Loading...
HomeMy WebLinkAboutMilner, Fred 10 OOOOOOOOOO r I� Town Hall, 53095 Main Road �- P.O. Box 1179 .0/� Southold, New York 11971 JUDITH T.TERRY ; �i�0° TELEPHONE TOWN CLERK (516) 765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1737 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : FRED AND MARY MILNER Address 1 : 870 BRAY AVNEUE City St Zip LAUREL NY 11948 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 #R10-96-0097 Name Of Owner MILNER, FRED AND MARY Mailing Address 1 870 BRAY AVENUE City St Zip LAUREL NY 11948 Property Address 1 WHITE EAGLE DRIVE GOLDEN VIEW ESTATES LOT 22 City St Zip LAUREL NY 11948 Tax Map No. section 127.00 block 9 lot 22.000 Cross Street CONDOR COURT Building Permit Number Cross Reference: Issue Date: 9/29/97 Judith T. Terry Southold Town Clerk (TOWN SEAL) • / 73 —7 ...._ e_ QS�FFO(,�c • JUDITH T.TERRY �t�_� 'fes`� Town Hall, 53095 Main Road TOWN CLERK ; y 2 P.O. Box 1179 t v. n, t Southold, New York 11971 REGISTRAR OF VITAL STATISTICS . Gy ����1, Fax(516) 765-1823 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER `-. O.( 4 .040.�� Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER .0 , • OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD 0 TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: September 26, 1997 Transmitted herewith is a copy of application No. 1811 for a Cesspool/ Septic Tank Construction Permit submitted by: Fred and Mary Milner 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--'14-61.4.-- Linda im- ' "'Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following rec mmendations: APPROVE DISAPPROVE Comments: gnatur ` // ci Dated - 1 loituatiuto .., liFFICIF S. OTHE TOWN CLERK P. c.311111.4e, ' Town or soothow V ""'* *_....k. Application 141-.77 Judith r. Terry, Town Clerk P-,•,' ' '" ' -.04' . Town Heil, 53095 Main Road , :. -17.- 4 . ,„...* (-must...cu. . .. . .;, 1). 0. Box 1179 , I ...„-,. . „,,,„_, , Alteration Southold, tlew York 11911 •Cee:dk*,--aliipp, ts.. . .-fWNY'. ...___..... . . ... . . .. Telephone . "0 * ‘ktif . • Residential . -,77,,firi'l (516) 765-- 1001 Non •Residential.... ... __. . . . . TOWN OF sooTHoLo souTmot..o WASTEWATER DISPOSAL DISTRICT . APPLICATION • fur CONSTRUCT ION or ALT ER AT ION PERMIT . , . SEPT IC TANK or CESSPOOL Permit No, • Fee $ DATE ) C.) ..q 11 APPLICANT • APPLICANT ADDRESS: 1O c-- \.) ____..........hatAri YU (-1 sErncc) CESSPOOL !U ........ .... • DESCRIPTION OF p1301N3OSED CON --rityCTION OR nun:RATION LOCATION MAP: Must be attached hereto before permit may be Issued. • LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY : 1--/A-eJ A.- Vkik arc\ OWNER MAILING ADDRESS: SI 0 ". (-Y., A.J _.1U -tA OWNER PROPERTY ADDRESS: COVO,40 Vi,s-e•AAY C. *" -e...,5.. ..._______ ... ...._._ . _ TELEPHONE NUMBER OF CONTACT PERSON: oct&- “s-av TAX MAP NO. : Section ) .,..-7 111.:k 1 Lot Jia. CROSS STREET: 10D\IVe-- BUILDING PERMIT NUMBER CROSS REFERENCE. :.................. ....._________ _ _ ........ . . . ,:, 191(1......... • sVIT'J 11\114 ' • SIgnaltii-Wid Apiiii7c:a-iii--------- RECEIVED BY : "IICIMMVIO ' siii-a4,0 eieric's Office 1997 DATE : '., Iowa Ckwk sumo . • . • • I III I I I1 11 I • SUFFOLK CO. HEALTH DEPT. APPROVAL • ----....