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HomeMy WebLinkAboutHyland, Patrick lo/iii FOtat ELIZABETH A.NEVILLE �1 % yam►1 Town Hall, 53095 Main Road TOWN CLERK N P.O. Box 1179 Southold New York 11971 REGISTRAR OF VITAL STATISTICS v. Al t' MARRIAGE OFFICER V ' O Fax (516) 765-6145 hone (516) 765-1800el RECORDS MANAGEMENT OFFICER SIJ O 1 Telephone 11 FREEDOM OF INFORMATION OFFICER '� J 00 ', " •I•" '',I OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2135 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : LEGACY HOMES INC. Address 1 : 70 ROBINSON AVENUE City St Zip MEDFORD NY 11763 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 #R10-99-0110 Name Of Owner HYLAND, PATRICK R. & ANDREA T. Mailing Address 1 C/O LEGACY HOMES 70 ROBINSON AVENUE City St Zip MEDFORD NY 11763 Property Address 1 1055 HARVEST LANE City St Zip MATTITUCK NY 11952 Tax Map No. section 120.00 block 3 lot 8.035 Cross Street ALDRICH LANE Building Permit Number Cross Reference: Issue Date: 8/16/99 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) -- ll / 3 oFF01k 4. �G / ELIZABETH A. NEVILLE is 4% �t 1 Town Hall, 53095 Main Road TOWN CLERK ; cp 1 P.O. Box 1179 REGISTRAR OF VITAL STATISTICS , Southold, New York 11971 MARRIAGE OFFICER ‘‘k 1� Fax (516) 765-6145 RECORDS MANAGEMENT OFFICER N.y�O Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER c '� J �► so OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: August 11, 1999 Transmitted herewith is a copy of application No. 2221 for a Cesspool/ Septic Tank Construction Permit submitted by: Legacy Homes INc. for Patrick and Andrea Hyland • 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 rec mmendations: APPROVE DISAPPROVE Comments: ignatur Lc if Dated ti a - OFFICE OF THE TOWN CLERK ,," �T .. = TOWN OF SOUTHOLD �' Application NO. .200 ELIZABETH A.*EVILLE,TOWN CLERK ; P.O.BOX 1179 , Construction c/ SOUTHOLD,NEW YORK 11911 , .05) Alteration Telephone _= #1/ • $10.00 - Residential C/— (516) 765-1801 ' 11 1xt't ' $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 c-//- fl APPLICANT NAME:. / R,c.x iP`-' AAioiQt.4--r- Ny I 40 APPLICANT ADDRESS: /0 ,�(��,I-ay APmes /uc� JID 45,041 Au-e, JiAE-10 Fay -1; t/26 3 SEPTIC >/ CESSPOOL t/- DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION 9o0 A,1.-. 9 ,eta {� w i,-ti C , 1 V.-X.A--.-....-- 0-''''''''''' --E.0"...--eij CL-t-ki c 23 LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: T:Pick ,Qa-/4.440 4 /ii 4, OWNER MAILING ADDRESS: /c Lyey /.