HomeMy WebLinkAboutHillsdon •
OFFICE OF THE TOWN CLERK �FFOC,�
Town of Southold , Ds.S CSG
Judith T. Terry, Town Clerk # �4
Town Hall, 53095 Main Road " '
8
P. O. Box 1179' .Cflo
Southold, New York 11971 Oft 0sc- ',
Telephone '�7�1 t soz-
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 245 - Residential • X
Fee $ 10.00 Non-Residential
Septic Cesspool X
PERMIT ISSUED TO:
NAME: Winds Way Building Corp.
ADDRESS: 1020 Glenn Road
Southold, New York 11971
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New Single Family Dwelling with Cesspool System
APPROVED as per Suffolk "County Health Department approval
• _ LOCATION OF PROPOSED CONSTRUCTION .or ALTERATION:
OWNER OF PROPERTY: William and Sophia Hillsdon
OWNER MAILING ADDRESS: 20 22nd Street
Jericho, New York 11753
OWNER PROPERTY ADDRESS: Corey Creek Lane"
Southold, New York _ -
TAX MAP NO. : Section 78 Block 4 Lot 26
CROSS STREET: Main Bayview Road •-
BUILDING PERMIT NUMBER CROSS REFERENCE:
1%e(4' Judith -
Southold. Town Clerk
DATE : October 30, 1987
(TOWN SEAL..)';‘, `,
I0Ur3 -v
11
• g2) ; " Town Ball, 53095 Main Road
05 ,‘ P.O. Box 1179
®� '• IP,• Southold, New York 11971
JUDITH T. TERRY IIS, TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
October 30, 1987
•
Winds Way Building Corp. •
1020 Glenn Road
•
Southold, New York 11971--
Re: William and Sophia Hillsdon •
Corey Creek Lane
Southold, New York
•
Enclosed herewith is the Construction, Alteration or Modification
Permit for-a Septic Tank or Cesspool System for which you applied.
Please be advised that each owner of real property operating an
on-site sewage disposal system, such as a septic tank or cesspool must,
prior to such operation, possess in the name of the owner an Operation
Permit for the system. The Operation Permit is issued by the Town
Clerk's Office.
The fee for an Operation Permit is ten dollars ($10. 00) for
residential use and twenty-five dollars ($25.00) for non-residential.
Please have the owner complete the enclosed Application for an Operation
Permit and return it to this office along with the proper fee.
For your general information I have enclosed an Informational
Bulletin regarding the Scavenger Waste Laws adopted by the Southold
Town Board. Should you have any questions pertaining to either permits
or the Scavenger Waste Laws, please do not hesitate to contact this
office. We will be glad to assist you in any way possible.
•
Very truly ours,
•/:' samo
Judith T. Terry
Southold Town Clerk
Enclosures (3)
JTT/Ijc
„ ,MS".' ' ,,a
VFOL,i------ \"3
.11
o
% Li'.p, YY 4J
r, `, '2 i�l� aLT1�1 -30 Road
J -
` s�,�� i` �l�Fd �` 9��Main
11=.��� ”' �+,®I• -:-_ P.O. Box 728 _
��i, fo Southold, New York 11971
JUDITH T.TERRY TELEPHONE
TowN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
October 28, .1987
To: Victor Lessard, Southold Town Building Department
. From: Judith T. Terry, Southold Town Clerk- -
Transmitted herewith is a copy of application No. 250 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by Winds Way Building Corp. for William & Sophia Hillsdon -
Please review the application and location map and advise if the
project has received Suffolk County Health Department approval
and if we may issue the permit. . •
Please complete the form below and return it to my office.
Thank you.
ere•ficesr7.0.600,....... .
Judith T. Terry
Southold Town Clerk
* * * * * * * * *
I have reviewed the application and location map of the project
' cited above and make the following recommendation:
.. APPROVE - x
DISAPPROVE -
COMMENTS: �j . \ s,. 1 V 0
---- ," _Sk.ie• .
\iln_ .
/l ah) 4t- -
Signature
/ o/a?J97 . -
Date
jam-
so ii..i
OFFICE OF THE TOWN CLERK c\C VFOC,'CD _
Town of Southold" O). 44'--
Judith T. Terry, Town Clerk y y : Application No. .99 5-0
Town Hall, 53095 Main Road ` tri : 4"t" Construction-
P. O. Box 1179 '`
'rte Alteration
Southold, New York 11971 *
Telephone 01 t '1 Residential
(516) 765-1801 'I Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. -
Fee .$
DATE AO refG
)
APPLICANT NAME: 2' lf4d h �`$
gr,
APPLICANT ADDRESS: / b 61-t-141
•
CA-
SEPTIC ✓ CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION/OR ALTERATION
LOCATION MAP-: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: .
OWNER OF PROPERTY: 6/" rThis,."V--44.rso -
OWNER MAILING ADDRESS: . J'G. (361.t ,, ., 1/75-3
OWNER PROPERTY ADDRESS: /!f6,41 . 44)e eh/ /0
TELEPHONE NUMBER OF CONTACT PERSON: )f— 637
TAX MAP NO. : Section ') g Block `Q Lot A-l-
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
6/./
Signature of Applicant
RECEIVED BY= �_
torerk's ffice
DATE: OCT 28 1J
Town rtXk Southold "
SUFFOLK CO. HEALTH DEPT. APPROVAL
_ H. S. NO.
