HomeMy WebLinkAboutReiter's Seven Acre Farm ELiZaBETH A.
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF ]NFOILMATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.nor thfork.net
OFFICE OF ,1.I~ I~: TOwN CT.i~.RK
TOWN OF SOUTHOLD
$OUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or .A~=T~O ATIOm p~OM~T_
CESSPOOL or SEPTIC TANK
Residential ~ $10 ~//or Non-Residential @ $25 __
Application No. ~5-0
Permit No.
Applicant Mailing Address
P o. ~o ~
Septic Tank k-~r Cesspool O,/
Brief Description of Proposed Construction or Altemion
Location of Proposed Cons~uction/A~,teration:
Owner Mailing Address: PO. /~gx
Owner Vroperty Address: ~_PqTOO /4~a,~7 /~6~'a~f
~a~and~ho-.-,,mb~orconta.~on d~ d, ~11~ °~
~/?q- //
Tax Map No: Section YE Block ,~"' Lot
NO'I'E: LOCATION MAP MUST BE SUBMI'i-i'~.D WITH APPLICATION.
NEW
CONSTRUCTION REQUIRES SURVEY V,'ITH Hli. AL'I'H DEPARTMENT APPROVAL
Suffolk County, NY
Suwey'.ed: 11.-05-07
Jo{'~ A. Co,~tello
El~ldOj~,~lm~t:on Notional Eto~k
LIl~r 11~,5~) Pooje 109
Lot Areo- -LO5 Acres
Elevc~lor~ refer
HSL-N~VD'2q
I 1' = 50' I
Survey of Property
$CT# 1000-45-5-2
Situate: Amhamomaque
Town: Southoid
Suffolk County, NY
Surveyed: 11-05-07
C~r-f.l~led [4):
John A. Co~f, ello
B?Idcjeh~ton N~t:lon~l Bonk
LIk~r 11~5~ Pc~je 109
Lot ~'eo - '/.05 Acres
Elev(3[Ion~ refer to
~ - [~rled Utlllbes,
Eor-,emen~ of R. ecord,
eft. ~hlch o~e not
ore no~ ~rtllflecl
I 11=5~ I
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ ] INSULATION
[ .'~FINAL
[ ] FIRE SAFETY INSPECTION
] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
DATE