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JUDITH T. TERRY z Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS i Southold, New York 11971
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MARRIAGE OFFICER ®� � Fax Fax (516) 765-1823
�,�®1 �1Do � Telephone (516) 765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 998 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : CRAIG JOBES
Address 1 : 135 BOISSEAU AVNEUE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED.
Name Of Owner JOBES, CRAIG AND KIM
Mailing Address 1 135 BOISSEAU AVENUE
City St Zip• SOUTHOLD NY 11971
Property Address 1 NORTH BAYVIEW ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 79.00 block 8 lot 19.000
Cross Street PARADISE POINT ROAD
Building Permit Number Cross Reference:
Issue Date: 5/17/93 Judith T. Terry
Southold Town Clerk
(TOWN SEAL1
G._'
JUDITH T. TERRY I • Town Hall, 53095 Main Road
TOWN CLERK 1:::1 T P.O. Box 1179
REGISTRAR OF VITAL STATISTICS N. � Southold, New York 11971
Fax (516) 765-1823
MARRIAGE OFFICER ® ®� •
� �� Telephone (516) 765-1801
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD ' 8- � d 0 I
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.'�1' MAY199{��
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TO: Southold Town Building Department p
FROM: Linda J. Cooper, Southold Town Clerk's OfficeL��_
DATED: May 12, 1993
Transmitted herewith is a copy of application No. 1026 for a Cesspool/
Septic Tank Construction Permit submitted by:
Craig Jobes .
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 &-*"4„..
DISAPPROVE
Comments: /16.•Ze
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Signature .7
Date < 7 �' 3
OFFICE OF THE TOWN CLERK c,�tr
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Town of Southold (..\ '''.. ^moi •
TL. Terry, Town Clerk
.. -.),,--1-`t �,' i . `-� Application No. /C.),:26-
JudithTown Hall, 53095 Main Road c r.`,�5. """'- ' _
P. O. Box 1179 v' "-- - .c P F`n Construction
Southold, New York 11971 ms`s r'/ 9-%` `c
��� O� Alteration
Telephone '0l r !yb-t� Residential
(516) 765-1301 ird�
Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
• for
•
CONSTRUCTION or ALTERATION PERMIT
•
SEPTIC TANK or CESSPOOL
•
Permit No.
Fee .$
DATE // /773
3
APPLICANT NAME: (Ira_ �13 3 -08 S • a
APPLICANT ADDRESS: /3O 4 $ O -
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SEPTIC CESSPOOL X -
DESCRIPTION OF PROPOSED COUTHCif CL 0/1t OLD
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRU _ TION OR ALTERATION:
OWNER OF PROPERTY: _t'a•( •t- )r74,1 J 08e---c
• OWNER MAILING ADDRESS: ,44JSseat) 4 „
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OWNER PROPERTY ADDRESS: 71) ,ed
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TELEPHONE NUMBER OF CONTACT PEe...1-6,-A- 73 �-Clpp
• RSON: J�a� 76x--3730 �re-/f
— TAX MAP NO. : Section q Block �—
Lot
CROSS STREET: Cz!- ii-L / i
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BUILDING PERMIT NUMBER CROSS REFERENCE:_.
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Signature pplicant •
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RECEIVED BY: �7;,2 7%3
Town Clerk's Office
DATE: 61( -?..-/, 7J -
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SURVEY FOR
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CRAIG JOBES -
�' _ i 3- • -- AT BA YVIEW
° TOWN OF SOUTHOLD `
;b' SUFFOLK COUNTY, N. Y.
, ,
__ 6 C' 1000- 79- 08- 19
t /
5 , Scale: 1"= 60'
s ;./57.071, Feb. 17, 1993
• e / s o FOR APPROVAL OF CONSTRUCT*:OF „
N/Q/F �h! 79•57.20.K, S` G :A}r:�L F.ES i ENCS O ..
RQBE ss 62.
cg yE/D RT�. Sr
D C/d/ ` / HS F.L-r.P10. / SO -�,‘
Q STQ�T6 ' PROVED
t EXPIRES THREE YEARS FROM DATE OPPROVAL _
t�L YA7101VS—AR&REFEA'ENCE
TO AN ASSUMED DATUM. SOF rIEW
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES I - d� i.MErz Sir
FOR APPROVAL OF CONSTRUCTION ONLY 5 o+d } cF4
' ' The locations of wells and cesspools ' "-'':'
93 SO 36s f\_;1)`'..,`''''„11 1*
shown hereon ore from /field observations .k l
s DATE HS.REF. NO. and or from data obtained from others. ,1t• •l , er
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APPROVED CONTOUR LINES ARE REFERENCED y ' '�/ 4 J' l9b�e J�
TO THE FIVE EASTERN TOWNS • 'EA 1'.99? LIC. NO. 49618
TOPOGRAPHIC MAP. ' /
'ECON/C S 'VEYORS, P.C.
' - (5/6) 765 - 5020 -
'- - - AREA = 2.2721 Acres - ' , - P O. Box 909
a ��%,/93 MAIN ROAD
rev,se SOUTHOLD, N.Y. 1197/
/ours c d, h�i /cc•' 2/24/93
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