HomeMy WebLinkAboutDenn, Daniel a
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ELIZABETH A.NEVILLE ,s O*k; Town Hall, 53095 Main Road
TOWN CLERK o - P.O. Box 1179
REGISTRAR OF VITAL STATISTICS v. Southold, New York 11971
MARRIAGE OFFICER 1 Fax (516) 765-6145
RECORDS MANAGEMENT OFFICER �?f� a0.1 01 Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER = ��a
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2145 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 #R10-99-0158
Name Of Owner DENN, DANIEL
Mailing Address 1 23-01 150TH STREET
City St Zip WHITESTONE NY 11357
Property Address 1 MAJOR'S PATH
City St Zip SOUTHOLD NY 11971
Tax Map No. section 54.00 block 1 lot 26.000
Cross Street HORTON LANE
Building Permit Number Cross Reference:
Issue Date: 9/07/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
oil S�fFO(�-
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ELIZABETH A.NEVILLE t, t; Town Hall, 53095 Main Road
TOWN CLERK
4:*
t P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER : 1 Fax(516) 765-6145
RECORDS MANAGEMENT OFFICER =y4fO NO�1 Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER ':.'1
•~„
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: September 2, 1999
Transmitted herewith is a copy of application No. 2231 for a Cesspool/
Septic Tank Construction Permit submitted by:
Greenbriar Homes Inc. for Daniel Denn .
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 rrecc mendations:
APPROVE V
DISAPPROVE
Comments:
Sign%-at4S7t)
Dated
•
OFFICE OF THE TOWN CLERK ,�
TOWN OF SOUTHOLD ;'� COG Application No.2 5j
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 _ .4 t Construction
SOUTHOLD,NEW YORK 11971 : p T ; Alteration
Q ire', • $10.00 - Residential
Telephone -: #41:1 itt�,•
(516) 765-1801 1 ,f $25.00 -Non-Residential
-- ,,..r.,•,
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE p449
APPLICANT NAME: G-i661.gel! /oh%e ' //✓C
APPLICANT ADDRESS: 9 /1/9 1K/ ,e.6f ,'2J
('aL D 5/'/2,,J& M9-f--8. g–/ ./i// //2 i`
SEPTIC )C CESSPOOL >`
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
/2 ,v75 &? ACC-Al $6,17 G 7 C4SS�'p o z–
,-0/2_,
–
/%D/L / 14,1 ®/ rnm,4y' 141E C e.-/Ala—.
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
.>///7/F1--OWNER OF PROPERTY: .>///7/F1-- } /t/ /
OWNER MAILING ADDRESS: 02 '0/ /SD S7
G111-/i i S710.v6j A7,/ //3S?
OWNER PROPERTY ADDRESS: A/1. . /7 ,,fb/ 5 irva
02 J/4, 96 / 4/a /�.P�rv.1 A.44/�1 si2v /J
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section Lj Block 0/ Lot 23 26
CROSS STREET: ,4N GA-,17- -
BUILDING
A'✓tBUILDING PERMIT NUMBER CROSS REFERENCE:
AL - "---"‘":00 .
Signature of Applican
ge/f}2- / r'� .5" /Aft
RECEIVED BY :
/ own Clerk's Office
DATE: l 7-7.-- V7
•
� ..!%:. TAX LOT No. 181,3•64 O1-23 AND 26 •
-III
. ARE BY LOCATIONS FROM HOMEOWNERS, --
FIELD OBSERVATIONS, AND EXISTING .;'�L7•"..Xt.-11TVL..7AE ITCrif'-•'!..7111WRY:CEt
SURVEYS. SINCE MOST ARE NOT VISIBLE RUM FOR APPROVAL OFCIN�,IT.V.110NFOR.li
THESE DIMENSIONS ARE NOT CERTIFIED. STFIGLITxI1rYv17:Y
• • - CISk
.c".*".
FOR
A• • OVET 6-z •�..�.A
/6/\V
v FOR MAXIMUM OF • •
/ 2►4°• Tf TREE YEARS FROM DATE OF APPROVAL
A
Ot ti° 0444'E -- YAWN INSPECTION REQUIRED
_ / t0'` �Zd FOR SANITARY SYSTEM
PP�� ��� BY HEALTH DEPARTMENT
'IA�\,� P
ONZ51' 1 8e.7 tP
1 `6
O 30°L • Yo
,t1 " To REMOVES VDT`
N ° ° E 18 ��
Z � A
- _ DESTROYED
1.45.• 0 �/ lY7Nr f - EY FIRE
Td$EP 1C AREA
• Ng.. 44TAX LOT 23 106.6
--6-.51- 40“W 127.88' LP TAX LOT 2E
O 9 51°58'40"W 48.18'
EX
Q, cn 0
SEPTIC (.3SEPTIC AREA 100.6 FF 103.6 r
GAR 102.1 SEPTIC AREA
g
,%'• PROPOSED m
TAX LOT 27 OS/ to SINGLE FAMILY it 20' i &
os TAX LOT 25
W
O g m
NCS. WELL AREA i
11% PROPOSED
vrEt1
TIE 246.06' 4 WELL
100.7 107.1 0
harA . //
L"7/6)/11_ S 52'05'10"W 100.00'
MAJOR'S PATH [50'j 96.3 iQ0'L.'L
PRIVATE ROAD 104.9
o wELL
TAX LOT 6
ELEVATIONS IN ASSUMED DATUM
ra a •
'ba6e�d'M016L tNdotafw1YNo""nd"talon 720° SURVEY OF: DESCRIBED PROPERTY
Cantliodlono hereon statM My b to/oeen tar whom a Y prepense
"it maianeth'T6loCan 'y°°`" ordidP Yd9dLend% LIBER 11893 PAGE 34
Lrelrmlt Mad hareem Id b do eaaMw rand Unary nreterr6on or
aeleeqWWW
cosi e 00Weitraoe.ereefropr_______InlelHOorinbosaw LIBER 11677 PAGE 96
.r'e'6dnmww"°'a66""°°°" SOUTHOLD,TOWN OF SOUTHOLD
TLe4ieb f I ora•4Ymrslarre I own Ilae.n Lam awoa.w b the prmpsety arras or ,
est Moab a ord we MO tileroknt not dinged lo guide as ovationd
aar n ,wean Owing .ddubuildings.buildings.an to b ..or.ncaw j
wow Siblnlig talk vSUFFOLK COUNTY, NEW YORK
The drge anays'Mier.amnra d rood.Ir int not shoal.. SURVEY DATE: 5/25/99 SCALE: 1"=40'
net 011011•Nd.
CERTIFIED ONLY TO: P-4OF `> 4'Y\
,
VIOLET MCDERMOTT /`' DESTI G.GRAF pr DESTIN G. GRAF
GREENBRIAR HOMES �4 i`�� 1 ' .,, LAND SURVEYOR
r .y
► 16 w 73 Wbodewn ROe4
— @ h Raley Poll.New York,11776
•.i!- ' 3,. 50067' 616121-3442
"Nell
—— —— o OE$TIN O.ORAF N.Y.S.LIC NO.50067 O,.-. .fid
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