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Home My WebLink AboutDalton, William Jr JUDITH T. TERRY � O, (,G*4% Town Hall, 53095 Main Road TOWN CLERK = i P.O. Box 1 179 REGISTRAR OF VITAL STATISTICS catT Southold, New York 11971 MARRIAGE OFFICER ��` Fax (516) 765-1823 ; 0 �� Telephone (516) 765-1801 'n N . 1 * 0.1 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 726 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : STUCKART CUSTON HOMES, INC. Address 1 : 575-1 NOYAC ROAD City St Zip SAG HARBOR NY 11943 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 12/17/90. Name Of Owner DALTON, WILLIAM JR. & PATRICIA Mailing Address 1 120 HUNTINGTON BAY ROAD City St Zip HUNTINGTON NY 11746 Property Address 1 HOLDEN AVENUE City St Zip CUTCHOGUE NY 11935 Tax Map No. section 110.00 block 5 lot 50 Cross Street SOUTHERN CROSS ROAD Building Permit Number Cross Reference: votgaaefx:..ouacoraee..... Issue Date: 6/06/91 Judith T. Terr Southold Town Clerk (TOWN SEAL) i t I" a .,.,..., '2( • JUN - 31991 , � . i i\.\; TOW t€- �r �;,€0 , y' ,f4' Town Hall, 53095 Main Road � P.O. Box 1 179 _ �if) j ; ' 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 • To: Southold Town Code Enforcement Officer From: Linda Cooper, Southold Town Clerk's Office Dated: June 3, 1991 Transmitted herewith is a copy of application No. 744 for a Cesspool/ Septic Tank Construction Permit submitted by: Stuckart Custom Homes Inc. for William and Patricia Dalton 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. n G"-t` Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: . APPROVE ‘K. DISAPPROVE - Comments: ct., SIc, c-i ),-.1 CV4A, ' -> ‘.\ 1 N v%.. ... N 4 ,o ,„ , . 5,............... ., Signatur 6,/ Zi 1' / • Dated OFFICE OF THE TOWN CLERK ",," Town of Southold (` ; Z Judith T. Terry, Town Clerk �� /yi�` Application No. 71-{7 Town Hall, 53095 Main Road .G ; Construction ,/ P. O. Box 1179 orn ; Alteration Southold, New York 11971 Tele hone =y0,j- $10.00 - Residential P (516) 765-1801 .. � $25.00 -Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ () °C� DATE .,..�, .3` /9 97 APPLICANT NAME: Sr-vc.k-, e QvS7-orvl /", ES T"fr. c APPLICANT ADDRESS: .6-73---,/ /IJ ay'xie ,e,d S/9C #/,-'s2reo.4, //9 .3 SEPTIC CESSPOOL DESCRIPTION OFPROPOSED CONSTRUCTION(/ / �O,qR ALTERATION J LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: /� OWNER OF PROPERTY: J/jfj///z,rn� /,pthy✓ Tim® ,4 Tx?, j9 Avv ti.i.To OWNER MAILING ADDRESS: /Zo //v.t7ii✓e7r�8f9yr • /v.vr/iv-o 7i', A? ///7 SrL OWNER PROPERTY ADDRESS ,77,4. 2 ON` T-„e,c, /frx✓sPwL7-e4 iv j7V /Ooo 9e it6.e.r h/o .SD ci,x`e /Geo S S Gi..>LC'.ko TELEPHONE NUMBER OF CONTACT PERSON: 7 2 5-3 7 0 TAX MAP NO. : Section/ //0 Block 'j Lot CROSS STREET: Sa L, As:<4/ t' i' S c -D BUILDING PERMIT NUMBER CROSS REFERENCE: Signature o Applicant RECEIVED BY: Town Jerk's Office C� DATE: /j, / / O 0.3 G {� /� f--�-/f,r.',t�� 4-7./.1.--! ,A:,.'.,€,...r.,1"-•2 • • SURVEYED .OR:- ^/r L L J A M J. O A I-To 14 J 2. PAT 2 JC.,A ,i7,....., OA LT.,nI.;•-G"/.�_ . : -;v..>;70",or,...o 4.-.7-...1 ".c•cc. 4.-27ee"-- l ED A 7.b41 pF`fO�77/OGp ,9j/47. 7s/t/-4.- -,/t/-4.- -, �� k••e✓)/ !J,S w,FE UC�ITFes., i o.7-4s, , g w, . f LOT; XS •Af rel/6EQD.,.)l i... s-.e•./moo. ' • S Ifo 3\ii1/417_00 :r: Y.>, 7o ne/g1.f.Q/' -f7/o .1 . 4 D fF�o/'a•TAX/A09,0 Akc/53447701), &,,9°5 F- SCALET.s o ci 54- s" �• `Y' 4!• tai• •.•'• :, `:.-31- 3 ii z---. ,cam� "'�2'E. Qi. .3 -t PU" 4 I :i -� -.) 4 r1 /ice \ '� •, / '�51 ''yJ :�' .-Z3/ I'� ti: .ro co r ci J ��v '� / t� i � •/0 •. AIF ,� ,�Ji7 7,,''..,,'-.z-r:I•_.17.:,' 4..-:11''''i''''A''t(:)'Lr'S kki \ m „ , c ii , 0 h • ) , ---- r= rmtn / I Q h '" / r �� /c L c o a -� /�- SUFF. K C0'...►: t E.E./C Z u1 I 1� ii I-- \ .---, kfi 1 ) 47 / Z C r ? ,w^,,1 " Q G::: `.� ,. i _ 1 Uidl.Y . .o N Q ti 7 DATE:, H1S ,: l �. U I N 07 �' < APPROV; � : __ j hi J _ J ‘141 J 4G a...i O L1 •__-_--- . . J • R(9Pcwr,, 'f - / �"sr-way -� o 'b� 0 na ,vee ,�, ��/ ;��G,> i �.. r- �ivc • U 01 4;, :) , ¢� �` /� / �i� • us ° , \ r �- T'� CJ V O ` \l' 4 i 0 tvk N.01:/ \ '% O _ y / --. ' Ili / -,:4:,..::,..:,--s::). /n' TLE2 ,� yQ \ r 'J Su�pQ Q \ ti` � o Q k Z fie- s:'¢2' -�.�" ' 2r 4 /ea a7 + 3- S ,5' I ai� _7 `K 0Dl et U 9 �Q--p pave_ • (L�r�� h I SURVEYED ; G' , /O- , t9e9St BY Q f� , g 9/1/ �', r r-.cL�r'c c ,M 1 L tt W J 3 I `'Jil..14��`7C 71 .1hJ:i. J') 1 7s ( 4-c Po Z3.5 X - -- a - - ` I. '- , - 1, bcllv�A, �.�©� b-ie>ti c.: a ,ea C1j0� r ' ' 1U1 ,1!'. ir'i i_: I `� !r �3 sem, . .r�� r. placed Ul1Cl::r dri , '� - ;area.