HomeMy WebLinkAboutPeconic Properties Mgmnt (15) osilef/I
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JUDITH T. TERRY y
Town Hall 53095 Main Road
P.O. Box 1179
TOWN CLERK ® G�
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICERS t� Fax (516) 765-1823
rLi® ��; ���h 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. 873 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 4
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)
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JUDITH T. TERRY y �; Town Hall, 53095 Main Road
TOWN CLERK �, ® to
P.O. Box 1179
REGISTRAR OF VITAL STATISTICS H qr6 Southold, New York 11971
MARRIAGE OFFICER OFax (516) 765-1823
�44 ,,,Nr: 0' .�telephone(5.160)765-180-1;"'
OFFICE OF THE TOWN CLERK �
i'; JUL 13 1992 I
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TOWN OF SOUTHOLD , �,o__._" z.,-___ _,.__— --11 -1
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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. 897 for a Cesspool/
Septic Tank Construction Permit submitted by:
Peconic Properties Management Co. Inc. Lot 4
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 X.
DISAPPROVE
Comments: q„ 2 , p
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Signature
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Dated •
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OFFICE OF THE TOWN CLERK c0FOLi'
z-:\
Town of Southold
y =1 `; -Application No. R 7
Judith T. Terry,, Town Clerk
Town Hall, 53095 Main Road o ±'` - Construction
P. 0. Box 1179crs
Southold, New York 11971 �A Alteration
Telephone / 61 x e ly �� 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 / 9)9
APPLICANT NAME: AI / /7/44,T.,,p/14/74-4 4, .
APPLICANT ADDRESS:
(>1121,4:-/Te,rp_
SEPTIC / CESSPOOL ! -
DESCR- �
I`PTIeal ..A.1,67. 441--
N OF PROPOSED CONSTRUCTION
/ t✓
OR ALTERATION P
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONS,T ' UCTION O: ALTERATION:
OWNER OF PROPERTY: % /y � � �� Add
OWNER MAILING ADDRESS: c?(.l • d
• L // 93,E
OWNER PROPERTY ADDRESS: j/A, 4 cze -t(
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TELEPHONE NUMBER OF CONTACT PERSON: (/
TAX MAP NO. : Section '16 Block I Lot lop
CROSS STREET: 2'('%Q4jJ,�%i
BUILDING PERMIT NUMBER v"' ' -�
ROSS REFERENCE:. oZ0`7�� y!latR p 9p to
AfifiLd'/ ./i/VAL) •
Signature of Applicant
•
RECEIVED BY:
Town Clerk's Office
DATE:
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J Sanitary system Is not to be
P,z;gSM//yE placed under driveway area.
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CORP
AREA-= 12,000 sq.ft -
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1 1' • J7 9 3 , SURVEY OF
SINGLE FAMILY DWELLING ONLY LOT 4
EXPIRES. 3 YEARS FROM-D OF APPROTAL "MAP 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
r such useNew York Stole Land
Title Association. N.Y.by TheSUFFOLK COUNTY, _
The water supply and sewage disposal 1000- 70- 01-P/O 06
systems for this residence will conform
to the standards of The Suffolk County Scale: 1i�= 30 -
Df7menlofHevIce ,J - March 14'1992
The locations of wells and cesspools shown hereon are from field
observations and or From-da�t[a obtained from others. -
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES �^LS`' !s q -�•711. ..\\
x;}11
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FOR APPROVAL OF CONSTRUCTION ONLY �J k i t'� .�'•c y S LIC. N0. 496/8
AV
GJ Plx,p�g 1q:2 PI -_2 o'I�,.\%
DATE N °2 1 HS.REF.NO. `c�,S O-41 j V COM i"VEY"RS, P.C.
S.0 Ccn •1 it65 —502i
i llE(i113f,rV Cf •�,�' , ,, N`9,
APPROVED 1 I S SO 'eft; 11971