HomeMy WebLinkAboutHoppe / t Town Hall, 53095 Main Road
ELIZABETH A. NEVILLE i
TOWN CLERK o P.O. Box 1179
H 2 Southold
REGISTRAR OF VITAL STATISTICS AT � , New York 11971
MARRIAGE OFFICER Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER ,=y__Ql �a��i��, Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER �� southoldtown.northfork.net
OFFICETTOF THE TOWNCLERK
SOUTHOLD WAGS allIF DISOPLLOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2872 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : AMY MARTIN
Address 1 : 413 MAIN STREET
City St Zip GREENPORT NY 11944
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 #R10-98-0054
Name Of Owner HOPPE, WILLIAM & KATHLEEN
Mailing Address 1 76 CHANDLER STREET
City St Zip BOSTON MA 2116
Property Address 1 580 UHL LANE
City St Zip ORIENT NY 11957
Tax Map No. section 15.00 block 5 lot 24.014
Cross Street
Building Permit Number Cross Reference:
Issue Date: 8/22/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE 140 ' •� Town Hall, 53095 Main Road
TOWN CLERK ® P.O. Box 1179
REGISTRAR OF VITAL STATISTICS i Southold, New York 11971
MARRIAGE OF CER :®s� '' �° �, Fax(631) 765-6145
r.---RECRD �®�S i A E T OFFICER �_ i�®11� Telephone (631) 765-1800
gpOM OF INF ON OFFICER ���� southoldtown.northfork.net
ll �� i
r 7200
�3 OFFICE OF THE TOWN CLERK
`� _✓�--- T—" TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: August 6, 2002
Transmitted herewith is a copy of application No. 2975 for a Cesspool/Septic Tank
CONSTRUCTION/ALTERATION Permit submitted by:
Amy Martin/Fairweather-Brown for William& Kathleen Hoppe
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.
, Lia
Signature
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•
Dated
OFFICE OF THE TOWN CLERK •••��.//�ni.�,,�
TOWN OF SOUTHOLD •
gVVa/r ;
�' �l/ ' Application No.
ELIZABETH ELIZABETH A.NEWT TR,TOWN CLERK ; � pp
P.O.BOX 1179 j „ ✓
SOUTHOLD,NEW YORK 11971 _ ze Construction
zi G
• 1f3 Alteration
0 '�
Telephone :_,yr ���e• . $10.00 - Residential LI
(639-) 765-1800 1 •' $25.00 -Non-Residential
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- .,..,.••
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE a A lo 2—
APPLICANT NAME: -4)11 }-/C/r( 1,,., F ., - 4. 43rec�,
APPLICANT ADDRESS: 4-( acs
ree --) o-v-t WI ( IP
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
qxu E? -i d PAl C
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR A TERATION•
OWNER OF PROPERTY: W b ( d.4'3'0)-- (4CT- �
OWNER MAILING ADDRESS: 76 ( it4 ( " t
i, 1t.n) ,Mks 6a If.,
OWNER PROPERTY ADDRESS: .8D ?i 1 l La-A c
✓I -/v -1."
TELEPHONE NUMBER OF CONTACT PERSON: `n—q7s-
TAX MAP NO. : Section I S Block Lot /17. Q
/ I/-
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
/ a
1 ,
I, / 1
Si•fj�ature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
SEPTIC. DETAIL PROPOSED
not to scale DWELLING • 'v Y
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DgraOeeosed
EL- 1544- existing grade Aax
min. f• 'cover ''i m n. ' ���� F`C1511N% ,--
li
cover 900 gal
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Pools
• deep ail• D i tank 1/4' Par
O dia. 1/4' DPr it
300 a 1
sideman EL-5 4
seo rat3ion
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ground water E1.-2.0 LOT 158 1e01 ‘54
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0 32.94 ' \ x gain Is 1I b�,150 feet
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LOT 161G�,V_710N i�PEC71oN REQUIRED ‘-°1
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ARY SYSTEM "_,',_�
ter , C&�.f� C �� B � �Fi DEPARTMENT
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SUFFOLK COUNTY UZ?ARTMENT OF HEALTH SERVICES .
PERMIT FOR APPROVAL OF CONSTRUCTION FOR A �
1_G1fl2 -SOF NFA
SINGLE FAMIL't r2ES!DENCE ONLY a55. A 0.,W 265.89' vis,, ►T .,..,- c- Etiz
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