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HomeMy WebLinkAboutEdson (4) -4-r F _ ,,,,,, &®SOFFO`�,® ELIZABETH A.NEVILLE ���� "�� Town Hall, 53095 Main Road TOWN CLERK P.O.Box 1179 REGISTRAR.OF VITAL STATISTICS �, Southold, New York 11971 Fax(631) 765-6145 MARRIAGE OFFICER sfi �1 RECORDS MANAGEMENT OFFICER =__�® Afg $ i ����ii Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF TTHgE��TOWunnn� TOWN,,CLERK SOUTHOLD VIT WK ratUfl51J SAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2867 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 #R10-02-0110 Name Of Owner EDSON, LOUIS Mailing Address 1 MAIN ROAD 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 6.005 Cross Street ROUTE 25 Building Permit Number Cross Reference: Issue Date: 8/22/02 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) 1<6 f f ‘01 OFF04 0?F6 ELIZABETH A. NEVILLE �� � � Town Hall, 53095 Main Road TOWN CLERK ® P.O. Box 1179 PP, Southold, New York 11971 REGISTRAR OF VITA ® � MARRIA F��OF�ICER Aif. y ��� Fax (631) 765-6145 ,RECORDS MAN• GEMENT1-OFFICER = ® i� Telephone (631) 765-1800 FREED'Ol\ki)Y'YNFORMATl'ON OFFICER . �� southoldtown.northfork.net ' m I\.\. \i 2 l �}l\ p\G 2 200 OFFICE OF THE TOWN CLERK �Lr �T`��_D TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: August 2, 2002 Transmitted herewith is a copy of application No. 2970 for a Cesspool/Septic Tank CONSTRUCTION/ALTERATION Permit submitted by: Gold Creek Building Co Corp for Lou Edson • 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. 1.0 Linda J. Cooper * * * * * * * * * * * * shave 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 REUIRED. Signature 0 tei)..5---/.0 2-- Dated _Dated •1 (,S OFFICE OF THE TOWN CLERK '�.oc\00 Kc•G d TOWN OF SOUTHOLD Q - • A licition No. �� RT.T7ABETH A.NEVILLE,TOWN CLERK i' %, - Application P.O.BOX 1179 ��1 j Construction SOUTHOLD,NEW YORK 11971 ; v ct� Alteration Telephone :0�� ���,� $10.00 -Residential (631) 765-1800 --- ",4 4t ��,,'� ,--„,,,, $25.00 -Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION • for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee .$ DATE o2©Z-06yst 1. APPLICANT NAME: G'._x) 1C.ndeAC A-10cc_do7..ua c , wiz 2 APPLICANT ADDRESS: 27S-cc,p1A E-- r-c er,-e r /UY /i77 SEPTIC CESSPOOL DESCRIPTION OF PROP SED CONSTRUCTION OR ALTERATION 111_ Levu LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: z_nu EDc,,,, OWNER MAILING ADDRESS: . ,vi,9i,o Sr- Go zc 4-16(,u-e ,eU'y OWNER PROPERTY ADDRESS: ,QeckSt t, TELEPHONE NUMBER OF CONTACT PERSON: TAX MAP NO. : Section 60a Block .a Lot ' CROSS STREET: AyAtti ST /9-r BUILDING PERMIT NUMBER CROSS REFERENCE: /. -------< • 1'i•nature of Applicant RECEIVED BY: c • Town erk's Office DATE: p ' a `0 ,2____ , 1",---,(::,1,' - - vtr• tir- o(n fi #'i tp. fT �"F .1+.ty l4b 47 r4 _ .�{y ,,y,,,,':,.;;,,:,,-, - ,.y. y..v: x9 1;f ;Ari;,,,' ',,„„ ....' r � Y- Sw ) Y ' • • `t• ar , it- � , l i Yt .r r', lo LISA` C UILKIN !� LAND SURVEYING' 102 MAIN STREET • d WEST SAYVILLE, NEW YORK 11796 PHONE: 631-563-4952 4 1LOT 4 '� in (VACANT) N -4 !M S [ ' R, i N 510' 00', 30” E r, 464.62' ik X11 f \ I A,.0r 1.� tis►� 1 r, Ai.'lj.. OC�p 4 ' I. /� CVto ri O. i*.-,'j' 4..ir:-''''''fAl k 0 oz o P;,./ 06 I �: O? ,I Ca o i AM ' , t� to 'b O TO , -1 m t0 4 4`�'SAND ., a 4'p I h7 v .. x v ! W v `I . Z y 3 -i 1 a I PROPOSED ���p2. `WAY 4SN P2p� 0s n �, GAR rt G1 I 1 PROP. r— ,.1,113' -� c to we►\ WELL .... o SURVEY OF 1 60' MIN. Sari 0 159' N2 o LOT 5 z o f +r�clo ' Q Cn z MAP OF O r, ®_ Ex — I ' DEBORAH EDSON —1 AT CUTCHOCUEri I `p2o, `pZ s TOWN OF SOUTHOLD, z ,. sk' m , j 51.00 aA STATE OF NEW YORK " I S 51° 00' 30"' fY LOT 6 459.79' • ri (VACANT) IJ��® �� FOR I L ®URIiY DEPARTMENT OF I�1E ,m � ""'• "� •" TEST HOLE m SINGLE FAMILY RE,IDENC2 OIC AS PER FILE MAP I I c 0' ' TOP SOIL SCHOOL HOUSE LA. // 1�� ' ONLY A: D as LOAM *,/AIN ROAD ! R �R,_s. �_ , a,:'G 'P,I7. �. 4' EXPJR L k- I:) ® �m L� 't® 6Y1� I,latG E' AI;S I ROIL SAND R. ._1,9L:17 ��,a=� o q�" _ 9 DAT OFA�F`E^ :r,.. GRAVEL 9r tl -'114 -�J^;fir• UNAUTHORIZED ALTERATION OR 20' r/j +f`i5 3�1� I e ADDITION TO THIS SURVEY ISA TO EXISTING STRUCTURES ARE FOR A SPECIFIC ' :` , } t✓?, VIOLATION OF SECTION 7209 OF THE PURPOSE AND ARE NOT TO BE USED TO ESTABLISH / / -- 4 - 4,,,,� q j CERTIFIED- TO: NEW YORK STATE EDUCATION LAW PROPERTY LINES OR FOR ERECTION OF FENCES /4 / p=it; 6,^„-7 LIBERTY SAVINGS-BANK i f',°r. r ?iris S.0 T.M. # 1000 - 0102. Q{�./02/.a . -P/0`0t.500 MKM ABSTRACT, SERVICES COPIES OF THIS SURVEY MAP NOT BEARING CERTIFICATION INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHAM THE SURVEY I'A J:;` 1 1 fr.,,, FIRST AMERICAN TIT• E`INSURANCE CO. THE LAND SURVEYORS INKED SEAL OR IS PREPARED AND ON HIS BEHALF TO THE COMPANY, GOVERNMENTAL AGENCY, AND LENDING ' 'T r I,"'1 ti> GOLD CREEK ,atILDINC CO. CORP. EMBOSSED SEAL SHALL NOT BE CONSIDERED INSTITUTION LISTED HEREON. ,AND TO THE ASSIGNEES OF 'THE LENDING INSTITUTION 5-24-02 _ '^ F.; - TO BE A TRUE VALID COPY CERTIFICATIONS ARE NOT TRANSFERABLE TO AD01TIQNAL INSTITUTIONS OR ,SUBSEQUENT OWNERS _D: FILE" NO. Q380-02 SCALE: 50' . ' . , .