HomeMy WebLinkAboutKnabble ,®�®eaFFOL j'
e
ELIZABETH A. NEVILLE Town Hall, 53095 Main Road
TOWN CLERK ® - - P.O. Box 1179
rry
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS * Fax(631) 765-6145
MARRIAGE OFFICER :®4 11
RECORDS MANAGEMENT OFFICER =__�®� �►a, Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER ,s�� 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. 28119 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : JOHN & MARY KANBBLE
Address 1 : 3360 CAMP MINEOLA ROAD
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 #R10-02-0128
Name Of Owner KNABBLE, JOHN & MARY
Mailing Address 1 3360 CAMP MINEOLA ROAD
City St Zip MATTITUCK NY 11952
Property Address 1 675 GREENH I LL ROAD
City St Zip GREENPORT NY 11944
Tax Map No. section 33.00 block 2 lot 115.000
Cross Street INLET POND ROAD
Building Permit Number Cross Reference:
Issue Date: 7/23/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
( iti b
ttt ®� C�i ♦ a
Q5(/ 9
ELIZABETH A.NEVILLE d � t : Town Hall, 53095 Main Road
TOWN CLERK o P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ; �,,,� Southold, New York 11971
MARRIAGE OFFICER �i Fax(631) 765-6145
RECORDS MANAGEMENT_OF-FIGER =_�Q1 �®ii� Telephone (631) 765-1800
FREEDGM-CiFINEORMATION OFOER southoldtown.northfork.net
JUL I 0 2002 j Li OFFICE OF THE TOWN CLERK
E __ TOWN OF SOUTHOLD'
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: July 9, 2002
Transmitted herewith is a copy of application No. 2954 for a Cesspool/Septic Tank
CONSTRUCTION/ALTERATION Permit submitted by:
John and Mary Knabbe
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: Maintain required setbacks from adjacent wells,buildings,property lines and water
Bodies. EXCAVATION INSPECTION REQUIRED.
Mieet.eda."
•-71"ere'"-*;4. 7/2P-2*".
#24(4g**-4-9
Signature o
e2 7 /v Z.
Dated
c_
OFFICE OF THE TOWN CLERK .111' �FFOLK
TOWN OF SOUTHOLD /;QHS Application No.
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971 v rn
Alteration•
Telephone Q��', $10.00 -Residential
(631) 765-1800 _ l )111%°/'''' $25.00 -Non-Residential
TOWN OF SOUTHOLD •
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$ �-J
DATE / ,p
APPLICANT NAME: 1O11 n Ma aJ J e_
APPLICANT ADDRESS: 33 400 eetenp litneola
/✓1a�-fr� aNj 10952_
SEPTIC /CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION BSI&W hem e�
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: •
OWNER OF PROPERTY: JAY) ( itda -44)a, e—
p ®
OWNER MAILING ADDRESS: 3.66o bow Vne Ia K
Ma ��I KJ 119.
OWNER PROPERTY ADDRESS: t,-7.5 C1 r'een e B I bane.
6 reef,e n r -1
TELEPHONE NUMBER OF CONTACT PERSON: (p 3� -- 32,376/
3gs-7
TAX MAP NO. : Section 033,00 Block b, _06 Lot 045.606
CROSS STREET: a-h ie4- Pond RoCACt
BUILDING PERMIT NUMBER CROSS REFERS E: .
Sig t re o AppIican
RECEIVED BY:
Town Clerk's Office
DATE:
. .
SURVET' OF LOT # 126
"MAP OF SECTION FIVE EASTERN SHORES" Al
FILED DEC. 31, Ig68 AS # 5234 �
SITUATE: GREENPORT IAV �,/ I
TOWN OF SOUT -IOLD
SUFFOLK COUNTY, NY - t
S
SURVEYED 06-25-02
SUFFOLK COUNTY TAX #
1000 — 33 — 2 — 45,
InI-it rsnd M •:01,1
CERTIFIED PO:
(asphalt roadway)
JOHN IJ AIEI:.]E TEST .HOLE
MARY IOTAIEBE __ _
H
F SUFFOLK COUNTY DEPARTMENT OFHEALTH SERVICES 0 3 Loam
(
PERMIT FOR APPROVAL OF CONSTRUCTION FOR A '
6-I.NGLE FAMILY RESIDENCE ONLY
DATE...„„2_-:„1,-,-_,C,' f HS REF NO. -
''--- Sand
and
APPROVED 'ice u.- _! __ A, graves
FOR MAXIMUM OF H. BEDR _
EXPIRES THREE YEARS FROM DATE OF APPROVAL :'
' 11'
W 7 Lott0 ` 271
Q *
W m O VACANT
D� 14
J
sand
J
17'
0
Fence
O5'N N69°02' 1O""E 130.00'
N69°02'
® 1:
— 0
e1=26 ggw e1=29 e1=26
•
m proposed
driveway
_ ® —
® III
o I '
#') 0 I L__
LS z I 41.5'
# 4 � Q # I
6 .� > 0 1 Lot # - 26 I` �I I W W
J J I N 41 61 �I connect to public water I- t 1
0 `v 6 1 Q
N v 10 I �� 6 1 I 0 z3
0 11 ® I �_0 1 1 55 nJ
C> I
Qd
1 te) Li II
®��' I building envelope as per ® \ test
I >�
4 pre-axis-ting non- conForming ---o) hole
Cl
m
e1=25 S69°02910" °,Ie 130.009 e1=26 el=25
Lot # 4 44
VACANT
Lot # 101 Lots # ' 2,5survey
"Unauthorized isalteration or additionyorto a
via bearing a licensed land9. surveyor s 2. ls h ,
violation]orlon of section w York sub-division Education 2• of the
DWELLING WITH DWELLING WITH New State Law
PUBLIC WATER PUBLIC WATER .pocafrDbom g the t iginal oem ntia1
NOTES
stamped seal Snell be cmnsltleretl to be valid true
,_t-• — copies"
1 n /� /���� 'Certifications indicated hereon signify that toes
tI„{� // �r f�C/F = survey was prepared in accordance with the cc-
i/ �r _ ]sting Code of Practice for Land Surveys adopted
,t 'sr/- / S d E L` by the New York State Association of Profeesional
Stll�l� -+ a (Pa //�� C. Cy I r Lend Surveyors said certifications shall run only
• .1'( E ti 1,f1 3`3� JO I O to the person for whom the survey is prepared
MONUMENT FOUND ✓;