HomeMy WebLinkAboutPM Construction Enterprises .,,o SUFFot,��oG
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ELIZABETH A.NEVILLE ��'hZ 1 �• Town Hall,53095 Main Road
TOWN CLERK ; x I P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Al Southold,New York 11971
MARRIAGE OFFICER �, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �.y�-4 �aVl��,' Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER ,•" southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3171 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : PM CONSTRUCTION ENTERPRISES
Address 1: 8 WETCLIFF LANE
City St Zip LAKE GROVE NY 11755
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR ONE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-04-0032
Name Of Owner PM CONSTRUCTION ENTERPRISES
Mailing Address 1 8 WESTCLIFF LANE
City St Zip LAKE GROVE NY 11755
Property Address 1 1045 TASKER LANE
City St Zip GREENPORT NY 11944
Tax Map No. section 33.00 block 4 lot 29.000
Cross Street SUTTON PLACE
Building Permit Number Cross Reference:
Issue Date: 5/17/04 Elizabeth A. Neville
southold Town clerk
(TOWN SEAL)
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31 7 1
ELIZABETH A.NEVILLE ,�����O i ; Town Hall,53095 Main Road
TOWN CLERK % o P.O. Box 1179
W Southold, New York 11971
REGISTRAR OF VITAL STATISTICS G 47$ Fax(631) 765-6145
MARRIAGE OFFICER �i �1
RECORDS MANAGEMENT OFFICER �_�Ql Air �a��i� Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER _ ,t'� southoldtown.northfork.net
APR 2 0 MA OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: April 19, 2004
Transmitted herewith is a copy of application No. 3309 for a Cesspool/Septic Tank Construction
Permit submitted by:
P.M. Construction Enterprises, 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.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations: V APPROVE
DISAPPROVE
Comments: / - _,_ . . .
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ri/(1.g.°4r"',9i ���
Signature
4•44...:K 2 •�d ,-
Dated
ELIZABETH A.NEVILLE ,
,•1
Hall, 53095 Main Road
TOWN CLERK ; P.O.Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER ".‘1414,,_ ' �� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER ‘‘.-_71_ -,0����� Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICERO'' * �a.�l southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10 i/or Non-Residential @$25 Application No.3 367
Permit No.
Applicant Name I in_ CO,r.5 t, ±i4*AJ 61 etricP C _rN G-
Applicant Mailing Address Ll/es"- e-'4://-3 /. A,e-
',I-4 6'ieav� /I!( // 7.S5
Septic Tank ,/or Cesspool /
Brief Description of Proposed Construction or Alteratio Zb A 711(0-c.,4 1 6
02 51`b r7 Ille rv!-6 d e`.9ji ,7.4 t,q) C>�
Location of Proposed Construction/Alteration:
Owner of Property: X in. ('tot, 5/i-ht/ie)1. £.+✓r -T.-0 -
Owner Mailing Address: L✓e S1- GG% .` L eINc'`
cl�/�$,e Crewe illy (/ 755
Owner Property Address: \U (G S U I Lci h C 4(ur par-1.--
Name
and phone number of contact person t-ere-k- m W/61 r 6 3)5755C-96 cf-,j
Tax Map No: /00 0 Section 33 Block d Lot 9
Cross Street _S-../1740 - L fJLC-
NOTE: LOCATION MAP MUST✓ BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEYIVITH HEALT DEPARTMENT APPROVAL
GtiV/7 ‘Signature of Applicant 7c,M4
--Tfii-t.iiil
Received by:
JOB No. 03-53 TAX ID,No. 1000-33-04-29 r
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m
s . LOT 43 0
EGD rnNCTRI I .TION O
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EXCAVATION INSPECTION REQUIRED1 ›F•i
/ U FOR SANITARY SYSTEM
/ BY HEALTH DEPARTMENT
o< I N 64`31'SU''t �4'l32
GAR
[142.14'FILE MAP] 113.9
x x 114.0
113.8 114.4
23'
/— WATER SERVICE
, 60'
Co43.0 SEPTIC
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z Cl)IQ — �, )
LL ILL
co ID 6,1 ^
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2 V
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D DW O O rW nZ( m n O XH U v' N
O PROPOSED SINGLE O o
N FAMILY DWELLING _ _ o m Z
Z FF 115.5 40 o IT]
GAR 114.0 GAR
1--.9
01
0
114.7 DRIVEWAY
x
111.3
111.8 S 64°31'50'W 151.49' 112.1
[151.32'FILE MAP]
LOT 45 • n
a3 OCC RES PW I
:t..ie:t't' ...•
_ 'iUjN . ^;.+,"�t..r:.:r.;� ' ' r!r.74t.TH S .1i/[c ; m I
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(co.0
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S e is-- M..17 .��` at AFPR.O AL JF CONE. ;'1UC'FION FOR A i
ta LE?AMYLV RB€IDENCT ONLY
DA tJ &
HS .NO .
R=21.15'
APPROVED. A. 1L=36.74;1•
FOR MAXIMUM OF BEDROOMS -
Larziiihursoamroarams.6.74040............EXPIRES THREE YEARS PROM DATE OF APPROVAL SUTTON PLACE
ELEV IN ASSUMED DATUM
FILE MAP No.4021 4/27/64
Unauthorized alteration or addition to this document is a violation of Section 7209 ip
of the New York State Education Law.
S U RVEy OF: LOT 44
Certifications indicated hereon shall run only to the person for whom it is prepared
and on his behalf to the Title Company,Governmental Agency and Lending MAP�Ap- O F EASTERN SHORES
Institution listed hereon.Certifications are not transferable to additional institutions f
or subsequent owners.
Copies of this document not bearing the professional's inked seal or embossed GREENPORT, TOWN OF SOUTHOLD
seal shall not be considered a valid true copy.
The offsets[or dimensions]shown hereon from structures to the property lines are •
for a specific purpose and use and therefore are not intended to guide the erection of SUFFOLK COUNTY, NEW YORK
fences,retaining walls.pools,planting areas,addition to buildings or any other
construction. •
The existence of right of ways and/or easements of record,if any,not shown are SURVEY DATE: 01/21/04 SCALE: 1"=30'
guaranteed.
uaranteed.
CERTIFIED ONLY TO:
P.M. CONSTRUCTION ENTERPRISE INC. DESTIN G.GRAF
LAND SURVEYOR
P.O. BOX 704
f Rocky Point, N.Y. 11778
By DESTIN G. GRAF N.Y.S. LIC No. 50067 . " 631-821-3442
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