\ r.. ..._ H.S. NO. ....., LI- - 6."-- o , i — ..M•1•1111.111NOMINealliff alialiNlIml..111Mme SUFFOLK COUNTY DEPARTMENT OF HEALTII SERVICES . ...-, i (VACANT) 24 ./ ./L-4CA;‘37) 0 .71 , PERMIT FOR APPROVAL OF CONSTRUCTION FOR A P. .....- . 0 ..... .... t„.„, i -; SINGLE FAMILY RESIDENCE ONLY. ,. . T 2 ' '-' . R.to -ct6-00q7 ..r" DA13°C . a -......ii 17: A' " H ./4-. a ..1 , ri - 1 .AppkovED — .— - gip ir- • 1 .--- , --- ...-- -- , , ,,.,i-4-i 1 FOR MAXIMUM OF.± BED. •. 50 wl-iiTE - EAGLE ,..- OfavE ...... -, . ..- DcpmES THREE YEARS FROM DATE OF APPROVAL .. ..__----- 4191 TO CQQV E s3 CONN. • .Z 35 4z.1E. . „.„ c.:1 . ti. 0.4oo,.. . -.. , --, „.--., > ..., , - - TO am LQOAD ofavE . • • ,-.., -,-;-, ......-- 1 ' \/ ..-• 8 .... . _... 8 '1) , 50 .... r•-• ---'," -> / , / , , . ...„.„ 1 .....< CO MAP OF viZOPERTY ...,...,....... N 1 CI I. / 't.' 72 13.1 t ,... e: _ SURVEYED P0a, z ; g rir / t-,., ..f., . ;-t i i -, 1 t - . . , • , A I-- , eh , ) : , , , . , > ..... 1 °- '.-- -- --1 P12.0e, 1-10. 1 :-.i. ,,,.. I - i I 1 I..- 1.,.., 4 4 1 -......; I......„.i ......4 ; - . • 4- i ta. ,-; 4 r4 4 SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCI... -i K PC1 , a .4, - • 1000 127 _9 .22 .. .. - , ' ..-- •:• '..,.. .-Ac'U la1 1 ,----,,, OWNERS ADDRESS: '21 op..-- -.. .f.: •, /. ...._ -- — - I _ :-.= '1 7: •A/N 'T 5C LITLiOLE/' NY , '''' ——, -1.--...—...- ' .J , sio iar.bw AVE. -... . / . 22: ,....c; 4- -*-P- ,CvAc.-.At-----) • -: . • ! LALIZ.C.L,N.Y;1 1948 , -. 0.4 / ....... iii T.EL292-e821 • 1 1:iP 2.-0 P - / t- ,••• - `..- zoo . 1 c0 717. DEED: L.r.I/A P. _ TEST HOLE ...0 , (‘i -Zi STAMP C\) . t. ‘‘'N .. , t A5cALI-2,EA4o-5,1G 1 r.. i N Is Wes asevey ilea eittediii st Ilik" ""°341cham 72111e17140:49711we - I , „.../..? • • Xi (6 gm, II "onlImMS. . , N EdkallION Levi ‘`.. ral i MONIU m ENT , et_. IC. ..vieseethissaimmipemetemit . . — N -e end surveyor%inked smelt" ., ..t...d seel Aid eat beeormalped • ' 14 324 3142a W. 1811..co -.. ,e ue a veld Imam& . / _ _- ., G...appeees Into:red hersonshee..-.-.44 ‘ i• "''‘.. . or'y to the person for whan the WNW , ..21 C•c r:::re C.=Id On as behalf:olio a. lu. cr;;;:r.v-.-7:7.--ricre:J 2priirais . -NiF C.1:2-A5‘04 EiLE2 4) , e.„ N,-.. <,.... ....„ :..... . _-::::.........., • 4 . r.:-, ,.. _ _ _.„,...„...... 6 1 ACA t--.11:) 1 , . - o , AtrIENCEC CGT. 24 •-?e.i.6 ;. ,,..._..... -..................-..,ar afitiscarilt / , . -.3 ./ .. '..1.... i SEAL 1\10TE. . . -, • LCT NO'SRE FE72.70 MAP OF GOL. Em view ,,----.7..\ u) -• 1 ... ,.. . .,3 .„ .0- 0 •..,--fcr- .. ,.. , .....- ,- .1 .1,...,,,,, 4.) ESTATE:5- PlLED-INI i, -CO '5 ., r---- --„,-N-. „..... .4.5 5.0RV. E.C1i9ch.FFICE AS MANO P -777C- . .... N.', ./ stiko 77:x..... 27yAN TUYL.P.C. t,1..,6,I= ,..17,:•-„,.....:::1.3 7 isii.4, - _CATUt1/41: MEAN Seik LEV51..)., t\j__WP _ ..: .. .. . - • - . ---, ,-. , 0 yo-- .—v • LARD . SURVeYORIS -:;'.- . __. 'c) 0 . A;... .,,,.....,,, •- -, . ....art ,-F-, • _V ,, __—,....=,,. - . - : -- :.,.'f'-'• ' .NtA\- ' -:" -..:::, -,_ii,-..'T., t.- - -' -.2-1f...- -- - - ; . ..- ,,.....,:z.,.irm-7,_!z,