HomeMy WebLinkAboutJLC Management Inc 011 SUFFOL4'
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ELIZABETH A.NEVILLE 0.0 1 Town Hall,53095 Main Road
TOWN CLERK o P.O. Box 1179
tiSouthold New York 11971
REGISTRAR,OF VITAL STATISTICS Fax
'F Fax(631) 765-6145
MARRIAGE OFFICER : _,iL
RECORDS MANAGEMENT OFFICER ;�Ql 40.0°. 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. 3205 R Residential X Non-Residential
Fee $ 10.00 Septic x Cesspool
PERMIT ISSUED TO:
Name : JLC MANAGEMENT INC
Address 1: 7 BRADLEY LANE
City St Zip EAST MORICHES NY 11940
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 #R10-04-0063
Name of Owner JLC MANAGEMENT INC
Mailing Address 1 7 BRADLEY LANE
City St Zip EAST MORICHES NY 11940
Property Address 1 565 THE CROSSWAY
city st Zip EAST MARION NY 11939
Tax Map No. section 30.00 block 2 lot 19.000
Cross Street THE CRESCENT
Building Permit Number cross Reference:
Issue Date: 9/02/04 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVTLLE d o� y'd`` Town Hall, 53095 Main Road
TOWN CLERK ` ti - % P.O.Box 1179
v► "7 I Southold, New York 11971
REGISTRAR OF VITAL STATISTICS G 0
MARRIAGE OFFICER \ y iFax (631) 765-6145
RECORDS MANAGEMENT OFFICER -_�0,i . ill'00. Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER -----...01”i southoldtown.northfork.net
XL ` 4 OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD r17'.E r/r D
TO:.. Southold Town Building Department 04
FROM: Linda J. Cooper, Southold Town Clerk's Office
Sou o!d Town Clerk
DATED: July 13, 2004
Transmitted herewith is a copy of application No. 3346 for a Cesspool/Septic Tank Construction
Permit submitted by:
JLC Management,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 formbelow 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 i//
DISAPPROVE _
Comments: ....-10",. �,' L j ��l�r I�
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Signature i As'
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Dated
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OFFICE ON li&froWN CLERK 11'C��f U f 4/,
TOWN OF SOUf1i0LU ��� UL/Q4/,_'#
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ELIZABETH A.NEVILLE,TOWN CLL'RK Ovy•. • Application No._.a3
1'.0.BOX 1179 �� Construction
SOUTHOLD,NEW YORK 11971
p m �
cnAlteration
(5 6)! e7 5001 18 _ #4.9
'y� $10.00 - Residential
�� 44
• ,��''',,��� $25.00 -Nan-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE JLti y 1 2, 206y
APPLICANT NAME: • L C, M Cc,n Qyrr)Ce)-1) h C •
APPLICANT ADDRESS: 7 ,Sr ley LQG
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SEPTIC CESSPOOL .
DESCRIPT ION OF PROPOSED CONSTRUCTION-OR ,ALTERATION
2 )/2 8c,:.-0-).5
LOCATION MAP: Must be attached hereto before permit maybe issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION.
OWNER OF PROPERTY: JLC MDQ Gro e-e-) , n C
OWNER MAILING ADDRESS: E
cv) e .
,CtS -1- •,-,^C,hc - 11 • 1-10
OWNER PROPERTY ADDRESS: Gp
KA N iI ?3 '
TELEPHONE NUMBER OF CONTACT PERSON: 70 y - J 2 I 1 G k r•)
TAX MAP NO. : Section `Block
Z � Lot /
CROSS STREET: e Cr-CS CCF, T
BUILDING PERMIT NUMBER CROSS REFERENCE:
I
A1e '14411140
Signature of &plicant
RECEIVED BY :
if own clerk's Office
DATE: 3 (/
' 1
ANY ALTERATION OR ADDITION TO THIS MAP ISA VIOLATION OF SECTION 7209
OF THE NEW YORK STATE EDUCATION LAW.COPIES OF THIS MAP NOT
BEARING THE LAND SURVEYOR'S ORIGINAL SIGNATURE AND INKED OR EMBOSSED
SEAL SHALL NOT BE CONSIDERED A VALID TRUE COPY. ,-),.,
THIS PARCEL IS SUBJECT TO ANY EASEMENTS OR RESTRICTIONS OF RECORD. 1.( i•,--
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ELEVATIONS REFER TO AN ASSUMED DATUM. U�F'LL K c' Y
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Map of Lot 18
"Map of Pebble Beach Farms"
Filed:June 11,1975,Map Number 6266
Situated at East Marion
Town of Southold,Suffolk County,New York
District 1000 Section 30 Block 2 Lot 19
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Certified To:
1 J.L.C.Management
LOT/9 GOT /9 LOT /7 Sunrise Abstract
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YAGNT I LOT G
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SUFFOLK COUNTY DE?AI?TMENT OF HEALTH SERVICES
PERMIT FOR AP1?P'..°"A';'il.d,,01?CONSTRUCTION FOR A
p'IN LE 'AMILY RESIDENCE ONLY
OATS (T�O ANTHONY ABRUZZO R.L.S.
/ .��� ( 40*?. -. REGISTERED LAND SURVEYOR
.T"PROVED jJ -•‘,,-r''. '7/%74 1500 Hortons Lane
„
t Southold,New York 11971
FOR MAXIMUM OF BEDROOMS (631)209-0676
r•XPIRES THREE YEARS FROM DATE OF APPROVAL SURVEYED:April 20.2004
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