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HomeMy WebLinkAboutShearin UL Ire 40 No- �lj�, JUDITH T. TERRY Town Hall, 53095 Main Road TOWN CLERK , ® P.O. Box 1179 REGISTRAR OF VITAL STATISTICS - Southold, New York 11971 MARRIAGE OFFICER �® !� Fax (516) 765-1823 e,® ® �! 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. 847 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : WINDS WAY BUILDING CORP. Address 1 : 1020 GLEN ROAD City St Zip SOUTHOLD NY 11971 Descripton of Proposed Construction or Alteration NEW SINGLE FAMILY DWELLING WITH SANITARY SYSTEM. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT ON 3/12/92. Name Of Owner SHEARIN, JON E. AND WIFE Mailing Address 1 STILLWATER AVENUE City St Zip CUTCHOGUE NY 11935 Property Address 1 HOLDEN AVENUE City St Zip CUTCHOGUE NY 11935 Tax Map No. section 103.00 block 14 lot 16.000 Cross Street MIDWOOD ROAD Building Permit Number Cross Reference: Issue Date: 5/28/92 Judith T. Terry Southold Town Clerk (TOWN SEAL) 7 (--/7 JUDITH T. TERRY y' .,S Town Hall, 53095 Main Road TOWN CLERK :f' rT P.O. Box 1179 REGISTRAR OF VITAL STATISTICS .�` Southold, New York 11971 MARRIAGE OFFICER vA,/ Fax (516) 765-1823 p. Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To: Southold Town Code Enforcement Officer From: Linda Cooper, Southold Town Clerk's Office • Dated: May 27, 1992 Transmitted herewith is a copy of application No. 870 for a Cesspool/ Septic Tank Construction Permit submitted by: Winds Way Building Corp. for Mr. and Mrs. Jon E. Shearin , 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. Q, Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: 4i APPROVE �' DISAPPROVE 004.4 ,,�P� 7 90 Comments: oma, yN ed+t& INN CZAZat a. MQ,tip.Q (07 04, 3C.‘t1.t1.. . u,-, - \tom\c\i \C;1/4am,CL tx.A.Q.. Signature S'"\ .-42)\t‘ 1.—. Dated OFF CE OF ,THE TOWN CLERK ,,,'""""' Town of Southold �.1'��c��FFOL/(e►5 -, Judith T. Terry, Town Clerk" %��' -- , �G . Application No. ?7 0 `�° Construction `� Town Hall, 53095 Main Road Zcz: :G P. 0. Box 1179 ; a ,.r, Southold, New York 11971 . cn ' Alteration Telephone - a.��, �vo- $10.00 - Residential '�� (516) 765-1801 = Ol �,% ' $25.00 - Non-Residential • ' -- , ....o - TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for - CONSTRUCTION or ALTERATION PERMIT • SEPTIC TANK or CESSPOOL Permit No. - Fee $ I DATE ' 4)7)')/Q U APPLICANT NAME: /1k1STA %/i4 6771-., APPLICANT ADDRESS: /0 AL 4, ,g,- rik4, 1 `GS >1 SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION (jam „-h— J iCe . •t..1 oil"' feet-kg. :17 Piih:---7/1 --' LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: AA), hi AA JQ/u E. £4 6--"0-7 ft) OWNER MAILING ADDRESS: f//1//4/4r "/-+) 1r ;tq!