HomeMy WebLinkAboutPeconic Properties Mgmnt (14) Wf
01-
� %
® fey
JUDITH T. TERRYt Town Hall, 53095 Main Road
TOWN CLERK _ 116,
P.O. Box 1179
REGISTRAR OF VITAL STATISTICS
Southold, New York 11971
MARRIAGE OFFICER ' 44 Fax (516) 765-1823
��®j � �! Telephone (516) 765-1801
0"�rl�.
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 874 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 5
JASMINE LANE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 70.00 block 1 lot 6.000
Cross Street BLOSSOM LANE
Building Permit Number Cross Reference:
Issue Date: 7/20/92 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
.
NZ
An
AT' ® Town Hall, 53095 Main Road
JUDITH T. TERRY
TOWN CLERK ® u P.O.f�i Box 1179
REGISTRAR OF VITAL STATISTICS
•• Southold, New York 11971
MARRIAGE OFFICER k;-$.,
® 'i Fax (516) 765-1823
e1,41 ��®i�l Telephone (516) 765-1801
157I1r1 li
OFFICE OF THE TOWN CLERKi f. f• '"^
TOWN OF SOUTHOLD ` � JUL 3 Ia2 , y
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: July 10, 1992
Transmitted herewith is a copy of application No. 898 for a Cesspool/
Septic Tank Construction Permit submitted by:
Peconic Properties Management Co. Inc. Lot 5
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: q„ 0160 _ itiesuRAN
Os."
••••.. / 0640..12.
\(71111L,
Signature
\ Z\Dated
OffFICE OF THE TOWN CLERK F�l' �;'
Town of Southold � _tf `�
JudithT. Terry, Town Clerk .� =� Application No. �
Town Hall, 53095 Main Road o i'` - "— Construction
P. O. Box 1179ci) tom` y
Southold, New York 11971 � oi* Alteration
Telephone 1 x t - Residential
df9(516) 765-1801 f' Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee •$ (� Q
DATE ,d, / / / —
APPLICANT NAME: / �-'U
Z�G�
4-e- •
APPLICANT ADDRESS: lir, � • /1 2
. =- _ // 3Y
SEPTIC / CESSPOOL /
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION / .111
• Attefil
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONST ' UCTION O: ALTERATION:
OWNER OF PROPERTY: % / � t�� � � d �yf !ald cht'
OWNER MAILING ADDRESS: 4
19- 7.1 // 93
OWNER PROPERTY ADDRESS: / /
TELEPHONE -NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section 76 Block l Lot pp •
6j
CROSS STREET: &('hAj t1'
BUILDING PERMIT NUMBER CRO REFERENCE:
..820'79
REFERENCE._.ao`]°1
',//4"_fift/C)
al;41(17 •
Signature of Applicant
RECEIVED BY:
Town Clerk's Office
•
DATE:
,
,.4
JuiliL,!ty S)'SfEn1 IS rot to be 1
placed under driveway area. r
—N— erz9h'/M
•
O h 75,00,
•
O e/z.2,
1111 7;1_
c - /30.00
1 tJj;e'+� OO ✓
Ny .41,-45 g,• 1 RaØ.
- 35.
0
/ ,Q
io, V
O i
C
co
o h Q L ,
AI AV
'yGPV,4�j 7704, .O
el Ye :s NT10
N'S 43%N•
�O/p eve, G
CQRp ,
AREA= 12,000 sq.ft.
.e.,,,,,,,:e.
0 1
uyi,le //ker,,erge."-42- , . .
pc. //V- _
,, ,i' ' l �1• //7-3 5.--. SURVEY OF
SINGLE FAMILY ®WELLING ONLY
- EXPIRES 3 YEARS FROM DATE OF APPROVAL "MAP OF OUTTHOLD VILLAS"
FILED . MAP NO.
Prepared In accordance with the minimum AT SOUTHOLD
standards foA. title surveysd establishedndTOWN OF SOUTHOLD
b the L1A.L.S and approved and adopted
for such use by The New York Slate Land SUFFOLK COUNTY, N.Y.
Title Association.
The water supply and sewage disposal 1000-70-01-P/O 06
systems for his residence will conform ii F
to the standards of The Suffolk County SCa/e. 1 = 30
De meet of Health Services. March 11, 1992
e locations wellcesspools shown hereon are from field
observations and or from data obtained from others.
lLi + '
Y/�1cS' 14.3VOa- d-G0/ T= a' � --.4 -��
1- '1ely PI yf, N' .
‘)
• SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES ,,�( I
FOR APPROVAL OF CONSTRUCTION ONLY i d .a L° If, p /
;; %, ,�a Y.S LIC. NO. 49618
DATEJUN 02'Mil&REF.No. 9o- Ya MAY 28 1992 'PE ONIC` SU- ".RS, P.C.
•� Op (5/6V090'6¢ i
APPROVED Y /. HEALTH r I• OF SO
SFRV1CcS SOUTHOLD, N.Y. 11971