I-V► =XPU1f�G ►�� r-
I�L J i f .r.,, r--i.. g i 3
23. ,. ' ! yin ' . t•.•V :�.it 'i'
•
��=°� �•` ,f''>� �F d`i t"" 3f-� •,'
;, ,. '- 7
I, - LSI 1) 1:90.;) STATEMENT OF INTENT
�i 2/i. :T -THE WATER SUPPLY AND SEWAGE DISPOSAL
Seif,_0'•
� SYSTEMS F R THIS RESIDENCE WIL;
CONFORM it T k/A- T % ''TH1
•
-: i -
SUFFOLK C. • �' . . Or SERV E�
LLI
\� APP ICANT
(S)
- ~.. 1 In 6,Icw0.n.
j V�'r(7):.W �\
�® ?t; 1 SUFFOLK COUNTY DEPT. OF HEALTI
U / _
f _ 1 ��: ;Lti. WE��-� SERVICES — FOR APPROVAL •` ,,O
G�'`,i ---
it �v r' CONSTRUCTION NLY
- --_ �*/ e* 7 DATE: Jo ,)r� /';-7
* i i' 2 .
H. S. REF. NO.: �1
0 /fi APPROVED: � -ar _co ! ' ,, q0
i
Up
v� / f ; SUFFOLK CO. TAX MAP DESIGNATION:
DIST. SECT. BLOCK PCL.
w / 10:DO ;r _ - 26
lLU 7 - --- / OWNERS ADDRESS: -
J
(1.11,...(‘I
_�- f r�E:A°22,a 0 �.E=.
--
`r' c r ivj(�}h,jr 'i'JC f i? DEED: L.7056 P. + i 5
r j t,1
-`f ^�'-' _7..7_
- TEST HOLE STAMP
'1 a Li" ''=tJH - 't--
t`� '� �1 -7ACV. C 4U
•-hc•:r-r•d alt.ration ex sd•±?ti7r1
�J :i:1• '.,:4rvP.IS a v,otation of
• .n 7?.0`:at the,Blew!YOrk SVItO
TII .i 1\K)',—,:l...2-1-373 ^z..c-rinw.
�._.__•__�.._`..______.-__ �. �o�: ' c'4Fi-sat^,ry num K Z Fi1arittj
Z;-,:e 1:-1!sur,evne?inky d 44K'a of
amr,i,,:,o1 aao1 ah-H ntit L'3 con87da►^..d
i,-,::ee 2'.,taut`won cray.
_,- GUvrnnt'tav in.C:r:rt-i heron cht-! rji
1 ..o,y t„the,v!r oon tar wiro:- the curly
• . r:;.rt.o irv1,a-,a en h:+1 t- ha:f to taha)
I_ t` ]car::;any.cnvcrnr ontci czcIncy rind
if.,,,-.4.7,?,rn4trt zti.n lictod harcan End
' o;hi m3+in»e of the lortc4nu Etrti-
Li :r,:;nn t-trrar.taac aro not tronsforaaio
r''m. r',`,n,1 rnS�7tut:cna or sur-.*'_UZnt
_J
SEAL
ri `7t:j V ILCu1•,l'8%' 6':���"' Jw;'yr; 1
RODERICK VAN TUYL. P.C. -� " ' ;`i. .•�t;°zt- 1
ie.
LICENSEDL•LAND SURVEYORS "'•''; i•�-,1
GREENPORT NEW YORK ` ;y;':� ;; ";;�
s y :_� ii
'r•:.�to-s:
:A.1 �,c_
fr
s ;: rt;f: ..I, LOT NOS,�EEPE1?_--TQ�MAP �'F"��i"<r:` c Y - :,�f`'_�E'TA I
ikh,, , W Z ill LED IN rH i.;F=f=r '_CJ..CLL-iC{C'S Ori---1 CG /U fiv f P �:f0.2
°,Z;T �" - . 'Z.' i 1. O 5.T2 - S to LEVEL. ,
t) , - . ', :..�.Z....NE1G#-�YYE:��"J 211, 'WELL + PooL Loc,A f r 1.,= i2CF. 1TS1
'4$ ter i .
1li.rr1-, 1 t� 11-1 ,
. - . ®. / — „
plb- ., . t �J`L •• to 7
> - ' 'Sr,1 P4 .. x r
~�``, � 4" N.g$ • ' , _ -
ti f , , - 2x20,45` _.. ,1 .
., 7 8
_. ,
...,______________:___________..... 4 ..-m,
• l•
+5.. ?♦';;,..,., ' 'NJ �,� �, l �------------,‘ :-Z49;6;
/
L� '
•
:I} t 3 i J f?,�..[;- tir
U.
iI _-__� - `J' r
- \,A " ‘ ' 1
i.
ll..i I I..,L L.-., - -
' 4f',aft1.1t-
..1 I\J.Y,
\