HomeMy WebLinkAboutFoley, James I
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JUDITH T. TERRY Town Hall, 53095 Main Road
TOWN CLERK T ; P.O. Box l 179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER yQ 0� ��, Fax (516) 765-1823
‘VA, sig �� � Fax
(516) 765-1801
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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. 992 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : LYNCH HOMES
Address 1 : 321 CR 39A
City St Zip SOUTHAMPTON NY 11968
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED.
Name Of Owner FOLEY, JAMES AND JULIA
Mailing Address 1 80-51 232 STREET
City St Zip QUEENS VILLAGE NY 0000
Property Address 1 GOLDIN AVENUE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 135.00 block 2 lot 14.001
Cross Street NORTH ROAD
Building Permit Number Cross Reference:
Issue Date: 5/11/93 Judith T. Terry
Southold Town Clerk
_ -__ (TOWN SEAL)
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• ,,,, .e_tfOLK�OG :
JUDITH T. TERRY : Town Hall, 53095 Main Road
TOWN CLERK Fri
P.O. Box 1 179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER yQ $.7‘V' ; Fax (516) 765-1823
rro Fax
(516) 765-1801
rr
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 5, 1993
Transmitted herewith is a copy of application No. 1021 for a Cesspool/
Septic Tank Construction Permit submitted by:
Lynch Homes for James and Julia Foley •
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.
amu-:
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations: ittabvp
APPROVE x MAY
DISAPPROVEr11111 %no
-4
Comments:
2a4-X01141>471
Signature
Date
73
OFFICE OF THE TOWN CLERK ,,,'",,,"
Town of Southold �s1", �FFD1.K
Judith T. Terry, Town Clerk ��'��� Application No.X)(.12/
���
Town Hall, 53095 Main Road Construction L--"
P. O. Box 1179 •
Alteration
Southold, New York 11971 �� -
Tele honeO � ..'1 $10.00 - Residential
(516) 65-1801 _ .1 J , �' $25.00 - Non-Residential
• •••,.-- .,�
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
D TE 6/ 3_
APPLICANT NAME: J/9mES ry E 301/ C 3�,� �� /u //pc„ef-
APPLICANT ADDRESS: U -5/ 3 67-kt 7 OO&105U/L4- Gc
3e)H O5C- 6oc-pi. v . 60776oc,0 loco - 13 s--—0 — ic/. �
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
ye-Fa rn i/y(✓Gve1/1/9 it 6.06 Pod l
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: fig/17675 ` SU L,t4
OWNER MAILING ADDRESS:80 -5-1 3 g- ,57 -2cL.-1
Q v 7U 5th 6,6: —
OWNER PROPERTY ADDRESS: GjOC-L ily i9 v6
t�T�oc_ -7711 #iooU -i3c'—Ua—/ Q
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section / 3 r Block 0 D- Lot I(16
CROSS STREET: 1J O P0/<1 A PR ox'. (9 7a l _No om
BUILDING PERMIT NUMBER CROSS REFERENCE:
ignature of Appli ant
RECEIVED BY:
Town Clerk's Office
DATE:
SURVEYED FOR:- __14ME5 ✓UC/.Q4.E
LOCATED AT `�jpc/7/../o4p , TOWN OF` pu7L,' c , SUFFOLK COUNTY N.Y.
LOTS 2/ ee P/0 Go, 7 ce 20
MAP OF, /,BO/(//SA0,t j of /C7RO fteRl Ow,vE , By /c./.4p.aA., Gcc%A,i , CO. CLK. NO. //Oa, FILED 4./ov 2c';/9-3
SCALE 1" = 20' VA�]
iii N . t�iSPlevi, t MRS
SUFFOLK CO. TAX MAP DATA:- Dwc
DIST./0040 ,SEC./35.00 :::-. 1---. _..___ ._ �_....
BLK. 0200 LOT O/4' 7/ G`"a. `'�`v 3=•3`"" �.
OFFSETS FROM STRUCTURES - - SJ y 305 40�E P/o
Z . ■ - Cca *.Q,=
TO RELATiIE BOUNDRY LINES,
eev14m/ Zo 2 O Plo co 97.9 .M m�
ON SURVEY, ARE FOR A , II
any m _ _ I ff., 7 S �+
SPECIFIC USE ONLY, AND _ �4 v1
SHOULD NOT BE USED FOR I� ,A.0 7b . els:?.
CONSTRUCTION OF FENCES Q -9' c 20•2
o '1O BVI
OR OTHER STRUCTURES. 4 .4
9..2_1 F�t — a — As0 W
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14) v
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UR�AOE +~i X41_ .T� . _ cu CcTTdGE a./ 1
LOCATION a INFORMATION -O./..3. E. "• ZANE `l
PROVIDED BY OTHERS 7� 2/i h /-7-*. H Im
W2 D c1.3Z.o d
c4,00
aas z I MO
c. tesAK• Ne4‘14 tli •'..7,',.::::
..), m p9ep. Pie 57y I P•e•,"' 4C
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eI Fe..4ME -f 1444712.C ✓E .3wr DK/ECC/tlG
SUFFOLK GOUNTY DEPARTMENT OFO 4P-4 07 4
HEALTH SERVICE 0 Oe ,
. FOR A" -OVAL OF *• RUCTION ONLY 'i 41 E'' ^ �'
O -i-_�
DATEVE.D: �j REF. •, :A-50-1144\i i T_H^`e
APP / - �-3 -3 P/� eo d \ '_,
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- 3./ tli ti) N
. -IE WATER S°.PPL`,'.•r A `� /.9.92
.VSTEMS. FOP. ►;.•. . -•F-.:1':. r,E WILL CONF.. • S�oB•e, ,50 /27 4 •9 , E�,.eo 0 9 CO,441(15 ��192
:J THE CT...!*?'-.' ; "' , SUFFOLK C Utl k' - SURVEYED o cT P4 19 9/ BY
D AR r'keEli 'L: ti"r.ALTH SERVICES. P/0 eO N
i
RAMPART SURVEYING P.C.
, -- _ r/otitS iAi-ass�n..,�� aarv.a ' � I P/O BOX 377
�..,_.. OWNER ,v�p�T Pt/ATE,C '.�, G•� JAMESPORT, L.1., N.Y. 11947
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NYS LIC. 34408 G�a v qve. Q �� NO. /1 ,/,0,6? PAGE GRID
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