HomeMy WebLinkAboutPeconic Properties Mgmnt (3) JUDITH T. TERRY Town Hall, 53095 Main Road
P.O. Box 1179
TOWN CLERK ® s wa tai
REGISTRAR OF VITAL STATISTICS .�` Southold, New York 11971
MARRIAGE OFFICER > N,40. Fax (516) 765-1823
42,® �ti�,�! Telephone (516) 765-1801
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 885 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 16
JASMINE LANE
City St Zip SOUTHODL NY 11971
Tax Map No. section 70.00 block 1 lot 6.000
Cross Street APPLE COURT
Building Permit Number Cross Reference:
Issue Date: 7/20/92 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
1/4
: ® Town Hall, 53095 Main Road
JUDITH T. TERRY
TOWN CLERK rv: i P.O. Box 1179
REGISTRAR OF VITAL STATISTICS *(� _� Southold, New York 11971
.,e O ��' Fax (516) 765-1823
MARRIAGE OFFICER ® .�
��® eN1 �� Telephone (516) 765 1801
W:rt1,11- 5�
OFFICE OF THE TOWN CLERK ,Y,CiA`s,I_=�'` §"=--=-G"=
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' •..
OFFIC,'E OF THE TOWN CLERK c \YFO(,(
Town of Southold
Clerk `C�'� Application No. � q
r
Judith T. Terry,
TownHall, 53095 Main Road : Construction
P. O. Box 1179 .P•
Alteration O. �. Alteration
Southold, New York_ 1 1971 0
1
Telephone r iti ,ff 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 Oa / 91
APPLICANT NAME: J /4 ,04_ /I,,YJ,(y'?4
Z:z 77zztff,tp.,,y,y_,14 .
gry• APPLICANT ADDRESS: 1/ 2
/ , ./ //
SEPTIC CESSPOOL
DESCRIPTI N OF PROPOSED CONSTRUCTION OR ALTERATION /1._
• 6 e o
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONST ' UCTION 0: ALTERATION:
OWNER OF PROPERTY: %i/1!� jos �� g , '4 4 i' -
OWNER MAILING ADDRESS: / .0• ` //Yi
• //93.5'
OWNER PROPERTY ADDRESS: JC°-e
/Ica,e7;t ts.trizz a of
TELEPHONE NUMBER OF CONTACT PERSON:
- TAX MAP NO. : Section 7 d Block I Lot pp 6j
CROSS STREET: (21 d.
BUILDING PERMIT NUMBER CRO
SS REFERENCE.. 8.10`79�1 ao,///a,(At-) aff; .
Signature of Applicant •
RECEIVED BY:
Town Clerk's Office '
DATE: • -
of
PLEASE NOTE i 1
Sanitary system is nct to be
placed underdriveway area. i
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ZoTl
73 •
6123 030.E / V
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ei 2z lit. ® R=37/.46' •%'' ..
Ooly
fc •8=3/9.79 1`._260.00
"'� `t` 1 L=/03.54' 1
zo t IA SII /NE • LANE
e//95"--
///) /) / AREA= 14,278 sq.ft.
60o. /(99
nz. t.,27(,,J2__ y /7935--
' , SINGLE FAAiiity:-owaurtiG ONLY
SURVEY OF
EXPIRES . . YEARS FROM DATE OF APPROVAL . LOT 16
"MAP OF SOUTHOLD VILLAS
FILED MAP NO.
Prepared In accordance with the minimum A T SOUTHOLD
slandards for title surveys as eslabl/shed
by the L.I.A.L.S. and approved and adopted TOWN OF SOUTHOLD
forTitle such oce le Association.by The New York Slate Land SUFFOLK COUNTY, N.Y.
T
The water supply and sewage disposal 1000— 70- 01-P/O 08
syslems for this residence will conform i
to the slandards of The Sulk County Scale: rii= 30
0riment of Health Service .
4h ''''!),,,7,-,'', ,-, March 11, 1992
e to os o wells and cesspools shown hereon are from field � w' Pi,.,
observations and or from data obtained from others.
11/74!,. 1 ra g
SG/51 Os- 8.3 00- oc 7 � �;4vr ��i,e,
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES �'J O n,r ,',2\-.Z.:33
FOR APPROVAL OF CONSTRUCTION ONLY s'^ '
� F/RhC-•�'' I('' /%r /4- N.Y.S.� L/C. NO. 496/8
DATE,x. : 0 2 1!4.3s. %REF. NO. �,S CONI SUKTYORS, P.C.
�t9`°�7�,65's'r� 20
COI, ^ .RCAF QD3c- 09
APPROVED ,C��� SOUTHOLD,' N.Y. 11971
87-670 (16)