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ELIZABETH A. NEVILLE ��4* �� Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
PPD
REGISTRAR OF VITAL STATISTICS
Southold, New York 11971
MARRIAGE OFFICER : � O �` ,�� Fax(631) 765-6145
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RECORDS MANAGEMENT OFFICER = % �`� i�� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER �t��
OFFICE OF THE TOWN CLERK
SOUTHOLD ItVASNrlId$I3DSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2577 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ZOUMAS CONTRACTING
Address 1 : PO BOX 361
City St Zip WADING RIVER NY 11792
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-01-0075
Name Of Owner LOUIS S. HARWOOD TRUST
Mailing Address 1 1305 CHERRY STREET
City St Zip POTTSTOWN PA 19464
Property Address 1 YENNECOTT DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 55.00 block 4 lot 15.000
Cross Street LAUREL AVENUE
Building Permit Number Cross Reference:
Issue Date: 5/17/01 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE �� �'y%:
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►► `` V0t.i(/•� Application No. ,
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OFFICEOFTHETOWNCLERK CSU GOi, �.
TOWN OF SOUTHOLD A1C • ''"a''^' 'm (/�f� Construction_
ELIZABETH A.NEVIL E,TOWN CLERK • O :y is ,!' .L.
P.O.BOX 1179 � � 44',�� °r,,;��,�yfyl:?• ' Ill Alteration
W YORK 11971 ; 3
sovrxotn,r'� :y •' O'c.•� $10.00 _Residential
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Telephone =_ Q�r ��� ►,►' $25.00 -Non-Residential
(516) 765-1801 ' �: ,,Y4 .
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
•
APPLICATION •
9
for 1
•
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CONSTRUCTION or ALTERATION PERMIT
SEPTIC TAN K or CESSPOOL �rhola � �
ivra
Permit No.
Fee .$ I-6 0 /
DATE
APPLICANT NAME: --Q on -.-Ir;6-ff. ) '
:;?,�;p p:;gox 361
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• APPLICANT ADDRESS: C((i1 ,
SEPTICCESSPOOLY_
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
letee1 is , t1/0.:.
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
. OWNER OF PROPERTY: Ovs
Woof (It
• OWNER MAILING ADDRESS: 1305" CXeA.A. '
' OWNER PROPERTY ADDRESS: 'N' cc � . `_
TELEPHONE NUMBER OF CONTACT PERSON:
gr)291 °
TAX MAP NO. : Section ._---
CROSS STREET : 1- t c. " • 2.
BUILDING PERMIT NUMBER CROSS REFERENCE:
, ----- --------------OPalp
• gnature • '''• •licant
RECEIVED BY:____^—n Clerk's Office
DATE:
I
4- , a .� `
,1 �r I�Ql.E1° LOT ARA--- 21,821 sq. ft.
Mcdonbld Geoacience ........ —.e........,.., .....Y....r..... ...�...•. } `
12-1,-2000 SUFFOLK' COUNTY DEPARTMENT 0:• HEALTH BERdti:7L. 4W= 43'5
1• brown sander Iasi.0L ,. GARAG ELEV=' 91.5
K y Os-boONID ay \PERMIT, Fog APPROVAL OF CONSTRUCTION FOR A
Pf1,r brown fn, to .ond SIM SINGLE EMILY RESIDENCE ONLY
11;s- greyish brown dayey sc -10
-
wd.r in greyish brown sand Sc
DATE 1113-1%( W.3. , . . 1 o .. 0 I_ nn $-' I
*4 water In' Of . APPROVED '
water In brown akryq FOR MAXIMUM OF BEDROOMSFa
+rEXPIRES THREE YEARS F..- :71YRIVOF APPROVAL MOi .
-
water In brown M. to
O
Wt NUMBER 18 W�., 154.42
(5O.5) /��'
p N • p5'30.6 a e- I'
-M N. $
(51.2) ,, g
i
Z "terf ., 6
y
• .f S 4. ,.
Z •
ZC
:(1:1
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1;.�. = CO
(51.5)
l ,- � (51.5) .
• 588
PROP. )..,,
0 o DWELLING #1 ' 1
arae
X
•C 45'_y� 21.3' ..47-ed Pe77' I .r
C T (51.5) (51.0)
_ •
a - - — ywo0 gallon \ a
g _ septic tank v - - g -
I
1kOr„r, cesspool 1o "'"1. ' D
• MON. (51.0) \ (50.0)aMON a 7•0ct `trATI
S 75'56.00N137.00' _ - n - w =
C
existing outer main
•
"7 `:~
---. �.
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-t YENNECOTT DRIVE • • = '
LOT NUMBER 40 — DWELLING - PUBLIC WATER - LOT NUMBER 41—'DWELLING — PUBUC WATER
-'c urFbElb (OR IMCNbIONb) Glonnnn,Cw ....1%./.I AV' -,N"-r.•
HOWN HEREON FROM THE SHALL RUN ONLY TOM PEW% -
TRUCTURES TO THE PROPERTY .1--JR WHOM THE SLIMY G M-
INES AU FOR A SPECIFIC PUR- PARED, AND ON HIS BEHALF TO JOB No. 01-108 FILE No. YENNECOTT PARK
'OSC :.ND U`:V! AND THEREFORE THE TITLE COMPANY, GQVERNMEN V.7.. N i II:2':�:il TO GUIDE 1145 TAL AGENCr AND LENDING lN9fl-
SURVEYED FOR
i:,cT,:N C,: Fi:CES, ETTAINING TUTION LISTED HEREON, AND TO .
VAII:. PC'S, rA1".:05, F1AP:TING THE ASSIGNEES OF THE LENDING LOT NUMBER 37
.,r_;;•" A�]II„?;1 -io BUILDINGS INSTITUTION. GUARANTEES ARTr
?�,..:t C..,_::,::;;;LSTE:K.101.4, NOT TRANSFERABLE TO ADOMONAL -MAP OF YENNECOTT PARK ,
INSTITUTIONS OR SUB$da- SITUATED AT- SOUTHOLD
.114AI.ORIq:D ALTERATION OR OM R& • t
V.D.",^•9 TO TAMS SURVEY %t A ; 1
1ICJIATI+,I4,.+? SdCTIGN is09 OF COPIES OF MIS N1lIP tW$
Ni kW NM CAM OIC{• ,,';; REARM us LAND SURVEYOR'S TOWN OF SOUTHOLD — SUFFOLK COUNTY N.Y.
Art. •, • " ” INKED(HALL i�f Rag A SCALE 1` = 30' DATE 3-20-2001
•-'''' --`'R-- - wVAIIhTAtE.Cf) TO Bt
FILED MAP No. 5187 DATE 10-9-1968
CERTIFIED ONLY TO: TAX MAP No.(REF ONLY) 1000-55-4-15 DISK 500
HAROLD F. TRANCHON JR. P.C.
LAND SURVEYOR
ii,„„d F T-A9-• • ,,, ,- 1866 WADING RIVER—MANOR RD,`WADING RIVER,
•.• NEW YORK, 11792
'N.Y. LIC. No. 048992 631-929-4695
HAROLD F. TRANCHON JR. PENN. LIC. No. 2115—E
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