HomeMy WebLinkAboutPeconic Properties Mgmnt (2) 11r�j%/I%7v. r
JUDITH T. TERRY Town Hall, 53095 Main Road
TOWN CLERK ® v� P.O. Box 1179
REGISTRAR OF VITAL STATISTICS l� :�� Southold, New York 11971
MARRIAGE OFFICER �® �� Fax (516) 765-1823
,0, 11,"-re.: 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. 886 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : PECONIC PROPERTIES MANAGEMENT
Address 1 : P. O. BOX 1143
City St Zip CUTCHOGUE NY 11935
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 6/2/92.
Name Of Owner PECONIC PROPERTIES MANAGEMENT
Mailing Address 1 P. O. BOX 1143
City St Zip CUTCHOGUE NY 11935
Property Address 1 SOUTHOLD VILLAS - LOT 17
JASMINE LANE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 70.00 block 1 lot 6.000
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 7/20/92 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T. TERRY V r Town Hall, 53095 Main Road
TOWN CLERK :� ® ' , P.O.P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER C) Fax Fax (516) 765-1823
N %11.1 �� Telephone (516) 765-1801
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OFFICE OF THE TOWN CLERK a j.
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TOWN OF SOUTHOLD , j99 ftj
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TO: Southold Town Building Department , TOWN OF SU'HOL
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: July 10, 1992
Transmitted herewith is a copy of application No. 910 for a Cesspool/
Septic Tank Construction Permit submitted by:
Peconic Properties Management Co. Inc. Lot 17
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 X.
DISAPPROVE
Comments: q,E, to. ial.,stijak 1�.sl
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Signature
Dated
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-,. OFFICE QF THE TOWN CLERK \rFO
-1`own of Southold BOG
Judith T. Terry, Town Clerk �O,i`5`t y k.` Application No. 91
Town Hall, 53095 Main Road o t �•: Construction
P. O. Box 1179
Southold, New York 11971 Alteration
Telephone °1ri !y Residential
(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 / � ' /d /// 91 --
APPLICANT NAME: // / �' / r /
APPLICANT ADDRESS: .U° tery /1 2
SEPTIC / CESSPOOL
DESCRIPTI.N OF PROPOSED CONSTRUCTION OR ALTERATION
/// . ��, .� I / / '
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONST ' UCTION O: ALTERATION:
OWNER, OF PROPERTY: /� `e ge, %ge JLt ,_ /
OWNER MAILING ADDRESS: f :0. tit
• / 93
OWNER PROPERTY ADDRESS: f,�� (,•7
of.TELEPHONENUMBER UMBER OF CONTACT PERSON:
TAX MAP NO. : Section 6 Block / Lot p/6 6
CROSS STREET: e„ 2ZA1'
BUILDING PERMIT NUMBER CR
OSS 'REFERENCE:. 0/0`79, �
/ / /tv
Signature of Applicant
RECEIVED BY:
Town Clerk's Office
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AREA =39,838 sq. ft. .
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• - //93s--: ' SURVEY OF
SINGLE FAMILY,D CLL. rr®SLY, LOT 17
EXPIRES. 3 MAP OF SOUTHOLD VILLAS"
FROM ���F APPROVAL FILED MAP NO.
Prepared In accordance with the minimum A T SOUTHOLD
standards for lisle surveysdpas establishedndTOWN OF SOUTHOLD
bythe L.I.A.L.S. and approved and adopted
for such use by The New York Slate Land
Title Association. SUFFOLK COUNTY, N.Y.
The water supply and sewage disposal 1O00- 70- 01-PCO 08
systems for this residence will conform /F L i
to the standards of The Suffolk County SCale• 40
D 'mend of Health Services. March 11, 1992
7/ x\4 /
The locations of wells and cesspools-shown hereon are from field
observations and or from data obtained from others. ,t1;'))PA, r
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SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES v '.,�,/'. e
FOR APPROVAL OF CONSTRUCTION ONLY its v , '',,:;1 li 4` � -'
°7.4 �� k'i .°r ' ?',; _ 0 N.Y.S. LIC. NO. 496/8
�lUN 0 21992 C� ' t3 ''ice
DAT HS.REF. NO. ` SO-.S'�G -1:'L'••CON ' 77 /ORS, P.C.
O 8C f.:,,,-_ .07,.. -. t. - ;1•/i
x.
APPROVED lirA /L ,........____ i
i:'fs S Jl
SOUS UTT TOLD, N.Y. 1197/
87-670 /7