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HomeMy WebLinkAboutO'Brien JUDITH T. TERRY • Town Hall, 53095 Main Road TOWN CLERK F=rar.; P.O. Box 1179 trb �� ; Southold, New York 11971 REGISTRAR OF VITAL STATISTICS 1' Fax (516) 765-1823 MARRIAGE OFFICER „%v__. Telephone (516) 765-1801 RECORDS MANAGEMENT OFFICER / � FREEDOM OF INFORMATION OFFICER "'` OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 3303-R Residential X Non-Residential Fee $ 10.00 New X Existing Name Of Owner O'BRIEN, JOHN W. Mailing Address 1 P. O. BOX 98 Mailing Address 2 City St Zip LAUREL NY 11948-0000 Property Address 1 255 EAGLES NEST COURT Property Address 2 City St Zip LAUREL NY 11948-0000 Owner Telephone No. 516-734-2545 Tax Map No. section 127.00 block 9 lot 10.000 Cross Street EAGLE DRIVE Issue Date: 1/27/95 Judith T. Terry Southold Town Clerk (TOWN SEAL) V.. OFFICE OF THE TOWN CLERK ' �FFO '_ �`�� Town of Southold ���= cQly Application No. ugoi.!P Judith T. Terry, Town Clerk . Town Hall, 53095 Main Road . ` - -. $10.00 - Residential P. O. Box 1179 _ i $25.00 - Non-Residential Southold, New York 11971 O - 0 ��` Telephone :o.( '`A4 (516) 765-1801 - TOWN OF SOUTHOLD • SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION - ;. = for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ • DATE OWNER NAME: 4:/i DeggArAi OWNER MAILING ADDRESS: /'Z . 9g Z ,,,o1 OWNER PROPERTY ADDRESS: .Aa"az. qt y OWNER TELEPHONE NUMBER: 3 ��`�.5� TAX MAP NO. : Section / 7- Block / Lot in . CROSS STREET: TYPE OF SYSTEM: Septic Tank \/ New V Existing Cesspool New Existing Residential V Non-Residential LOCATION MAP: Must be attached hereto before permit may be issued. (Locate building and system; give north arrow and feet of distance, approximately, to building and closest road.) signature o ' pp loan RECEIVED BY: !3` / / Town Slerk's Office DATE: / /as' t/ ' , , '.-_ • . - SUFFOLK .COUNTY DEPT OF HEALTH SERVICES' .•THe 1,t1AtE.15 tpPLY AND WASE VI S-PQSAL., 6Y57 E MS FO THIS RESIDENCE WI U. CON FOFitA ' . • FOR APPROVAL OF CONSTRUCTION 'ONLY - ,-- TO THe STA Afic6 OF THE._ 5UFFOLK COUNT - _- - -' , :DEPARTMENT OF- HEALTH EtIVICE5: . , 14 TE LA0-2-3 --' - - .._ ,. . .. _ .... . _ , -_,,!...-,......11.?..."./rAm....... .• - ' Address . - . , APPROVED -,,m... - IIPP__Jellp1.111p1 •Appliciants scriature . -, - „- ‘EP"-,• 1,11.614- - lisiLfAm- i- mhzilk. . . . . . -- - t 1.y , it at(-3------7"- ------- -"- ---. -,, . _. . . . , - ,. . , . . :. , , , - . . i . , - - . .. , •_: - . 4 . ,,, ... _ . _ , , , . - - _ Phen• , - ' - 0.-ld -- ' • . , . - . • , . 1 , • - . • . . -,, ., . . . ..0„ , -0.