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HomeMy WebLinkAboutNorth Ray Corp (7) of. "". JUDITH T.TERRY Town Hall, 53095 Main Road TOWN CLERK t P.O.Box 1179 REGISTRAR OF VITAL STATISTICS `` 1�1 Southold,New York 11971 MARRIAGE OFFICER \*0 ®�,�� Fax(516)765-1823 RECORDS MANAGEMENT OFFICER ; ®.Q %ale Fax (516)765-1800 FREEDOM OF INFORMATION OFFICER ,••�� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1295 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 SHIRLEY NY 11967 Descripton of Proposed Construction or Alteration SANITARY SYSTEM FOR NEW SINGLE FAMILY DWELLING. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. SCHD REF. #R10-94-0070 Name Of Owner NORTH RAY CORP. Mailing Address 1 BOX 655 City St Zip SHIRLEY NY 11967 Property Address 1 HARVEST LANE City St Zip MATTITUCK NY 11952 Tax Map No. section 120.00 block 3 lot 8.012 Cross Street ALDRICH LANE Building Permit Number Cross Reference: Issue Date: 2/27/95 Judith T. Terry Southold Town Clerk (TOWN SEAL) • (671---r‘Lei JUDITH T. TERRY Z . Town Hall, 53095 Main Road TOWN CLERK ® ; P.O. Box 1179 REGISTRAR OF VITAL STATISTICS it �� Southold, New York 11971 ® Nr .' Fax (516) 765-1823 MARRIAGE OFFICER 4 i/ Telephone (516) 765-1801 RECORDS MANAGEMENT OFFICER = 1 ,i FREEDOM OF INFORMATION OFFICER „,,,i,,""� -. � � `�`a OFFICE OF THE TOWN CLERK ;' — , TOWN OF SOUTHOLD � � , e TO: Southold Town Building Department09 FROM: Linda J. Cooper, Southold Town Clerk's OfficeX01 , 'i'1 %-y f fi DATED: February 23, 1995 Transmitted herewith is a copy of application No. 1342 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 o/d-f 9-4©7,0 / Comments: y`•//Z) r/� ' .- 4770 411 ,e_ , S'gnaatu�re dr " Date u OFFICE OF THE TOWN CLERKcjvFFair _ Town Judith TTerry, Town Clerk r BOG 0Application No. /3 ,4 Town Hall, 53095 Main Roadtr3 X = Construction P. O. Box 1179 �s• '�`'� }�'" � � - O �_ _" . 'W$ Alteration Southold, New York 11971 .b, 0�.9 Telephone �7®1 [ 'jResidential (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 $ DATE 2 4.5 / APPLICANT NAME: //®/Zrg teed CO 1eP APPLICANT ADDRESS: 60 X (oS ,cA /e- ( A/1. /7i2 SEPTIC CESSPOOL DESCR PTI,ON 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: i(?/271 /2,4-V CO 2 P OWNER MAILING ADDRESS: 6' -S— S t /Z"Y /A( f/9 2 n OWNER PROPERTY ADDRESS: 561 )(...-674 4_• - TELEPHONE NUMBER OF CONTACT PERSON: '347/-3 ZS�J TAX, MAP NO. : Section /off D Block Lot eP CROSS STREET: al_0 'L-(/64, BUILDING PERMIT NUMBER CROSS REFERENCE: signature . L pplicant LA RECEIVED BY: Town Clerk's Office DATE: 1 4 .-' I SUFFOLK CO HEALTH DEPT.APPROVAf� ,' i U.S. NO. - -- -. k YAC.). . -- g (VAC.) r, i OIROLE FAY Y 1251 - I i?=. , / STATEMENT OF INTENT = - THE WATER SUPPLY AND SEWAGE DISPOSAL" ' { P�E NO 'en we" `,., t SYSTEMS' FOR -THIS -12ESIDENC£ WILL P.-f lb ?1-A--�stanc o be? �J -. - CONFORM TO THE 'ST• ANDARDS'OF-THE _ --Lot %Is t", i _ SUFFOLK 45. D E 'TH SERVICES. Ri" -M"� sP�° r�( _;' es / , 1S1' _ '' t1.1‘". C '1 = APPLICANT " y • - - d•/ 0� � SUFFOLK COUNTY' DEPT. �I6 „�'� SERVICES — FOR PPROVALEfiFpRT':- •1° 1� AP OF PROPERTY CONSTR NN TY ' ",':-; - f DATE: pY® A 4 }Q - ) - - SURVEYED FOrL H.S.REF-NO.. ,J • 0°76 . .I, L w "�CilliL d MO2TH RAY CORP._ APPROVED "Anna -• • '12OP_WELT. AT SUFFOLK CO-TAX M -SIGNATION: MATT ITUCK DIST- SECT BLOCK PCL. 1000 120 3 8.12 ' I TOWN OF SOUTHOLD, , N.Y. OWNERS ADDRESS: (VAC.% . / 1344 WM.F1G)Y_D PKWY WY SHIRLEY,N.Y. 11907 TEL,399-3255 DEED:L._N/A P. ' ...40---;,:r- AREA ± \ SCALE-�J-0'J TEST HOLE STAMP -'+-,.` FDQQ_HQ. -..40_— = AREA=40,000 SO,FT 3t �' �nn�d«mda� w \ Io thle ourveyknKo.o„cnd 0: ' C v ' - 6eq:tin Tc'08 ddfe Nett Yo&Strtal d'• 1 ,, Edurmon lav :.--, - " E r, _,_ �, Copltw d thb Cd m! u�t * ' W 1 , -q- the laweutvayor.dredseal ® �' —i, ,' TE;. 0.. mw. .lt. at de«�' . o G F ,shenrun• - .�ClL7�1Cij5 REFlR.T4�MAP OF;FHR]YIVEU FILf[?1t�LTRE r e _ tJ , 4w " •'::5tiF CO.CLERK`S OFFICE I S.MA47.No.8608," p re:d�„,�r�re"0n�°a� end • gHsuWtron gswd hereon ttttd '-?.'• .' . :• !�py��'��"/♦� L.::.1 •�/i��}'.y {{ J_r b M9 es�necs of the lending 0081. y3 F -r'��' U 'a�711- t 4 ' '; ate;' � - 1 _ - , I Won.Guarartszs ore not transferable i 0-41`,.,:•-•,,,r• -;, ,:f✓ !'. _'' n.�+. �,c..un,.or suhsequeM LLI •ryF,{=?{'�Ce,'j,'< Ill i`'r��y,,, ;4_.''',.(-'7•1".1-.41 .9'.-" Itr' .• ' -- '- - _ - - •1. �L " :,,,,_,-„,e,-.: •.;-, .. AS SU EYEP JUNE 1611994•-- 'y c��'�., , dC -.•. enc.} Y RODERICK VAN TUYL.P i.( 5~ *: y sem, ,_, i-.aa� t m 3) ) LICENSED LAND SURVEYORS �"�y�8T <�r r °c.... GREENPCJFT NFA^J Yf1P l