HomeMy WebLinkAboutHarbor Const i4 * 4A--
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Town Hall, 53095 Main Road
v® ��� P.O. Box 1179
'__.0q91 _ `a®•�►�� Southold, New York 11971
JUDITH T.TERRY ,� /�r��is �� TELEPHONE
TOWN CLERK (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. 391 R Residential X Non-Residential
Fee $ 10. 00 Septic Cesspool X
PERMIT ISSUED TO:
Name : HARBOR CONSTRUCTION INC.
Address 1: BOX 457
City St Zip SHELTER ISLAND NY 11964
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY HEALTH
DEPARTMENT 8/3/88
Name Of Owner HARBOR CONSTRUCTION INC.
Mailing Address 1 BOX 457
City St Zip SHELTER ISLAND NY 11964
Property Address 1 PEQUASH AVENUE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 103 . 00 block 12 lot 17. 000
Cross Street NORTH CROSS ROAD
Building Permit Number Cross Reference:
Issue Date: 8/24/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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TOWN BLDG. DEPT.
r"'4n `:7-r';'1',=,,1 hAa,•' Town Hall, 53095 Main Road
P.O. Box 1179
Yf ' < t Southold, New York 11971
JUDITH T.TERRY 4,,,0.00„r TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Victor Lessard, Southold Town Building Department
From: Linda Cooper, Southold Town Clerk's Office
Dated: August 22, 1988
Transmitted herewith is a copy of application No. 3.97 for a Cesspool/
Septic Tank Construction Permit submitted by:
Harbor Construction 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 X
DISAPPROVE
Comments: a, ,,..,,,,41k,ce .St w, c .SSL, "b Co1�c,ct, i �.
.- , ' ,--ttc,,,-..t,-,D \-LI .Z, . \4..sz,za_4,---- . . e-.1 i \ F4ASS
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RECEIVED Signature $„;:.::.
AUG 2 31996 Dated
•
Town Ct®rk Southold
•
i0 '•...
OFFICE OF THE TOWN CLERK
Town of Southold
a)/T- C `-'
Town Clerk Application No. '
Judith T. Terry, . s -L
Town Hall, 53095 Main Roadcarp e z' *= Construction
P. O. Box 1 179 T Alteration
Southold, New York 11971x, .,- Off- ,�� Residential
Telephone
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ (.0
DATE ,g9 5 06 /7g gr
v _
APPLICANT NAME: A/7012I1n742c an(7-)-, a •,'-'c 1
APPLICANT ADDRESS: 3 ))( g6.- / 274
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION Co-A s-470 1--
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Q c 5-}&'u 1 l � /
1 A!1J( °��1 v J �.ij,,ce)
OWNER MAILING ADDRESS: enx ,545-7
•ZQA..e l4'e _ L ` e y, ll96
OWNER PROPERTY ADDRESS: � „ � u 4 (:\V--e-f..4- /
C\__c )\-(A/...(Thcv
TELEPHONE NUMBER OF CONTACT PERSON: '7 / - L '3 O
TAX MAP NO. : Section J 3 Block /� Lot
CROSS STREET: (72-0-1_,C1_, /OW--
BUILDING
OCrBUILDING PERMIT NUMBER CROSS REFERENCE:
'igna ire of App . cants
I
RECEIVED B • ,, '
' own CI;'rk's Offi e
DATE: ?7, 198B
Town Clerk Southold
. –__• - , , - -- ' – --- — Ti
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I
C �'� ,�:NO7F,`ALL WELLS Q CESSPOOLS , ;
Tb. rater apply and sewage.disposal :`' i ARE O FR/SQ., ;-7? .
' systems for Ws residence wilconform !;; [: ' r
to /be standards.ci The Suffolk County '"x
Department al.Naollb Saralee*. r - • • - ,- ' t
Prepared in accordance with Me minimum , ,- - - - _,g,.,
standards for IIIb serveys as established TRACK Q ; ' -SUR VEY.:`.;OF ,,;;J
by the L.RA.L.S. and approved and adapted -- r
Tor such u» by The New York Slate Load - - ` ' -
r ,7• - L c) , ri
Ti.s4MAP OF
The locations of wells and cesspools shown hereon are from field (D,WELLING) ^ O
PEQ UA SH ACRES'
observations and or from data obtained from others.
;u FILED MAR. 1972-FILE NO. 5894' ' -
' ' ,,1.,4 -I, -- • N 0 - AT CUTCHOGUE
.I, ._ , ,,,,.k;,,ti ,„,, X1, wi g;—,-• „,,,..if.�nis:?clk...�,,, - I. , z,,-,,, .:3, ''�., }j 1'f`,i.=_ '
; ��. :.kr. ,,r , -:,,,-,,i, TOWN OF” SOUTH
,,,,, �, :.:,,,, ., OLD -
S - , FND s:44I .42`40" E v =,•-::., d
EXPIRES vvo yF"-,:k4-:7.:_!.... .1 .,----'7.. . 19x14• ZR J` . SUFFOLK: COUNTY, N. Y. ' ' ;
AHS Blit•) of ' '..•-_ - --' 1000 - : 103 --. .12 07 . •
SUFFOLK COUNTY DEPARTMENT of HEALTH SERVICES ` ..'/4., .l 4''/ Scale �" - 40' .,
FOR ROYAL OF CONSTRUCTION ONLY. ^ July ,5, , ,1988 ''
DA %*- -3 3S- 7.,40t.s0,
APPROVED Y,ct C�jjel 111Q , - • , HARBOR CO •
h5TUCTION CO. ,
111� 1b °�
V ��. -,r St
ROP. DWELLING) RTE. Iia, ,BOX N.Y.a57
sapy,<< SHELTER ISLAND, N. 11964
AREA – 41,3248 ft. �� CERTIFIED TO' • - • � "` . •
Q. , , - HARBOR CONSTRUCT/ON COMPANY -QDyS — 2 4Cl-330'c7
/ / OF SHELTER ISLAND, INC.
1 2 / ---— - Pc'v '�,P acute - P
(DWELLING) cP'' - - Z-0b /3,/ • ,
WELL 8 CESSPOOL I -' ' , , `f
UNKNOWN I d1 . .� PLEASE`NO-if ._ - =, . . . _ . . .. -
` N
Requires septic tank > R, .'�
`I cover to grade.
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384.52 N 50 1B NeN11I; - N.Y.S. '�LIC. `Na5 .49668 -.,
FND 189.02' , -
MON ECONIC SURVEYORS, P.C. •
,oe FLEET NECK ROAD �� %5/6) 765 - 5020 0 0`V t',t�S
i MAIN ROAD 909 �`C y\t,
.. aac (DWELLING) SOUTHOLD, N.Y. 11971 -
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