HomeMy WebLinkAboutNorth Ray Corp (3) JUDITH T. TERRY a® Town Hall, 53095 Main Road
TOWN CLERK ® P.O. Box 1179
REGISTRAR OF VITAL STATISTICS , Southold, New York 11971
MARRIAGE OFFICER ® �` ,1' Fax (516) 765-1823
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,•• 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. 1030 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : NORTH RAY CORP.
Address 1 : BOX 655
City St Zip SH I RLEY NY 11967
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR A NEW SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 6/21/93.
Name Of Owner NORTH RAY CORP.
Mailing Address 1 BOX 655
City St Zip SHIRLEY NY 11967
Property Address 1 350 PADDOCK WAY
WOLF PIT POND ESTATES
City St Zip MATTITUCK NY 11952
Tax Map No. section 107.00 block 4 lot 2.012
Cross Street OLD MIDDLE ROAD
Building Permit Number Cross Reference:
Issue Date: 8/03/93 Judith T. Terry
Southold Town Clerk
(TQWN SIAL)
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/03
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JUDITH T. TERRY Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER Southold, New York 11971
`4 '�. Fax (516) 765-1823
,,, � •
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— Telephone (516) 765-1801
OFFICE OF THE TOWN CLERK 17 �j \ d F
TOWN OF SOUTHOLD !��1' re, .�- 2 L° i +
JUL 2 31993
TO: Southold Town Building Department ? ;
FROM: Linda J. Cooper, Southold Town Clerk's Office
1i�lN
DATED: July 23, 1993
Transmitted herewith is a copy of application No. 1059 for a Cesspool/
Septic Tank Construction Permit submitted by:
North Ray Corp.
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
DISAPPROVE i()Comments: /" L irpQ) S.0 ,,x� � —So-oj
4.3
MOO
A3 092-1,
uG 21893 Signatur
T Dated /
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"OfFF-ICE OF THE TOWN CLERK S\rF0
• Town of Southold \3 , ie�Y.
Judith T. Terry, Town Clerk ,._ ,,,.1,...,7_1,,`Z
.. �- Application No./US7
Town Hall, 53095 Main Road c r`c ,' -"` �
P. O. Box 1179 L' 1,- •' I n Construction ��
Southold, New York 1 1971 w n':'?
O.`, `X} r Alteration
Telephone 1 - ' -1 Residential
(516) 765- 1301 . nr�f)
Non-Resi den tial
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE .i1 3
APPLICANT NAME: /-i
APPLICANT ADDRESS: O 60-5------
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SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION! OF PROPOSED CONSTRUCTION O' ALTERATION:
•
OWNER OF PROPERTY:-��2 ,- 4, i�,' L
•
• OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS: .'5-0
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TELEPHONE NUMBER OF CONTACT PERSON: '57c .- 11> 5-'
TAX MAP NO. : Section /0 ' Block V
_ � �J Lot 2 , / 2_
. CROSS STREET: ���
BUILDING PERMIT NUMBER CROSS REFERENCE:_
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' OP 4 014(4,..4 .__ _
s ignature of Applicant
RECEIVED BY:
(..tit-e4-1--,i
own Clerk's Office
DATE: —7 `7.--2/ 7 2 •
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Young & Young, Land Surveyors ' •
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SINGLE E I'AARS DIN-111AT ONLY 400 Ostrander Avenue, Riverhead, New York 11901
4iarEXPIRES THREE YEARS FA0,�9 DATE OF APPROVAL 516-727-2303
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>�Driri J S 65Op �p 0 Alden W. Young. Professional Engineer d' Land Surveyor ;
Cid N 522., f 9 o� Howard iY Young, Land Surveyor ,
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ti 6$o E o� Thomas C. Woipert, Professional Engineer
l:u+s ,�P Nsso 05•2 �yh'y~ Kenneth F. A bruzzo, Land Surveyor
Eng1a.=PN. — — DS 22 ww�ot/2 29q.—On �tio
Dorvrging . X111
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,U FOLK COUNTY DEPARTMENT Of ME/LTM SEAtVtCE! iii
u QQ FOR PPROVAL OF CONSTRUCTION ONLY
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(\O\a 2 �'GO\>�ty j JEG E� �yz10 �3j. TJ SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES CERTIFICATION a�y
(OG 0\\t- ct,0 200 J(kt''' \)FF F L.-236 -1 AM FAMILIAR WITH THE STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE Bell,
_ G JkE \JP *,,,,c2- 2 P-( 8 .4 OO `53� (V SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES AND WILL ABIDE BY THE CONDITIONS
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�O S 0��pF. . •`` 0 Ntx•C• / r(�O``Ol / `1C/ = SET FORTH THEREIN AND/O NN TTTHEE PERMIT TOJCOONSTRUC p (
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D� ��o Z .I, a -4 �. 1v p1353 661 43 0 o. a At: MATTITUCK Town of: SOUTHOLD
• /\\ A I DV, o Suffolk County, New York �gpa1
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. 1 �?y1�° TEST HOLE oo, Suff. Co. Tax Map: 100 107 4 2.12 ___ 1 qp
X 31 2 79°38 06 W \. NIL"�o;: P olavmh lsed on Block Lot q
61
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Loi M2 - CERTIFIED TO:
, in T 1 RONA Gfirt_ TUM
� -^ D 1VpCA BROWN JA -,e'•• t '3 -,UM
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7 9 1993 • , y+F 'A` Oi;:
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NOTE• • = MONUMENT FOUND A=STAKE FOUND A=STAKE SET no I., �. e, , DATE JAN 28, 1993 '
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF Lot II \ /— �j -- -,-1...,"%' SCALE 1"= 100 gb
SUFFOLK COUNTY ON JUNE 21,1990 AS FILE NO 8963 sC 9E11-(if F 496 �, JOB NO 93—0046 §�
® HEF 7�1 --.4"..�cS �SFD LAW SHEET NO :1 OF 1 -- O S i.