/� "/y OWNER PROPERTY ADDRESS: ,. , ,i II e. jr ,� g f✓ TELEPHONE NUMBER OF CONTACT PERSON: 7 4(-2/.2.?,( e��orig-44.;�xi,V--414 TELEPHONE TAX MAP 'NO. : Section 1 6 3 Block 0/ Y —Let 1 Co L,u j / - I CROSS STREET: `cg •?) 7n J JJ laud R0 • BUILDING PERMIT NUMBER CROSS REFERENCE: • am/ c--/e-•e-C.-Z•l.--''''-' 7V-- Signature of Applicant RECEIVED BY: W ?ow Clerk's Office • _ DATE: - �7 't- ? i fl Z� , t •• i , • • . ,. ii '(res.) ' SUFFOLK CO HEALTH DEPT.APPROVAL , • : -'i,. ;, • .,k ;:',-;47,` '1 1,;' '`,.. 'MAP OF• -P''OPEi2TY' z ,s-:,4,,,:',1„-'1'.':,-,;%,:,'‘, "r Elf'•D,, FORS.. ":'. - - - - v.r-•▪ sY';' '4,:v''"V: ''' 1$-'x i. I - 4 ry , .J: _ TI ' , -S EA=,r!N . t :;a: _ ��' ,;JCI:',E.., I« �EJ .B ,` ! "i*1" • .; I � ,_'f STATEMENT OF INTENT -L.QT.,- ,3.:L_ -C trj15_GO T)."`•, - ,;t '4, , ,�°" I THE WATER SUPPLY AND SEWAGE DISPOSAL ' r::: \ s� CUA �fQGIiE >,' = a, ` "' SYSTEMS FOR THIS' RESIDENCE WILL .".CESSPOOL'.':;`? ±; l , • m t �t M 0�r�27 "O'N.1Y • CONFORM TO THE STANDARDS OF THE 9 ti SUFFOLK CO DEPT OF HEALTH SERVICES U, , 1 y12 + ;, • ' ,A„,-/ !t;.. - APPLICANT ,I` 'Lsi /' �. �CRES a,, - f X1.1 �, -_) -,p' -VO" .` SUFFOLK COUNTY DEPT OF HEALTH WELL :77 f _ �� �- �'�, SERVICES — FOR APPROVAL FOR • ^%;! :•,- , ' \l \� fr '" y�� I•' �, CONSTRUCTION ON Y V — >. _ DRLtE ¢ _MOP;�evri _— % _' ,4,. P'il,R 12- ,w,qt2, - , �T 91 DATE H S REF NO litirA � r °,' 'fit int �\ f APPROVED _ M' SPT^1�r�E tN.rq V-S/ V `i 1 L�� G _S !l 9F o 'T < - i' '�? I SUFFOLK CO TAX MAP D IGNATION • (•-1 y_ � i �Q� \ DIST SECT BLOCK PCL t 1 z SS --6*-ql ICGO 10 2, CI� co OWNERS ADDRESS i '•b i t,I, i 1 26.70 5-riLLWnr�tz 1-:,'E t �; Fs ! 26 ;/,`—„,---,,,6 :� .�0 / ;� �" � ,' _ curt sas'�E, aY i 93 • r4, ,+ I • • R �� Sp :s, j y0 _ SCALE 50°I" Z3� tiC iRCSi2'- 7GGr +, Ess „ ;‘.0-1. ! 4_ — C PbgLS _”— - a - - — i—_I C}Ii `. i., 1�' A(ZE�.71 X645,(= DEED L P. C2{' f/ RAS) _ .'PiPE TEST HOLE - 'STAMP ..-..•----- _ _OI - r,�VC$5VCQt ;' ,�,. • - �', g� �y - . 1 .� • �� 1�tU�i:$firb: "a�kG,�IC(i�l�'a1i`"tP3atia:l3 I .,• , -� s �' + ,t , q dse91 Foil hot Os i�1 -£','-y,"Tl:'..i.:l •ii: li ,f,r a•..•,,C Mild V..copy _ • ( - LI , •`•I'_., •- -_ 1s ::---;:,-.--00— ;:,-.--C_V` -_ _ f .. a 4,::i_e�ito,ted here 1 11 �, t_ n �a�oe le, '' ~02Etir ,'•, , i'• 1 I VIIICTIV Ea 2 ,o�dcrrin�yn� -,c, ' i ., -,•'_ • i 1 °Z 17... ..tic_ .ct- • • ;�, _ i', FEB 25 i ,bp 9 :L__ .. . • ., i 2 ' - • I •0 i�iQfES: :J/ELr,` _ 1�1)~�OW-NI N • 1. HFALZH SERVICES F a SEAL I • �- `,fr{,QT NO'S 2FEt'E NP.F_OF EASi°WG?Qa1'ATES,^SACT�; `�� ©NIS��t�VY P __ .t :,.- �IL'(>ti ,E suFF Oy_tTE2c TOFFiCE S'r � 42;Q;_=, �F(�t\p vikkp. �; ' 'z>;��v1nTicnls REFER_ e-ti�nav:sEA Le �� 1�G- R$ %' " _. AS.SU(2.VEYED - FEB_I I ,14'2- i ,, • � ��ES • ROORI-CIC VA�L1L.LYI.P C,. , _ " LICENSED LAND SURVEYORS ' - GREENPORT NEW YORK •