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ELIZABETH A.NEVILLE ��� Town Hall, 53095 Main Road
TOWN CLERK ; P.O. Box 1179
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REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER :®�� � ���1�, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER "fir% ,ss22,, ��®o Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER `Zs' ���
OFFICE OF THE TOWN CLERK
SOUTHOLD IVISNETIVRERTIMIFIDSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2658 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : HARBORV I EW HOMES INC
Address 1 : 1706 NORTH HIGHWAY SUITE 2
City St Zip SOUTHAMPTON NY 11968
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 #R10-01-0172
Name Of Owner GRATHWOHL, JAMES
Mailing Address 1 C/O BUILDER
1706 NORTH HIGHWAY SUITE 2
City St Zip SOUTHAMPON NY 11968
Property Address 1 MAIN ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 109.00 block 2 lot 6.000
Cross Street ALVAH'S LANE
Building Permit Number Cross Reference:
Issue Date: 9/25/01 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE i�� ,. ®�
4 ' .,,h v A Town Hall, 53095 Main Road
TOWN CLERK ® &m- P.O. Box 1179
REGISTRAR OF VITAL'STATISTICS 4 .}' '` v' ,� Southold, New York 11971
MARRIAGE OFFICER : Fax 1 Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER ��G/(/ ss22 ���i� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER
Vol
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: September 13, 2001
Transmitted herewith is a copy of application No. for a Cesspool/Septic Tank Construction
Permit submitted by:
Harborview Homes Inc
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.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: 11/-eaf. arr
7/-K-c e-/41 -4
Signature
/3nc7/
Dated
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OFFICE OF THE TOWN CLERK n-11
s Town of Southold '`
Ju(sith T. Terry, Town Clerk Applicatio No. 7`C
Town Hall, 53095 Main Road Constructi.n ✓
P. O. Box 1179
Southold, New York 11971 Alteration
Telephone Residential
(516) 765-1801 Non-Reside tial
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
RECEIVED
APPLICATION
for SEP 1 3 200
CONSTRUCTION or ALTERATION PERMIT
Southold Town 041;
SEPTIC TANK or CESSPOOL
•
Permit No.
Fee $ / 0 , O
DATE September 13, 2001
APPLICANT NAME: HARBORVIEW HOMES, INC.
APPLICANT ADDRESS: 1706 North Highway, Suite 2, Southampton, NY 11968
SEPTICCESSPOOL L/
DESC PTION OF PROPOSED CONSTRUCTION OR ALTERATION
one family dwelling - ranch style house
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: James F. Grathwohl
OWNER MAILING ADDRESS: c/o Builder 1706 North Highway, Suite 2, Southamp•on,
NY 11968
OWNER PROPERTY ADDRESS: c/o Main Road and Alvah's Lane
Cutchoque, NY
TELEPHONE NUMBER OF CONTACT PERSON: Richard Oppedisano 631-287-0772
TAX MAP NO. : Section 109 Block 2 Lot 6
CROSS STREET: c/o Main Road & Alvah's Lane
BUILDING PERMIT NUMBER CROSS REFERENCE:
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Signatu„0.,
'` •plicant
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Richard •..••.lsano, President
RECEIVED BY: r F
/ own Clerk's Office
DATE: - v
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AREA: 22,327 S.F. = .51 2 AC. SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
11 SINGLE FAMILY RESIDENCE ONLY
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1 DATE ( 1-I.S. yF. . 4(9—x\ — 0(-(2
APPROVED y ZvF/
FOR AXI.IUUMMOF I BEDROOMS
4 .i.--4 , �EXP9 ES THREER YEARS FROM DATE OF APPROVAL
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PROPERTY
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CERTIFIED TO: SURVEY OF
JOHN E OLSEN DESCRIBED PROPERTY
MICHELLE OLSEN
USDA—RURAL DEVELOPMENT AGENCY
SITUATE AT
TEST HOLE EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED CUTCHOGUE •
BROWN ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT
SILTY THE TIME OF THE SURVEY TOWN OF SOUTHOLD
_2, LOAM GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON(S) FOR SUFFOLK COUNTY, NEW YORK
WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COM-
BROWN PANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTIONS LISTED HEREON,
LOAMY AND TO THE ASSIGNEES OF THE LENDING INSTITUTION GUARANTEES ARE
SAND NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS SCALE: 1"=40' DATE: JULY 18, 2001
-3 THE OFFSETS(OR DIMENSIONS) SHOWN HEREON FROM THE STRUCTURES TO
THE PROPERTY LINES ARE FOR A SPECIFIC PURPOSE AND USE AND THERE-
PALE FORE ARE NOT INTENDED TO GUIDE THE ERECTION OF FENCES, RETAINING S.C.T.M. DIST. 1000 SEC. 109 BLK.2, LOT 6
BROWN WALLS, POOLS, PATIOS, PLANTING AREAS, AODIPONS TO BUILDINGS AND
FIN ANY OTHER CONSTRUCTION
TO _- _� ,\ T
COARSE YO 11 (7 0 H�U H ..��I A
SAND JOB NO F3578 Of NEK, (I��UV( �� T I �_ p
REVISIONS: % ee.Cyq _
TEST HOLE 7/30/2001 R I�7
-17 ADJOINERS WELL/SAN 08/23/2001 / / '•t �S}' -. /i u
McDONALD GEOSCIENCE iii
A° 132 I. • ',tau• ;Zee way
JULY 27. 2001 * / v%` pi' Ha >- on Ba ._ N.Y .•46
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r (631) 718-5330
4' Marc E. Charest, L.S.
1^ ' Successors to
WM - Paul T. Canalizo, L.S. Robert A. Kart, L.S.
liCen~^ .4'"I 149 Good Ground'Surveyors, P.C.