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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