HomeMy WebLinkAboutBlair, Gary 000
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Town Hall, 53095 Main Road
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vb � P.O. Box 1179
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10".0 Southold, New York 11971
JUDITH T.TERRY „�� TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 326 R Residential X Non-Residential
Fee $ 10. 00 Septic Cesspool X
PERMIT ISSUED TO:
Name : BLAIR, GARY AND DORIS
Address 1: 205 PLUM ISLAND ALNE
City St Zip ORIENT, NY 11957-0000
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM
APPROVED AS PER SUFFOLK COUNTY HEALTH DEPARTMENT APPROVAL
Name Of Owner BLAIR, GARY AND DORIS
Mailing Address 1 205 'PLUM ISLAND LANE
City St Zip ORIENT, NY 11957-0000
Property Address 1 1320 HILL CREST DRIVE
City St Zip ORIENT NY 11957-0000
Tax Map No. section 13 . 00 block 2 lot 8.250
Cross Street SOUNDVIEW DRIVE
Building Permit Number Cross Reference:
Issue Date: 4/19/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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BLDG.DEPT. 7 •o'
TOWN OF SOUTHOLD , .
�� _.,'' t • �� Town Hall, 53095 Main Road
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:;'!/i` � A. P.O. Box 728
01 Southold, New York 11971
Aisour
JUDITH T.TERRY TELEPHONE
TOWN CLERK
(516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
April 15, 1988
To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 330 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by Gary and Doris Blair
Please review the application and location map and advise if the
project has received Suffolk County Health Department approval
and if we may issue the permit.
Please complete the form below and return it to my office.
Thank you.
Or •
eed°44
Judith T. Terry
Southold Town Clerk
I have reviewed the application and location map of the project
cited above and make the following recommendation:
APPROVE -
DISAPPROVE -
COMMENTS: Q..0 qt41_ N.Q.L210,: p
Signature
If/f1
Date
• .I.
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OFFICE OF THE TOWN CLERK OAU F_ULi ,N.
Town of Southold Oft � Application No. `3��
Judith T. Terry, Town Clerk Ci
Town Hall, 53095 Main Road cant < ,; .; ` = '' Construction i-----
P.
P. O. Box 1179 Alteration
Southold, New York 11971 T,b �c
Telephone 401 N Residential Z/
(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 $ 1b
DATE
r
APPLICANT NAME , 0a'( l;`jkz` (�i�
APPLICANT ADDRESS: \ �,)„,
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N,1 _
SEPTIC CESSPOOL .
DESCRIPTION OF PROPOSED CONSTR CTION OR ALTERATION
Oft° SctgL stk\rk 4 -4A
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALT ' ;TION:
OWNER OF PROPERTY: ,.e t % 111, ( �I(L,
OWNER MAILING ADDRESS:tn
. { �� Le0Vt� )
t • of- ,, VISI
OWNER PROPERTY ADDR � h. d + i.,
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ttcRY ilk cif h, kM-1
TELEPHONE NUMBER OF CONTACT PERSON. ,-W- 1,9{gyp- V7--Oke)
TAX MAP NO. : SectionCli Block Lot gzRs
CROSS STREET: &Q)c( t Q i K)Ictu2--)
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY:___',x -i c_ e4.9-f J
own Cle k's Office
DATE: 14 - b - i44-
.
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(VACANT)
LOT 22
(,,,. N. 47° 22' IO11 E. _
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(VACANT)
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LOT 24
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N\ – _ AREA = 42 , 484 SQ.FT.
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P-,Z�e� SUFFOLK COUNT SEP
FOR APPRO C
*V � Ds& SOUND VIEW DRIVE ki Pe 41. DATE -22.47 —
( .01•,' Quo t
.1: ` A N.Y. S. LIC . NO. 49668 APPROVED
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Tirvtltions Mof. S a ENGINEERS , P.Cobservations a
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( 511448tit'i..ALIT3445/0
MAIN ROAD ELEVATIONS ARE REFERENCED
SOUTHOLD, N. Y. 11971 TO AN ASSUMD DATUM.
O.K.
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293. 66 ` E
fqd.
- .t.4T.0 LOT 20
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GL 74-
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W
W 0) •
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4 SURVEY OF PROPERTY
Iv_ W AT
�r P yW ORIENT
M 2 W
/ c.i ti cc m TOWN OF SOUTHOLD
M.3a.a O W F-
SUFFOLK COUNTY, N.Y.
1L J = 2
3TC ° '' c.lf 1000 - 013 - 02 - 6.25
?. SI ' se 1
1 0
Q 0 j
2 ray SCALE III = 40 '
MAR. 1 , 1988 „ ..- ,
MRR q 1513% -
. (07 IVI •
)EPARTMENT OF HEALTH SERVICES G•_ g �1
_ OF CONSTRUCTION ONLY 1 v
The water d sewn* d srs-
�0 �� terns for /,µ�resM.ne ITcto the for� ���"
_HS REF. NO stands t the Su C• ty ' i G ment if , o /6-1,-647 7's 4/standards
iilsz
,h.astaOIIsMd L///44 ki 6'K�' T ,D 7' '
4 '/2um
I. eys as
and cesspools shown hereon are from field by the ,, • aprovad and adopted / /9 7
-n data obtained from others. v Tula , by New York State Land
70/ 7
LOT NUMBERS REFER TO SUBDNISION MAP ', — �� O
OF FILL CREST ESTATES , SECTION I .. 3 —g6 �6
RILED AUG.15.1983 FILE • 7218 '
88 - 190