HomeMy WebLinkAboutDrake, Charles c FFOL4-C
ELIZABETH A.NEVILLE ,``Z Town Hall, 53095 Main Road
TOWN CLERK y P.O. Box 1179
2 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS %%? . �',� Fax(516) 765-1823
MARRIAGE OFFICER : 4. �1
RECORDS MANAGEMENT OFFICER 49! .0001� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER �o.°
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1857 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : EDWARD FAIVRE
Address 1 : STONERIDGE CONTRACTING
City St Zip MILLER PLACE NY 11764
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 #R10-98-0039
Name Of Owner DRAKE, CHARLES AND LISA
Mailing Address 1 TRIANGLE LANE
City St Zip CALVERTON NY 11933
Property Address 1 WUNNEWETA ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 111 .00 block 12 lot 5.002
Cross Street NASSAU POINT ROAD
Building Permit Number Cross Reference:
Issue Date: 5/11/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE y� Town Hall, 53095 Main Road
TOWN CLERK y -� , P.O . Box 1179
••• 2 •
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax��, Fax (516) 765-1823
MARRIAGE OFFICER :: 1i �1
RECORDS MANAGEMENT OFFICER : ��l *�� .I Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER ���
afifr
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 4, 1998
Transmitted herewith is a copy of application No. 1931 for a Cesspool/
Septic Tank Construction Permit submitted by:
Edward Faivre/Stoneridge Contracting for Charles & Lisa Drake •
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.
i
Linda J. Cooper , l
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE k..7
DISAPPROVE
Comments:
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Dated
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01' 111E I OWN CLERK
l'own of Southold 1))
Terry, Town Clerk Application Ho./9
-7"-(
Fowl, Hall, 53095 Main Road
Box I 179 .yrt,,0;,,, ?gip)
SAlt
holuc?:.• eration outd, New York 11971
-40 • idtial
Telephone * Resen
,
(51(;) 765-- 1001
Non Residential.
•
Towri sooT1101_o
SOUTHOLD WASTIEWA I.F.12 DISPOSAL DIST U ICT
APPLICAnON
•
II/1
CONST RUCT ION Or ALTER AT ION PERMIT
SEP IC TAM< cESSI'Ool.
Permit No,
Fu $
DATE MAY I) 1978
A 111.1C A N T NAME : Ebk,lee_'b he% VAE - STOAlef: 6••6 CcaVrg.fiC1')/u6e_ T/k1C
APPLICAN r nomiEss:
SFPT'$C CESSPOOL
DESCR I PT ION OF PROPOSE.D CONS.' It ION OR A LTERA T ION
Welv
Nsrauc,-770,0 -
FAT») 1)u.!Fuir)6
LOCATION MAP: Must he at lathed hereto Before per aill may be Issued.
•
1_OC:M.10N 01 PROPOSED CONST RUCT ION OR ALTE.RAT ION:.
owrint OF PROPERTY : C147=1112.1,F5 Li 'SA b.g.i:04E
OWNER MAII_ING ADDRESS: s7P-111•A1‘el,r /ft •
Cer/V02-1-0P) 4.1_931
o w PROPERTY ADDRESS : (A.JR k F.T71- Po f0:1.)
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TELEPI IONE riumnER corny\ PrRsoN
1AX MAI' NO. : Sec:11011111. . . .
CROSS. STREET : /41.55 (4. eo,;AP% RO M).
BUILDING PERMIT NUMBER CROSS REFFRFFICF :
Signature o ApplItant
RECEIVED BY : AZ A4,..
-
Town Clerk's 011 c
DATI: :
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APR. 7, 1998 REVISED SANITARY
MAR. 24, 1998 ADDED CERTIFICATIONS 1151
5.79 DATE: REVISIONS:
SURVEY FOR: it;
igi -.......
CHARLES W. DRAKE & LISA DRAKE • 1:61
At: NASSAU POINT Town of: SOUTHOLD
Suffolk County, New York
I Suff. Co. Tax Map: , 1000 111 12 , 5.2 o
District Section Block Lot
�O LAND S� CERTIFIED TO:
44;-y,�N SCHti 9 CHARLES W. DRAKE
V `O y, G� 1--' LISA DRAKE
--t . ,t; . %J 0 STEWART TITLE INSURANCE COMPANY
, g1k* 37 .
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:MAR41998
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