Loading...
HomeMy WebLinkAboutGendot (5) ELIZABETH �� '�Waf Town Hall, 53095 Main Road A.NEVILLE TOWN CLERK % ® - P.O. Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS � °A MARRIAGE OFFICER /� Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER :��®� toff Fax (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. 2955 R Residential x Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : GENDOT HOMES 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 #R10-02-0047 Name Of Owner GENDOT HOMES Mailing Address 1 PO BOX 534 City St Zip WADING RIVER NY 11792 Property Address 1 WELLS ROAD 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: 12/26/02 Elizabeth A. Neville Southold Town clerk (TOWN SEAL) -r �sql55 ELIZABETH A. NEVILLE '1 4Town Hall, 53095 Main Road TOWN CLERK % o - % P.O. Box 1179 t y 2 i Southold, New York 11971 REGISTRAR OF VITAL STATISTICS % I MARRIAGE OFFICER `� ?iA. �����, Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER __Wel 410.'oi� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER __ SO' southoldtown.northfork.net ----------- 1'\' - -~ ', ,OFFICE OF THE TOWN CLERK 1< '',Ci 'L0T2 ' --' TOWN OF SOUTHOLD t, TO: 1-` ;''Southold I Fd vn Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: December 2, 2002 Transmitted herewith is a copy of application No. 3077 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 ,>=4.,e2j4,,,_ Comments: .,= -� a ' ire - 7,kee„.„4",14 . Signature /02-/e7/2— Dated 04* I • • OFFICE OF THE TOWN CLERK •S�FFOLk�► TOWN OF SOUTHOLD i �r►BETHA.NEvutE,TOWN CLERK � 0� APPlic tion No.3�'� P.O.BOX 1179 : re. • • • Construction r� SOUTHOLD,NEW YORK 1197113/411 1 Alteration Telephone :°,f�, �� ,•� • $10.00. -Residential / (G3 ) 765-1800 =:01• * �, • __,,,,����,,, $25.00 -Non-Residential TOWN OF SOUTHOLD • SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION • for • • CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL • Permit No. Fee .$ • DATE /1 12.7/0 • APPLICANT NAME: ge4d(y-i---24/4, C - APPLICANT ADDRESS: /6at-ski53V SEPTIC✓CESSPOOL DESCRIPTION iF///P� OSED CONSTRUCTION OR ALTERATION G 1. i hg,-1 • LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION': • OWNER OF PROPERTY: OWNER MAILING ADDRESS: "st (5-8q OV ,C//P li-7 5:2- OWNER OWNER PROPERTY ADDRESS: L -7-C) TELEPHONE NUMBER OF CONTACT PERSON: TAX MAP NO. : Section 70 Block 3 Lot 0 2 2 CROSS STREET: c7; 7f4/.._.4. BUILDING PERMIT NUMBER CROSS REFERENCE: Signa a o p li ac nt . RECEIVED BY: • own Clerk's Office • DATE: 0( • ,s' LOT AREA= 40,878 sq. ft. -} F.F. ELEV.= 23.0 GAR. ELEV.= 21.5 :•., l' l'' . t DWEWNGS-PUBLIC WATER , --- ) f) j-,j `l: 31 e _.w stingg1C.� main _ itu1 f L-L) L- . WELLSOAD ici. ^ :-;.,, ,I �`' S 56'52'40"E 115.00' (20.6) (20.9) \G� 604'1. ,4 U I, '43\ v it 1 e a a O al 1 a In (21.5) co (21 5) \ cNi )l\ GAR. PROP. I b DWEUJNO —n • (21.5) (21.5)25.52- 0) ~ m m 1 v Z , 2 I- F- r„....._...........7 , ( 6 0 J ip& 4u E ao f ' 1 r d � ! Cl © ' Gi Ft kn o i I • "' O 21 Il, `' r 1.. (1) ' . 1 t,• Q 31 t,i u' 4 =' c;� ca u; s ] 6 ) ' `', ; • (20.7) ' .` C. L; ibr ; 16 '5o' p= GI s •-- . / hd I.' t•: ::.7, a'.,I ' (21.5) 5,1,„.01\14 T NUMB $ O Gam' �I j L- 1r.' N 6g.5 LD V ea El aa �I.�? O�R. E GilLi NUMBERN `` Lot VA T 1 • THE OFFSETS (OR DIMENSIONS) SHOWN HEREON FROM THE STRUCTURES 1D THE PROPERTY UNES ARE FOR A SPECIFIC PURPOSE AND USE AND THEREFORE ARE NOT JOB No. 01-617 FILE No. PECONIC DEVEL. CORP. INTENDED TO GUIDE THE ERECTION OF FENCES, RUNNING WALLS, POOLS. PATIOS. PLANTING AREAS,ADDITION TO BULDNGS OR ANY OTER CONSTRUCTION. SURVEYED FOR _UNA MT ORlgo_ALTERRT1ON OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION LOT NUMBER 10 72O TME E TUFTAL ram STATE EDUCATIONLAW. MAP OF PECONIC DEVELOPMENT CORP. AT SOUTHOLD GUARANTEES INDICATED HERON SHALL RUN ONLY TO THE PERSON FOR WHOM TIS SITUATED AT SOUTHOLD SURVEY IS PREPARED. MD ON HIS BEHALF TO TIE FVIN TITLE COIY. GOVERNMENTAL AGENCY AND LDIDING NSTITUT10N LISTED HEREON.MD TO THE ASSIGNS OF THE LENDING INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE TO ADDITIONAL INSITTUTIONS TOWN OF SOUTHOLD - SUFFOLK COUNTY N.Y. DR SUBSEQUENT OWNERS. COPIES of THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR SCALE 1" = 50' DATE 12-20-2001 DBOSSED SEAL SHALL. NOT BE CONSIDIMED TO BE A VAUD TRUE COPY. FILED MAP No. I DATE CERTIFIED ONLY TO: TAX MAP No. (REF ONLY) 1000-70-3—P/022 DISK 500 HAROLD F. TRANCHON JR. P.C. LAND SURVEYOR _ _ a Q F 1866 WADING RIVER-MANOR RD. WADING RIVER, NEW YORK, 11792 f N.Y. LIC. No. 048992 631-929-4695 HAROLD F. TRANCHON JR. PENN. LIC. No. 2115—E