HomeMy WebLinkAboutGreenbriar Homes Inc (2) oitsStFFO(,�c.0;
ELIZABETH A. NEVILLE ��= Gy�; Town Hall, 53095 Main Road
TOWN CLERK ` O - P.O. Box 1179
W Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Oy � �� Fax (631) 765-6145
MARRIAGE OFFICER tel,
RECORDS MANAGEMENT OFFICER '/Q! �a ,� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2294 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 #R10-00-0062
Name Of Owner GREENBRIAR HOMES INC
Mailing Address 1 59 HAWXHURST ROAD
City St Zip COLD SPRING HARBOR NY 11724
Property Address 1 400 OLD FIELD COURT
City St Zip MATTITUCK NY 11952
Tax Map No. section 120.00 block 3 lot 8.024
Cross Street FARMVEU ROAD
Building Permit Number Cross Reference:
Issue Date: 4/14/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
•
aa° g
• O O ;
•
4
OFFICE OF THE TOWN CLERKCOUtKC
TOWN OF SOUTHOLD ,�•_� v` SG Application No. 93
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 ` �� Construction Oc
F..
SOUTHOLD,NEW YORK 11971 Alteration
Telephone $10.00 - Residential �--.
(516) 765-1801 -=y�1 41',''s $25.00 -Non-Residential
•
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE �/'7/G10
APPLICANT NAME: CJ/e��ele.M€- 1-4',77� /A/C
APPLICANT ADDRESS: x5-9' //da))�fjl�',��� ,e--0,r92
GG'L j S't'oei,A✓c- ii/rAgD/e-, .A/ / /J-22-1‘
SEPTIC, CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
/<e9/e- C%✓'6 /9 L-/ "-
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: / - c ,"J�'
OWNER MAILING ADDRESS: �'lJ' NfI6v� //ZST ,e0 9i>
ce'e] „C"'/e—'c— .g/L,o2 f /17V /172-/
OWNER PROPERTY ADDRESS: L'd"Z
X77,97 >77)
TELEPHONE NUMBER OF CONTACT PERSON: 63/-- 4/2/--/V3V
TAX MAP NO. : Section /)--e, Block 3 Lot �•
CROSS STREET: G ,e 'rCv ,'6
BUILDING PERMIT NUMBER CROSS REFERENCE:
t
<&d
Signature of Applicant
RECEIVED BY: I/
/ T wn Clerk's Office
�
DATE: /,7 G 0
•
.. 'VAr+RiTs� lfr 'S. 44 . • 4 '
•'
3 ..
i
!"`q AUG-22 . _ TAX I_D. No• 1000-120-03-8.24
r:
4,s
%tl
,,QtQ N
I
Ile
v
RI
O WELL AREA 4f
44
X �'SLY
al LOT 23
cD OCC RES 1
it
i o W WELL REAR YARD -1
�� r
1 1
k . 4s se'c'*4 \ .,
NOTE: ADJUST DRIVEWAY WITH
RE WEU.AND CB' /, `(0 O • 113 (ILOOATIONS ARE APPROXIMATE )
•+ti.
e
, LL
SUFFOLK COUNTY ramAndENT Op HEALTH SERVICES `o„, d ca �Ftay
P. SEVGLE A
PERMIT POR APPROVAL OFCO
TR
tTCTION FOR A ��� �O
AtwLY NCE ONLY J
7::E= Hs REF No. /fi0 ( D,2
FOR MAXIMUM OF a_BEDROOMS OEXPIRES ,c��`O
THREE YEARS FROM DATE OF APPROVAL
(/R?��. to
r CD 1
UCI
1z
= Cr% WW
c SRN 17::WO Q z
>c --SW FILE IMP NO.BOE WU86
`D -4n
CERT OF CORRECTIONt11slS6 P2+t71Z♦519?
, �� I =4 _
�u. = ow ELEA.TIONg IN DATUM
g or.� y s bInrae�wrwrrsarla�mdSKaoa72W SURVEY OF: LOT 22
k•... Cly N Go d R/ar . IAMSsn i q MP*pawn for Wan I it mond
a ,aa.r.n�+sIo ' . MAP OF FARMVEU ASSOCIATES.
SA1rSM11�CItlM l Mla�r hatlhAlOn a
.da...+ �+i !pa..,>o,rr:I�,Le,wa«roa.w MATTITUCK,TOWN OF S.
Q a
,
” =too-
swamis" SUFFOLK COUNTY,NEW YORK
��4 `.:39fi o �w+�ee.+ ate'+°!""
'' DESTINO.GRAr corettott 11w.S..b.ahaK9r.Nr..iea..rmwbemm0Id. Ay.�,e�ewn.. SIURVEYDATE: 3/2/00 _SCALE:•1"=54'
r
rf 1FIED ONLY TO:
\,. E.0050067 6;iv QF_* GREENBDESTIN.G.GRAF RIAR HOMES LAND SURVEYOR
RReL____ .:_w___________ 73 lttNatYa,11T78
IStOt4P
BEMIS G.ORAF IYY.S.UC NQ.,5Of 7 .