HomeMy WebLinkAboutPeconic Properties Mgmnt (4) ofef /62,
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JUDITH T. TERRY o F; Town Hall, 53095 Main Road
f P.O Box 1179
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
Southold, New York 11971
MARRIAGE OFFICER O /'�, Fax (516) 765-1823
��® ri;itLLs-s jot 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. 884 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 15
APPLE COURT
City St Zip SOUTHOLD NY 11971
Tax Map No. section 70.00 block 1 lot 6.000
Cross Street JASMINE LANE
Building Permit Number Cross Reference:
Issue Date: 7/20/92 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
JUDITH T. TERRY 0 0 Town Hall, 53095 Main Road
TOWN CLERK ' _ �� P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ( .% Southold, New York 11971
MARRIAGE OFFICER z` > NS eiv Fax (516) 765-1823
�® 0 Telephone (516) 765-1801
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OFFICE OF THE TOWN CLERK -17)CE(1 7. /`Fig� \
TOWN OF SOUTHOLD rb d, i, 1
T1992. {
TO: Southold Town Building Department c GkL- i
L�OWN OF
�_i h' �i�i�7^rH I
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: July 10, 1992
Transmitted herewith is a copy of application No. 908 ' . for a Cesspool/
Septic Tank Construction Permit submitted by:
Peconic Properties Management Co. Inc. Lot 15
•
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 'A
DISAPPROVE
Comments: Q.,, ottrm.41 (Al p r.,
441IP
\(1).C/'4/44, I -i
Signature
Z1 1 \t‘z.,
Dated
II
OF,,FIC.,• OF THE TOWN CLERK c,\YFD(,�
Town of Southold 0��; �O
Judith T. Terry, Town Clerk ` Application No. 90�
Town Hall, 53095 Main Road t=1 ** � Construction
P. 0. Box 1179
cn � ^� if•` —'
Southold, New York 11971 • Alteration
Telephone 01 r �.a0 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 /di / 911?
-
APPLICANT NAME: / .�i .. .. . /� 1,�� - 41, ,LJ.1.4f / / .
APPLICANT ADDRESS:
.0 Za-7./ /1 2
//93,E
/ I
SEPTIC / CESSPOOL
DESCRIPTIQN OF PROPOSED CONSTRUCTION OR ALTERATION /fr../4
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONST ' UCTION, O: ALTERATION:
OWNER OF PROPERTY: g9 '", 4 ,.4.4 1.41,ge
OWNER MAILING ADDRESS: ".y0• // 2
'-
7 . ./. 93 S'
OWNER PROPERTY ADDRESS: / ; , �,��� w
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section d Block I Lot D d 69
.
CROSS STREET: /,' - Oa; '
BUILDING- PERMIT NUMBER ROSS REFERENCE:: ,Q0`79 -` D,p
/ ,
Signature of Applicant v
RECEIVED BY:
Town Clerk's Office -
DATE:
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Picoa
AREA = 16,654 sq.ft.
do. o //`13 •
. • /79-3r
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SFIWGI.E FAINLY DWELLING ONLY
EXPIRES 'SMS FROM DATE IAF APPROVAL SURVEY OF
LOT 15
• . "MAP OF SOUTHOLD VILLAS"
FILED MAP NO.
Prepared In accordance w1/h the minimum
standards for Illle surveys as eslab/!shed A T SOUTHOLD
by the L.I.A.L.S. and approved and adopled TOWN OF SOUTHOLD
far such use by The New York Sla/e Land N. Y.
• Title Association. SUFFOLK COUNTY,
The water supply and sewage disposal 1000- 70- 01-P/O 06 •
syslems for this residence will conform
to the standards of The Suffolk County SCcu@. i - 30'
4 ,arlmen/ of Health Service . March 11, 1992
�/ a "//
The locations of wells and cesspools shown hereon are from field
observations and or from data obtained from others.
�/�/fir �3�Oa— <dOe 01:ef`'.' kpLA�yDs6
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES /'%14. �+co 14 ME.7 'pL�
FOR APPROVAL OF CONSTRUCTION ONLY -. .A-, 6 ;
., .. . . N.Y.S. LIC. NO. 49618
DATEJUN 0 2 1992 HS. REF.NO. 9a s�..�a rrF9���� iJ92 >,i.K• w�:
'Ea�QlaliC%- SUr'• :YORS, P.C.
tP .1.1_:76 - .•: ;O
frimmmiardi. SC oro �r'4' 4 :u' v %9
.APPROVED _ , . HEALTH ' ir`F • _.-.o,. ,
�,iCcS S• %, N.Y. 11971
- 87-670 -15