HomeMy WebLinkAboutInland Homes Inc (4) ��,•estfFO1,�C
• O �G`.
JUDITH T.TERRY �•_ ?� Town Hall, 53095 Main Road
TOWN CLERK y ? i P.O. Box 1179
, t Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Oy
MARRIAGE OFFICER � ,��� Fax(516) 765-182`{
�f •O
RECORDS MANAGEMENT OFFICER �•� `�• �� Fax
(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. 1552 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : INLAND HOMES INC.
Address 1 : P. O. BOX 117
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR NEW SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. SCHD REF. #R10-06-19
Name Of Owner INLAND HOMES INC.
Mailing Address 1 P. O. BOX 117
City St Zip MATTITUCK NY 11952
Property Address 1 OAKLAWN AVENUE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 70.00 block 9 lot 47.000
Cross Street PINE NECK ROAD
Building Permit Number Cross Reference:
Issue Date: 9/30/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
0.,o��S�fFO1�co /
JUDITH T.TERRY �•_� 'yl`� Town Hall, 53095 Main Road
TOWN CLERK ; y P.O. Box 1179
,• Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER : 4 /� Fax(516) 765-1823
RECORDS MANAGEMENT OFFICER =.fid 'ik .. ,,oTelephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER ,•."
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department j
FROM: Linda J. Ccoper, Southold Town Clerk's Office
DATED: September 23, 1996
Transmitted herewith is a copy of application No. 1618 for a Cesspool/
Septic Tank Construction Permit submitted by:
Inland Homes Inc. •
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 1�
DISAPPROVE410
,
Comments: `, 1 / /e — 9 -
Si•na ur
Dated
•
•
OFFJ:CE CF THE TOWN CLERK cVCI"t01,rf,
• Town of Southold 'moi
Town Clerk rr r.:71 1 . `may , Application No.7 4/�
Judith T. Terry, 61.1:,.
Town Hall, 53095Main Road c= ::"4:, 7 Construction
P. O. Box 1179 Sr' �ti044.•
Southold, New York 11971 C''�' Alteration
Telephone ��01 r1 �b 1� Residential
(516) 765-1301 "� 0 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
• APPLICATION
• for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
• .
Permit No.
•
Fee •$ .
•
. DATE 9/17/96
APPLICANT NAME: Inland Homes Inc.
•
APPLICANT ADDRESS: pO Box 117,Mattituck,N.Y. ,11952 • •
•
SEPTIC CESSPOOL .
DESCRIPTION OF PROPOSED CONSTRUCTION. OR ALTERATION
New Siegle T+Ami 1T Dwelling
LOCATION MAP: Must be attached hereto before permit may be issued. •
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: •
OWNER OF PROPERTY: Inland Homes Inc.
. OWNER MAILING ADDRESS: Qo 4 ) ( � X11-,� ,� f
OWNER PROPERTY ADDRESS ' S <33 C-
TELEPHONE NUMBER OF CONTACT PERSON: 298-9696
•
TAX MAP NO. : Section 70 . Block 09 Lot 47
CROSS STREET: Pineneck Rd. ,Southold
BUILDING PERMIT NUMBER CROSS REFERENCE:..
•
• Signature of Applicant >!" i
RECEIVED BY: ' AL/ ,/ rte 0
Town Cler-R's Office
• DATE: 9/ ,��7, o •
9e .7110Me4 Sl'
315 Westphalia Rd.
Box 117 + Mattituck, N.Y. 1195"
� y
.16.,.e.
' -- ---.
,J
�
J.2ir aO"4....0/ fw e ;/ M WVn•
HEALTH
M
\ h
o--9v
za" s'" I .SOTITST. m
II
S" 83.480 `[O ( DWELL/NG 1 Itle[POAlOYALOTC1{QK710N1
A
•
v�Y RS 11O!QY
• j SanO' N/O%'CAROL YN ECKHAAPPROVED
ROT Dios AO - q( - q
LO►
j sc+-,o, Pre 1,01 0 E. \ TIES YEARS PROM DAUM AFFIRM!./� s
water e/ 20 o 150.00' Pa
\ imilarr6J /tog M
?,
a° ki Lo, - SURVEY OF
Lot 2 ° `
N o PROPERTY
vac-a. pro+ G 20 O
se,f, o ' AT SOUTHOLD
/p IE,$, sl sr ... ,o TOWN OF SOUTHOLD
L�"_--= ZE'° P P.op SUFFOLK COUNTY, N.Y.
�., 2 40 arts1000- 70- 09- 47
VAGF.DISPOSAL SYSTLN�i .T C�d t./.122 -"�--., Scale . Y'- 30'
•(DARDS DATED NOVEMB4i17,('rya,. , ., r 3' 7- Gn<„/D,_,,,-„-. 2ti f.n
o ; \ March 8, 1996
— \ 3• Q April 2, 1996 (SCDHS Additions)
®ot 0 \\R p V -1,0,-,/ 9, /9910( SCDHs Aacc•-r
s
'A X15.- io vN t�Apprein atto►d�nwith Board of ReviewDWELLING 1 /��� �,�
rve ri. y� �M Q 11096
{�
R r O d♦1N'/11111�tIN1 �t� Alm Y 1+ ,,y t>+,n 1. _
d.2 l
o.as. h.c.. - O e/ ,'CNnN�t 2cCv....nc ut ly,e:.:
„, it
_--1,--- N. 83'48'00" W. a35 ' r're a.,
5 /50.00' of". ('
N/O/ -o s� . S.C. eer�r.
F P OF
A o
lJL �
/ Z/SC
/ DW A #a SUFFOLK COUNTY DEPARTMEN1 •r PI IT :A-VICES
1 ELL/NG T• Y
I �PIllFOR APPROVAL OF CONSTRUCT
cr p ,vert I
_IC. NO. 496/8
INOTE ' LOT ® REFER TO SUBDIVISION PLAN DATE_ IS. 'd .NO.
I'.C. • SMITHFIELD PARK -FILED IN THE TOWN CLERK'S
OFFICE AS FILE NO.4770, FILED 9C. 27,1966. ELEVATIONS ARE REFERENCED
\ TO AN ASSUMED DA TUN.
y APPROVED
✓O•cca-n a \4 wet,
96-121