HomeMy WebLinkAboutGreenbriar Homes Inc (3) .
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ELIZABETH A. NEVILLE i h� # •
Town Hall, 53095 Main Road
TOWN CLERK - P.O. Box 1179
REGISTRAR OF VITAL STATISTICS �1�,% , Southold, New York 11971
MARRIAGE OFFICER Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER ;ylpl ��pl�•• 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. 2330 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : GREENBRIAR HOMES INC
Address 1 : 59 HAWKHURST 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 #R10-00-0089
Name Of Owner GREENBRIAR HOMES INC
Mailing Address 1 59 HAWKHURST ROAD
City St Zip COLD SPRING HARBOR NY 11724
Property Address 1 FARMVEU ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 120.00 block 3 lot 8.017
Cross Street HARVEST LANE
Building Permit Number Cross Reference:
Issue Date: 6/02/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
a3 3d
ELIZABETH A.NEVILLE l, ' 4i1 2000T wn ia11, 53095 Main Road
TOWN CLERK o I ....�f P.O. Box 1179
% .._ �'t� _ uth•Id, New York 11971
REGISTRAR OF VITAL STATISTICS ♦ . f e :'a C t_F'T F., (631) 765-6145
MARRIAGE OFFICER `O4 ''or�I0,,P,',, jr; SOt1T�iOL one (631) 765-1800
RECORDS MANAGEMENT OFFICER ;_�Q1 �•
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: June 1, 2000
Transmitted herewith is a copy of application No. 2418 for a Cesspool/
Septic Tank Construction Permit submitted by:
Greenbriar 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.
Thank you.
Linda J. Cooper
* * * * * * * * * * * *
, I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE
DISAPPROVE
Comments:
Signat
6(
1 /000
Dated
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OFFICE OF THE TOWN CLERKW .'''�4•
BtK � 1 L
TON OF , ire; Application No.2-t
ELIZABETH A.NEW 1.F,TOWN CLERK /
P.O.BOX 1179
Construction onstruction
SOUTHOLD,NEW YORK 11971 VS T ; Altoration
%.0 $10.00 - Residential
O�—
Telephona ��(516) 765-1801 0 $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ -
DAT E
APPLICANT NAME: Cs'l igg/,972 / 4'7I /N G
APPLICANT ADDRESS: 9 , 1 f , A,q2,
/A,-A0/� _v'V //2c
SEPTIC X CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
l�icfS f - SE1°i7G �` C65 O c_ "4` /f/Aed
L74/ "/9772,LV �bu16���Gt
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION� � OR ALTERATION:
OWNER OF PROPERTY: GR f,Aleei,-/e-- ,Z�9/�7 /�✓ •
OWNER MAILING ADDRESS: S9 , , I/}4J1 '7
eOL1 ,s,g/A/6.- i4,g;ee e-/ /b• 7' //?off
OWNER PROPERTY ADDRESS: t 4 f;9,-/r711
/77' /1/0 ifLT�Vi Gttiv "0177", 721C4 -
TELEPHONE
hi4T>", VCTELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section lo:7/'0 Block _? Lot d, /7
CROSS STREET: trgetr,r7--
BUILDING PERMIT NUMBER CROSS REFEREN .
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Signature of Applicant
RECEIVED BY:
Town lerk's Office
DATE: ��
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JOB No. FRMV-15 A 'E?6
I.D.. . . QP-'120-
38.170 ,v , ,r
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DO 11 A 8 :56
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LOT 16
OCC RES
' WELL
1
4 WELL AREA
---_____,, N 74°1700"E' 219.84'
103.2 --- , 104.9
1$-
105.0
X Rqp/us �._
PROPOSED
WELL %,,77,5,
LOT 17 67.5' D m
VACANT �'
EX K O
z 35' / cn
tie D0-n T w 0
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LOT 13
OCC RES DRIVEWAY O
WELL REAR YARD -.. a......1
9\\ . 67.5'
1b°
+1-95'TO WELL 102.9
103.2
S 74°16'58'W 206.00' 103.1
WELL AREA
1
m
LOT 14 N
�� CC FS
5'UFFOLX COMM IMPARTMENT OF HEALTH SBRMeES 8
PERMIT FOR APPROVAL OF CONSTRUCIClON FOR A
SINGLE FAMILY RESIDINCZ ONLY
T)ATTE ~S 7//co ;Hs - th.No.g1a O 0 O `c /
APPROVED ..wl�. .��.� �/
am MAXIMUM 0r_ BEDROOMS HARVEST LANE lI R=30.50'30
exy
EXPIRES THREE YEARS FROM DATE OF APPROVAL
w- • - = • - • - " - • • , ■ - • , FILE MAP No. 8808 9/1/89
Unauthorized alteration or addition to this document is a violation of Section 7209
of the New York State Education Law. SURVEY 0F:
Certifications indicated hereon shall run only to the person for whom it is prepared R V T LOT 15
and on his behalf to the Title Company,Governmental Agency and Lending
instlitedow hereon,and to the assignees of the lending institutions or MAP OF FARMVEU ASSOCIATES
subsequent owners.
Copies of this document not bearing the professional's inked seal or embossed
seal shall not be considered a valid true copy. MATTITUCK TOWN OF SOUTHOLD
The offsets[or dimensions]shown hereon from structures to the property lines are r
for a specific purpose and use and therefore are not intended to guide the erection of
fences,retaining walls,pools,planting areas,addition to buildings or any other SUFFOLK COUNTY, NEW YORK
constructionegways 4/5/00 1 50
The existence of right of and/or easements of record,if any,not shown are r�= '
not guaranteed
SURVEY DATE: SCALE:
CERTIFIED ONLY TO: �P‘ . ' { �.,.
, 1; hk(,
GREENBRIAR HOMES y DEST1N G.GRAF 9' DESTIN G.GRAF
' LAND SURVEYOR
A 73 Woodlawn Road
o�4 -E,t#o5006 Rocky Point, N.Y. 11778
By DESTIN G. GRAF N.Y.S. LIC No. 50067 406,„,,,
� 516-821-3442