HomeMy WebLinkAboutGrenfield, Richard ft
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vs, � � Town Hall, 53095 Main Road
/I ��� P.O. Box 1179
* �� • Southold, New York 11971
1UDITH T. TERRY IIIOf�
TELEPHONE.
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 475 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : GREENFIELD, RICHARD AND SOPHIA
Address 1 : P. O. BOX 188
City St Zip PECONIC NY 11958
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 3/30/88.
Name Of Owner GREENFIELD, RICHARD AND SOPHIA
Mailing Address 1 P. O. BOX 188
City St Zip PECONIC NY 11958
Property Address 1 CABOT'S WOODS
PRIVATE ROAD NORTH OF RT 48
City St Zip PECONIC NY 11958
Tax Map No. section 73.00 block 4 lot 2.002
Cross Street ROUTE 48
Building Permit Number Cross Reference:
___ogeoste.
Issue Date: 3/15/89 Judith T. Ter
Southold Town Clerk
(TOWN SEAL)
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I
OFFICE OF THE TOWN CLERK
Town of Southold %����� ��
Judith T. y0�' '``
Terry, Town Clerk `i" Application No.
Town Hall, 53095 Main Road o . - t.,k,;" = Construction
cr,
P. 0. Box 1179 •
Southold, New York 11971
O. C1164.' `e
Alteration
'
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 $
DATE /0 /ylci,eC4 7P e
APPLICANT NAME: iFic_hcz,2-ao c7,/el
APPLICANT ADDRESS: , O . eUX iM P
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SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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LOCATION MAP/Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: 61947Q73' 4)p6•,°"r/
OWNER OF PROPERTY: Pylic
OWNER MAILING ADDRESS: P O . 6'X ( e Reco.7fc- /j/,
OWNER PROPERTY ADDRESS: (4-moors (,/Oo
TELEPHONE NUMBER OF CONTACT PERSON: (6
TAX MAP N0. • Section 1ZJ' Block
c ff'` — �2«a�-c� 72_,04 Lot c�..7
CROSS STREET: A/o2rit- n C,
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BUILDING PERMIT NUMBER CROSS REFERENCE:_.
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/ / Signature of Applican
RECEIVED B Y: Ago tet/C� �c _' 74'''2 ' ' \— �,e eef,/= c�
ir Town Clerk's Office
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LONG ISLAND , am familiar with the Sf ��rfs for a rove! and
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MAP OF PROPERTY FOR • Vacant mss?srseo3840of c? c
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/CHARD 6l SOPHIA GREENFIELD / 0%' yam. �'��
A T PE CONI C % z 2c ,
TOWN OF SOUTHOLD AREA = 2.577 ACRES • -p %�\ p�p�o�. C'O,QA
SUFFOLK COUNTY N.Y. /4oR SicSc+r•v/.rt�n; . �` c
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for such J/d - .441--� f f f OPO \--,,..0.4.73
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` • • OQ Title A ariO"• LOT NUMBERS REFER TO MINOR SUBDIVISION M E _ 'L-u1J
p SU '''-- • , FOR RICHARD & SOPHIA GREENFIELD FILED a ` .�
. LIC. NO. 'T 68 IN THE SOUTHOLD TOWN CLERKS OFFICE. • o Lxi
') 727 - 7116 PECONIC SURVEYORS & ENGINEERS P. C. EASEMENT OVER 10 & 23 RIGHTS OF WAY FOR L.I. L.CO.
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i ROANOKE AVE 54655 MAIN RD. JOB ' : L. '"
`:RHEAD, N. Y 11901 SOUTHOLD, N.Y.
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CONTOUR LINES FROM TOPO
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