- rates` ite-- /� 70 61ti- ,v A, i//b= k4. .e),y /063 OWNER PROPERTY ADDRESS: k ' ' ....k - a 3Q496 076 4Z,A61 / TELEPHONE NUMBER OF CONTACT PERSON:6.3-Ase ,Zes4e)f+dw.5( l/2s',233/ TAX MAP NO. : Section /gyp Block 3 Lot ©¢o.35- CROSS STREET: .4,,,,,,./ 'op,c_ A- ,¢eve,. c (si- o . -) BUILDING PERMIT NUMBER CROSS REFERENCE: 2 oar _ igntre of Applicant RECEIVED BY: Wet.)-A' wn Clerk's Office DATE: g (f( f' "7 • �- r ... a •`,...1 �2� *,..� . , LOT 45 •ltnt-lli sed , , • e4av2.re eafigC. xo L . =0inZ1Zs14A�< ci vat Ngti,t.Y2751' `4�'3Oa` 60.55 a.9t5! n"wos •o•<t .i 86'1- l'?. I :S. . ( 16,5.00 MAP) ti =tgr..4,n,tM s • A( •elttilioa e iro :414 ;4"$ i h, • aa•i:'ata a , O LOT 46E e• /I, n 2ST tc "1 O a g=asp. : t w ,,- h_ _ • qt_ 9, 576 �Iv N 4 3 9' ����A2� " e it' N �-0 PROP .��/' o M it "IN• * 11*• m N ELI. h % ainaa • rN= X4tt N 4.1 2 i i ii• tt-1", " k m • si2"n =M N l wI • ha`• vo4a . V .o Lx. IA 1 • a 4610.--eo.4 lis N j; 29°6r. r.8) 1 k , ft N ii,`.,v% g a_ C q cr +1 a so..e~ow2 " • i•.lt1at o 3 t, W o of S '. ssA41 ti a LLI Co '> 'I PROP OECKQ ti11: •0 t 1 "Si `i "7� _ —_ _. : ~�'a•»* • �' ' PHOP. DRIVE fq u ea : - a! a It PGff-1450 If O it • a Q y -- 571 — _I, ' PG G•F- 96.4 601410 • &�- Roz 0 Z Qi /o, ,.4. _-_..---- M PI 0 i - 4 -.I ▪ Z2:anwi rt n W O 'JWL(, i")s O• • A•i n%Ni h (W -j-6-I �y� a ''$T c o410 sa PORCH lc 241 O —� • 53 x •r. 4.. :.. o w i n o^ b IRE • 17,1 T� s7 P DWLG, Y s o 2 ^. n i,a �:rtw1 i .�y4-is ky 1 `- '.4 PRo 1j -IN `attA 01 WELL ;` i �Id pr• y, • MT C I d .=e : t_ * ..�6. UPLY n A •n al a V\<Fligi 520E pp./40 . o a^ (140.00 MAV) x./000 a i t °s t r•G119i • c N •von!!ors. i, a a %as ; ' sr.194: N/9- 39-16 W 135.54 ia ^ s n, ,2 w u EDGE of PA✓eMENT�— t ! "t V 61-•9145 .44 , : ALDRICNt„,:_af..4-0AIYA.L._ • •,i N , (EL IS LAME) LOC) uv-a.tti ei. Nes r --r— • .• e a SUFFOLK COUNTY Y L EPARTMENT OP HEALTH SERVICES 0 S. M N� A r.> nx- S. a •• a PETWIT iC.,_.A?.., .rit L F 'IN:S/'RUCTION FOR A 0 4 a a h oa SINGLE PAMZLY E.,E:IIDENa ONLY • C. : VAC. to-w (0 n `I eif s III : . " . ^ APPROVED _ FOR MAXIMUM OF „rr ROOMS EXPIRES THREE YEARS FROM DATE OF APPROVAL SURVEY OF PROPERTY _ / 3� 1, Situated at Surveyed by MAA TTIT II C/t SMITH 0 SUNG TOWN OF S OUTROL PLEASE NOTE _ 6 4 OUND)JHnlmum distance o �easiona-L nd urve or SUFFOLKC s ance between Wer y NEW YO R N and cesspool is to be 150 feet. 20 MEDFORD AVE. SCALE'I 30' I PATCHoeuE,N.Y. Phone 475-3/92 S ur vc C ert i fi cd t0: LOT NOS• $1/0m4/ HEREON REFER To APAP OF FAqaftPEU PAfR/CK R.NYLAND A550c'ATES-FILED SEPT I,/989 AS FILE /11.1108. ANDREA T. NYLAND SEE CERTIFICATE OF CORRECTION FILED PEERLESS ABSTRACT CORP, 990655 DATES SURVEYED : MARC/120,1999 %NYLAND