HomeMy WebLinkAboutDevito ELIZABETH A.NEVILLE �� 4 '- Town Hall, 53095 Main Road
TOWN CLERK ; het 4 ` ' ' P.O. Box 1179
REGISTRAR,OF VITAL STATISTICS -mt_4114 ';: , Southold, New York 11971
MARRIAGE OFFICER : � ®���1�, Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER � ®d ,,ss22,, V� �i Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER `zs ,D,,
OFFICE OF THE TOWN CLERK
SOUTHOLD SOWN ENATCEIRTRINPADSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2621 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : GREENBRIAR HOMES INC
Address 1 : 59 HAWXHURST ROAD
City St Zip COLD SPRING HARBOR NY 11724
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 #R10-01-0137
Name Of Owner DEVITO, ROBERT A
Mailing Address 1 55 WEST AVENUE
City St Zip PATCHOGUE NY 11772
Property Address 1 2555 N BAYVIEW ROAD EXT
City St Zip SOUTHOLD NY 11971
Tax Map No. section 79.00 block 6 lot 4.001
Cross Street NORTH BAYVIEW ROAD
Building Permit Number Cross Reference:
Issue Date: 7/24/01 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE ,t� ��•d:
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OFFICE OF THE TOWN CLERK ,i''
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TOWN OF SOUTHOLD � � CSG Application No.
ELIZABETH A NEVILLE,TOWN CLERK
P.O.BOX 1179 : Construction
SOUTHOLD,NEW YORK 11971 p• rnIn , Alteration
Tele hone ,j- Q�r ' $10.00 -Residential I/
P
(516) 765-1801 �l ,�'� $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
9ECEl'VED
for
CONSTRUCTION or ALTERATION PERMIT JUN 2 9 2001
Avarnago rown Clerk
SEPTIC TANK or CESSPOOL
Permit, No.
Fee $
DATE ‘/.2f/o /
APPLICANT NAME: �—�Ge.✓✓4 'A`2 /7/-04?. //t/C. ���6Z��,� G• ���L
APPLICANT ADDRESS: - 9 ,4a) *'I1, 5i aedR-.3
GD' Lb //ri o/L7
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:
OWNER OF PROPERTY: ,e0A�1-' 14c.
OWNER MAILING ADDRESS: ..c.�6 'I 1 94'
Mran24-dG/ ,y //77
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OWNER PROPERTY ADDRESS: - 'e%���� �. �.�. " 1 �- p555 �
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TELEPHONE NUMBER OF CONTACT PERSON: L-11 I 31
TAX MAP NO. : Section '77 Block Lot fie/
CROSS STREET: \\( , . a ' '
BUILDING PERMIT NUMBER CRSS REFERENCE:
4/1/447: difi. fomes.
Signature of Applicant
`7 �2.e„9-a- him.ES
RECEIVED BY:
Town Clerk's Office
DATE:
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•r-- JOB No. 01-27 • TAX I.D.No. 1000-°79-06-4.1
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SUFFOLi.COOUNTY DEPARTMENT OF HEALTH SERVICES _
PERMIT FOR APPROVAL OF CONSTRUCTION FORA ;; I D '
SINGLE FAMILY RESIDENCE ONLY ,
- -
DATE 67)7e/1-Ls. F. NO. /2 , v/ 03 7 1 Fri
APPROVED (YG2'
BEDROOMS 7 -
FOR MAXIMUM OF._,..e.____ 1 0 - .
EXPIRES TT-TREE YEARS FROM DAT E:. OF AP7-ROVAL - '
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POLE ,;-91
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WOOD POST I -CO -
0) WIRE FENCE
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FIRM MAP No.3610300166 G I m ,
• SUBJECT PROPERTY FLOOD ZONE X 'POLE ;"r
• ELEVATIONS REFERENCED TO 110'
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Ft1/E EASTERN!TOWNS TOPO MAPS m '
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FAMILY°SED S1NG� I
SUBJECT LOT 118,552 SQ FT FF/ 28•s DWEL�fNGE I �•g • ; .�;
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GAR 27..0 I m
- 25,7 ^ '8 M POLE I
N 0 27.0
135 --- 95 — — -"'`
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Exp •LP
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- 27,4 100' I •
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POLE bN
J,qCQ�s 26.8 $ I -+
�� v - ` - S 28°24 40,,, 270 1
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-` - 25 g _ 23.9 }/
WELRES -._ _ - -- -_ _- 1 23.3 ,
WEA PCC RES ( -",
SEPTIC FEAR YARD
WELL I «
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ROS YARD
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FILEMAP No.8236 12/12/86' ' ;,`y
Unauthorized ark-ration w addition to this document ts,a violation-of Section 7209 SURVEY OF: - .
of the New York State Education Law. LOT 1
Certifications indicated hereon shalt run onlyto the person for,whom itis prepared ,
and on his behalf to the Title f omparry,Gavernmental Agency.and Lending• - '
Institutions listed hereon,and tett*assignees of the Lending Institution or MAP OF LRV YtlLE d_ESTATES-
subsea. pent owners. - -
11-3F NEN yo Copies,oPthisdocument not gearing the prdtecslonarsdrtked•seai or embossed BAYVIEW,'TOINN.OF SQt3THOI.O'' ' '
seatshall not be Consl'dered a valid true copy,
' STIN,G.GRAF�� f r a cpe i$.t;o�iiirtten BusJ.e' 'erefore a-te-n6hriven hereon from it[nten tres to ogs etch errection of -- E . . A
spedl�b'.p tp�a e � SUFFOLK COUNTY,---NEW _-` `''
fences,retainindwgs;pools„patfos,piariting areas,addition to buildings,-or any other
` The of right a�'wajts an Of y: ` ` '
r, O mor easements record,if an not shown' ,SURVEY DATE: 5f81t11 SL`11:i: t'=6��
• rn Y _ naCguaranteed, -- — -— --
111
4...... .^ CERTIFIED ONLY TQ: -
�1 •ao5�ae9 .J
C� , - ROBERT DEVITO �_- DESTiN G: CRAB
,. 4)� ., LAND:SURVEYOR "`C,}
- .T3 Woodtawtt.Road- ''
•. - - Rocky Point,Nin+-Yoftc,;11778 ,
- • ` —" - '631-82V3�i42 ,
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- By.DES 'IN-G.-GRAF,N.Y,S. LIC NQ,50067 - , - .
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