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HomeMy WebLinkAboutBeaugard ®�VFFO ELIZABETH A. NEVILLE �°® 'b�; Town Hall, 53095 Main Road TOWN CLERK %% ® % P.O. Box 1179 REGISTRAR,OF VITAL STATISTICS bris + Southold, New York 11971 MARRIAGE OFFICER : �i +- � le�, Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER � ®1 ' it" � Fax (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2727 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : EDOUARD & CAROL BEAUGARD Address 1 : PO BOX 902 City St Zip SOUTHOLD NY 11971 Descripton of Proposed Construction or Alteration ADDITION TO EXISTING SYSTEM. APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION REQUIRED. Name Of Owner BEAUGARD, EDOUARD & CAROL Mailing Address 1 PO BOX 902 City St Zip SOUTHOLD NY 11971 Property Address 1 830 TARPON DRIVE City St Zip SOUTHOLD NY 11971 Tax Map No. section 57.00 block 1 lot 9.000 Cross Street MAIN ROAD Building Permit Number Cross Reference: Issue Date: 2/20/02 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ala 7 c e,„.„ ELIZABETH A. NEVILLE /1 t` Town Hall, 53095 Main Road TOWN CLERK o - P.O. Box 1179 ti 2 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER ` �,iL �����, Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER � �Q tool Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ���� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Depaitiuent FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: October 9, 2001 Transmitted herewith is a copy of application No. 2764 for a Cesspool/Septic Tank CONSTRUCTION/ALTERATION Permit submitted by: Edouard & Carol Beaugard 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: Maintain required setbacks from adjacent wells, buildings, property lines and water Bodies. EXCAVATION INSPECTION REQUIRED. /9-4-1•1'1.4 .. JL � ,. s' Signature 0/A402—_ Dated OFFICE OF THE TOWN CLERK ��'���••••••••••,,�� TOWN OF SOUTHOLD ••,•O���FUL/(5),_%- . Application No. 276 ELIZABETH A.NEVILLE,TOWN CLERK O t P.O.BOX 1179 Construction SOUTHOLD,NEW YORK 11971 Z• o T % to • Alteration Telephone --V' �Q�/ • $10.00 -Residential (631) 765-1800 _ 1 114 oo,,�'' $25.00 -Non-Residential TOWN OF SOUTHOLD • i�/fir D1 J SOUTHOLD WASTEWATER DISPOSAL DISTRICT - itA, kfr APPLICATIONilt4e'lli; e 4(04% 1 � for CONSTRUCTION or ALTERATION PERMIT :A„vvt" , �,�� �� II SEPTIC TANK or CESSPOOL �I 4.XD11 Permit No. Fee '$ DATE /077/0 APPLICANT NAME: pf 0u_ar- Oar° ( �c Q APPLI CANT ADDRESS: 75 c ?c n J) ) �, `p0 c, PO2- ,01.(11-10) I QL( 0) I N Otte ( L q-1 SEPTIC /CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION • I!•V .._ U • • LOCATION MAP: Must be attached hereto before permit may be issued. • LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: • OWNER OF PROPERTY: i ria i b Ie-a-� OWNER MAILING ADDRESS: -120 tairDY qo z..... - ,__ 'o vrti 01 &I, IUt ,J L{0 ra ((9 71 OWNER PROPERTY ADDRESS: Sap ( a1Pb o � ,.n cok.<11-10\i ( t 7 l (c1-7-1 TELEPHONE NUMBER OF CONTACT PERSON: (pc_ L — 1-F7-- -- Q (34(=, TAX MAP NO. : Section OS' ' Block Lot XT • CROSS STREET: ikitai6 Z©, A • BUILDING PERMIT NUMBER CROSS REFERENCE: - i 41/(44/ar . Signaturite Applicant RECEIVED BY: if '� E , • To n Clerk's Office DATE: /o/9 0/ ,y,66" c- ve' 0 �s •j,e/C7C//V •aG/•Y f'. 1J' PEF,l: .'� ��`•i�')a...:•.:.,c... ..,,,...,7.,%.,..,1.va,• a to Y'cf� I‘j'd i. SINGLE FAMILY RESIDENCE ONLY .04 3'5"Z'. a" /042,oG� o , , off. sl1' kll ,. �� l` i�( '. v.a .- 0y3 �J9/m/ArcZ4Q 1,iIhi: i �. ( P _ P. DED-Rooms ocx/o-fl4, tzo • M.0.1.;!3,5;.i. 0 c.,54-..71c, — 0\Y i ' _... a �i3.:1, THRE : FEAR '���:�-;"i p�'�°v�l� ' `''X r� ' — sem, LIZ)USt_ &e._,1/4.,...) S'e f'� O \.... gi, 4" 1' . frA I Pr' 0 ....4 V) LAND vs ' I �4 �� ��� /� G .% ,�� 4 ��,. !j iia , , 4 / itii. 4:)-P NEW V° iiii .0aexey/c-0,e,•z-2,,er,/,4,6-..v 0::: ,..,,e7- �or a-:,c2494sa 4r, ihio s/iv/r42E 7:94.f.-,t) Cyd gjdo'' -S 7-,::-."/- �f f/�.f/.Pa1,S/S•C�� 7 a.�1.1.'; =%� �vie.1YG2 �-�'T �- Az x� �l s'Tic �yyrE.n adv 1.42.4/0. - 4/ 5' C`'/"yb 1 0 T�y�� .l1•�///r i/ DGr- 29/ ZGd/ G /-7G5-4ZB3