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HomeMy WebLinkAboutBurns, Douglas �•NO ELIZABETH A.NEVILLE I w' Gy y Town Hall, 53095 Main Road TOWN CLERK �, p 1 P.O. Box 1179 • y Z • Southold,New York 11971 REGISTRAR OF VITAL STATISTICS %%%‘-° '�� Fax (516) 765-1823 MARRIAGE OFFICER ?i RECORDS MANAGEMENT OFFICER : *49 �������, Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER is OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1847 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : DOUGLAS AND LYDIA BURNS Address 1 : P. O. BOX 1135 City St Zip CUTCHOGUE NY 11935 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 #R10-98-0026 Name Of Owner BURNS, DOUGLAS AND LYDIA Mailing Address 1 P. O. BOX 1135 City St Zip CUTCHOGUE NY 11935 Property Address 1 EVERGREEN DRIVE City St Zip CUTCHOGUE NY 11935 Tax Map No. section 102.00 block 1 lot 4.008 Cross Street VINEYARD DRIVE Building Permit Number Cross Reference: Issue Date: 4/23/98 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) r - h,0 0g�FFOL j / Q 7 ELIZABETH A.NEVILLE t•,``Z`• 0 4.3. a., Town Hall, 53095 Main Road TOWN CLERK p -4 P.O. Box 1179 y Z Southold, New York 11971 REGISTRAR OF VITAL STATISTICS * • . # Fax (516) 765-1823 MARRIAGE OFFICER ` RECORDS MANAGEMENT OFFICER • �fo �� �I� Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER - 1 �,si0 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD ' 0 TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: April 17, 1998 Transmitted herewith is a copy of application No. 1921 for a Cesspool/ Septic Tank Construction Permit submitted by: Douglas & Lydia Burns . 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. Thank you. (44')(-0. Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations:ec APPROVE +✓ DISAPPROVE Comments: Signatu AlL------ iiiqg 5 Dated 0. , OFFICE OF THE TOWN CLERK CAffrket /�� Town of Southold Application No. Judith T. Terry, Town Clerk / Town tall, 531193 M Road Construction �/ P. O. Box 1179 Southold, New York 11971 � � gr '' Alteration j Telephone 411'7 '' Residential (516) 765-1801 "" Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. - Fee $ DATE (1/1/19 APPLICANT NAME: toUG-CAS r 1-/a I ,tU s APPLICANT ADDRESS: C .07( 1\31 (V-I-cG►os N 1 Ire 3 r SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION s/vi )e - w,J rc cijekiirct c LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: D(9u51Cc 5 -e L74,ti pU r4 s OWNER MAILING ADDRESS: &)( 1133- Cu /L70) v2 , N f t(Cts'- OWNER PROPERTY ADDRESS:L4 f rver5ew,, Puy& C.v 4-at e50P r- . TELEPHONE NUMBER OF CONTACT PERSON: '73`f- SY5 -7 TAX MAP NO. : Section (0 Z Block D ( Lot 9 , CROSS STREET: VI ''i65o,rd- r<LI`C , BUILDING PERMIT NUMBER CROSSRE ENCE:.. Rte- c ( f G Signature of Applicant • RECEIVED BY: RECORD Town t(erk's deice DATE: APR 1 u 1998 Southold Town Clerk � -11 O r,23941 , y © x 1 oCa CO CP cv CO coSURVEY OF LOT 8 SUBDIVISION MAP OF THE WOODS AT CUTCHOGUE FILE No. 8717 FILED MARCH 23, 1989 SITUATED AT CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES p L S . C. TAX No . 1000- 102- 01 — 4.8 PlZIIMJ FOR ':c PRO 1'AL OF CONSTRUC 'ION FOR ), =. flLY SIDENCEONLY SCALE 1 =20 FEB 2 7 1998 ? IvO ., D_g _Oa �� JANUARY 5, 1998 FOR M XI AUM OF. BEDROOMS I j EXPIRES THREE YEARS FROM DATE OF APPROVAL AREA = 51 ,348.11 sq. ft. 1 .179 nr. v V' °N t.. % V-tom 'psi 1� 500111-cf.) irl' 0161° 115 IIo 00 .x. Rx i c4 I ti, , o Jpe .i:*:. ,061 iryryh OP' 04. / • a ,\,4 ) (,,;,- . ,59 e lipp, A • I '4S) /-1C) • ) kyr. ''O `4 , Jr. '' ° d cLc5>- O ° Q ,, , 1Oc