HomeMy WebLinkAboutGus-Mar Realty y
JUDITH T. TERRY Town Hall, 53095 Main Road
TOWN CLERK =v nZ+ P.O. Box 1179
cls Southold, New York 11971
REGISTRAR OF VITAL STATISTICS yO Fax (516) 765-1823
MARRIAGE OFFICER '`^� O Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1277 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : GUS MAR REALTY (by Donna Geraghty)
Address 1 : 110 FRONT STREET
City St Zip GREENPORT NY 11944
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.
Name Of Owner GUS-MAR REALY
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Mailing Address 1 13-15 37TH AVENUE
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City St Zip LONG ISLAND CITY NY 11101
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Property Address 1 SHIPYARD LANE
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City St Zip EAST MARION NY 11939
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Tax Map No. section 35.00 block 8 lot 8.003
Cross Street ROUTE 25
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Building Permit Number Cross Reference:
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Issue Date: 1/19/95 Judith T. Terry
-------- Southold Town Clerk
(TOWN SEAL)
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JUDITH T. TERRY Town Hall, 53095 Main Road
_' am P.O. Box 1179
TOWN CLERK Southold, New York 11971
REGISTRAR OF VITAL S'T'ATISTICS �0 � Fax (516) 765-1823
MARRIAGE OFFICER .�' �� Telephone (516) 765-1801
RECq,1MANAGEMENT OFFICER
FREEI IDr F 4 I3
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
DG P
V6fScL 4hold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: January 6, 1995
Transmitted herewith is a copy of application No. 1324 for a Cesspool/
Septic Tank Construction Permit submitted by:
Donna Geraghty for Gus Mar Realty
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 v
DISAPPROVE REQUIRED
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Comments: p
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Dated
OFFkCE OF THE TOV''N CLERK
Town of SOltthold O��rrolir
^. •ludith T.
Terry, r\_ ,.-:r `moi.
TownClerk ,.
Own ,,
Ha11 53095 Main `~ 'V��'-^�` 1' -2
P- O. Road t.,. `'-. y.
„•: Apel;cat,on ��a.�U
Southold EOE 1 179 u-, t; ►.; � � .
New York 11071 Can:tructionJ-Z�
Telephone Alteration
(516) 765- 1301 Residential_�
Non-ttesidentic)l
T04'�N OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL' DISTRICT
. 15TR1CT
AP61-ICA!ON
for
• CONSTRUCTION or
ALTERATION PERMIT
SEPTIC TANK. or CESSPOOL
Permit No, +
Fee '$
DATE (_
APPLICANT NAME:
FJ L '
APPLICANT ADDRESS: .
1
SEPTIC �
---Y..CESSPOOL -
DESCRtPTtON ~�" •
OF PROPOSED CONSTRUCTION OR ALTERATION S LLQ
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LOCATION MAP: Must be attached hereto befor
LOCAT10t1 OF a Permit may be issued.
PROPOSED CONSTRUCTION. OR
017NER OF PROPERTY: ALTERATION: Sk} I Wr4 � LA
m LZ- 1RhoQO1rNER MAILING ADO
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OL7NEt2 PROPERTY ADDRESS:
S x,1-1'►,)E-
TELEPHONE NUM13ER OF CONTACT PERSON:RsoN: I(0 ") � -
TAX MAP NO. : Section � 2 73 a '
' Qtock �6' Lot ,p.
CROSS STREET: Fs.
133
BUILDING PERMIT NUMBER CROSS REF .
CRENCC:..
REC[ Signature Ot
rvep By . ANpit
DATE: �►Y, cr rc ICL-
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EXPIRES THREZ"- YEARS
SURVEY FOR
FROiM S'I'T= OF APFIRDIVAL G U S M A R R E A LT Y
SUFFOLK COUNTY DEPARTMENT_ OF HEALTH SPBVFCr:`1
LOT NO.j, 'SUMMIT ESTATES, SECTION
FOR APPROVAL OF CONSTRUCTION ONLY AT EAST.-MARION DATE; APR 22, 1992
�f TOWN OF SOUTHOLD
DATE CHs REF^NO. SUFFOLK COUNTY, NEW YORK NO, 92 0332
/ f RVWV TNOAIZ EO ALTERATION OR AODI TION TO THIS
` /f- --'- ---� SVRV[Y ISA VIOLATION a iCttION 7E09 Of THE
APPROVED /��" � " _ NEW TORR STATE C.ICAIIO.Lar
_ R CO►IEs 0/ THIS
suRv[r NOT ACAAwD rM[ uwD QF NEW Y
M0"Com O[RCO To 8E vii 11,,VI CO/"HALL P,t Mq9
R OWRANTC[S•INOIGTEO NCRCON SMALL AUN O-LT TO
HEALTH DEPARTMENT•04T4 FOR'"APPR0�+1- TO CONSTRUCT THE PC SON FOR WHOM TN[ sVRvTLE cr IS FREIARED t� f
■NCARCIT WATUI •IIN NI. M SOURCE Of vATLA, "I-TC IVpLIC MENTAND ON NA A.IS COMPANY,
LF tLlNOIN 0THE 1 Iw3 INSTITUTION 00 TU10• Z
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R lA1F CO.TAX rA►DKT'.Ig�ii[C TION,?s M pLDCK `..�. SLOTv�+.,0}.1— HEr EON AND TO THE A3f IONEES 01 THE LCMDIMO uJ
RtH ERE AM NO DWELLINGS WITHIN 100 fC[T Of TH1 PROPERTY •7 IMS TITVTIp/, OUARANTCCS ARC NOT TR/JIlF[RA pL[ r • 41
OTHER THAN THOSE SHOWN HEREON, TO ApOi TIOMAI INS TITUTICNI"OA SUp SC OUC NT y• —
OTHER
R
THE WATER SU►}LY ANO SEWAGE 013►OS AL SYfTCN fM THIS RC=IO(NO[ 07N ERf (�
VILL CCNFORM TO TK STANDAaWf 01 THE 3U"CLR COVMTT O[IAATNCMT R DISTANCES SHOWN HEREON fAON In o►EATY LINES
Of MCAL TX 3CAVICES, r0 EXISTING STRUCTLAES AAL FOR 4 SPECIFIC ��� Nb. 06$`Zp`�'ti?
A/'►LICAN T. 1Un/030 AMO ARE NOT TO pC USED TO CSTASLISN
C, MA 02 1�c AGTy ►Ro►ERrr LINES OR FOR rn[ En ECr1 ON of FENCES `� �J��,Cj1`�
ADOR E SS
rEL (718) 544-7487
NOTE; (718)261-7351 110-64 Queens Blvd
AmoffumI.JAY FLAUM-ASID Forest Hills, N.Y. 11375
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLEAK OF
SUFFOLK'CCUNTY ON (NOT FILED AS OF 4/22/92)
•TK LOCATDI OF V1%L(W),xRTIC TANR(ST)p CCSYOOL3(b)HgvN FICACON ( C
Mt r*W FIELD Oe3ER.RITIONS AMO on DATA OITNNCO'FRW OTMCA3 ` �. PLAN ASSOCIATES LTD,
SRANDIS 4 SON$ IND.