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HomeMy WebLinkAboutGreenbriar Homes Inc , suFFO40 ELIZABETH A.NEVILLE # Town Hall, 53095 Main Road TOWN CLERK o - P.O. Box 1179 h Southold New York 11971 REGISTRAR OF VITAL STATISTICS Q ' OFFICER � Fax(631) 765-6145 MARRIAGE RECORDS MANAGEMENT OFFICER y�Ql �iTelephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER °1 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. 3195 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : GREENBRIAR HOMES INC Address 1: 59 HAWXHURST ROAD City St Zip COLD SPRING HARBOR NY 11724 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 #R10-03-0009 Name Of Owner GREENBRIAR HOMES INC Mailing Address 1 59 HAWKHURST ROAD City St Zip COLD SPRING HARBOR NY 11724 Property Address 1 3415 LAUREL TRAIL City St Zip LAUREL NY 11948 Tax Map No. section 126.00 block 12 lot 4.000 Cross Street LAUREL COURT Building Permit Number Cross Reference: Issue Date: 9/01/04 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) i ,,,iiia. 11 ,,,,,c,.,,- t, eo; 31'S ELIZABETH A.NEVILLE ����� Gy \ Town Hall, 53095 Main Road TOWN CLERK % ti- ; P.O . Box 1179 %REGISTRAR OF VITAL STATISTICS ` o eft t Southold, New York 11971 MARRIAGE OFFICER �� . ,g Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �__��,� �a�,/,i Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER '-,�, �,,.��� southoldtown.northfork.net OFFICE OF THE TOWN CLERK _ TOWN OF SOUTHOLD n i TO: Southold Town Building Department jUN FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: June 16, 2004 Transmitted herewith is a copy of application No. 3336 for a Cesspool/Septic Tank Construction Permit submitted by: Greenbriar 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. Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE , Comments: my/..y` c.,_.,._ / -= / ' Signature ‘4'... ae,eAporit e7-17 02 • Dated /11 ��, ;` ELIZABETH A.NEVILLE �4�` Town Hall, 53095 Main Road TOWN CLERK % p - % P.O. Box 1179 REGISTRAR OF VITAL STATISTICS � yj. ,� Southold, New York 11971 MARRIAGE OFFICER :.-O .lC �� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER Wf0 W of Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER = '� 4 ***/ southoldtown.northfork.net .--'-'-,....•00, 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 3 3 Permit No. Applicant Name / Aai°/ft� �OmE� 74t Applicant Mailing Address 59 , 904Cft/ieST ,c7/4`-, / e.=. ..Se"-1A/4 /�lye -/�©� "✓ 7/7.P-5‘ Septic Tank ✓ or Cesspool Brief Description of Proposed Construction or Alteration CfO'v377 ' r-,/ %e Fl CX-Ss oo/-- X22 A40,11 dA/ �; ,4-,V . i -/•t/4 Location of Proposed Construction/Alteration: Owner of Property: �,E.;0v,44,€/, -- ,!Es /Ale Owner Mailing Address: ,447h X'Aizi/Z7 ,e,-0/9--h C-vA s",,t, ,e g etrAi>7 /i -57. Owner Property Address:3'I 6 .GAJ2I' - 7-2,0/4.- / i446 /i94/( Name and phone number of contact person S /1-1 Tax Map No: Section /?-w Block /Z Lot V Cross Street L,Iu',,eL- C-7-, NOTE: LOCATION MAP MUST BE SU MITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY H ,IH EPARTM NLsAPPROVAL / �M? - Zell/ /'9. /6 dol. y Received by: (j(j/ut:Lgnature of Applicant Date / ;Lo t 11 \\ 000 GLE n DATE I y/ Subdivision - "Laurel Links" \ / 0�, APPROVED (Dwelling With Public Water) (2 .0 FORM \ 0,) , EXPIRES THIZRE) - CURB S \r'c9p 6 � 5335 �,, - 29.9 p��PN�E BMX ,-1-,- 1 ��,0:'' `�. • �PB,�BOX \J4)(3?) • SUBDIVISION MA < OD PROPOSED ° THE CLERK T SUI DRivEwnr FILE NO. 10712. O / ---------- -6-0-'---------- 0 0 • VER11CAl DA TL wi 1-Li // S t oo' 4006 �l �� 4".V (2) a�w�.�l _ � . h1500 GAL o o SUf 7 ,� F.E. � D $ PI IA'o s Lot 12 ?ROI"- o WE HEREBY C Q' pR E rn ® VII o G� .X IT SATEM �, q & FIDELITY N O/ p� VS �p COMPANY THA N•w�TER---___PROPOSEpWATER0 Z- a. SERV�rr _- / �a/oM °!i4nd 4/� M 6����a r r. M p A � a' ' e 400 Ostrander Avenue, Riverhead, New York 11901 J'se 631-727-2303 ; n Howard W. Young, Land Surveyor g, EB Thomas C. Wolpert, Professional Engineer g„>o Robert C. Tast, Architect ••61S • Ronald E. Pfuhl, Landscape Architect €E11 ` Douglas E. Adams, Professional Engineer 0 X19 €y,F FOLK COUNTY DEPARTM"�NT OF HEALTH SERVICES 9 4 g 0 PERMIT FOR APPROVAL OF CONSTRUCTION FOR A x> ,4 AO SINGLE FAMILY RESIDENCE ONLY alA 0 r is W kP DATE / �.`ila HS REF./40. 1 0 -- 0�3 00 y ''oP 424 0 APPROVED - .. n Els; r0 -0 FOR MAXIMUMOF to BEDROOMS �mvr it i 0eni '0 ��, EXPIRES THREE YEARS FROM DATE OF APPROVAL o�"W \\ gyp/ 4. `� bWN� rajv--.-8^ t-�- -`y i 6-C NOTE AREA = 40,542 SQ. FT. • SUBDIVISION MAP "LAUREL LINKS" FILED IN THE OFFICE OF o THE CLERK OF SUFFOLK COUNTY ON NOV. 23, 2001 AS FILE NO. 10712. . • VERTICAL DATUM a N.G.V. DATUM (M.S.L. 1929) 01 gii tilH%9 ' SURVEYOR'S CERTIFICATION ..,r �-�rocov rcpTtcv rn rIREENB !!RIAR HOMES. INC. 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