HomeMy WebLinkAboutHamilton (3) ec ca‘
: Town Hall, 53095 Main Road
" � ��`' P.O. Box 1179
®2 Southold, New York 11971
JUDITH T.TERRYr-i" FAX(516)765-1823
TOWN CLERK TELEPHONE(516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 500 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : HAMILTON, ALFRED AND ELEANOR
Address 1 : P. O. BOX 5048
City St Zip ROCKY POINT NY 11778
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 4/29/89.
Name Of Owner HAMILTON, ALFRED AND ELEANOR
Mailing Address 1 P. O. BOX 5048
City St Zip ROCKY POINT NY 11778
Property Address 1 3520 OLD NORTH ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 55.00 block 2 lot 25.000
Cross Street YOUNGS AVE & MT BEULAH
Building Permit Number Cross Reference:
Issue Date: 6/06/89 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
OFFICE OF THE TOWN CLERK
Town of Southold rfApplication No.
Judith T. Terry, Town Clerk �T..: , ;
Town Hall 53095 Main Road c �x
w Oz' . �L j� Construction
P. O. Box 1179 % Alteration
Southold, New York 11971
Telephone a1[ ly Residential X
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. SI 1
Fee $ / O be)
DATE May 30 , 1989
APPLICANT NAME: Alfred & Eleanor Hamilton
APPLICANT ADDRESS: - Rocky Point
/ 7
SEPTIC x CESSPOOL X
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
New Construction of a 1 family dwelling
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Eleanor & Al frpd Ham i 7 trzn
�O. ax SoL,f
OWNER MAILING ADDRESS: t. Rocky Point . j - -j
OWNER PROPERTY ADDRESS: - 5 Q) ` Qa ,
TELEPHONE NUMBER OF "CONTACT PERSON: --1-(4`-, —
TAX MAP NO. : SectionJJBlock Lot a -\;--
CROSS STREET: yOk_A � v e V\" u ak-kt 1��
BUILDING PERMIT NUMBER CROSS REFERENCE:_
Signature of Applicant
RECEIVED BY:
Clerk's Office
DATE: MT 3 0 1869
Ica
; d
_ __ _ ___ _ _ _ _-_ _ ____ �—11' ,
n r .....a — +
—,- i SUFFOLK CO. HEALTH DEPT. APPROVAL
H. S. NO.
( I
- I' I r' ' r J!— c"..7-,
' ' '
.d."----
/\� ` ; _.i i �� J -� — - - - L i -` J i. _ __ STATEMENT OF INTENT
S�
��RO�a40 r \ yo / I THE WATER SUPPLY AND SEWAGE DISPOSAL _ -
.__._/_'-�qVC`, Oi�) - - _ ��` 7 f/ �' r, •i SYSTEMS FOR THIS RESIDENCE WILL
C �1 !' =— ____ CONFORM TO THE STANDARDS OF THE
SUFFOLK CO. DEPT. OF HEALTH SERVICES.
m ` ' - `r.
- �. APPLICANT
�,, j��� r - ! ,
m j y '-1,1 ,
�`C4fig,` I I SUFFOLK COUNTY DEPT. OF HEALTH
3S / Co / ./, r',, SERVICES — FOR APPROVAL OF
- ao f_r /,•, \ 7� i CONSTRUCTION ONLY
f ti;
O / • :.r ="!f-)t- �' -_ >l DATE:
• I a I H. S. REF. NO.
! / + �� Cr)� ) APPROVED:
1, O- Q•/ i 7 1' .
;,+ 3`� /ter \; 'pnn31- _ •
,./ Q; •
.
'Jo r7 1 s / ,� -.:1r,
� ;'(iSUFFOLK CO. TAX MAP DESIGNATION:
�� DIST. SECT. BLOCK PCL.
• Y \ __ ;\ � !r0O 'J55' ? P1' 25
_ - .� • r. •--
, , -` I OWNERS ADDRESS: •
ASS` -i�EA.� !7. f/ — -
- \ �---- - I' �� • S — - — DEED: L.`
(J II
. ' TEST HOLE STAMP
\ FRO F. . — - --
\\ ..0 °:-- --. r�
_r Al.`rjo LOAMY
•.%, _AND
+l J,
_- -fit..o CO':oE-'.+:r;
_ r ;;�n for wh mn la Stir
i - - . .-+-I 0;t h,i'+i 1,.5:,rO IJ.
,v. ..,.Clnrno,it !a;nncY
,i+ Jl�i �.,i,crC,cn!I_i+3rl harr.C.
'� I ' B2GWN _ ;.1,`,.e s of the le;odsna:r,S11
CGA 3 E ;t ,--:x,rare not Iransiarn
4._ H . SANL_ . "a•
NOTES' • 1
SEAL
1_.!' Or"fi 7',' :,. V • . ,' i r - J r-? a Y
vU,e[)1 kl i 5!C .: :A 1.1,4%,.L f .+._- i_ Rf^.,`rIi , , Pi-1P. . -
.�C}P-lTOi.)i�'` Com;E-E. ;�1C1 MEAi' l '�FA �w `,f��'f `r ��;�;rf,�1TF EvilO I�EE�Ii�S` f� �'fAC7' ; •�:: `:� ,:',/-1'1". .),e\1
-------- -- _—. - /+ : ..---.0im✓_ AP.5.7c , !„' : ,' v.)
ir
' RODERICK VAN JJYL. P.C. ..\ ” '' ;?,)
LICENSED LAND SURVEYORS --..• L,,,,.0 -.-_;-• '
GREENPORT NEW YORK
~
•
wl
- -rr.cr,Vr'19c, NOl l,p 1
-