HomeMy WebLinkAboutGreenbriar Homes Inc ,��#11 stEFOL,c •
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ELIZABETH A. NEVILLE t�: Town Hall, 53095 Main Road
TOWN CLERK ; y Z P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER �\y- �1 Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER - �l VP.011' Fax
(631) 765-1800
FREEDOM OF INFORMATION OFFICER W,,,,,
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2440 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : GREENBRIAR HOMES INC
Address 1 : 59 HAWXHURST ROAD
City St Zip COLD SPRING HARBOR NY 11724
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-00-0091
Name Of Owner GREENBRIAR HOMES INC
Mailing Address 1 59 HAWXHURST ROAD
City St Zip COLD SPRING HARBOR NY 11724
Property Address 1 FARMVEU ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 121 .00 block 7 lot 9.000
Cross Street HARVEST LANE
Building Permit Number Cross Reference:
Issue Date: 10/30/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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SVFFO�,��o (9/� �/(/
ELIZABETH A. NEVILLEyet Town Hall, 53095 Main Road
TOWN CLERK % y = P.O. Box 1179
REGISTRAR OF VITAL STATISTICS st. �'$ Southold, New York 11971
MARRIAGE OFFICER : y ! �1 Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �_ 'Oj ,$ ,.� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: October 24, 2000
Transmitted herewith is a copy of application No. 2528 for a Cesspool/Septic Tank Construction
Permit submitted by:
Green briar Homes Inc
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.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments:
Ignature
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Dated
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OFFICE OF THE TOWN CLERK C,�`F Lk
TOWN OF SOUTHOLD 1'14 �OG Application NO
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 : _ Construction `J
SOUTHOLD,NEW YORK 11971 Alteration
Tele hone ij QIP $10.00 -Residential
(516) 765-1801 1 ���,''s $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
Weft
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT IWINMAngtitk
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE /0-3/0
APPLICANT NAME: 1/', 4 M.,71-1<LC//VG
APPLICANT ADDRESS: ,r2
�� s7,e�a✓6 i' 9i2 1/j V/ /I-2z V
SEPTIC X CESSPOOL X
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
eA/S A/4 2-7 9A 4c Sf#'i ' c' O,ES Gam# _ P/e—
.1 o,/e i4797?)s GY .-l�dr/EGL-/,,J6—
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: -�4'2/,4r'2 /1129)9), ...g
OWNER MAILING ADDRESS: S., , gic.J 1 ,mss
tib SO /.4)6 �� �'1�g� �I/,✓/ //7
OWNER PROPERTY ADDRESS: /0,--7,9 )W A/41,
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section /,_/ Block 7 Lot 9
CROSS STREET: ,n12-1/
BUILDING PERMIT NUMBER CROSS REFERENCE:
uG2�iez24
1(vC
Signature of Applicant
RECEIVED BY a
d
\c. ??0(_Th
wn Clerk's Office
DATE: ( C5
1'
.,
Rio- 00 - 009/
JOB No. FRMV-35 W/613100,513—AL,.e TAX I.D. No. 1000-121-07
•i
I !
2000 HAY-8 AM 10: 03
• OFFEATEal TIOF HEALTH
lH
HARVEST LANE
if M26A0'
L•30.2T D
73
SUFFOLK COUNTY DEPAR I 11111911 r T8 SERVICES m
C
PERMIT FOR APPRe.1VAL 0 ',t 4 NSTRUCTION FOR A O .
SINGLE"r'Arli!LY R}.,DENCE ONLY 0
/I
s.
DATE 5—(.2. 0 EIq .No./to - vo --009/ c�
APPROVED :I _ 41,1144O
'FOR MAXIMUM OF ,.BEDROOMS
EXPIRES THREE YEARS FROM DATE OF APPROVAL
Zj.-1
as 4
LOT 30
OCC RES
WELL REAR YARDirea R=50.00'
L*42.6r
o'.---'s,
^ si 150'RADIUS - --
•
`-,/ 40 oro
WELL AREA ` 0 gyp, 4
5� 0 4 0
O A5(0 /' s'"Z s / m LOOT 1116
N OT 34
A F� it 37. wt WELL RIM YARD
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/ +
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lm 7 S
PROPOSES w44
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s •
OWELL AREA
iv
V
S 70'19'30"W 326.68'
1010
Mill
N4'KU-IAN/SKI
OPEN SPACE
ELEVATIONS IN ASSUMED DATUM FILE MAP No.8808 9/1/89
Ureutnoneed Mershon or addition to eve document*e wanton of Section 72133
of SURVEY OF:
me New York slate Education Lam LOT 35
CanOtat ons indicated hereon sera run only to IM person tor wham It is meowed
and on he babel to the TNN Canpeny.Gowrn ental Agency and Lending
hektubons Meted hereon.and to the smeaprees d the Lending tMntuton or MAP OF FARMVEU ASSOCIATES
subsequent owners i
Copes d this doormat not beennp the profiaraers inked see or embossed
F0V NE.I., 0mer shell not he considered a wad hW
true dopy MATTITUCK,TON OF SOUTHOLD
��
[, The ahem I on dimensions J shown hereon horn structures to the property Mons are
,cQ' '7,L, bat a'speak purpose end uend therefore ere not.tended to pada the ereGaon d
.. DESTIN G.GRAF I fences.retaining%spat pools.radia.ptanting areas.addto,to wiling..or tiny other I SUFFOLK COUNTY, NEW YORK
consbuotket
NA't L _...,2.0.,,,T14_,
he adelence0 0010 ways mwxeaseeasements d y
easements record,t r-not shown s e y SURVEY DATE: _ SCALE: 1"=;669
1A _ 'CERTIFIED ONLY TO:
, GREENBRIAR HOMES DESTIN G. GRAF
. e� E ;� LAND SURVEYOR
4100H44$744..1
► 73 Wooa.wt Rand
Rodry PQM,New York,11778
j 5113.821-3442
By DESTIN G.GRAF N.Y.S.LIC NO.50087