HomeMy WebLinkAboutCutchogue Presbyterian Church th
JUDITH T. TERRY . F► Town Hall, 53095 Main Road
� P.O. Box 1179
TOWN CLERK G T
REGISTRAR OF VITAL STATISTICSSouthold, New York 11971
MARRIAGE OFFICER y0 ��, Fax (516) 765-1823
�`O %O.�� 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. 926 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : CUTCHOGUE PRESBYTERIAN CHURCH
Address 1 : P. O. BOX 964
City St Zip CUTCHOGUE NY 11935
Descripton of Proposed Construction or Alteration
ADDITON OF TWO 8' X 4' RINGS AND DOMES TO EXISTING SYSTEM.
APPROVED AS SUBMITTED. HOLD TO A MAXIMUM OF 10'0" DISTANCE BETWEEN
PROPOSED AND EXISTING POOLS. EXCAVATION INSPECTION REQUIRED. CALL
765-1802 FOR AN APPOINTMENT.
Name Of Owner CUTCHOGUE PRESBYTERIAN CHURCH
Mailing Address 1 P. O. BOX 964
City St Zip CUTCHOGUE NY 11935
Property Address 1 27245 MAIN ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 102.00 block 1 lot 12.000
Cross Street HIGHLAND ROAD
Building Permit Number Cross Reference:
Issue Date: 10/22/92 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
r.
OFFICE OF THE TOWN CLERK ,,,'",,,""--
Town of Southold �..'"��tf akt'-
Judith T. Terry, Town Clerk s`' ' � =4\ Application No.
Town Hall, 53095 Main Road � = Construction
P. O. Box 1179
Southold, New York 11971 • y �r/�•' Alteration
Telephone
‘1...0bA.,
$10.00 - Residential
(516) 765-1801 'y"1 1 '�I �' $25.00 - Non-Residential
..ii
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
A`'P ICATiON
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE
APPLICANT NAME: UrCH l JL170,e---, 7"�R_ ,(1 ,c/ Cif /2c 1-1
APPLICANT ADDRESS: /t/.1 /n/ /CZ 'Y '/I NL/ci AiD CA/6'9
SEPTIC CESSPOOL l/
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
( ) 'q5x [ iP ff,JL s `114 .1-_ c�i G
0 Ai R.5 r 6 Air C E 0 Ai P,ev i=' z �2 T )/ d n/ A ,n-i /2,� (Qr ) -
\iz,is� g , r. ‘if CW-/ c,eC-,e(, r- --2.--74/.1-9
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 01)1—C YC2 c P25.50 S/T- /.'�iAi C L/(9,/:'cf(
OWNER MAILING ADDRESS: /969,8C-)3( /c.) /
OWNER PROPERTY ADDRESS: ? %..i
TELEPHONE NUMBER OF CONTACT PERSON: 434✓1C"9
TAX MAP NO. : Section /07_ Block / Lot /-2.—
CROSS
ZCROSS STREET: /0
BUILDING PERMIT NUMBER CROSS REFERENCE: O/-L T ) i ioK/ Fk----ietifi
i99c) • 2
(7(/'C#47 Ge/,6 Pk4-5'
(' cg
Signature of Applicant
RECEIVED BY: vt .3( j` i/ ,-.5L
i
k's Office
DATE: ' f - J--/ ,
OCT 2 1992
town Clerk Southold
rS:lls.il4iC� '
>?�, :SLOG K t ; i?, _ --�,... y -t
.. __ 5c� Q DRl�/E �A .
GQLc' uirA2t, 4iJUQGi _�` o� :-
pooh CI
5. 32.48'"0'4_ -arab 55 - os 5.3 _ `�
�_✓ F�uc� •40'313" E. i�0,4
�v 174 33 �oaY •
. • 82.D -- Fsucs [POST*
',
•
Kt i
_YT �a t rick -a YJ r. z
.+ 'a'+s fie-
431
v �`�. 51407 ? X1.380 54.x' 3 ' F--
F
Ir.7.
IR OT z }o i
le
fit d _ a
i.,." , -
I
...i
, N........ :
•
-
• 1:-,-47,1,", ...j ,i.,;,,,,:-.. , -
Ad
kr
230.7t
f�uc� Posts r-_ 27 FLr�c6 _._
YI
U- 5' S6' 20" W.
•••
236.6 } , U.3.¢' t=j' tD• �V. — 25B-15
YT
,11
se
�5 ;.�1 LatsO 2 D � P. ED
p2�5sYTErz eau cis rc:� -�
e— j cc
r ( �i