HomeMy WebLinkAboutTuthill (11) ///,., •,,.,., 0
JUDITH T. TERRY .� Town Hall, 53095 Main Road
TOWN CLERK ® � P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS �
Fax (516) 765-1823
MARRIAGE OFFICER Zt. �1 Telephone (516) 765 1801
RECORDS MANAGEMENT OFFICER = �/
FREEDOM OF INFORMATION OFFICER
��L
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1084 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : STEPHEN J. TUTHILL
Address 1 : 115 WEST COVE ROAD
City St Zip CUTCHOGUE NY 11935
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. #93-SO-91
Name Of Owner TUTHILL, STEPHEN J.
Mailing Address 1 115 WEST COVE ROAD
City St Zip CUTCHOGUE NY 11935
Property Address 1 HARBORVIEW AVENUE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 100.00 block 1 lot 43.000
Cross Street WAVE CREST LANE
Building Permit Number Cross Reference:
Issue Date: 12/23/93 Judith T. Terry
Southold Town Clerk
(TOWN SFAI 1
0.
r .
JUDITH T. TERRY �, Town Hall, 53095 Main Road
TOWN CLERK ac P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Vr Southold, New York 11971
t Fax (516) 765-1823
MARRIAGE OFFICER ` �' *1' Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER `_�®i •�
FREEDOM OF INFORMATION OFFICER --......°•i���i��� ftp �
OFFICE OF THE TOWN CLERK I .'
-
TOWN OF SOUTHOLD s�'IA;' DEC 2 ®��'m ,ii
TO: Southold Town Building Department rC?1�Pub� Gir , k
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: December 20, 1993
Transmitted herewith is a copy of application No. 111 g for a Cesspool/
Septic Tank Construction Permit submitted by:
Stephen Tuthill
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 L----------
DISAPPROVE �° /
Comments: �!, 1 i I. (J �� _ '2/ 9 3 - �'C7 9 9/
1 /
"./
Air, `f - ' S -.1-, -/
Signatu,e
02 • 3
Dated
•
o.
OFFICE OF THE TOWN CLERK csVr-r��.=�
Town of Southold
Judith T. Terry, Town Clerk �,!-r / ' � Application No. ///
Town Hall, 53095 Main Road � ! .: - "•'"' ' -`�
P. O. Box 1179 �' t';`' '• n Construction
Southold, New York 11971 �`� '%` ! r
.�� •O�,t Ate atron
Telephone •°./ x 'P\_44,0\=.4 . Residential
(516) 765-1301
Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
• for
}
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE 14 DSC 9 3
APPLICANT NAME: STB. REA) u•-ni 1 L kr
•
APPLICANT ADDRESS: f Q S o ComE ' 8
- Coo6j (,1833
SEPTIC CESSPOOL -
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
� .A) . cisme pi)s.�Ctro �S P€/ of Fo\ K Co.
SP edc LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: � F. ►!t EM LYTH LL.
•
OWNER MAILING ADDRESS: U S COVE
&UE,
OWNER PROPERTY ADDRESS: �C b�`g' �� C®11��$,9- Lor E.
TELEPHONE NUMBER OF CONTACT. PERSON: 1
TAX MAP NO. : Section 1 00 Block I. L( 3
• Lot
•
CROSS STREET: WAVE C► E S d LANE-
•
BUILDING PERMIT NUMBER CROSS REFERENCE:.
'/`� R / f
1� Lql/
Signatura, ,f Applicant
RECEIVED BY: r-
T:-f:2-6-C=9 - Office
DATE: ( ) �
0 - o•#, C
�y
0 6zo low
AS PH ALIT ��,
young PAV EMEN
�Oti 00 i'
v'6
young ° s
�'eels. �,Lo\g\O \ p'' t .—.j .--...-
,
—
7 6 \ `� L
A o \\ 0 ssya
i2o' ��ss 6\5{' o te•
• oti t \ —�,` oG . ( .
P \ F
\ <<
/ ti \\
? 0 \ 7\\
I s0 y�
y \ .
o . o.
Y\ a -
is:
Q
• `
l K
Qop�o,4� \ 4,-`,..--
�/
0.0 • )- ' ; , 10 b .:.:„,••=;,,,;', =•
yi \o, i,
) '
\ v ;�
N a o Nj
6' \ *61' ,, .
ST, `�,,
auFFOLK COUNTY DEPARTMENT Of HEALTH $ NVICER 4.O
O
FOR APPROVAL OF CONSTRUCTION ONLY 6�t y,�o 5?' •
O-J,
DATPEC 3 1993 H� Ef., o, 3 SO- g/ �` S J\� ,' 4\9`04-
\I
` ���%?v
/ 6
•
APPROVED �f %`�•��� 6�' , ,
- i '� �'' at-frill �P `'.;�"_ 995
t. Ec,EIi ,
NOTE: SINft AMILY DWE DATE
,E ONLY
.
CLERK OF MAP FILED IN THE OFFICE OF THE EXPIRESTTHREEYEARSAR �S
CLERK OF SUFFOLK COUNTY ON MAY 27, 1988 AS
FILE N0. 8532. SC f�Rv
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES CERTIFICATION SURVEY FOR: • ' .
M FAMILIAR WITH THE ORSTANDARDS FOR APPROVAL AND CONSTRUCTION WILABIEF CONDITIONS LOTTHN5, .OREGON HE USAN
SEWAGEAM FAMILIAR
lH THE FOR SINGLE FOR A RESIDENCES AND ABIDE BY THES SUBSURFACE
STEPHEN J.T�1THI LL' SUSAN C. TUTIi I LL
SET FORTH THEREIN AND ON THE PERMIT TO CONS �, �n
I/r J yvVv 'In�A�3JC)/, 1
APPLICANTS SIGNATURE .� Town of: SOUTHOLD
•
•
•
-APPLICANT: • v. 'II At: MATTITUCK
• Q2,00..d Suffolk County, New York .
•
STREET ADDRESS: �" � � __
21P CODE k • ,
' CITY: Jt ., t STATE: 1000 , 100
Suff. Co. Tax Map: Let District Section Block
TELEPHONE NUMBER: - -
CERTIFIED T0: ,
• nF NEIn\ '