HomeMy WebLinkAboutKowatch, Edward •
OFFICE OF tHE TOWN CLERK %v3IFOU(1-!:
Town of Southold
Judith T. T6rry, Town Clerk
Town Hall, 53095 Main Road
P. 1:31 Box 1179
Southold, New York 11971 '5:24._ •
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T4Iephone *
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. Residential xx
Non-Residential
Fee $ 10.00
Septic x Cesspool X
PERM lit ISSUED TO:
NAME: Quality Crafted Homes •
AlIDRESS: 365 Sunrise Highway
Manorville, New York 11949
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
Ne ut one family dwelling
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER 0-F PROPERTY: Edward Kowatch
OiNNER MAILING ADDRESS: 133 Phillip Place
Hawthorne, New York 10532
OWNER PROPERTY ADDRESS : Wells Avenue
Southold, New York
TAX MAP NO. : Section 63 Block 7 Lot 17.11
CROSS STREET: Garden Court
BUILDING PERMIT NUMBER CROSS REFERENCE: Pending
etrOe/e4;a6
Judith T. Terry
Southold Town Clerk
DATE: October 27, 1986
(TOWN SEAL)
_
OFFICE OF THE TOWN CLERK N ..
Town of Southold . _../
r
Judith T. Terry, Town Clerk Application No._-
7
Town Hall, 53095 Main Road Construction
P. 0. Box 1179
Alteration
Southold, New York 11971
4---------
Residential
Telephone
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 6/
Fee $ MGLL
DATE
APPLICANT NAME: / -/-1/./ _C:Pre4,-" ft.-- 1°,c1r:-- 5 .
APPLICANT ADDRESS: ___)__ c: e.:-.', /&/ /M/6/1,/e•--'•
/ -,f7 -71-'- 47 ry /7
SEPTIC ( .ESSPO(4--
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: XP•ee--'t,VZ-/-7 ,,%
OWNER MAILING ADDRESS: /0 _40,/ .4 /, /,‘>742--
,74/ 7*Pii tr,4z.A_.
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OWNER PROPERTY ADDRESS: . 04: 2t&-- ,Ccie-Z_L.5 / uz.-
TELEPHONE NUMBER OF CONTACT PERSON: 76,-.- ----( 0.7.— , 71/:--35:557
TAX MAP NO. : Section 06-3' Block 0 Lot
CROSS STREET: t(//41%5 /9"-Y- 0 F.,34,‘ ini 'a? ,.."--- -----7—
BUILDING PERMIT NUMBER CROSS REFERENC - : ,J
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'Signat 're o App/li, •nt
RECEIVED BY: 4,1< //c---- -
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Town Cler 'i
s Offic
DATE: CfLo. _.,
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EXPIRES ' 0 YEARS FROM DATE 0 ' PPROVAL
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SURVEY FOR
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-4.fivOtX COUNTY DEPARTMENT OF HEALTH SERvICIq EDWARD J. KOWATCH & MARY H. KOWATCH
LOT II, "MAP OF SOUTHOLD GARDENS.s
,
, "OtAl.i. OF CONSTRUCTION ONLY AT SOUTHOLD D JULY 7, 1986
.: SEPT. 28, 1982
14
TOWN OF SOUTHOLD a.
° -1 .//(t) S.0 ) c SUFFOLK COUNTY, NEW YORK
,
82-547
*UNAUTHORIZED ALTERATION OR ADDITION TO THIS GUARANTEED To
SURVEY IS A VIOLATION OF SECTION 7209 OF THE
;
NEW YORK STATE EDUCATION LAW CHICAGO TITLE
f•
*COPIES OF THIS SURVEY NOT BEARING THE LAND EDWARD J. a MJRANCE COMPANY
4
SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL
1., Gta,(389 4. '1(1 NOT BE CONSIDERED TO BE A VALID TRUE COPY H. KOWATCH
,
, NGUARANTEES INDICATED HEREON SHALL RUN ONLY 10 •
' HEALTH DEPARTMENT-DATA FOR APPROYAL TO CONSTRUCT THE PERSON FOR WHOM THE SUFNEY IS PREPARED
AND ON HIS BEHALF 10 THE TITLE COMPANY,GovutN-
N NEAREST Wm* WAIN,MI • *SOURCE Cr WATER' PRIWITE PUSLIC— MENTAL AGENCY AND LENDING INSTITUTION LISTED
N SUFI CO. TAX MAP DIST Ma-SECTION ALM.&out.27.-LOT MID HEREON,AND TO THE ASSIGNEES OF THE LENDING
4
*THEME ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY
INSTITUTION. GUARANTEES ARE NOT TRANSFERASLE
a OTHER THAN THOSE SHOWN HEREON. TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT
OWNERS
*THE WAT R SUPPLY AND SUMS& DI . AL SYSTEM FOR THIS RESIDENCE
*DISTANCES SHOWN HEREON FROM PROPERTY uNES
I WILL . ‘,L TO THE S .5 OF HE S iii K COUNTY DEPARTMENT TO EXISTING STRUCTURES ARE FOR A SPECIFIC ' 7
OF H T v=VICES.
PURPOSE AND ARE NOT TO BE USED TO ESTABLISH f AI
on
II APPLIC
PROPERTY LINES OR FOR THE ERECTION OF FENCES
4
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I ADORE ,,11.11141Wo IWO a II •
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TEL I, YOUNG & YOUNG '4
PAL.. ,, , • h. . ' a . .., 'I-. A
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••MONUMENT 08PIPE
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ALDEN W.YOUNG,PROFESSIONAL ENGINEER
ON NAY 7, 1575 AS FILE NO.5511 AND LAND SURVEYOR N.Y.S.UCENSE NO.12845
1
HOWARD W.YOUNG, LAND SURVEYOR
1 *THE Low=OF WELL(W),SEPTIC TANKISTACESSPOOLCCP)SHOWN HEREON
ARE FROM FIELD OSSERVATIONS ANO OR DATA OBTAINED FROM OTHERS N.Y.S.LICENSE NO.45893
' TELEDYNE POST NO1779
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