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HomeMy WebLinkAboutSteele FRAQ iec\\�i`lV' Co \ JUDITH T.TERRY 1 ,0 t4. Town Hall, 53095 Main Road • TOWN CLERK t P.O.Box 1179 REGISTRAR OF VITAL STATISTICS `1-' �� Southold,New York 11971 MARRIAGE OFFICER . � O � �� Fax(516)765-1823 RECORDS MANAGEMENT OFFICER ®d ED 'i�," Telephone(516)765-1800 FREEDOM OF INFORMATION OFFICER ,•••� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1377 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : TIMOTHY T. STEELE Address 1 : 715 DEEP HOLE DRIVE City St Zip MATTITUCK NY 11952 Descripton of Proposed Construction or Alteration SANITARY SYSTEM FOR NEW SINGLE FAMILY DWELLING. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. SCHD REF. #R10-95-87 Name Of Owner STEELE, TIMOTHY T. Mailing Address 1 715 DEEP HOLE DRIVE City St Zip MATTITUCK NY 11952 Property Address 1 OREGON ROAD City St Zip CUTCHOGUE NY 11935 Tax Map No. section 83.00 block 2 lot 10.003 Cross Street COX LANE Building Permit Number Cross Reference: Issue Date: 9/06/95 Judith T. Terry Southold Town Clerk (TOWN SEAL) • • ���,, �,,%®���f�OQ���; / 3 77 JUDITH T.TERRY t© % Town Hall, 53095 Main Road TOWN CLERK •g t P.O.Box 1179 %o, 0 Southold,New York 11971 - REGISTRAR OF VITAL STATISTICS ` O MARRIAGE OFFICER , 0* iFax(516)765-1823 RECORDS MANAGEMENT OFFICER —e1 V0. Telephone(516)765-1800 FREEDOM OF INFORMATION OFFICER .„,, ,,is' OFFICE OF THE TOWN CLERK I i�. °^- --- '� _,, TOWN OF SOUTHOLD , iiiI. f ;' 'i tg 12 __ TO: Southold Town Building Department r �j � t FROM: Linda J. Cooper, Southold Town Clerk's Office L._ Tomof,.2yyo y°;T, .,• DATED: August 21, 1995 s �+ Transmitted herewith is a copy of application No. 1429 for a Cesspool/ Septic Tank Construction Permit submitted by: Timothy T. Steele . 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 1.0 DISAPPROVE Comments: �,„ srh/e) e„... 953— I-7 ,„, :::#7.e.--7),,,0—,,,,,/ ,,.g-,_ Signa u Da ed 1 'ice 'a OFFICE OF THE TOWN CLERK ,.,„"""%, ?:own of Southold �i'tis�F����(�+� Judith T. Terry, Town Clerk ��'�4� .:. : ��/��� Application No. /y4,9 Town Hall, 53095 Main Road .'_: Construction ✓ P. 0. Box 1179 _ • v :.. • v rn , Alteration Southold, New York 11971 ( • • �•• Telephone ;`'0Sjr1 $10.00 - Residential ' (516) 765-1801 1 �• ' $25.00 - Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ (� c DATE APPLICANT NAME: ‘1A-0 ( , STeeii-e- APPLICANT ADDRESS: / Q p /Of � N 01) . SEPTIC CESSPOOL X DESCRIPTION OF PROPOSED CRNSTRUCTION OR ALTERATION 'may-�e ��.vwi 1 k1 w e�l n Y LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: OWNER MAILING ADDRESS: 7�rr���/`j [�� Ode_ r c' Tv /4 1i/71-L, [c_. OWNER PROPERTY ADDRESS: AifeCia, i•e.67/..6 GU 1-G i ere) N.5' /i 1J5 TELEPHONE NUMBER OF CONTACT CT PERSON: a 78 8- TAX MAP NO. : Section WC Block #.'� ='' Lot l4. 3 CROSS STREET: of cox L—_ ils'de Oc O112 BUILDING PERMIT NUMBER CROSS REFERENCE: �. ature o Applicant RECEIVED BY:, Town Clerk's Office DATE: -2 - `1 Z / ••6N -95 JUN 28 P 1 :l +b.udro • S+ r N F 0 Q ' r. •\ / 9 9� i i, 1r -1 ° m C64 , lei �� o • \o D J� y� 10� 11 5 $1 P \ lic . N � ` 70 4- tit ,a� / —. "S u, csa O sb V p 1Ot9 \\ if< , �' \ J Vs 0 3% Co. an o� ♦ i 4/1 ,- - t o� , o � ,-,9 l' te' IP , 1 ,. al f°6 y \60, U3 / a 40 wy e'o0) ♦ r:1) J .a A y CL o Nab n ocu J 00 _ --1O C") O e C' foo / 41/41AD- O `� •� 0 � . � � ii . •-o — ° 3y co CD o \ .� 0.rn 1 ` V SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY DATE S S. REF. NO. O/, — �S—OO 1� _ in APPROVED Ve/PJF I am familiar with the STANDARDS •- APPROVAL AND CONSTRUCTION OF SUBSURFAC SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and will abide by the conditions set forth therein and on the permit to construct. MGM. blitiNG Oita - Emma TWEE WARS FAO!!CATE OF APPROVAL • • • • (.3) • o s `�4 c%,o �N =�y� 6 1 1 \\-- I co S ,J• r/ ccs\ Id' 1 3 29 P . .' � `7 F / \ 71f4P / i '�,g' \�r ./6, ;/ // -' 3'66 PO / 3' is. 51E44 6 / �� r R 2h• �A e ci- 414. NJe• ' ' r CS ELEVA TIONS AND CONTOUR LINES ARE REFERENCED TO THE FIVE EASTERN TOWNS TOPOGRAPHIC MAP _ 95 148