HomeMy WebLinkAboutInland Homes inc (2) ELIZABETH A.NEVILLE $,�`1` co
Gy��1 Town Hall, 53095 Main Road
TOWN CLERK p :'- P.O. Box 1179
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Southold, New York 11971
REGISTRAR OF VITAL STATISTICS • O .1 Fax (516) 765-1823
MARRIAGE OFFICER � t* 01
RECORDS MANAGEMENT OFFICER _ 491 �.a�,�� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1875 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : INLAND HOMES
Address 1 : 315 WESTPHALIA ROAD
City St Zip MATTITUCK NY 11952
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 #R10-98-0055
Name Of Owner INLAND HOMES
Mailing Address 1 315 WESTPHALIA ROAD
City St Zip MATTITUCK NY 11952
Property Address 1 DEERFOOT PATH
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 97.00 block 7 lot 19.003
Cross Street MOOSE TRAIL
Building Permit Number Cross Reference:
Issue Date: 6/03/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE1tl Az?�. %:/. • '.Down Hall, 53095 Main Road
TOWN CLERK % y_ , P.O . Box 1179
Z , Southold, New York 11971
REGISTRAR OF VITAL STATISTICS °45#60
��MI V Fax (516) 765-1823
MARRIAGE OFFICER :� ifi ��
RECORDS MANAGEMENT OFFICER : 5#O! �J �l Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER ��O
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 28, 1998
Transmitted herewith is a copy of application No. 1949 for a Cesspool/
Septic Tank Construction Permit submitted by:
Inland Homes •
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.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE
DISAPPROVE
Comments:
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Dated
BLDG_ DEPT.
T ',AM `�' S OT`IOID
2
OFFICE OF THE TOWN CLERK ,
TOWN OF SOUTHOLD ;
���� Application No.)9
ELIZABETH A.NEVA IR,TOWN CLERK .:
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971
N Alteration
• $10.00 -Residential
Telephone(516) 765-1801 _ l f �� is' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE
APPLICANT NAME:
APPLICANT ADDRESS: LC 6eL - -� �ais-
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
1 - .�
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTER ION:
OWNER OF PROPERTY:
OWNER MAILING ADDRESS: cl -
OWNER PROPERTY ADDRESS:
EA cie � �" - - '�?? - 342'% ~rr+.e,,.o- cam.
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section 9 7 Block Q 7 Lot ) 9. 3
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
‘)2
Signature of Applicant
RECEIVED BY: , b0/66A---
own
blJi(iC/Aown erk's Office
DATE: e j��
f
ill
_,
OR ISONEff.
LOT 6 �o x ________J\ ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION
OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW
pyyELL�O --\-1-o ' EXCEPT AS PER SECTION 7E09-�P ALL CERTFICAOYVS
HEREON ARE VALID FOR THIS MAP ANO COPES THEREOF ONLY F
\ ___------ _
SAID MAP OR COPES DEAR THE(.PRESSED SEAL OF THE SURVEYOR
VEp FOR 61°40\ WHOSE SIGNATURE APPEARS IEREON
AREA RESER IL5 O0, ADDITIONALLY TO COAPLY WITHY'
SAID LAW THE TERM 'ALTERED B
MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY
/ s+.2O OF ANOTHER SURVEYOR'S MAP. TERMS SUCH AS 7NSPECTED'AND
'BROUGHT-TO-DATE'ARE NOT N COAPLIANCE 17771 THE LAW.
N. 76'54'20. E )
a 1 .3 ;' `
.} 125.00. 0
N I am familiar wl/h the STANDARDS FOR APPROVAL
_ AND CONSTRUCTION OF SUBSURFACE SEWAGE
°- ��8 ��� •50'20• E` w DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES
o e� N' T 6 O and wd1 abide by the conditions set forth there/n and on the
F. permit to construct.
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1r The locations of wells and cesspools
shown hereon are from field observations
1+ 0 26 ' o 0 and or from data obtained from others.
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SURVEY OF
, 35x
e ( 26' o 'EMAP OF Ea CO LOT
MOOSE COVE"
5 (� I� ts, Lo T „.- o FLED AUG 30, 1960 FLE NO. 3230
g o o ! J.
b AT EAST CUTCHOGUE
vl o TOWN OF SOUTHOLD
° o i�� P. o in r 1 D _ R j� SUFFOLK COUNTY, N Y.
14 , ° 1 '_ �, 1000 - 97 - 07 - 19.3
�.: o-�° . SCALE 1" = 30'
°z ' X t1 APRIL 1, 1998 -,..A
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e\--
Ai • Ifo
O IX nip 44 g
O 25,00'
a � ' �, ,
ibein
C • 1 EL der 50.20. yy, Vac ., EOF N;►'�' ����..
76 , LOT ��
Q Irr.14 6'8 S Cj N 7. MET �� �
z
m %\________
4 _ f. ,1.. O. 496/8
" $ ELEVATIONS ARE REFERENCED PECONIVE �''v-r-`$'.C•
eN TO AN ASSUMED DATUM (5161 76k,,..„0, '
_ _ _______ E F ..4 8 ,
Tr r' P. a BO °• 49618
a MOOSE AREA =23,125 sq.ft. SOUOTHOLD, ' `:
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