADDRESS: 2755 Cedar Beach Road Southold NY 11971 TELEPHONE NUMBER OF CONTACT PERSON: 734-5800 (James Fitzgerald) TAX MAP NO. : Section 91 Block 1 Lot 1 CROSS STREET: Paradise Point Road BUILDING PERMIT NUMBER CROSS REFERENCE: _ r 7 f47)6 0 r� ' i ar / Signature �' Apia-, rpt Agent (L.---1 RECEIVED BY: / Town Clerk's Office DATE: -7 l3 . / • //�'.1l�j� r r :• F' . R ' 'f r , - The loco#ions -of wells and cesspools - shown hereon are from field obser••Vatfons: 'AT' ; :• 113ATVIEW-r •. "' OWAt'7 OF -3-0(17,10) ui , and or from data obtained from othe�ts. -fJJ}�- S, . SUFFOLK ' C . T " NEW : YO. - 1 am familiar with the STANDARDS FOR'APPROVAL 1OOO 41 - 01.�,--'-0 , AND GOW5'rRLICTION OF SUBSURPA'Cf $EWJ4GE- z , } ',1',"7-- }�'.-•�' DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES l:jam and will obl4ie by -the condition set forth •tfte'refn an'd-on; the ; . _ 1:,,,,' 1, 2(701- permit to ''unstruet. ate: • • 1 .tc Yar7�c f}a - f-•u --' -4-a ; i,,P.Ortkintfx- : 7 - f , - . �L J sYst 1 �1v1�� ,; �` °,::A.I,, � v1C1;� \1 • ;Qri,dte14.- V Tie-,Fs --a r_ 14i'-'0 Jcy,�f F�r�g'� •p7 (� " o ,iy S Wit'�7 , ' ' 1'�tYF.�✓ tL�'r m-•s i:::. is �L'Ci u. :r.'- 4°?,c„..-----,1 711.411::17°.7.1111111r4- '':1.1.-. P 41111) :: -: tai- _ 'j4a�E1;/i h •w r. 1` P . -EXPIRES+y�gp ;� t$.L1oi L y0" / 83.fig! ' ,,F.- .. ..Lk, - ' • 8 !ow a /�! •,"q' ane ` .0 nj 30 p,' , -„+.yfr* ; .R • R p i 1 - ..f O r a ./..re- ;:•,., ,3qa. a 3 •_ Vit. - weivar7d3//al i n, 'Tr •�=--� N. rise- ‘O r fit? } -4'sriA kr,; 'G• :-.-7.4 :,. . w t• 236 J • F F fL1 n; "`^.;w r . 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Blos `~ # CZ »- 6p' +sC n1i, r:-....f.!:::0 pr/aCIL �.� FRE J JN S• -REEr 4"s•26 - ►v 's/ i } r NOTE, >Y FLOOD ZONES FROM FIRM----, LOT NUMBER, ER TO 'CEDAR B tACH.", r' yDIRri4 NO. 36103C0167 G MAY 4, /998 IN THE #914f© 1 C► lJNT•Y L`'ERK S OFF' '• i":7:1;- :el:, E, 1 • 1927 AS 'FIDE �It3: 10. 5 0t., 0,p� •ELEVA'7'Xoils FER NcED` iD 1V,G.V r. " 4;1, `�� 'A / ' D�'E a , yy ,, ,,f4 i.,c-2�-;1'." ` is LLJ/V6 �t l=^ f_�CI'.1 L T IPE AREA=18 250 S. �'. , `' ' �' ' rj'.e Yl 1+'4 }! ' MYrJ. L �nY.L.4o'Y� .'' 41'Y ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION - F :.-644141:1-e' - , `F.RVE''YORS, P;C• , ' ,QF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. ,(`'.6'..3.:0•' ,5_.- 5020 FA�X.C634" ,, 765-1797 • EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS , ' HES'EON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF �.- x " < SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR I2311U l,-R-4 %ELE-0 STREET W'fft7_SE SIGNATURE APPEARS HEREON ,STNar ;:,.-:N°Y. 11-971,.. .. • • - ��� s'", y/ ,