HomeMy WebLinkAboutGarns tfFO`4Co.
ELIZABETH A.NEVILLE � Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS vb. ovv
Southold, New York 11971
MARRIAGE OFFICER `` �� +, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER = ® ii Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ,,,,01 southoldtown.northfork.net
OFFICETTOF TTFH��EppTOTTgWppNLLDDC ERK
SOUTHOLD WRWATERUDISPOS L PERMIT
CONSTRUCTION OR ALTERATIO PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2899 R Residential X on-Residential
Fee $ 10.00 Septic X esspool
PERMIT ISSUED TO:
Name : STEVEN GARMS
Address 1 : PO BOX 702
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alte ation
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-99-0062
Name Of Owner GARNS, STEVEN
Mailing Address 1 PO BOX 972
City St Zip SOUTHOLD NY 1' 971
Property Address 1 425 RENE'S DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 54.00 block 6 lot 44001
Cross Street SOUNDVIEW AVENUE
Building Permit Number Cross Reference:
Issue Date: 10/30/02 Elizabeth A. Neville
Southolld Town Clerk
(TOWN SEAL)
,- , ,iii ofFott --.. ci7 SI
ELIZABETH A.NEVILLE Ist a: �4, Town Hall, 53095 Main Road
TOWN CLERK ® - % P.O. Box 1179
Pry i Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ;`®� ��`,,I� Fax(631) 765-6145
MARRIAGE OFFICER
RECORDS MANAGE_ ENS' FILER =_�®1 ��®iii Telephone(631) 765-1800
i ^ TO INr�'O•RM.911 FFICER �������,��'� southoldtown.northfork.net
i 'Y_, `'1 ,�: 'PPPPPPi
! z
s, '` '' MAY 2 8 z002 t...� OFFICE OF THE TOWN CLERK
`a TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 28, 2002
Transmitted herewith is a copy of application No. 2924 for a Cesspool/Septic Tank
CONSTRUCTION/ALTERATION Permit submitted by:
Steven N. Garms
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: .
APPROVEL...../------- ii&cree,, e,-to‘g-e--- ..17,—.c--.----4_
DISAPPROVE
Comments: Maintain required setbacks from adjacent wells,buildings,property lines and water
t
Bodies. EXCAVATION INSPECTION RE•TARED. '...
A.,---ffrie , ,4,,,, -
7,k.,..„4:__
Signature
/V6/2_
Dated
44,
OFFICE OF THE TOWN CLERK , ,'C 4 { oi�/
TOWN OF SOUTHOLD �''O44 ; Application No. 90?
ELIZABETH A NEWT IF,TOWN CLERK
PO.BOX 1179 : Construction
SOUTHOLD,NEW YORK 11971 T
Alteration
Telephone
‘-040
0� $10.00 -Residential ✓
(516) 765-1801 = - *',•'' - $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE
APPLICANT NAME: _ , Cj "ism -C
APPLICANT ADDRESS: ?•Q l c' 7( L
awA4
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
- j V Q,v l \t tca.
Se.rS76\em \e&--(Qc for Owr42-c-�- anci geg, 1-c1``�QrmAs atm_c�cc
Ic--c-‘,A( Cd.r nky)
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
• OWNER OF PROPERTY: 5---e,ven 1V , C a,crn S
OWNER MAILING ADDRESS:
SQ.►�k��� , Ny )tor) -o-) 0).
OWNER PROPERTY ADDRESS: `i 7-5 9e- s ;.te w
& - c\' (' Ny `I, 1-0762.
TELEPHONE NUMBER OF CONTACT PERSON: (!A 3
TAX MAP NO. : Section 5y Block OC Lot 4711 ,
CROSS STREET: c0J1v;-A' > iQnJ�
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVEDBY:
Town Clerk's Office
DATE:
GCT 0 2 20�O evvS� - .
_ _. .. - . . . -
-- = ___._. .;�_-. ..i�_^t i01:?.A
4,of NE Y • 01321 � -.O CI S cn—6 2/ = . �8G
•
• '< : > >:� j— 'l" ::?."--,1--7. ::, tea' . LE
k/
• Q � • .'.•'1,-ED ria _; � A v 6
�. i. 9 * \ •
.'i. .:�A;i•11•_-yl V�' LI _��:�.'i�f O,'J CJ X ,,`.53� t 9 1,
r too
1• sl`L/ LLl1,• v:� aRF'�YT"5'n;}]t?i DATE Vi't�P::�Vvt7L Q Tom'■M' �.
J� o 52 �o c o . . - -he / oE� •-��7-J , _-... 4
0525 ��! -
' �C^ES SION iA�, yJ0� 3`e-� e c,�D rT r u ,$ ..../.. - ___4i.VU1'�T a '
�.E �iy r
---.-,7,--:-..:71:-.---•-- -- -------- Ell Y
N- _,_. _ __
•
N . ,
- N �p T2rilaz ,lot ago S.F • V
• .. . r Wit° v o
zo
// ,A-
( ) i- � y:�i�oiv� jjZ'�6 ,y' �/�/2�SN.
5.3;00�S.41 oV
I 8
,4 kk `0 /5Trt.0.4/:.� �: Pis L rN� 1 20 `V �/� 98, 85 1:::-T,47-X1
t
•
lror�e ^ ; i D �5�i7Q,
'I'll
a /il � ���Z/ � ,i7 - rvri.�,vvs
r , ,,o / ��WI' Awl, O
QDL7'g'l/ ' -i/2��/-5,6'/IV 2ja,l G�' -� L� !(1' ;E�GEor STi9v0i,✓G x!�i / j/ CI
.....„..>......„
' N .7e _ _ -sz2`3�•' ..-E 3a�-ti;_/ ,£�b FJ _ �- — --L
/
qo to •,�'1^ o'er-' 0P.:... % / /
`� ", 4
`� c —
/t/ ff�3Bi5')�C -� _ :i�7T��;• `i �DJE a 7-- 7-,,roc:-.,7,0Z r/ %55T h/ote-�.i
C �1� (.1%`�' / lic / cA/JP - .0 ��
•.
7.4:::::9:2-42VIV G 1.."
\ ,._.---\\..* &P'` C /�' -`�'`lTJ E,cvxr,,.��✓oy�'�.s/ o o,,yA/000y<c), A,4,9 5c-
-l//QVEYFcu ✓Git/ .�E 29� }� /N L-5�}'1.�� I i2./
/ t4AVelZMi e,.�,as„s/GC.ryEy ado 5c
Lal- 3 /y1iN��Ly- /d/ /G7r�/4F//v0/..9N Wcc7U0 \ - /5/
_ - �4' • Y✓9i Eic• in/ Dfaay.sr C_�.rye y
Lo�T/cry_5a�T.9oioy��.�F,oe rLa�.vl 1A/1! �" i ,.PA./1,.4.vc o,F,�orc�o y sc CZ.
SAS i
/5/C�T� ' I�C
V/. -[.Pct.P-%,v 'TvBE�.CD4rrrGioO.if!iy.-�� •
z)J/77 Sh'•94.46e..41, -,Ta -.)r59.a:=