HomeMy WebLinkAboutGull Pond Dawn Corp •
OFFICE- OF THE TOWN CLERKS�FFOCK�►
Town of Southold �Gy
Judith T. Terry, Town Clerk
Town Hall, 5. 3095 Main Road
P. O. Box 1179
Southold, New York 11971 * �0�.
Telephone /l 1,,
(516) 765-1801 '
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 162 Residential X
Non-Residential
Fee $ 10.00
Septic Cesspool x
PERMIT ISSUED TO:
NAME: Gull Pond Dawn Corp.
ADDRESS: Box 1355
Southold, New York 11971
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New Single family dwelling with septic system.
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Gull Pond Dawn Corp.
OWNER MAILING ADDRESS: Box 1355
Southold. New York 11971
OWNER PROPERTY ADDRESS : ELS Dawn Drive
Southold, New York _
TAX MAP NO. : Section 35 Block 5 Lot 17 `
CROSS STREET: Wiggins Lane
BUILDING PERMIT NUMBER CROSS REFERENCE:
aor •
eeda
Judith T. Ter
Southold Town Clerk
DATE: May 18, 1987
(TOWN SEAL)
o'FFICE OF THE TOWN CLERK
Town of Southold
Application No.` �//�j�
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road Construction
P. 0. Box 1179
Southold, New York 11971 Alteration
Telephone Residential Ll
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. /6'
Fee .$ /0. DO
DATE 6101517
APPLICANT NAME: QQL.L ?oN� �Owry )p
APPLICANT ADDRESS: 6,9,c ) 3S5
NLI 11 9"/ /
SEPTIC )( CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
S, ► l e ,Q.,, I y ti-e 11 s ►a
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: lYv ( ) CO,�t)
OWNER MAILING ADDRESS: Y3o,, 13S" 5
c) -} M III CC
OWNER PROPERTY ADDRESS: EAS r St tie Vo--It)
fv�
Siiv�11o1el /L- L 61g 7 /
TELEPHONE NUMBER OF CONTACT PERSON: 1-v ) P-I nie 427-437i
TAX MAP NO. : Section 3 5— Block 5 Lot J 7
CROSS STREET: L,) lc 5 INS
BUILDING PERMIT NUMBER CROSS REFERENCE:
�) ) "'JD DOwN •
by j 2P ene5 .
Signature of Applicant
jr
RECEIVED BY: _ ! aline--
Town Clerk's Office
DATE: •
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INSUFFCL 'S ' 10 0
VV,v "
1
F Fr�:gLTH SERVICE
v S N
N / '.;_T,r N ONLY
w�o DATE o //3/�7 Eb
_ ' C. b T. OF
1)50'0_ !____� ,� E LCL_
Rv1CF�
7 O APPRCY,D �,
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The water sopply & sewage disposal sys.
0�. tb RlS �, I',�J
`-"�cr, o will conform
; sti, 0, „ to the
i lk County Depart_
\ h 4)) I 1 .:: �i:'US.
Qz I h ' SINGLE FAMIb�Y DWELLING ON
IA'''.
EXPIRES TWO YEARS*FcROM DATE OF . • ROVAL
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LXCAVATION INSPECTION �3 htt• "'* 71e { 6ori/79
RFQO �4
? / / brown
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Prepared in accordance with the minimum V 1,
standards fcr i ; veys as established by Sc.-^
the L.I.A.1. ,.,,,roved and adopted
for such use . ,.ew York State Land — e•5
Title Associ;_i i .�4w N SURVEY OF b own
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1�.. 11793FILED JUNE /4,1966AS MAP NO. 4650 sand
(516) 41.-.7'– c3q I
NEAR GREENPORT
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y.
LANDS 1000 — 035 — 05 — 17
�c,� �. nner��RLF SCA LE / t, =4O I
AREA=/4,847SQ.FT.
p# tc9 /o fie. 4 a e.
A DEC. 25, /9 8 7
:ail te, .:N
. Vi : �
a. . 1 OCERTIFIED TO:
�� y�„�'- N. Y.S. LIC. NO.496/8 T. FORD PRIME
PECONIC 1"VE YORS 8 EN GINEERS,A C.
(5/6)765-5020
P.O. BOX 909
MAIN ROAD
SOUTHOLD, N. Y. 1/97/ ELEVATIONS ARE REFERENCED TOMS.L .
66- 846 ,,,.