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Home My WebLink AboutGold, Carol AnnIf ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Omffot/ to � 1 0 N 2 o! � Sao Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2035 R Residential X Non -Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : SOUND DESIGN HOMES INC Address 1: PO BOX 605 City St Zip CALVERTON NY 11933 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 #1110-99-0151 Name Of Owner GOLD, CAROL ANN --- -------------------------- Mailing Address 1 5815 ROYAL LAKE CIRCLE ------------------------------ ------------------------------ City St Zip BOYNTON BEACH FL 33437 -------------------- -- ---------- Property Address 1 LLOYD'S LANE ------------------------------ ------------------------------ City St Zip MATTITUCK NY 11952 -------------------- ------------ Tax Map No. section 99.00 block 3 lot 4.009 Cross Street SOUNDVIEW DRIVE ------------------------------ Building Permit Number Cross Reference: Issue Date: 3/10/99 ---------------------------------- Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER l/tk ' Town Hall, 53095 Main Road .c P.O. Box 1179 N = Southold, New York 11971 0 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: March 9, 1999 Transmitted herewith is a copy of application No. 2115 for a Cesspool/ Septic Tank Construction Permit submitted by: Sound Design Homes Inc. for Carol Ann Gold 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: nature Dated 31 g /qq OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD ELIZABETH A. NEVILLE, TOWN CLERK P.O. BOX 1179 SOUTHOLD, NEW YORK 11971 Telephone (516) 765-1801 TOWN OF SOUTHOLD Application No. Construction ✓ Alteration $10.00 -Residential $25.00 -Non-Residential SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee$ i0.6 c, DATE '1-�2-U SCI APPLICANT NAME: APPLICANT ADDRESS: PC` SEPTIC 1/ CESSPOOL ✓ DESCRIPTION OF PROPOSED CONSTRUCTI A -0L VvA LU �{et u ayu� S X'v)L 5 `1' I lel 3 3 OR ALTERATION R17fW!Frn1vn =BAR (' 199`? 1 own Clem Jou(nold LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: ahn 1 OWNER MAILING ADDR OWNER PROPERTY ADC TELEPHONE NUMBER OF CONTACT PERSON : Sj l- J ;fj_LCj TAX MAP NO.: Section—qq Section—qBlock :3 Lot CROSS STREET: �tltJP-yyl10tc.� b;tIe_ BUILDING PERMIT NUMBER CROSS REFERENCE: 42� P77T4 Signaturel cL.Oppfcan71 � RECEIVED BY: ,Town Clerk's Office DATE: 3 9 2(/ -r (VACANT) / JE S.89T5,00"W. 124.9/' q5o L, P AD gel LCt I O �� tp �g P`'s' Ip PEs 10 oP ;CAVATION INSPECTION REQUIRED FOR SANITARY SYSTEM BY HEALTH DEPARTMENT Area cre°t'on parK °nd Re v Q c JA,RWY FOR K COLIM DEPARTII�NT OF EL41 H WVICESiOLANN GOL D IiT FOR APPROVAL OF COMMUCnON FORAT N0. 9 HONEYSUCKLE N/LLS ✓UNIGlf l►AMII.Y1 ORI.Y MATT/TUCK DATE OCT ; WN OF SOUTHOLD SCALE:Ny FFouc COUNTY NEW YORK No. e3 - UNAUTHORIZED ALTERATION OR ADDITION TO THIS ISA VIOLATION OF SECTION 7209 OF THE [W TATE EDUCATION LAW FORMAX2"OF ms CO►1[f 1�SURVEY NOT EEAIIfN THE LAND IA, UR Vl YOR'f NM(E 177LA1 OR [MSOfiCO f(Al SMALLNE •Y y �t8S 71Ut8B Y8ARS FROM DA180F APPROVAL {,',ARKiRTTICCONSIDERED T°co N[Riow VALID TRUE [Rug ONLY m '�ap W . Y PERSON FOR WNW THE SURVEY IS PREPARED X No ON HIS BEHALF 70 THE TITLE COMPANY, GOVERN- 0 OVERN- i •AIM Nf01MHtE Of WATER PIIIMTEPUBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED l 7T Uf W► pSTf[CTIOM.jLNACN..L_ LOT /.9 Hp[oN, ANO TO THE ASSIGNEE$ OF THE LENDING T E NO OWELLMMIS WITHIN 100 FEET Of THIS PROPERTY INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE THOSE SHOWN MERLON. TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT I SUPPLY AND fC1Y411 DISPOSAL SYSTEM POR THIS ROIDCMCE OWNERS N DISTANCES SHOWN H[REOFROM PROPERTY LINESM�TO�N[ fTS. AN0AR0{ Of iH[ SUFFOLK COWITY OLPARTMLNT TO EXISTING ISTIN{ STRUC7YRL9 ARE FOR A 3P[CfTlt PURPOSE AND ARE NOT TO GE USED TO ESTABLISH 458 A7eoc A'NN 6-c4_1)PIIOPERTY LINES OR FOR THE ERECTION OF FENCES �LANOS Sr R/vc�,�� /z�i` s�6 aF% YOUNG a YOUNG SRH' D,,NE =STAKE . At OFN W YOUNG PROFFSSIONAI FNGINFFR