„, • , , . , , • -.- ., , . , . . . . , . . . .. , - -: -'- ---- - ' 1. . „ '6 LO T 12 - - , . . . . _ LOT 13 L0-1- 14 : - - --- - •, , -'-.-:-*' -. r , ... ... - - -.. ' - - 1 -----:'• ' -' -, . . .. - - - • -- . . . . . , . . . . . . . ,. N 57.26418"E . 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Z."D R...00R STolLiNGe AR.eh. 54-0 S-T- , , \ . - - , - Cr AZAGe AW. -4 = 441 5-1 _ . _UTILLTIE. 1,140ERC.R.Oup.s.1› INI STRemT - - - . 2. DATUM. ••A s-5 0 rt ED , . .- - _ - , • I __ . ,Ig , _ --' .X10A- il- _ ' TE5-i• HoLG 41'1 'A.5 5i4oLok1-01-? Fli-e-Dt4 APIk1770 . , .. ., .. , - auett.. - , 4- ._ , „ , 1:1 -,, ' - 1, 4) CLEACI ' - - - - . • • - , , 'ECOMME I4DED JO--'1.4....DEFT14.I ,‘40'--‘S0' AS p.igr ' t- -. I ' • - ----- .-- ' -- '-''\'-_, 6.c . 9 pT: o r , . 14 cp‘54.3 1.4. - . ..... ,. . 6-- • '.. . . -5.. , -- - • • . .. Lor- 3 _ . „ . - ,..- -, -, . . . „ . • - - I -''' ' ' '"c) pp.'-'v--Eie'or 15RdOtitN"At "'''"'-'"''',:"'-'''''''' • ' ' • -., , .., -- .s.,_ .. : ,, ,. , •. ,.:,,LAUREL;•.z.,-....:__,,.:.,..,••.-,,,,... .,,,,,,,,,,.•,,,...„... . , ... , . . . , . .:.„..._ . •-„:„..:.;.-.:..., „,_-_, „.-,-,,,...., .,-.•-.":-.1:-,...,.•-...-. -,,.. ,...: -• .._ • ., .... . . . . ..,--, - --- - -2orsouTmoLD:‘;-!,:a ..2,00UNTX, SUFFOLX-j 1\IX.:-`=,-.-,,i;---= -' - ''.” 4-'1TONN ; -`7 tr.o,'-' - _. , . . UNAUTHORIZED ALTERATICN OR ADDITION:TO THIS SURVEY 13. A, _ FILED:MAP- , . r - - .--. r:,:-- ,,..,-..,. ,..,-,,,,. . ,, — ; r ,-;,,-.;:fVIEW,r., r • ,ATE- n.c.....,-.4-..,-- r ,_ • , -` ' -1417/7• - ' • ' --11-A .' OF-- GOLDEAV.- -ESTS-;-- -''''':=---''y VICLATION OF SECTION 7209 CF THE NEW YORK STATErEDUCA,,r _;;_ --_-,,......- =-. -•.-:---"."- --.11:' :-,_ Y- /, !-.-;? :-;'-..,:':•-•:-'-:-::: ,: ,':` -!," i; : TION. LAW. - .. - .. ._ - ' : • , : ' :-' : '-' ,r".-- -.4'-'", '..,,''A UOUST:'345;4984 i, ty,% -e'. :-S,Q,13VEYEIXIFOR:4,914N-',-KKATHII:EgN430,.,BR lENI,_-,,,,,_ •.., -:, „ , COPIES OF THIS SURVEY MAP NOT BEARING THE-LAND SLP..EltRS.-- ,'..:,-,.-- __..., - '"---; ,,-',.... --- .---' '• • s..-'-:':._-,•'.:...'„,,-,V-.:4..,• ••'-':.,•••"'`,r..'-'2‘.:".•:...4.--''....`7•:‘,4"2"..'',..-:' ,..:..,•5, , •,. ,i -•...-'..•-•'1'./.i,„ .!..,,';;7...-•'..,-;...'-',L........4.4.',',... `,7•.'•..,...-....-- ,:,7,,,,+`.,,. ,,; , --': '' ?' -:'' - / CERTIFiElYTOf',FIRST:-AtioieffidAk ITitt,ftlijRAttiCt.1e:0:-:-- - . INKED- SEAL OR EMBOSSED SEAL SHALL NOT E _CONSIDERED TO-;"i,c,--..;-. .',,,- --. .= ;---- =7;,, '':-•'....-;;---,- ': -,' '_4:..';''?''',--_,,_.-_,..:. ..:,.,::• _;;.:, ...„..'. . . ,, „ ,„,, „. , _..:.', ,•-_.2 BE A VALID TRUE-COPY. - • . . 