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HomeMy WebLinkAboutGold Creek Bldg ,,/iii,,,- le ELIZABETH A. NEVILLE ��,� '� ; Town Hall, 53095 Main Road TOWN CLERK ® - P.O.Box 1179 � yy, Southold, New York 11971 REGISTRAR.OF VITAL STATISTICS `®� ����,, Fax (631) 765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER =__ ®I -0®�i� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ��'� southoldtown.northfork.net OFFICE OF THE TOWN,CLERK VIT SOUTHOLD r �A AUDI�POSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2878 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : GOLD CREEK BUILDING CORP Address 1 : 77 STEPHANI AVENUE City St Zip ESAT 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 #R10-02-0109 Name Of Owner GOLD CREEK BUILDING CORP Mailing Address 1 77 STEPHANI AVENUE City St Zip EAST PATCHOGUE NY 11772 Property Address 1 DEPOT LANE City St Zip CUTCHOGUE NY 11935 Tax Map No. section 102.00 block 2 lot 6.004 Cross Street SCHOOL STREET Building Permit Number Cross Reference: Issue Date: 8/26/02 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) A. a E73' 1 ELIZABETH A.NEVILLE %1_ V Town Hall, 53095 Main Road TOWN CLERK % o P.O. Box 1179 00 S 1 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS : G 0 Fax(631) 765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER ----_�01 Alli :0���0.x,, Telephone (631) 765-1800 FR DOM OF INFORMATION OFFICERrsoutholdtown.northfork.net I + AUG t? ; OFFICE OF THE TOWN CLERK iiiL ; Z 2 2002 TOWN OF SOUTHOLD TO--�L `�Sout 1§J.To Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: August 21, 2002 Transmitted herewith is a copy of application No. 2993 for a Cesspool/Septic Tank Construction Permit submitted by: Gold Creek Builders 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: � � Gid, 40 71‘..-41,,( .. .-, Signature ae,4,2;42 Dated . • • • - , , • OFFICE OF ��,,,, "••••••,���� TOWN OF SOUTHOLD •'oS�FFot" A Fr.i7ABETH A.NEVILLE,TOWN CLERK 1%O �,fi Application No. .,,,Y3 P.O.BOX 1179 Construction • SOUTHOLD,NEW YORK 11971 • r41 Alteration Telephone 0Q��•�, $10.00 -Residential (631) 765-1800 =-..1 * • $25.00 -Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT 111a0Da unnothogino,S APPLICATION for ZOOZ l Z 9fd • CONSTRUCTION or ALTERATION PERMIT a3ni33371 SEPTIC TANK or CESSPOOL Permit No. Fee .$ DATE (2-V O94 -2 " Z-- APPLICANT NAME: COLO OQEL7C ALD (1 �G' c)/?A APPLICANT ADDRESS: 6/ - % 4 �� - • SEPTIC CESSPOOL t� DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION 2- SAY yin 2 go%4A 0.<. • LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: 6,60 Ciref 1 OWNER MAILING ADDRESS: 7 7 -c,`Iav i 0-C z, /441 ,e /(77Z / OWNER PROPERTY ADDRESS: z r \I l [VT TELEPHONE NUMBER OF CONTACT PERSON: 631 C6 - 6.e/1 TAX MAP NO. : Section /000 Block C i° 7-• Lot / CROSS STREET: Schac'/ .51 BUILDING PERMIT NUMBER CROSS REFERENCE: Signat e of Applicant RECEIVED BY: Town Clerk's Office DATE: , r ''. , -' , r l " - E•i i l I '• 'J��r•v - 2,f'P'�C C�...y^}'::f J.,J�„ C�-.- 't.: - \; %4 �,,< ^f' _ !Y - Fri.itJ` `L s.- J •,( y R - - ♦ L.. r FSsr+Y:�,�Y ,l v�Y�i,.-�'{' - n 'Tr - n � ,I� i. ' - iS! 'F, -.+• r r) `\. .t.&A McQ UILKIN , LAND SURVEYING /011 102 MAIN STREET '``' WEST SAYVILL.E, NEW YORK 11796 N. '&-,A PHONE: 631-563-4952 4 rh I LOT 3 (VACANT) I1 r '. `‘ sr N 51" 00' 30" E 463.46' 4' v..11\,i i © 20, `p,A r tw 5 r 11I�1 CO w it .:� ,.11�rii ® CO 1 I .+ ,? �ift d I ela a g i* to well rrim O yi C. z e1 v: • m s f, v PROP. '�_ co E ���,` O Z �1�•y ivvj' WELL rO e �t. �+ �A y i s r CO m m W A m/0)Lr 0 S o O , 60' MIN — t w y I PROPOSED v -' -9 m DRIVEWAY Ai -, x x UI I PROPOSED ' 2 Lp2 i N 4 �7 x 2 3 1 DRIVEWAY 02 rp d . A rO { 6,;,„? r vl • g , r 3 0 01 I `� v c D SURVEY OF N A I ri' LOT4 �D boi .� MAP OF c, ' ICZ) o DEBORAH EDSON I AT CUTCHOGUE - TOWN OF SOUTHOLD, STATE OF NEW YORK . 1 S 51* 00' 30" W 09 (1)PLOT s 464.62' ITEST HOLE (VACANT ."..�..,�...,.,rise..,-......,a.,.-..a'.. ........ ,..,4,,.,.,^.,....,.�-......,-....._,,.�._..�.. 'l SUFFOLK COUNTY PART ME N 0 i":Ga- iTi jP t 11C�.S 0' b AS PER FILE MAP I w PERMIT FOR APPROVAL OF CONOTRUCT1ON FOR A TOP SOIL ' I' SINGLE FAMiLY AMiL.Y RESIL'C NCE ONLY rI, LOAM OAL DATE'�1�I/__ _?-1-1.cepEq0-17_14).,..._a , 7v 0 - a' MAMAIN ROAD SAND & .".^F: l:i! : i+ U or ..._..2..._" EDEtOOf,93 GRAVEL EXPiR'ES THREE.YEARS FROM DATE OF APPROVAL r FhI h r I `l _ ...�..-. .. ....�_ u 20' aa, a` .g'I_ j 1 !yr; UNAUTHORIZED ALTERATION OR Tp EXISTING STRUCTURES ARE FOR A SPECIFIC f�- Iv-3t1 ADDITION TO THIS SURVEY IS A sit al]:, 7 , , VIOLATION OF SECTION 7209 OF THE PURPOSE AND ARE NOT TO BE USED TO ESTABLISH I F , ", PROPERTY LINES OR FOR ERECTION OF FENCES °I L • �t� f`� r I^II Lvu' Z CERTIFIED TO: NEW YORK STATE EDUCATION LAW ,III�, LIBERTY SAVINGS BANK COPIES OF THIS SURVEY MAP NOT BEARING CERTIFICATION INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY S.C.T.M. 1000 - 0102��,+_)f �0}0 f P�Or 0§.400 MKM ABSTRACT SERVICES THE LAND SURVEYORS INKED SEAL OR IS PREPARED AND ON HIS BEHALF TO THE COMPANY, GOVERNMENTAL AGENCY, AND LENDING 0-41. "'i-' l ., '` , FIRST AMERICAN TITLE INSURANCE CO. real idd,j EMBOSSED SEAL SHALL NOT BE CONSIDERED INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION •'DATE:, 5-24-02 , GOLD CREEK BUILDING CO. CORP. TO BE A TRUE VALID COPY CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS REVISER: FILE NO. Q380-02 'PALE:1"= 50'