HomeMy WebLinkAboutPeconic Properties (2) Ariffami
JUDITH T. TERRY Town Hall, 53095 Main Road
TOWN CLERK , P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ` Southold, New York 11971
MARRIAGE OFFICER ® ° ., Fax (516) 765-1823
.M ® �! 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. 870 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 1
JASMINE LANE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 70.00 block 1 lot 6.000
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 7/20/92 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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,,' ft, Town Hall, 53095 Main Road
JUDITH T. TERRY `
TOWN CLERK p vy • P.O. Box 1179
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REGISTRAR OF VITAL STATISTICS .01 % Southold, New York 11971
MARRIAGE OFFICER %,V �, Fax (516) 765-1823
_�4® s--b, �t,_ it- Telephone (516) 765-1801
OFFICE OF THE TOWN CLERKID � p'---
TOWN OF SOUTHOLD1/47 ,„ , {
ii I\kll JUL 1 31992 �`4 S i
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office1.0 • k.Ps•
TOWN N OF OLt e t:IOLD I
DATED: July 10, 1992
Transmitted herewith is a copy of application No. 894 for a Cesspool/
Septic Tank Construction Permit submitted by:
Peconic Properties Management Co., Inc. (Lot 1) .
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 Y.
DISAPPROVE
Comments: cle, 1 j . + 1 to . x.x�t.+1,st.
1
to 1 ..Vt,‘":.:.4:t
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{;ature
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Dated •
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OF5ICE OF THE TOWN CLERK
Town of Southold &. (1
,_ pJudith T. Terry, Town Clerk sc =� ` Application No. U
Town Hall, 53095 Main Road cn - '� Construction
P. 0. Box 1179
Southold, New York 11971
,� Alteration
Telephone ��1 ly,,ff� 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 $ (� p
DATE / CI / /
APPLICANT NAME: / /. .. 4_ /I a1Ey ! fL i1f�.% / •
APPLICANT ADDRESS: 1•10: Ary // 2
/ • V / • //93,-
SEPTIC / CESSPOOL / - /
DESCRIPTI N OF PROPOSED CONSTRUCTION OR ALTERATION
• Atte lel ifEZL 61,
•
LOCATION MAP: Must be attached hereto before permit may be issued.
' LOCATION OF PROPOSED CONST UCTION 9,$) ALTERATION:
OWNER OF PROPERTY: � ��J4 2a &&' �� _teal chte-s
1�
OWNER MAILING ADDRESS: � O• � l/V.
// 93.5`
OWNER PROPERTY ADDRESS: / "I
,A0
• TELEPHONE NUMBER OF CONTACT PERSON: - 07//
TAX MAP NO. : Section 76 Block f Lot f/ô
CROSS STREET:_,', ,�zh,?A Off / "e
_ BUILDING PERMIT NUMBER &ROSS REFERENCE:. QO'79 ,Lt.///(LeidA)-) _apt-a17:
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Signature of Applicant '
RECEIVED BY:
Town Clerk's Office
DATE: •
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,o,-oP: - PLEASE NOTE SOp' T
;` �Sa ;tiH Sanitary system is not to be r,l `
/5. placed under driveway area. w�o
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AREA• :37,798 sq.ft.
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Ill //93.c
ONLY , SURVEY OF
EXPIRES SINGLE.3 Y; RSM DAVE FAPP LOT 1
®��PPR�VAL "MAP OF SOUTHOLD VILLAS"'
FILED ' ; - MAP NO.
Prepared in accordance with the minimum
AT SOUTHOLD
standards for title surveys established TOWN OF SOUTHOLD
• by the L.LA.L.S anddapprovedandand adopted
for such use N. y:
Title by The New York stale Land SUFFOLK Association. COUNTY,
The water supply and sewage disposal 1000- 70-01-P/O 08
systems for this residence will conform
to the standards of The Suffolk County - - SCa/e. 1"= 40' .
Depart 1�gn1 of Health G ServJce� March ��, 1992The lloocc/ations of wells and cesspools shown hereon are from field
observations and or from data obtained from others. -
�1S( �' 13Yoo- .200— / o�Ar�pSG
{ i j° ?�fir. /�`a ,i.N;e"F. '➢L
SUFFOLK
APPROVAL OF CONSTRUCTIONLOTH�YERVICES x '(15 ;:=., ty- ��' ,J�` C�a�-`., ,.0 0,
`i J If 4„4'.--r-''' AV 7° .N.Y.S. LIG NO. 496/8
JUN 0219 o— l� ' ,_ lily
DATEJUN
HS.REF.N0. 9 3 k MAY 28 1992 i` e T -ORS, P.C.
Cl ` S.C. DEPT. OF MAI` :a•
sh
APPROVED HEALTH SEPyJcr5 SOUTHOLD, N.Y. 11971
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