HomeMy WebLinkAboutGendot Homes OFFICE OF Tl~ TO~N CLI~
TOT OF SOL. OLD
ELrZABFr~ ^. NEVlI~, TO~VN CL~RK
P.O. BOX I 179
SOU'I'HOLD, ~4EW YORK ~?1
Telephone
Construction
Alteration
$10o00 -Residential
$25.00 -Non-Residential
TOWN Of SOUTHOLD
SOUTHOLD WASTEWATER DIS'POSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMI'T
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE /2//,:~ ,//", 7'
APPLICANT ADDRESS: ~ ~ 6"~'.~2-7/
SEPTIC ~ESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION
OWNER OF PROPERTY:
OWNER MAILING ADDRESS:
OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER PROPERTY ADDRESS: Z/~/~JXg ~/ /
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO.: S~ctio. ~ Block
c oss
BUILDING PERMIT NUMBER CROSS REFERENCE:
signat U r~'~f A~l~lic~ n't
RECEIVED BY: ~)-~J-"~
DATE: \'~\~/b'~''- T°wn Clerk's Office
JOB NO. 02-15
TAXLOT1000-50~5.91
VACANT
LOT [
VACANT
5?.0
TAX LOT 1000-51-02-25
OCC RES
LIGHTHOUSE ROAD
S 41°18'~'°---~'E 170,00'
EX LP
80
PROPOSED
SINGLE FAMILY
DWELLING
PROP
WELL
40*
APPROX 70' 3'0 WEL~
N 41°1B'20"W 17Q00'
/
LOT a
OCC RES WELL ff
~6 _ [ 49.5' ]
LOT 3
VACANT
ELEVATIONS IN S.C. DEPT OF PULIC WORKS
NIGHVVAY OIV EAST END TOPO MAPS
CERTIFIED ONLY TO:
GENDOT HOMES
B~' DESTIN G. GRAF N.Y.S. JC_NO. 50067
FILE MAP NO. 10656
SURVEY OF: LOT 2
MINOR SUBDIVISION FOR
LIGHTHOUSE ROAD 26
SOUTHOLD, TOWN OF SOUTHOLD
SUFFOLK COUNTY, NESN
SURVEY DATE: 0311 9~02
8/01/2001
sc~ I"=60'
DEST~ G GRAF
LAND SURVEYOR
~ Point, Ne~ Yo~k 11778
631-621-3442