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HomeMy WebLinkAboutWinds Way (3) 1010 61 111' x^ jay. JUDITH T. TERRY 3, Town Hall, 53095 Main Road P.O. Box 1179 TOWN CLERK Southold, New York 11971 REGISTRAR OF VITAL STATISTICS , ' � �i Fax (516) 765-1823 MARRIAGE OFFICER Telephone (516) 765-1801 RECORDS MANAGEMENT OFFICER = •• FREEDOM OF INFORMATION OFFICER 00 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1219 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool 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 SANITARY SYSTEM FOR NEW SINGLE FAMILY DWELLING. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. SCHD REF. #116-1-1 .2 Name Of Owner WINDS WAY BUILDING CORP. Mailing Address 1 1020 GLEN ROAD City St Zip SOUTHOLD NY 11971 Property Address 1 R.O.W. OFF NEW SUFFOLK AVENUE City St Zip CUTCHOGUE NY 11935 Tax Map No. section 116.00 block 1 lot 1 .002 Cross Street NEW SUFFOLK AVENUE Building Permit Number Cross Reference: Issue Date: 10/31/94 Judith T. Terry Southold Town Clerk (TOWN SEAL) PP / -( 7 • slii°C Otl Wire 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 Telephone (516) 765-1801 RECORDS MANAGEMENT OFFICER _is rI FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD g Q U � iIJ • TO: Southold Town Building Department SEP 2 9 1994 FROM: Linda J. Cooper, Southold Town Clerk's Office H "___,_ BLDG.DEPT DATED: September 29, 1994 TOWN OF SOUTHOLD Transmitted herewith is a copy of application No. 1263 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. Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: 3C iD if 6 ' / t cited?zeee„,-- ature - 4:/, Dated OFFICE OF THE TOWN CLERK ,.,''""" Town of Southold .�'.�4f air +® Judith T. Terry, Town Clerk Application No. Town Hall, 53095 Main Road _ d Construction P. O. Box 1179 ; c N - T Southold, New York 11971 cn ;��,� Alteration Telephone �.�O,j• $10.00 - Residential IV (516) 765-1801 '.®144 %W r ,r $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 910s APPLICANT NAME: IJT,)Ud' LL' 4.47/0/7 "-Cap APPLICANT ADDRESS: ,� t)eo t/E4J �Ete, 41,tratad, N / AS ) , , SEPTIC VCESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION tom. 641-4.44_— 1/1/1-Q PLO-E-Clal LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: /At/rt/t/b/ a;ffir OWNER MAILING ADDRESS: /0y0 C(C.-4) / 04 �t`fro <�,ld� /l c)) OWNER PROPERTY ADDRESS: AG�G✓/ GQ�/yJ�.