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HomeMy WebLinkAboutMcwilliams IL ill' FOUr 46 ELIZABETH A.NEVILLE e Town Hall, 53095 Main Road • TOWN CLERK ®cf. • P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER : -e° Fax���I�, Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER = ®1 �� �ii� Telephone (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. 2774 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: . Name : WELLMOD HOMES CORP Address 1 : 21 EAST AMBER LANE 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 #R10-97-0006 Name Of Owner MC WILLIAMS, TIM & LINDA Mailing Address 1 16 VALENTINE AVENUE City St Zip HUNTINGTON NY 11743 Property Address 1 345 WABASSO STREET City St Zip SOUTHOLD NY 11971 Tax Map No. section 78.00 block 3 lot 36.001 Cross Street NOKOMIS ROAD Building Permit Number Cross Reference: Issue Date: 3/21/02 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) OOOOO • G ELIZABETH A. NEVILLE �����°1° � Town Hall, 53095 Main Road TOWN CLERK ; - P.O.Box 1179 cm REGISTRAR OF VITAL STATISTICS v Southold, New York 11971 MARRIAGE OFFICER *`® .. •' Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER � 91 • •, Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER - is southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD r� � r• TO: Southold Town Building Department 1111 I MAR 11 14 2002 f FROM: Linda J. Cooper, Southold Town Clerk's Office _TT("i •tl. y DATED: March 13, 2002 Transmitted herewith is a copy of application No. 2872 for a Cesspool/Septic Tank Construction Permit submitted by: Wellmond Homes Corp./John Hopkins, VP 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: ///,;.e.e.ee �•'` � ,� ,- Signature 03/.0/%1//9 Dated OFFICE OF THE TOWN CLERIC ,,I'. ii . c��FFO[K�► : TOW ��N OF e•OO QG _; • Application No. a�7 F1.17ABETH A.NEVILLE,TOWN CLERK t P.O.BOX 1179 Construction SOUTHOLD,NEW YORK 11971 : Z • ct� Alteration Telephone 0 �Q�,� - $10.00 -Residential (631) 765-1800 4l Jr,,,� $25.00 -Non-Residential ....,,,' TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee .$ DATE MAe.CIA (3 120©2 APPLICANT NAME: t,J51-LN1Obi 015 C_E)W_ 1-17.3 1itPIC-41- s,pt APPLICANT ADDRESS: 2( E. ('}-1`*l /..A, C�3P1)1 Rv Ivy 1r1 ? SEPTIC 1/-CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION Co 4cvtt ,`e f K 'of 2 Fede r9 peas Few- �Ci+lb cippi-wak _ + -# R10-cri .• (4, e. pN-or 30403 . LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: • OWNER OF PROPERTY: `TIM L-I iJbA 11- u jA g OWNER MAILING ADDRESS: ft, \IAtEt.5170E- . Nv 10T1r - i K14 11743 OWNER PROPERTY ADDRESS: 43h6 WA PrsSD Gr. SooTH-o0) 1 TELEPHONE NUMBER OF CONTACT PERSON: ((,36 9261--72go TAX MAP NO. : Section "n Block 3 Lot 3(a• ? CROSS STREET: /0`)KCIMIS ROPjb0 BUILDING PERMIT NUMBER CROSS REFERENCE: 4111 atu of ppli --nt RECEIVED BY: -?;c)) own Clerk's Office DATE: � � ��Q_ L Jr t Tc-0rh/vtc= /oD� SM o �o awaa/ ' 0'4 a.• ysaith Cam) .' �'wv On/ • ® J N84 204- ixkoo`° , Al Rl laude 1 60 o,2o a 1. ofi N \ gz % Lr P.e'oirrnoz% \ Wei/4e/Al gre4k-' 'hie fii,v,e•03$•wo N.' q /7' h9 v, i/I \ k< o h 373' a % a y v P� w,w Wad ii • 594/' Z/`W .JQ.Z -. - i-- o , i��a N`FM/C/i1Z evt/v/l© Y9C�i/f ; R Yta'49%041,90 P IA itv 4, NeWAii I suFFola COUNTY DEPAR1MENT OE REALM SERVICES G�sgB D La ryp sG I 'E ' IOC P OVJ 0. LEI/ $. „.', RESIDENCEONLY O� --IA,p �A ° S. ' • ,,,.ea—9 moi * �- tx.v ,riciii b � xs iAPPROVEO_. � ;I �' — c s, _, It MAXLM Jli O. BEDROOMS EXPIRES lillia s YEARS FROM DATE OF AERO ��' o 8 g e 004 . Ccor �7.A�, NEW Y -e % ,-d 0/ 1 7/ z e)/ KA-4,e..169//4/511N.0/.0BFG,9i1/�'/C oWpo' Yfi�Li�•�ivinW��'i' a G9Np aE'✓e'Yae ls/vr../t/5!i/y7/ • 4&,age 7A/Te&9 Ta,.1aH4/14/.e P'dl,Pivciei c `f//e 7-Ai,,avc.9-vprie , os. £„Az-A/Fm,yA.�c ,*?4I79;/90'7 /c,9 ,/i'-4/a ' i 5L77,7/GAO-77-✓''f,'F,/