2:', -,.--:':'.::-;...:7;•-, : -' '5,-: :-- - - '' .----?_::: - --:'-- -',--:•,7-'"-------7-•:5-1,-17-':?-.--.1.-,-A-b-ii-EsoaisiEfABT-Fiii-er-='-.66-1:213-.•-%,`-':',1,-;1_':-------:_•,, GUARANTEES-INDICATED HEREON SHALL RUN ONLY TO TIE PEFfiON,, .,,,--:sil-;:-1;_ . !- -:71-- -_-. -.,.-:: .- '' --:".."-: •-.• .-.- --...„'...:, -:,y:,-L':,;:.,;:::,:?.:5,:s-,,„.r.,•2,,,-.,,,-,,,;.,„;,7,';,',k-:-.;,,,. ...,,--,-!.-,,:./..?...;:,‘-..-.,....,,,.:-.•.„--:::,,,-f-1,-,-.:::.:_;,,----.7.--.- -,--7,,,_,....; , - " - R:44,WHOM THE StiRvEY 6 PREPARED, AND ON HIS BEHALF TO r_..- , ; - -: , -.-'--`: -, 61.441.-7-'1,ga•-1 ,,, ';,-;.- DAT:Fii:Ftiigthio-y.f44643 ---.,.'42'-'.---:-.1,-.:7;.''' '''..` ':-.•;.?-;'----;-`',3.:1-''7-,-'n7,:;''..1'1:-...-:;":2.: ,,z.'‘ -::--- ' THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING :- '-, -'''-' ' ' _ ... ' ' ---. •••istc101,4 ' .,..,----- -„,• ,,.*7-._ ..„—.,- .. .. .,.. !.,.,....-.. ,....,.,,,;,-,, .- .,,,, _ .,,, _,...„, .,.:, .„..„,.,,,,,,,__ ...,-, •..- , INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE - .., , - "1 --) 13-112-\IPI!-L 5C A t.EA-jI'','= 21,0:1'-'7 '4-...'''' '-'.-,'".:, ..-.':1:---'',- -.--::,-"--,•::. T-....:---.:;--,,.,,,:,.:,'',` - .,. .. LENDING INSTITUTION GUARANTEES AFC NOT TRANSFERABLE ' - • TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT-OWNERS. , ' SUFFOLK COUNTY TAX MAP, • -. - - - ------ - • '.. -• - • - =7 - - --;,SURVEYED-BY. 4- 'Pt- . • of: NEW yo '; •-.., : - - . . EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR '-- ,„ 1000 12/.00 09.00 010.000, - - _ ..• AN" cl„ it: R.e4s, , UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY ,, DIST. SECT BLK• LOT. • ' — LOT1-IAR K:REIS -6.-- .t.t: - 0", EVIDENT ON THE PREMISES AT THE TIME OF SURVEY. , • ' . : , .. . * '' . ....-$1..., , . PROPOSED'HOUSE LOCATION - ,, .-: 4 DIANE LANE o ' ...a - . THE OFFSETS OR DIMENSIONS SHOWN HEREON, FROM THE • ` * ' -- .i,‘ • - ft Y , tt • .11 ' PROPERTY- LINES 10-THE STRUCTURES, ARE FOR SPECIFIC UPDATED- - .. . _EAST MORICHE 7 -;•*". ' A - , . .,,, A PURPOSE AND USE, THEREFORE THEY ARE NOT INTENDED - - l'an°564 th"56,7CA'ir irPle-;15\1.sl.c");3„ 5--,?.,5- -1" --• -LIC.."" '-i C 0 L.) - - 0- -• TO MONUMENT .THE PROPERTY TUNES OR TO GUIDE THE ,; ' ADD 5ftUiT'A e.-/,61S-rfm.toe..LoT- ' '(...;.4 .-94- - -(-.- ' - " : ' . •.-lb() . _ 1 ERECTION OF _FENCES, ADDITIONAL STRUCTLRES OR ANY . , . , . , , . ,. • PHONE (5I -)878 Cls" I II . . I 'SA . / - 1,1 OTHER IMPROVEMENTS. .; . ... . - . - . ' . , . , . . -„ . D • ,• --, gvO`W . - 4---' . - - . ., FILE° >5 I C)c)° ---5 " R . , - ,••.•