® r-61 AL« j1 Aar TELEPHONE NUMBER OF CONTACT PERSON: TAX MAP NO. : Section 1/4 Block ® / -Lot /• 1/ CROSS STREET: / - /,-j BUILDING PERMIT NUMBER CROSS REFERENCE: Signature of Applicant • RECEIVED BY: -t Town Clerk's Office DATE: ' }PRoPfiO. I / r�" , H.S. NO. -f. t!57EY3 '2A E. . ' ' ,i --- --249•-a . , - - _1--4--4--' - ---`L--T--, MAP. -OF Pf PEILTY _.. - FAMILY ear- I ;- I •-pis p� ,-1 a2CSL r -. ,i i { F - Q EXPIRES THREE YEARS FROM DATr.E ,OF APPROVAL N am: 1 -f- •ti--a-41 , i I.r / / iv' 1 I 1` `, ( ,_ c- . , ,, i—t - .._ - I , r % ' \ 1ND3. .WAY :13LILPtI`�iG CO2P { ,.1, 1 j / ; STATEMENT OF INTENT ' q).` . I iI t ; / THE WATER SUPPLY AND SEWAGE DISPOSAL LST SYSTEMS FOR THIS RESIDENCE WILL V I i d ; : ' / r CONFOR O T ST,,glND/�gRr�D r�O,�F THE Q I li ' _ L , 1 / cUTCROGUE - - SUFFOLK CO tl T O'Fa��ALPH ER ICES: tnv o r s - ? 1 P- N.Y. G!/ • Q 3 �- 1 . o TOWN OF 1".k. -iCt# , (sl AP// •.�. I r q! o PLI ANr i t ©I i �" i I`^ D Z - i i �+Llk�►n�r. wT a� ta51l 1.r ;LI i f! % (h , SUFFOLK COUNTY D PT. OF HEALTH —) /- 0 : gtt i SER VICES — F'OR APPROVAL OF 1 CONSTRUCTION ONLY t 1' ; r o ,��t0 be DATE: i,' ' 4.:.. Z fly , l}— I +' { ` 1 I !41 tr; �S�6 agea. H.S.REF N•, r D� • 00.�,� -..r� I ! j ) 1 I F ` cam, ' r dr�Vewa�! APPR• / eY�`�f'�i T s '' rY" � y \ j SUFFOLK CO.TAX MAP DESIG •TION: , b \ �� �' DIST. SECT. BLOCK PCL. `-In I i , t - IOOa 116 OL _ 4.3 .- a,'-' N } ,� / \ \ S t OWNERS'•ADDRESS: ' �' �' \ \ 8 /").--,' .-=TT C. G -EN[N JZOAQ. -- .: - - - Z I Rvi \ \•\ �� '[J ' S�]ttTc(s?L�,_f�I.Y_-I.E17f._- - � • time A\ .�,o .S A SCALE-50' AREA,-E.4627AC. •• r ' :: -:- FNV� \ ` /• / ' . 124417=: ;a8°5,F. -- --='765=-!33 - ���F \\ �_?.ry,' .1.4.&12_51-1.1:-27,19.5 3•F. DEED: L."3594 P.2T C2EE> `-(.) TEST HOLE STAMP 1 ,-_„� \ \ \\ 41611\^�ti\ Unauthorized aheretlon or additloq - _"•,SJ° / \ 1� to this surveyisaviolatonof ...I `-. ��!,`o v \ \ \' 7OPSQ 1 L Educallon Law.f L1e Nevi Yor!c State .� t_ ,,,,c..,,,: `�`•, \ \ V�; ii-I � � —�Qr7 Coplss of this surve/rnaP nct h, g . �� "S/ \\ \ •\ \ \ �S the land surveyors Inked se,J„r�n ' \�� \ l' ` 1 �r 1� 0`e SANDY �mbesed s 1 rrot be wr,d:sred. vakd PX l (,v `� �. LDAN1. o���++maes Ir»scafed hereoe person for n sic"r_m 2 \ , f ` Q�{r is Prepared.and cn his��'-�t.;6-: Y \ '� -3,5 gtle company,ro.or� �,c �rtd P l �� f Cr lend ngmsLtu'.;i: % r I g �\ \, ,_ L Mon.to the parrs` -.--,'�,.rd {p « to additional s u.1. "' -'j4et: N CQNT{?U!�Z--CZEFEQ TO � ` i • .� r.N .Y' SA(�ID - owners 'q�ent I t �l 8 z SEAL , : HOUSE k, I ' O`r a :.13�=gt L�l7EI2'-t�E l2�t48� ,r!'pF .Ir,r� r X6 ' - _ - - t �� ---'r - ; - .. . t;f1Ig, kTOVOGIZAPRY F2OM_MI I'4O 2- / Gal�.TE2 a � .�..;�. ii)ttjStCN'FOR_ _WAY �Y ` ' /%' �.nF No LS 25628 ,�� sl.; ;tiii.-.�. (aVEYiKi _, 4.E}45tt4 EleiNIG RC i - LICENSED LAND"Sl1RV YOBS `��SF�tnNo?;•', 1= 6 A� t ' _-. GREENPORT NEW YORK