HomeMy WebLinkAboutCommender, Ed os
JUDITH T. TERRY Town Hall, 53095 Main Road
TOWN CLERK "acP.O. Box 1 179
REGISTRAR OF VITAL STATISTICS ;„ T Southold, New York 11971
MARRIAGE OFFICER y �` Fax (516) 765-1823
•00.4 Telephone (516) 765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 670 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : ORR ASSOCIATES INC.
Address 1 : 11 SEA CLIFF LANE
City St Zip MILLER PLACE NY 11764
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 11/09/90.
Name Of Owner COMMENDER, ED
Mailing Address 1 25 IRVING AVENUE
City St Zip FLORAL PARK NY 11001
Property Address 1 HIGHLAND ROAD (LOT 34)
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 102.00 block 8 lot 31 .000
Cross Street ROUTE 25
Building Permit Number Cross Reference:
Issue Date: 1/14/91 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
• ,
11,4 OOOOOO
Town Hall, 53095 Main Road
s' P.O. Box 1179
� ��i•� Southold, New York 11971
JUDITH T.TERRY !=1„i„ii��� TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
((:..)31ilWgr
To: Southold Town Code Enforcement Officer DEC 2 01990
From: Linda Cooper, Southold Town Clerk's Office
Dated: December 20, 1990
Transmitted herewith is a copy of application No. 688 for a Cesspool/
Septic Tank Construction Permit submitted by:
Orr Associates Inc for Ed Commender
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.
GI" )c-eec
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE
DISAPPROVE
Comments: Ct.. ,Q, Ail£a c.,K.c..SL
lelkAot 01
\C
Signature
Dated
II
$ ..��
OFFICE OF THE TOWN CLERK c.OFOC,I `
Town of Southold �� COGy Application No.
Judith T. Terry, Town Clerk �� pp
Town Hall, 53095 Main Road ` m Construction
P. O. Box 1179
Southold, New York 11971 Off`, Alteration
Telephone _O! [ �� Residential
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE /2-7/70/2`0
APPLICANT NAME: 0.42. Assoc( 4t ( (A)
APPLICANT ADDRESS: / 1 SACl-!1 ' LSE
n(uZn2 /a44CL //' ‘`T
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: E-p Coenth
OWNER MAILING ADDRESS: 25 5-izon& i4ue ,
Pfax r /tit( t
OWNER PROPERTY ADDRESS: Loy" 3Li t/(6-fetifrib
C 14 1
TELEPHONE NUMBER OF CONTACT PERSON: Wig (GlL
TAX MAP NO. : Section to Z Block g Lot 3,1
CROSS STREET: kr p' 5
BUILDING PERMIT NUMBER CROSS REFERENCE:
Sig re of Applicant
RECEIVED BY: Al/
Town Clerk's 0 ice
DATE: ,4,/ ? /'9'a
\= \\�O. N PROPOSED \`\ ,� ` / j' , c�� -•_ tt� '.: _ °fi" :vv�`OCAR_A411 5 ` i ` ���� 111\\ /�'` ryryo'
„xi/
. NOTE: ELEVATIONS i6S8Ul�11
o› .4...4: \ �k ' 7HE WATER SUPPLY, :AREsDAIN:li
OBPOO Ip � / � �ry/ SHOWN HERON ARE FlELD OBS ATIOI*
.fG ��IP� ; ' ; 0'� AND OR DATA OBTAINROM OTHERS. i
': = f /j +� THE WATER SUPPLY SEWAGE DISPOSAL
c �� t! b '�� SYSTEMS FOR THIS ENCE WILL CON�M16 44b / „�. �� TO THE STAN• HE SUFFOLK C$ / .o p'� /WOOD FENCE DEPARTMENT 0,EAS ,'Ib Oa ti h�G e Gj O.L N8S / /.iop�0 . . ,�'' '`!o. 1111 �Oi g� e `,\` WELL `� •.. A?
v.io �Q
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4)7
—— / SURVEY OF
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EXP
LOT 34
ti 4) LOT ss MAP OF HIGHLAND ESTATES
R�Rs Fp, t, NC) • FILED APRIL 26, 1977 FILE NO. 6537
�. AND G,� moNAT CUTHOG UE
S, , v WOOD FENCE r
�1 �/ ♦ 0.35 *' ���+tf i ��, ii:
11784 � �”N M ti 9G do 4,o, I.S'E ` TOWN OF SOUTHOLD
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, V+ ' 7, .,r °�`o �s� �, \ ,off • ti _ _1d , SUFFOLK COUNTY, N. Y.
- , `�' \`'�,ti � � -, ., NOV 0 9199 ,r . 1•,S _ _----- -- 1S.C. TAX 1000- 102-08-31
k; �' �*C 'db. N• f / SCALE 1"= 40'
\;>.-� 0 66 (-1q" '� N . . . 41: �. �� MAY 13, 1990
NOp_i GRAPHIC SCALE
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tr r 8. I.W. NO. 49868
SURVEYING
EXANDSR AVENUE ( IN FEET )
+SST, N.Y. 11767 .?
784-4632 ,y 1 tach - 40 !t.
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