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HomeMy WebLinkAboutBrigham, Charles OLk��ti��� %� i Town Hall, 53095 Main Road ,/441 0. P.O. Box 1179 11Southold, New York 11971 JUDITH T.TERRY TELEPHONE TOWN CLERK (516) 765-1801 REGISTRAR 01 VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1584 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : CHARLES BRIGHAM Address 1 : 215 PIERCE DRIVE City St Zip CUTCHOGUE NY 11935 Descripton of Proposed Construction or Alteration REPLACE OLD SYSTEM WITH NEW SEPTIC TANK AND OVERFLOW POOL. APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS BUILDINGS, PROPERTY LINES, AND WATER BODIES. EXCAVATION INSPECTION REQUIRED. Name Of Owner BRIGHAM, CHARLES Mailing Address 1 215 PIERCE DRIVE City St Zip CUTCHOGUE NY 11935 Property Address 1 215 PIERCE DRIVE City St Zip CUTCHOGUE NY 11935 Tax Map No. section 136.00 block 1 lot 11 .001 Cross Street HARBOR LANE Building Permit Number Cross Reference: Issue Date: 12/20/96 Judith T. Terry Southold Town Clerk (TOWN SEAL) 00 stfF01/(N. 049 JUDITH T.TERRY • Town Hall, 53095 Main Road TOWN CLERK y Z P.O. Box 1179 v. ,�� Southold, New York 11971 REGISTRAR OF VITAL STATISTICS ;e$ X47 Fax(516) 765 1823 MAftftIAGE OFFICER � 1J� a����1 Telephone (516) 765-1800 RECORDS MANAGEMENT OFFICER •1 lo[ *`�� FREEDOM OF INFORMATION OFFICER . 01 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department DEG 7 FROM: Linda Cooper, Southold Town Clerk's Office DATED: December 17, 1996 Transmitted herewith is a copy of application No. 1652 for an ALTERATION PERMIT for a cesspool or septic system submitted by Charles Brigham • Please review the application and location map and advise if this office may issue the permit. Please complete the form below and return it to this office. Thank you. Linda J. Cooper * * * * * * * * * * * * * I have reviewed the application and location map of the project listed above and make the following recommendation: APPROVE - DISAPPROVE - COMMENTS: Maintain required setbacks from adjacent wells, buildings, property lines and water bodies. EXCAVATION INSPECTION REQUIRED. RECEIVED v./ • trj DEC 20 1996 Sign•tu'- / Southold Town VDate E • OFFICE OF THE TOWN CLERK ,i'" Town of Southold �''�� AVOUre Judith T. Terry, � �� �/ Application No/106-`r" Town Clerk y Town Hall, 53095 Main Road Z ; Construction P. O. Box 1179 '6c` n+ Southold, New York 11971 to Zc��• Alteration Tele hone ;y0 O ,i� $10.00 - Residential p .���0 (516) 765-1801 =.U1 * �;, $25.00 - Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICAT ION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ / _ — -- DATEL3 I t l °l t b APPLICANT NAME: ( ,1\ çk) 'rC.\ ka-w' - - APPLICANT ADDRESS: 2\e- 2GL_ - - A-+-0 CIA/a, I 'Y- tl g .3S SEPTIC /CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION ARpm/ 60 J _1?-21$-1_57i L\ 3 Lec,4C 4A) REPL 4 - l.✓! -r _A i / ZO©C3 c A��s 7 LCi4-t __�LL� N LSI LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY : etiveA-r_C-e- OWNER MAILING ADDRESS: a I5 ?i-ev-C Q v-, ikt (9 OWNER PROPERTY ADDRESS: TELEPHONE NUMBER OF CONTACT PERSON: �j�2- 36.R.? TAX MAP NO. : Section \S Block 01_ Lot a t 1, .0Q ' __ CROSS STREET : jt,� BUILDING PERMIT NUMBER CROSS REFERENCE: 410 A /: 40 ignature of Applicant RECEIVED BY: Al __ _ f - Town Clerk s Office - DAT E: l :b- /9 ---- jSG v!kc. A1-11" c;0,K_, ,`14 t L--,*14l/F,G.A.&P.L.Brown N/F E.&F.Acquisto • }`4 ------.... I s ik -N.73°21'10"E 1 'W/ 175.00'I. —3�': _ FOUND IRO'('-.-\ ,,p,4 FOUND j b p PIPE / p5�5 •Vt." CONC.MON. p r% tti w / 91-1).h.,',Gyer, ✓ — 57 _ 56 55 .�.�h54 -` ' 53 .4.------• 51 50 49 Ext. IN& Y" _ ,, Cr55?ocLS 53.9 . Pur^P FILL rA3.M-'A"PJ LL 5 N , p::n. IOo"j ti5.-r, DOLL f' I CONC.PATIO 1425 WITH AWNI LOTS 50 TO 56 INCLUSIVE S ,._,CELL.ENT. O 59 I J -' r. 54.54 — EUGENE HEIGHTS III. 7.7, I FILED OCTOBER 29.1928 MAP NO.856 0 1 STORY FRAME 5P I I CUTCHOGiJE, DWELLING TOWN OF SOUTHOLD, 11 \ j na 117' 1 o SUFFOLK COUNTY,NEW YORK 14 \ 60el 1154 1 IN.= 30 FT.APRIL 14,1993 I M Z Il Y m 1n 1300 0, RESET �Vry .'1,- ¢ IRON PIPE I , r GUARANTEED TO: SET NAIL IN BASE S 73°21'10" W 175.00' OF BROKEN MON CHARLES D.BRIGHAM SUSAN A.ENGELHARDT NORTH FORK BANK 1''=s-• TICOR TITLE GUARANTEE COMPANY i -7, r PIERCE (so.WIDE PAVED) DRIVE nfiE-",,, I ' ,. :� CA (>.\' ` ) I - ¢ 6.\\ k p ' r y.r — — lye,, v tseOF J — -- \ ' J E"Iis :r; II e.' Nr 3/1\22'2.q t,j2e Ps,< \yo su,v � / PAUL T. CANALIZO,SURVEYOR HAMPTON BAYS,NEW YORK ' •