HomeMy WebLinkAboutPeconic Properties Mgmnt (9) JUDITH T. TERRY , Town Hall, 53095 Main Road
TOWN CLERK p t P.O. Box 1179
REGISTRAR OF VITAL STATISTICS � Southold, New York 11971
MARRIAGE OFFICER �® O � Fax (516) 765 1823
�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. 879 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 SYTEM.
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 10
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)
Ili- � ", __
1 %���
Town Hall, 53095 Main Road
JUDITH T. TERRY �;
TOWN CLERK P O. Box 1179
REGISTRAR OF VITAL STATISTICSSouthold, New York 11971
MARRIAGE OFFICER �® /� Fax ( 16) 765-1823
7���® ��®��l Es
Telephone (516) 765-1801
OFFICE OF THE TOWN CLERK 11 h
TOWN OF SOUTHOLD JULQ 199
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TO: Southold Town Building Department 1_1(01J31-8LSEu4'UTP0,..1'
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: July 10, 1992
Transmitted herewith is a copy of application No. 903 for a Cesspool/
Septic Tank Construction Permit submitted by:
Peconic Properties Management Co. Inc. Lot 10 •
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
Comments: � • � ,'�b y ,
\Celt, GE,cla
Signature
—1\ )SAc\ 2.-.
Dated
OFFICE OF THE TOWN CLERK Oc0F0i,i f;
Town of Southold 0�, � O
_Judith T. Terry, Town Clerk ��r . Ca/3 Application No.�d,_
. Town Hall, 53095 Main Road a r Construction
P. 0. Box 1179 c.r2 �� w•; `
Alteration
Southold, New York 11971
Telephone 1 r Residential
/y Of
(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 .$ •
(� p
DATE /
APPLICANT NAME: � �► , � grp,k,), 'AA • ,Lly,g, 4 . / ,
APPLICANT ADDRESS: � /1 2
/ ./ • - //93�
SEPTIC CESSPOOL
DESCRIPTI N OF PROPOSED CONSTR
UCTION OR ALTERATION /
fr...141
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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: ?OF, `� % c�c ���i�.E�
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-fir I
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OWNER MAILING ADDRESS: O. � /�y�
_ ./ , ' .Amer, / i • // 935
OWNER PROPERTY ADDRESS: � /a
„1.1,-,A-ei
•
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section 6 Block I Lot pp
CROSS STREET: &'r"%cezj6:37d/6g
BUILDING PERMIT NUMBER CRO
SS REFERENCE:. Q0-7971-0444
Signature of Applicant .
RECEIVED BY:
Town Clerk's Office
•
DATE: •
IMMEMMIN
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SINGLE FAMILY DWELLING ONLY
��ES -3 R5-,Egp :oATg OFAPPROVAL
JASMINE _ , , V
f . . � AL
f."671-tsc-
a� i erSURVEYY OF
01 //?3f--- ' LOT10
"MAP OF SOUTHOLD VILLAS"
FLED MAP NO.
Prepared in accordance with the minimum AT SOUTHOLD
standards for litie surveys as established - • •
by the L.I.A.L.S and approved and adopted • _ TOWN OF SOUTHOLD
for such use Til/e Association. New York State Land San tar =s�sfe js not to pe
Y �
The water supply and sewage disposal placed Un-1rier drlvE�Nay area. SUFFOLK C OUNTOYS
systems for this residence will conform
to the standards of The Suffolk County • SCa,8. 1":: 30'
D lment of Health Services. March 11, 1992 •
•
The locations of wells and cesspools shown hereon ore from field
observations and or From data obtained from others. i;F � •
t/(s- I(I S' 435Goo— aoa °��
o',,,�':`; • ,p 411A? r
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES ) �� •`7Tr,:. •.
FOR APPROVAL OF CONSTRUCTION ONLY y -�• S •fkes 'C, ice'
q ./ F,fAi,=a ,,'
1.7.j, °^•_1 '° N.Y.S. LIC. NO. 496/8
DATE JUN �Z f,Q s REF. NO. l,�5 d`- 'J 199? v
3 ',7f�ECONIC;_SURA/S, ORS, P.C.
yEy:e o ar r.5i6), 765 - 5d2G
�`— Ty 4.4, v, P �� �01�r9 9
APPROVED '- j''( MAI�PRLJ.4b�;/
SOUTHot�; N.Y. 1197/
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