HomeMy WebLinkAboutPeconic Properties Mgmnt (12) v .:;
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JUDITH T. TERRY :l Town Hall, 53095 Main Road
TOWN CLERK ® , P.O. Box 1179
REGISTRAR OF VITAL STATISTICS . Southold, New York 11971
MARRIAGE OFFICER C) �iFax (516) 765-1823
N", 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. 876 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 SOUTHOLD NY 11971
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 7
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)
I ®
JUDITH T. TERRY . Town Hall, 53095 Main Road
'�c
az v P.O. Box 1179
TOWN CLERK t: (1 ) 1:1
REGISTRAR OF VITAL STATISTICS � - Southold, New York 11971
MARRIAGE OFFICER ®z -!' Fax (516) 765-1823
�® s2 'Pei Telephone (516) 765-1801
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OFFICE OF THE TOWN CLERK rri,A w g t,/ 'I.
TOWN OF SOUTHOLD r,g,'�f! �� ,
';t F JUL 3 l992 j,(' ;
TO: Southold Town Building Department i,... '{�, .__ _ _ _ _ __��,__ _',
FROM: Linda J. Cooper, Southold Town Clerk's Office ��.. _ . _,x_' -{,,; _j
DATED: July 10, 1992
Transmitted herewith is a copy of application No. 900 for a Cesspool/
Septic Tank Construction Permit submitted by:
Peconic Properties Management Co. Inc. Lot 7-
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 /(J
DISAPPROVE c
Comments: (t.,, 4 � _ eZ , 41 SLAB/ 1' .
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Signature
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Dated 111 •
- A
OFFICE OF THE TOWN CLERK cO:FD -,
Town of Southold
Judith T. Terry, Town Clerk Z,r =;; ` -O Application No. 9'6°
Town Hall, 53095 Main Road otin'
En Construction
P. 0. Box 1179
Southold, New York 11971 � Alteration
Telephone • / l x.0 Residential ,
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT 5'
APPLICATION
for
. CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
{ Permit No.
Fee .$
DATE /d. , / /
APPLICANT NAME: / f . ,. // �1 /' ! /.� i1i'�.�,. �1J •
APPLICANT ADDRESS:
0, tge-7 // 3
n.'y• //93 I-
SEPTIC / CESSPOOL
DESCRIPTI N OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION -OF PROPOSED CONST ' UCTION 0: ALTERATION:
OWNER OF PROPERTY: % / `� '2z/tee
OWNER MAILING ADDRESS_: O.
. // 935'
OWNER PROPERTY ADDRESS: ...2f-t6Aped-
g £1 t,f_tr-r.&zeetart .
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section 7I Block / Lot pp 6°
CROSS STREET: d(J
BUILDING PERMIT NUMBER CR .
OSS REFERENCE._ 6Z0`79D �a,E4 ao 94 to =Z.
.///(PACI afiaL7
Signature of Applicant
Pp
RECEIVED BY:
Town Clerk's Office
DATE:
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I pi FAsi: NOTE
Sanitary system is notta be
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placed a10, • nder crivz,itlay area.
EA= 10,093 sq.ft. /)
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SURVEY OF
SINGLE FAMILY DINELUNG ONLY LOT 7
EXPIRES 3 YEARS FROM Pili.OF PPROVAL LOT
OF SOUTHOLD VILLAS"
FILED MAP NO.
Prepared in accordance with the minimum AT SOUTHOLD
standards for title surveys as established
by the L.I.A.L.S and approved and adopted TOWN OF SOUTHOLD
for such use by The New York Slate Land
Title Association. SUFFOLK COUNTY,_6
Y.
The water supply and sewage disposal 1000- 70- 01-PCO�B
systems for this residence will conform • ii ••
to the standards of The Suffolk County Scale: 1 = 30'
D rimenl of Health Services.
,R.,,,,t,3_,AA,
7March 11, 1992
he locations of wells and cesspools shown hereon are from field
observations and or from data obtained from others.
S 1 C 5' 4.3 06 1'• r;1 i 4�r^ St!
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES r�lP*v '/,,P/j>S•S:f')' ?/
FOR APPROVAL OF CONSTRUCTION ONLY N.
s ;� r ;/�3I�y� ,t
'�� •`�"' r^^ ' �' N.Y.S. LIC. NO. 496/8
DATE' n?d^S�.HS. REF.NO. 9d-so dr 4 �,
�:,PECONICISQRVEYORS, P.C.
MAY 23 1992•
'`i1'- (516) 76 1:745020
t:'` �Ak ` asf3,/ 0I-X9 909
APPROVED A��►�/I► 00' 10 OD
'ti S.rC, p�4.oT• CF OLD, N.Y. 11971 ,
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