HomeMy WebLinkAboutGendot (3) 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 `�® ` 11�, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER = ®l
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(631) 765-1800
FREEDOM OF INFORMATION OFFICER ,,,,,, southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2897 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : GENDOT ASSOCIATES
Address 1 : PO BOX 534
City St Zip WADING RIVER NY 11792
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 #R10-02-0044
Name Of Owner GENDOT ASSOCIATES
Mailing Address 1 PO BOX 534
City St Zip WADING RIVER NY 11792
Property Address 1 OAKLAWN AVENUE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 70.00 block 3 lot 22.000
Cross Street JERNICK LANE
Building Permit Number Cross Reference:
Issue Date: 9/24/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE e . n 1, qabo Main Road
TOWN CLERK P.O.pox 179
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REGISTRAR OF VITAL STATISTICS 1,1,„04rri ,,, ...„..Southord7ew ork 11971
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MARRIAGE OFFICER
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RECORDS MANAGEMENT OFFICER . **;$11. —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: September 16, 2002
Transmitted herewith is a copy of application No. 3008 for a Cesspool/Septic Tank Construction
Permit submitted by:
Gendot Homes
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:
dq-eid,eZ5e— - .
Signature
a0 9/43/0'2—
Dated
OFFICE OF THE TOWN CLERK ,•, •
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TOWN OF SOUTHOLD ;' c�V�FOIkI' _
F.1.i7ABETHA.NEVIILE,TOWN CLERK
��• � Application No. ;®618
P.O.BOX 1179
SOUTHOLD,NEW YORK 11971 z ; Construction
•
1 d Alteration
����• $10.00 -Residentia
Telephone :_,�� l
(631) 765-1800 _Ol ► ����
', $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION •
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
•
Permit No.
•
Fee .$
DATE ! ip
APPLICANT NAME: E 0 L h e,s-
APPLICANT ADDRESS: "0 gav Lf
Greed/ ,�iu�r �/l 7/ 792
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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•
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 1.7i��//
y?aeS-
OWNER MAILING ADDRESS: AD thys-s9-
6* /7dam' ((41
OWNER PROPERTY ADDRESS: 20/-
/17,(a/,104-.
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TELEPHONE NUMBER OF CONTACT PERSON: 6iJ-Q2,-7_ G
77
TAX MAP NO. : Section 7() Block 3 Lot fa/022.
CROSS STREET: Terr'Ea ..
BUILDING PERMIT NUMBER CROSS REFERENCE:
Sign ure of App'ticant
RECEIVED BY: i 1
own Clerk's Office
DATE: *31trV
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' LOT AREA= 46,954 sq. ft. VACAKT
GAR.F.F. EELEV.=LEV.= 2 2 5 LOT 4.0 NUM6ER �� /
3 53,4p"E S O CO vq r --
fi r NUS •r
( 2) 00 (21.9 21 O'uE
433, ,
(21.0) , ,
VACANT' ' I , •
' ' COT NUMBER 6
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7 500.00' 1 3 , .
(2.14N 23'23'50"W 125.00' :19.9u... .
OAKLAWN AVENUE
existing water main
VACANT DWELLING — PUBLIC WATER
THE OFFSETS (OR DIMENSIONS) SHOWN HEREON FROM THE STRUCTURES TD THE
PROPERTY UNES ARE FOR A SPECIFIC PURPOSE AND USE AND THEREFORE ARE NOT JOB No. 01-617 FILE No. PECONIC DEVEL. CORP.
AHMED TO GUIDE ME ERECTION OF FENCES. RETAINING WALLS, POOLS, PATIOS,
PUNTING AREAS, ADDmON TO BUILDINGS OR ANY OTHER CONSTRUCTION. SURVEYED FOR
LNAIJNORrgn ALTERATION OR ADOTIION TO 114S SURVEY IS A VIOLATION OF SECTION LOT NUMBER 4
7203 OF THE NEW YORK STATE EDUCTION LEN. MAP OF PECONIC DEVELOPMENT CORP. AT SOUTHOLD
GUARANTIES INDICATED HERON SHALL RUN ONLY TO THE PERSON FOR WHOM THE
SURVEY IS PREPARED. AND ON HIS BEHALF ID THE TITLE COMPANY. GOVERNMENTAL SITUATED AT SOUTHOLD
AGENCY AND LENDING INSTITUTTON USTED HEREON. AND'TO'THE ASSITM ES OF NE
LENDING INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS TOWN OF SOUTHOLD — SUFFOLK COUNTY N.Y.
OR SUBSEQUENT OWNERS.
COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR SCALE 1" = 50' DATE 12-20-"20O 1
EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VAUD TRUE COPY.
FILED MAP No. DATE
CERTIFIED ONLY TO: TAX MAP No. (REF ONLY) 1000-70-3—P/O22 DISK 500
HAROLD F. TRANCHON JR. P.C.
LAND SURVEYOR
p.........isef F-�� 1866 WADING RIVER—MANOR RD. WADING RIVER,
NEW YORK, 11792
N.Y. LIC. No. 048992
HAROLD F. TRANCHON JR. PENN. LIC. No. 2115—E 631-929-4695