HomeMy WebLinkAboutWinds Way (2) JUDITH T. TERRY -; Town Hall, 53095 Main Road
TOWN CLERK ^ t P.O. Box 1179
REGISTRAR OF VITAL STATISTICS .�� Southold, New York 11971
MARRIAGE OFFICER C O ,,1� Fax (516) 765-1823
��®� ®,•'' 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. 899 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : WINDS WAY BUILDING CORP.
Address 1 : 1020 GLEN ROAD
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
SINGLE FAMILY DWELLING WITH SANITARY SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 7/31/92.
Name Of Owner WINDS WAY BUILDING CORP.
Mailing Address 1 1020 GLEN ROAD
City St Zip SOUTHOLD NY 11971
Property Address 1 HAYWATER ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 111 .00 block 11 lot 11 .000
Cross Street CARRINGTON ROAD
Building Permit Number Cross Reference:
Issue Date: 8/25/92 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T. TERRY e Town Hall, 53095 Main Road
® . ��i P.O. Box 1179
TOWN CLERK
REGISTRAR OF VITAL STATISTICS V2' • Southold, New York 11971
�'��. Fax (516) 765 1823
MARRIAGE OFFICER ®
__ 604? rrtij ��®0' Telephone (516) 765-1801
`;` AUG 41,,8 [992 ;",h OFFICE OF THE TOWN CLERK
,'j, TOWN OF SOUTHOLD
i Li L.-
•
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: August 18, 1992
Transmitted herewith is a copy of application No. 923 for a Cesspool/
Septic Tank Construction Permit submitted by:
Winds way Building Corp .
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.
4'`"`--ct ( -
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations: .
APPROVE X
DISAPPROVE n(� c,
Comments: d. eg.Lib � ,"cam ac t&P .
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Signature
9\ I9i9z..
Dated
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OFFICE OF THE TOWN CLERK ,,,'""""'
Town of Soutzhold 9
Judith T. Terr Town Clerk �� ® � Application No.
.23
Town Hall, 53095, Main Road :G Construction
P. O. Box 1179 ; p s' • 1'-7�1
Southold, New York 11971 (on 1•' Alteration
Telephone ;-O44o. �0��•� $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 $
DATE )/Cv
APPLICANT NAME: /j ,t1*/ 614-'7 _(VIVe2
APPLICANT ADDRESS: / 0 O AA- /La it/(7
SEPTIC " CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION •
Ar,, ' 7` 44-ar
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
- OWNER OF PROPERTY: w; oed LJ I,p; p4
OWNER MAILING ADDRESS: ,>,, ( (e:-.,.) " .-11- ( jo-
OWNER PROPERTY ADDRESS: ytf t_j,,j r. Pi.— � { 14 eat_ {?j
TELEPHONE NUMBER OF CONTACT PERSON: "it S I72 1.5091-Jr.S,yc-`�
TAX MAP NO. : Section >1 / Block i i Lot fl/o If
CROSS STREET: `ti$, d! ) P 70 ubli ,,yid —j ,i pj
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY: . beAd1/ ___
ywn Clerk's Office _ • �--
DATE: l7 -�
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t.`})Ycessvoot_ -WELL
T SEBT VOCE• SUFFOLK CO.HEALTH DEPT APPROVAL. r
�• I - -Y- •-------...---- t ----- H S NO
_1,.Lcr rlo'srzt r _ v ,r � ti U"iv�a� ��a r1oINTCi.UB 9, I �5" rli
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r _r 1 G / Approved m accordance with bca►d of Rcvww
PCGrC,4 IF_iIN14,,nLE )INIfl «JF"F;�O•c4.:araC OPF:IC 4� ` A
K.:>'�Ar' FdJ.r�CR� ~ -^r-," 'so'`` weal' m detarmination dated 5-'ic
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' 2.COiJ1.0:4its.
� 1c'trW!_I`4.'1D MCA1`.1 !i1:: ° ,Vt �' - i I t?
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i P20?• I _ Jt� / i5 I (•' < ��- STA EMENT OF INTENT ��
, \ �� / l' / ASI it '
, 0- -L_____ _
J= I \ THE WATER SUPPLY AND SEWAGE DISPOSAL \
�] S. O SYSTEMS FO THIS RESIDENCE WILL
.-
��IIC f Vo x CONFORM cT STA DS THE
�' { \z 0 \-
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AANX �1 ZI /off AA// / .-t L �1 I+` SUFFOLK COUNTY DEPT` .9F LTH
�n` i --,A - �'``fi r� -I SERVICES - FOR APIRCVAL OF
r�aU\ \ r -' , , _ �f �� y� I! I • CONSTRUCTION ONLY
ati� PrLOP. -� L_ ���" ��� 1 I C.1 1Pc'. " -.-'' DATE JUL 3 13427(I e i
_ ,'•1"0"--- I f Y A� r 1 > in •` 4 a w,a,..� H S.REF NO
,?�•. /� � �.�_. -- ceruse � �ql��l 'PBOi, �y � (Ko,
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- •rIELL r l il APPROVED \
(1 r r 7' ` t-1 ..4'-
• -p.;1 f--- . SF�TIC - - Plop lo¢we i`1 ,\�t`C 0 'l 7 i .. _..
I SUFFOLK CO TAX MAP ES`IGNATION
4� f• _ - lr F l DIST SECT BLOCK PCL
4u� " —� C_s ' - --- — I -' I I I t I P/'.%'I -
421 _� 8 s :..}`;� --.Y.-------- — AN'1 • 1 OWNERS ADDRESS
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l� 243.0 , . i. t,
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A1•,I:2A' '2.`:,J:•.,,,..1,1_ : '.F' DEED L E-0,-- e- P-i.0 .i';:F')
i� _ + p r — TEST HOLE STAMP
SENOTE M0Nt' 1L- "
PLEA ___ ' ________
urr9 o=ftpt�
minimum distance between ',,:,,,f,l:.v
and cesspool,is to be 150 fa.. '? HUMu_ C„ ; ,s n:,r ,9
_.. - L-14•[=;:,)"'••1 ar3r a,,r na,
LoAfr,
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-- ��, ,---�u--_� SINGE
p y�M, qP , A8KIDEJ®-9APIZ 26,1 ONLY�g NII !) 1992 I_oAM
1 .� i��J. .�I ' 'i11Vl�LS.E C;d�Y�'9�LV DWELLING O��i1�6 SEAL-.
a; ,•S; It T" rte.
_ EXPIRES .3 YE `'MOM DATE(Io APPROVAL s r PSLr I ,-
hLh�il'I CCA::'�F /
l �ti!t_ '-_ '✓_;TN<.}�.,1 , _v_*(, SaVICES 1
RODERIC VAN TUYL,P.C. •
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LICENSED LAND SURVEYORS I r
` GREENPORT NEW YORK 1