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HomeMy WebLinkAboutEdson (3) iff ELIZABETH A.NEVILLE At Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 e*y Southold, New York 11971 REGISTRAR OF VITAL STATISTICS 0. v�C 0 Fax(631) 765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER ®1 ���40„1.1/ Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICEOF TTFHE�TOW�N,n CLERK SOUTHOLD 111�A5gWA f�FtUD15�OSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2863 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : GOLD CREEK BUILDING CO. Address 1 : 77 STEPHANI AVENUE City St Zip EAST PATCHOGUE NY 11772 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 #R10-02-0107 Name Of Owner EDSON, LOUIS Mailing Address 1 MAIN STREET City St Zip CUTCHOGUE NY 11935 Property Address 1 DEPOT LANE City St Zip CUTCHOGUE NY 11935 Tax Map No. section 102.00 block 2 lot 6.003 Cross Street MAIN ROAD Building Permit Number Cross Reference: Issue Date: 8/22/02 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) le . •01,01FFOLA, ---... 02'363 i i - •• „.), • % 00 % ELIZABETH A.NEVILLE "At 4 : Town Hall, 53095 Main Road TOWN CLERK % y - % P.O. Box 1179 % Z REGISTRAR OF VITAL STATISTICS v, Southold, New York 11971 MARRIAGE OFFICER :®�,iL �����, Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER =__'7®1 *O®ii• Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER W r��� southoldtown.northfork.net 's rJ f 1 r-'--- 2 "- - 1111, OFFICE OF THE TOWN CLERK AUL Z � 2aa� i} I ) TOWN OF SOUTHOLD � TO:TcvvE3L0r,rS-67 �d To Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: July 23, 2002 Transmitted herewith is a copy of application No. 2966 for a Cesspool/Septic Tank Construction Permit submitted by: Gold Creek Building Co. Corp 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: � i' c� *��� �r ?-frie..e,-‘,494.- , Signature Z7-7/3'!//02— Dated rl 'n OFFICE OF THE TOWN CLERK .'''i��C�otk TOWNOFSOt7 HOLD ' ` A lication No l'� PT.T7ABETH A.NEVIT T.F,TOWN CLERK ; O G' P P P.O.BOX 1179 Construction SOUTHOLD,NEW YORK 11971 Alteration � Telephone ,�'�0 �bQ�,� $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 arssooC foa APPLICANT NAME: G,01-0 C.41VC 120/LDi,)C ac . CORP APPLICANT ADDRESS: 77 gce1 I 4(-e. r=te P, -e'H060-e ,t.)>/ 1/770 SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION Aiail 1•10/)J--e • LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR' ALTERATION: OWNER OF PROPERTY: Lou pS� OWNER MAILING ADDRESS: orvvA/ ., scr' COTCklec re l Ny OWNER PROPERTY ADDRESS: c) 0+ Lnt_ TELEPHONE NUMBER OF CONTACT PERSON: /7.5= TAX MAP NO. : Section /.!) . Block CC:23"a Lot a-3 CROSS STREET: degtiNaiMP. a� BUILDING PERMIT NUMBER CROSS REFERENCE: I -AA./_ '.. Signature of Applicant RECEIVED BY: Town Clerk's Office DATE: , • '-P lif', er ' r ' -LISA- 'McQ UILKIN . LAND SURVEYING • 102 MAIN STREET • WEST SAYVILLE, 'NEW YORK 11796 PHONE: 631-563-495243c , , • NI LOT 2 a In (VACANT) 00 N 510 00' 30" E 462.30' ..6,r3 I \yam 41 4Cn 4' el ,'4 I 0$ 1" Ili 4 °® I 01 z / © t:1 C4 vii .s..t.-...41• \• ...4 < ttl. ''''. 1 I ' co c3 00 -•1 - „ (to LAND -1 2 y I o0 0 ;, tsj v a C4 w r- Ln .. x I*t cm 0 r P- a o N �"' PROPOSED `A2�1 `A259 n-N W c 3 3 p '< R l /ZItiv ' G-1 .:a7 /' '1 IIV X r, O n � a PROP. .+ Cl cl 1.D 5.rt �� 60' MIN Nw41 11 rs __ 0 150' M,n tC ®B\\ WELL P ` RI ri _ _i --i, SURVEY OF v I ' c CA Z LOT' 3 z CI m 1 MAP' OF I `A2�% 4.1 :, ` ERORAH •EDSONI 'AT CUTCH©CUE ‘T‘CN ''''f4c 31 TOWN OF SOUTHOLD, I -, 463.46' STATE OF NEW YORK o m S 510 00' 30" W L❑T 4 N -1 \ I (VACANT) _ I .- ...r ,,:�. v p......1 It L:J ' TEST HOLE • .� .. -.••06,t1 i %1. : _,;;:r Nt AS PER FILE MAP bU O' i a.11V41 r Foil Appl.�SJZ�i c' �, tili TOP S❑IL r v , ATE .;'1t�1G�•t=�"w"+iiil..�i' �F.,.fOGYdC;'r: `71 fl�.`i 014 A I MAIN ROAD c� -� - LOAM Lfl„. 1.....,}L- `7. V2-7 4. 4! , A?1•'P.OVL t_1 ,-.r\ ;'1; 'j)Ia00%1cf SAND & ' FOR l tt, .1 i- Oi• _ �'I� GRAVEL ® � _ �' �``��i;'�:� 4°�tGet,� DATE O�Ate . - _ _.. EXPIRES 20' 5. :1Ii,i1�1a it 1 z'_+I1 AC .1.6'al! UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A TO EXISTING STRUCTURES ARE FOR A SPECIFIC ,,.Y ryn;,7 VIOLATION OF SECTION 7209 OF THE PURPOSE AND ARE NOT TO BE USED TO ESTABLISH GL •;11 LI L— CdiiI t uds, NEW YORK STATE EDUCATION LAW PROPERTY LINES OR FOR ERECTION OF FENCES _ CERTIFIED TO: LIBERTY SAVINGS BANK COPIES OF THIS SURVEY MAP NOT BEARING CERTIFICATION INDICATED HEREON SMALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY S.C.T M. # 1000 — 0102.00 �=�O,Z QQ4`tOra 003 MI,"IMM ABSTRACT SERVICES THE LAND SURVEYORS INKED SEAL OR IS PREPARED AND ON HIS BEHALF TO THE COMPANY, GOVERNMENTAL AGENCY, AND LENDING ` 3 a = ti�< FIRST A ERILAN TITLE INSURANCE CO. f EMBOSSED SEAL-SHALL. NOT BE CONSIDERED INSTITUTION LISTED HEREON_ AND TO THE ASSIGNEES OF THE LENDING INSTITUTION ' ',DATE: 5-24-02 COLD .00E1 ->Bt1XLDJNC CO. .CORP. TO BE A IR.IE VALID COPY ' CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS -REVI D:' FILE N0. 0380-02 SCALE:°1"= 50'- ,. ., ' 1f ,;,,V4 i �' ' . . , Alk I ",i_x a`'.. as;';'' ;.,,C ,t,-r. ..S`f- --• ,, ..-- ,. L. , -,;' •,',4 .e ;. - ,' ° - f . .e x