HomeMy WebLinkAboutGreenbriar Homes (2) ,
OFFOUG(%7;
ELIZABETH A.NEVILLE Town Hall, 53095 Main Road
TOWN CLERK o ' P.O.Box 1179
C4 Southold,New York 11971
REGISTRAR OF VITAL STATISTICS 'r
MARRIAGE OFFICER 1i Fax Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER � 4e �a®,i� 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. 3083 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 SRPING HARBOR NY 11724
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR ONE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-00-0109
Name Of Owner GREENBRIAR HOMES INC
Mailing Address 1 59 HAWXHURST RAOD
City St Zip COLD SPRING HARBOR NY 11724
Property Address 1 1545 COUNTRY CLUB DRIVE
City St Zip CUTCHOGUE - NY 11935.
Tax Map No. section 109.00 block 3 lot 2.033
Cross Street MORRES LANE
Building Permit Number Cross Reference:
Issue Date: 9/08/03 Elizabeth A. Neville
Southold Town clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE le, * Town Hall, 53095 Main Road
TOWN CLERK ; yAl
P.O.Box 1179
REGISTRAR OF VITAL STATISTICS
Southold,New York 11971
MARRIAGE OFFICER `` 4°L 0.oil
Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER "'/®� sig oil Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER _ ,��� southoldtown.northfork.net
t �
ter'
\y OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
\\VI PUG1
TO: 1S'outhold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: August 14, 2003
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 3214 for a Cesspool/Septic Tank Construction
Permit submitted by:
Greenbriar Homes Inc.
Please review the application and location map and advise if this office may issue the permit.
Please complete the form below and return it to me. Thank you.
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments:
914,,eit&:,
Signature
Ob/4/63
Dated
OFFICE OF THE TOWN CLERK
TOWN OFSOUTHOLD (G;' Application Not3o2
ELIZABETH A.NEVILLE,TOWN CLERK
cfoe
P.O.BOX 1179 }� Construction /
SOUTHOLD,NEW YORK 11971
Alteration
Telephone •
$10.00 -Residential
(631) 765-1800 . 1. , ' $25.00 -Non-Residential
TOWN OF SOUTHOLD •
•
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee '$
DATE
APPLICANT NAME: 'Ac-#6/111.,/40a- /471V227
APPLICANT ADDRESS: �� /{9M)� 7 "4":/c9-:b
/ (%2 s�',e/.�� /�A�od/ /7/ //7,2-•4./SEPTIC �/ CESSPOOL V
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
C 9A/s 7 /d_ r sem/ 7 c GF5spe96,2_ ' .
•/7,4-Y .1a) Af
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
. OWNER OF PROPERTY: �l—/ ,t/A.M/ ami /-/-7;277 _5'
OWNER MAILING ADDRESS: ,_6? //A01)e)1!J/LYT ,--zw-b
J/�,go,— Al/ //� _
OWNER PROPERTY ADDRESS: /,.5-445 A9e.lAi ieY
Lair 1i b 7 l z/E i(/•/ /1 93.E
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section ! 9 / Block 3 Lot cR.Z�
CROSS STREET: /2900,-e.-- 5
BUILDING PERMIT NUMBER CROSS REFERENCE:
6 � ,&�
y
Signature of Applicant
RECEIVED BY: c&--
Town Cler 's Office
DATE:
SO
OF LOT # 12
SEPTIC DETAIL PFor'0,eD
not to sc,ole rwELLinr,
-OUNTRY GLUE ESTATES" 1",,rlry •-1
T. I 1115 S E I LE # 6-136 __ — --x.,inr.,N„v= n,o•4r. Inv.= 11.4
max ?' I `ov I' VN.=
: GUTGHOCSUE
min l' 10_.1_x. 1�,.; los__
Nv.= 103 Inv qol
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OF SOUTHOLD b,uclt,- mi„ Inl rt' ` t k IT,:„..,'','
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�VEYED 12-10-a8 ' ----- ----- ---
MENDED 12-I6-a8 TEST HOLE
AMENDED 04-21-00 MacDonald
SUFFOLK COUNTY TAX # 6eoSclence
1000 - 1061 -3 - 233 4-19-00
Dark Brown
' Loom OL
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CERTIFIED TO: 'TLK COUNTY D P T14s'k.ni (F iE: ..CJI F.
Brown Loamy SM
qtr. , Silty sand
BERNARD MEYER
BARBARA MEYER PERMIT 'M R APPLOV -+�, ”'
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EXP:71-72 i i-Th'J E YEARS,FiO.�d DATE OF APPROVAL r
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Water In Pale Brown Fine sW
to Coarse Sand
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„ , 'Unauthorized alteration or addition to a survey
�� OG �E map bearing a licensed land surveyor s seal 1s a
` e/', violation of section 7209, sub-division 2 of the
NOTES: ','��G *. 'j� Nev York Stale EtlucaClon uaw'
V` V O` 'Only copies from the original of this sur s vey
�O `
marked with an original a/the ]and surveyor s
t^ stamped seal shall be considered to be valid true
\\�y''('{ �.� Q ,/�,,• ��; copies-
L7 11t'4 00' tl, • (�1 'Certifications indicated hereon signify that this
II j,� t�4711 tt.�1 •ri,� • survey was prepared 1n accordance with the
MONUMENT FOUND �w % Vv.''' i *• feting Cade Practice for Land Surveys adopted
•1 .( .�sZ, 1 by the New York State Association of Professional
II Land Surveyors Said certifications shall run only
i 1 to the person for whom the survey la prepared,
D STAKE - �' AA , and on his behalf to the title company,hereon.y;rA -�r; O`; tel agency and lending institution listed hereon, and
; s.ii ii ltl to the asslgnee9 of [ne lending 1ns[1Cu[ion Certlflce-
_ ,l yt�0 'f Cions era not transferable Co addl Clonal intlt=1;
C3 ia0:1:O:.$ HEDGE • ,.41~ ' • ;, 1: 1 s„ 1d ..,ti 0. 5�
AREA = 40, 603 SF OR D.a3 ACRES ti 1;i'•'--- ” '�"° Inc. -'FD LAND SJ ,
N Y S LIC NO 50202
JOHN C EHLERS LAND SURVEYOR
6 EAST MAIN
GRAPHIC SCALE I f1= 40' RIVERHEAD, N.YTREET 11901
M— I 369-8288 Fax 369-8287 REFERENCE # 98-0294
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