HomeMy WebLinkAboutGolden View Estates Inc (3) OFFICE OF THE TOWN CLERK c.31FULec
Town of Southold DSO Oa
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road
P. O. Box 1179 •
Southold, New York 11971 O` - �0s- �•�
Telephone 0! - i,,.
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 277 Residential X
Non-Residential
Fee $ 10.00
Septic CesspoolX
PERMIT ISSUED TO:
NAME: Golden View Estates
ADDRESS: 12 Linda Lane East
Riverhead, New York 11901
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New Single Family Dwelling with Cesspool System.
APPROVED as per Suffolk County Health Department approval.
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Golden View Estates
OWNER MAILING ADDRESS: 12 Linda Lane East
Riverhead, New York 11901
OWNER PROPERTY ADDRESS : 255 Woodside Lane
Laurel, New York 11948 _
TAX MAP NO. : Section 127 Block 9 Lot 30 ,
CROSS STREET: White Eagle Lane
BUILDING PERMIT NUMBER CROSS REFERENCE:
40006;e0.7.40.7
Judith T. TM
Southold Town Clerk
DATE : January 8, 1988
(TOWN SEAL)
,�. E C f _
�, N` .,s; — 61988
t _*f:? �
.
f� , TOWN OF.SOUTHOLD
; TUMn Nall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
J1 DIT!I T.TFRRY TELEPHONE
To\N'1 CLI'.RI: (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
January 5, 1988
To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 281 _ for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by Golden View Estates
Please review the application and location map and advise if the
project has received Suffolk County Health Department approval
and if we may issue the permit.
Please complete the form below and return it to my office.
Thank you.
•
/� ��as•".�8rte
Judith�iT. Terry
Southold Town Clerk
* * * * * * *
I have reviewed the application and location map of the project
cited above and make the following recommendation:
APPROVE — X
DISAPPROVE —
COMMENTS: GLA„ g P_
U : v� .e4412--
Signature
1102,s
Date
•
OFFICE OF THE TOWN CLERK cjN\fFOLt�
Town of Southold � CSG
Judith T. Terry, Town Clerk Application No. /
Town Hall, 53095 Main Road a •
Construction
P. O. Box 1179 � Alteration
Southold, New York 11971
Telephone •
01 [ ' '' 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 °'`�
$ /D
DATE //5//:;`
APPLICANT NAME: (--:�r)LIDF,LI E57M_S
APPLICANT ADDRESS: /1 2 /1 r ice, L1 iF Q��
W\ V _,1 -,4r // 1/Vii`
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
` taC C 6 f;9,21, L Y kt/F iAi t
LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: V / �-%
OWNER MAILING ADDRESS: J jL%.tv'.0/1 LAA--)C-
\
AA�E !7S J
iv&/C/-{/E/-' � AJ `J l / r1 /
OWNER PROPERTY ADDRESS: ‘.6.-/6"2(2C-7 51/2E
LPC/iCL=G / 4 ) (
TELEPHONE NUMBER OF CONTACT PERSON: 7.02 7 /6 /1
TAX MAP NO. : Section 1 '2 7 Block C Lot -30
CROSS STREET: C // //7 Cr c,,L F 9A-'
BUILDING PERMIT NUMBER CROSS REFERENC •
Signa e of pplicant
RECEIVED BY : � � - o`„'0`
Town CI,:-'rk's
DATE:
JAN 051981
Imo Clerk Southold
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leititgET FOR
GOLDEN VIEW ESTATES
LOT 30 "GOLDEN VIEW ESTATES"
OM COUNTY DEPARTMENT OF HEALTH SERV ,ICEt DATE to,
AT LAUREL
TOWN OF SOUTHOLD SCALE. I
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