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HomeMy WebLinkAboutGreenbriar Homes Inc (4) • ,,/a, ,1*,ofFourcoG ELIZABETH A. NEVILLE hf ¶ \ Town Hall, 53095 Main Road TOWN CLERK H P.O. Box 1179 �y. tSouthold, New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631) 765-6145 MARRIAGE OFFICER :%1�iL RECORDS MANAGEMENT OFFICER '/Q $ ��� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER _ ... ._I01��� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2331 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : CREENBRIAR 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 #R10-99-0144 Name Of Owner GREENBRIAR HOMES INC Mailing Address 1 59 HAWKHURST ROAD City St Zip COLD SPRING HARBOR NY 11724 Property Address 1 HARVEST LANE City St Zip MATTITUCK NY 11952 Tax Map No. section 120.00 block 3 lot 8.034 Cross Street ALDRICH LANE Building Permit Number Cross Reference: Issue Date: 6/02/00 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) 0331 • .j% FFOL ELIZABETH A. NEVILLE e Town Hall, 53095 Main Road TOWN CLERK % o - '"a s ,' I P.O. Box 1179 REGISTRAR OF VITAL STATISTICS V' Southold, New York 11971 MARRIAGE OFFICER :�4 � ��� I2ffn <' Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER L *Ql Aote :Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER -- :I � OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: May 31, 2000 Transmitted herewith is a copy of application No. 2419 for a Cesspool/ Septic Tank Construction Permit submitted by: Greenbrier 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 4./ DISAPPROVE Comments: ` Iatu� Qo [ 6 o Dated • -11 f OFFICE OF THE TOWN CLERK .1'. TOWN OF SOUTHOLD � Q�� K�OG Application No. - ELIZABETH A.NEVILLE,TOWN CLERK • P.O.BOX 1179 _ Z Construction jx.._ SOUTHOLD,NEW YORK 11971 o r*'1 Alteration Telephone ‘*:„..000ff' �Q�'�'' . $10.00 -- Residential (516) 765-1801 = Ol �' $25.00 -Non-Residential • TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICAT ION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ DATE /C' APPLICANT NAME: C�4E�/✓,g2//972.- /NG APPLICANT ADDRESS: ‘g "Al/A9/1/257- ,41;•91) S4e/.✓G hi/4/eB4g /✓)/ SEPTIC X' CESSPOOL )( DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION nail$/ C _S-6"'77c ©HE `4i'/// 416- LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: ��2.E- AMe//4,- OWNER MAILING ADDRESS: 99 f9i9`1/,XCf , 7 "49i4-2 dt71�� SPS/A/C— /51i9reseo, /4 y //2 2 OWNER PROPERTY ADDRESS: .S/S �/ai�l�.E57 ,9�✓' TELEPHONE NUMBER OF CONTACT PERSON: TAX MAP NO. : Section /r-0 Block 3 Lot O , 2/ CROSS STREET: /1L.2>log/e'i`/ BUILDING PERMIT NUMBER CROSS REFERENCE: ��i �/✓/�ie /9,e- Signature s9, -Signature of Applicant RECEIVED BY: / Town Clerk's Office DATE: ( O • Nr • $1 • « SUR 16 flF ;. I; ;� LIQ' 45 . . 4�`$ ik[�ta.ewe f1LRD'!L`R11R i. 1Ni S�. y egrUligp AT • N at• 11114' 410746 " ^ '" TOWN. Qf S 1THO�.Di. Illi , . ,: itrob, fro SUFFQLK C;OlA71'f' S.C.'.V. \ T Ra.A0710.7,1129:".. b3 ,; s.' s M ItkAI�GISTr 3 +� ! � M S,2 tAllil f9 ` w w • 5 • tAEA N AJMT®tMA'U[ Q. N • Ili I �• rtRrinne.tto: , ,G i LAWYERS TITLE INSURANCE CORPORATION J RONALD C. NeG4SKIE 4 THERESA N. NICASKIE ', 11.‘ c '°::: �.,., _. �� ted �� 'IV 2 EwS11f10TO[lEVA710MS 6110M1 AAq:r ll�116tEMRD 10 M1 AS9AED MIW. ': - } nc 1_1� +i• TANG CAtAp1a1 A 1_W a OLOSaOY IIOtI![6 1,100 aLial0i. 1 S . t,_ -._ ® '`pvoror�n VFA.L� r t ���C v'�t T�R�iAiri��4�M1 KQ Lao S�a licMNL J�iNA .' • - ' .0., (5,7s. `°� 'SEP 1R .ri i 1, _ r, v.i ., „ , „__ .._ _ _ 1 ,_ . . Zt —e 1 Gqq�ly,.. c73-1° O 0.• / _ /� 1:: VV L'.. : :::17,:-'1-1.: l.' i5 S kR3oii1lll:'i':OI'APPROVAL %:4131 ,... 'Zit. , i.� 1p G ' „ If=\IN\ ...• .0 kk -Ne .......j' p • PLEASE NOTE �. ;' " a i1�`''�,A' !f`.Y ,Lia:tic ALTONTION oR AOOfI1d1 0400 ��- Minimum distance between well \ yq TqN m 7200 Oi THE ISM YORK STATE ■ " end cesspool is to be 150 feet. TNS J ! - WI A. \ COPESOF NOS NOT swift ` THE LA/03MKED SEAL OR +�/!�fY . .. .. \ EINOSSED Stmt.OWL NOT OE CONSIDERED Land to SEA VALID TNIE CORI. x. i a MIFAYNlb.. p Tithe &Air, w -- SIR Me —....00,111110001444601K: y 1 t•.f FISt� lI#Atq�0�! M : NDT 1r1/MN 1 � Ofl olk 1 DIST Y?`� yt►t il D. `.. i• r• 1 4