HomeMy WebLinkAboutFarmveu Associates (4) oil Of F001,
Town Hall, 53095 Main Road
ELIZABETH A.NEVILLE •hy0 Gym
TOWN CLERK o= . P.O. Box 1179
•OF VITAL STATISTICS
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, Southold, New York 11971
MARRIAGE OFFICER I�
REGISTRARFax (516) 765-1823
RECORDS MANAGEMENT OFFICER � �f , .1 Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER * "o81
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1979 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 #R10-98-0163
Name Of Owner FARMVEU ASSOCIATES
Mailing Address 1 59 HAWXHURST ROAD
City St Zip COLD SPRING HARBOR NY 11724
Property Address 1 OLD FIELD COURT
City St Zip MATTITUCK NY 11952
Tax Map No. section 120.00 block 3 lot 8.027
Cross Street FARMVEU ROAD
Building Permit Number Cross Reference:
Issue Date: 12/15/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
L
ELIZABETH A.NEVILLE �� r/y Town Hall, 53095 Main Road
TOWN CLERK co -� P.O. Box 1179
•
•
cn Southold, New York 11971
REGISTRAR OF VITAL STATISTICS rft
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MARRIAGE OFFICER # Fax(516) 765-1823
RECORDS MANAGEMENT OFFICER %.* a0�''�� Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER 4i �'���
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: November 27, 1998
Transmitted herewith is a copy of application No. 2054 for a Cesspool/
Septic Tank Construction Permit submitted by:
Greenbriar 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
DISAPPROVE
Comments:
M � �
ig-natu
Dated
OFFICE OF THE TOWN CLERK ,1. � �Q
gur '
TOWN OFSOiTI'HOLD ����_� �l ; Application No. .GS�
RJ I7ABETH A.NEVI1 E,TOWN CLERK V �`
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971
cf"
tate^ Alteration
• i $10.00 - Residential
Telephone ��' lb •
(516) 765-1801 '= 1 ,• $25.00 -Non-Residential
•
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE /202'l 4f
APPLICANT NAME: G/ti /'.'/Me.-
APPLICANT ADDRESS: LC99 /11;911>C1,7/ ..-7---, /a4P✓5""-
/CESSPOOL S/i�,✓6— /7 ,�o.5 • /V?. // -57
SEPTIC
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
,4 J /1/2) _
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: J‘;4,-,22l,4/
OWNER MAILING ADDRESS: ..5-9 f /4/,<WV,�
OWNER PROPERTY ADDRESS: Fe-6 eia,E'/: /)2,gTTjTUG
( /1/4 O41)',i- Gr//o 7,9' ✓Er/
TELEPHONE NUMBER OF CONTACT PERSON: 6574) ./Z/—/ ,lL
TAX MAP NO. : Section /..020 Block 3 Lot I! dam-
CROSS STREET: }%,9 -'/n1/,'�/
BUILDING PERMIT NUMBER CROSS REFERENCE:
�� Signature of Applicant
RECEIVED BY: .�
o n Clerk's Office
DATE: // / 2 I/
Lfie.frv\\/- 26
8 = 403.40 L= 39.88
Io [1
1, Y ... �E WATER SUPPLY&SEWAGE
_
P•t
3.. (C DISPOSAL FOR THIS RESIDENCE
• �`C WILL CONFROM TO THE STAND-
.., ARDS OF THE SUFFOLK COUNTY
•
DEPT.OF HEALTH SERVICES.
PLEASE NOTE
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NOV p 1998
i--0T- Ici OlL-t.UJ, I (.-oTIb ocC.-rte ra^ —
I",et- (2. tt' :1,��_ 4:
1 til ASSJMecIRTvr^ �t )L N P l.O P>P>O ._
Unauthorized alteration or addition to this document is a violation;of Section 7209 SURVEY OF: �� 2
of the New York State Education Law.
Certifications indicated hereon shall run only to the person for whom it is prepared 1-/-
•
and on his behalf to the Title Company,Govsmmenlal Agency and Lending ^ w � Of �0Ua -/Institution listed Mreon,and to the assignees of the lending institutions or subse- '" `�} �L/ �j((/�'/�'�}��l
seal owners. /`/` f w/� /"' r t 1`.'
Copies of this document not bearing the professional's inked seal or embossed / ` �'. A I o
seal shall not be considered a valid true copy. t r'OK
The offsets(ordimensions)ousshown hereon froare structures the property linesctiare / I l I NE.1_ '
tor a specific purpose and use and therefore are not intended to guide the erection of /� -t W
fences,retaining walls.pools,patios,planting areas,addition to buildings or any other
construction. 1
The existence of right of ways and/or easements of record,if any,not shown are
not guaranteed. �P.V, e ATE: 1 1 s11 SCALE: I fr : So f
CERTIFIED ONLY TO: p
DESTIN -.'pit-u.es'' DESTIN G. GRAF
5111
K- _s I/ A NO • ..‘.r.
a.' r• LAND SURVEYOR
By • '-��0A . ;t' 73 WOODLAWN ROAD
DESTIN G.GRAF N.Y.S.LIC No.50067 •� -` • 'OCKY POINT,NEW YORK 11778 O
TAX I.D.No. SIONM-I PHONE(516)821-3442
1000 - 120- 03-8.27'