HomeMy WebLinkAboutKondak, Edward 11111 ''%
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Town Hall, 53095 Main Road
crsP.O. Box 1 179
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40," Southold, New York 11971
JUDITH T.TERRY
TELEPHONE
rows CLERK (516) 765-1801
REGISTRAR OE VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 431 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : KONDAK, EDWARD S.
Address 1 : P. O. BOX 98
City St Zip GREENPORT NY 11944
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES DATED 7/21/88.
Name Of Owner KONDAK, EDWARD
Mailing Address 1 P. O. BOX 98
514 MAIN STREET
City St Zip GREENPORT NY 11944
Property Address 1 THE STRAND
PEBBLE BEACH FARMS
City St Zip EAST MARION NY 11939
Tax Map No. section 30.00 block 2 lot 54.000
Cross Street THE GREENWAY
Building Permit Number Cross Reference:
Issue Date: 12/01/88 Judith T. Terry
Southold Town Clerk
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--.� _'' �l iiii �'�� �.04 Southold, New York 11971
JUDITH T.TERRY „pig°oTELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Victor Lessard, Southold Town Building Department
From: Linda Cooper, Southold Town Clerk's Office
Dated: November 30, 1988
Transmitted herewith is a copy of application No. 438 for a Cesspool/
Septic Tank Construction Permit submitted by:
Edward S. Kondak .
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.
Thank you.
L t. xoca_
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE X
DISAPPROVE
Comments: q„ �,.,A_ca$j_cc ,Q,,,,Q ,_
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OFFICE OF THE TOWN CLERKS1F0
Town of Southold 0Cly
Application /4.361'Judith T. Terry, Town Clerk pp ication No.
Town Hall, 53095 Main Road Construction ✓
P. O. Box 1179 J Alteration
Southold, New York 11971
Telephone *01 * ��O Residential•
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ /O c"'
DATE %,)wc.M3(+V 'i,N \gN,1
APPLICANT NAME: Env,)ARD \ ONtes.K
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APPLICANT ADDRESS: 3\4 MMo4, qqsk ) CoREEcloA ) WEW yoa.1� X1444
SEPTIC .� CESSPOOLS
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
N(w FaMkLy t'wk 1, An
LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: c;m,OARXs".►onk
OWNER MAILING ADDRESS: .r.S‘k 't1kA �� Q.o. box 4�
Co9Eno -I ) N,cW "RA".
OWNER PROPERTY ADDRESS: kc ) S 'SZti Row& tiN0 •good) .
.14‘0N9..61.4 /j Lt 3 7
TELEPHONE NUMBER OF CONTACT PERSON: k:51.0 411-1111 ) 4i1 `961 k
TAX MAP NO. : Section 30 Block 2 Lot 54
I CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
a.>„ A) Y\61\6-k.
Signature of Applicant
RECEIVED BY ♦ • Al
' Town / lerk's •ffice
DATE: NOS/ 3 01988
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' n��4 DATE- FNIa.xl,
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1g I 0 i( o'�-7 SURVEY FOR
SLK COUNTY DEPARTMENT OF HEALTH SERVICE EDWARD S. KONDAK & PATRICIA KONDAK
LOT 112, "MAP OF PEBBLE BEACH FARMS" JULY
FOR APPROVAL OF CONSTRUCTION ONLY AT EAST MARION DATE. JUNE
( cTOWN OF SOUTHOLD SCALE* I"=4(
)\ ;is HS REf.'No' ` S�' -c SUFFOLK COUNTY, NEW YORK NO. 88-Df
H UNAUTHORIZED ALTERATION OR ADDITION TO THIS 44,OVED SURVEY M A VIOLATION OF SECTION 7209 Of THE SE OF NFh
P7NEw YORK STATE EDUCATION LAM �P
*COPIES OF THIS SURVEY NOT DEARING THE LANDOSURVE *
NOT DEYCONSIDERED TO DEA VALR'S INKED SEAL OR ID TRUE COPSSED SEAL Y
AIt ///�� 14 M. ` T
*GUARANTEES INDICATED HEREON SMALL RUN ONLY TO / j0 • f7C.
APARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED
AND ON HIS SEHALF TO THE TITLE COMPANY,SOVEAN- l'
' WATER ISAIN MI ' *SOURCE Of WATER PRINT( pUDLIC 1 MENTAL AGENCY ANO LENDING INSTITUTION LISTED 4
TAIL MAI OMIT I�SEC TION 030 BLOCK_Z-L0T�'4 HEREON,AND TO THE ASSISNEE$ OF THE LENDING ��
LNIE ND DWELLINGS WITHIN 100 FEET OF TINS PROPERTY INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE
AN TNKI
OSt SHOWN HEREON TO ADDITIONAL INSTITUTNS OR SUDSEOUENT 40.
ER SUPPLY AND WNW DISPOSAL SYSTEM SCR TNIf RESIDENCE OWNERS
ORM TO TME STANDAR°, OF THE SUFFOLK COUNTY DEPARTMENT N DISTANCES ,MOWN NER[ON FROM ►110►tRTY LINED 45*0
4 SERVICES. TO(KIfTING STRUCTURES ARt FOR A S/ICIER
PURPOSE AND ARE NOT TO DI USED TO [STAIR/SR .44KOflA� t1 coPROPERTY LINES OR FOR THE ERECTION TERtio +144P�O�*�� V