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OFFICE OF THE TOWN CLERK cOFUCk1�
Town of Southold Gy
Judith T. Terry, Town Clerk L
Town Hall, 53095 Main Road
P. 0. Box 1179 v3
Southold, New York 11971 ••`,
Telephone * 070
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 70 Residential X
Non-Residential
Fee $ 10.00
Septic Cesspool X
PERMIT ISSUED TO:
NAME: Lehesk Building Corp.
ADDRESS: P.O. Box 900
Mattituck, New York 11952
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New Single Family, 11 Story dwelling
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Lehesk Building Corp.
OWNER MAILING ADDRESS: P.O. Box 900
Mattituck, New York 11952
OWNER PROPERTY ADDRESS: Sebastians Cove Road
Mattituck, New York
TAX MAP NO. : Section 100 Block 3 Lot 11 .008
CROSS STREET: Mill Road
BUILDING PERMIT NUMBER CROSS REFERENCE: Pending
etoir(41-14;ef,..4
Judith T. Terry
Southold Town Clerk
DATE : November 17, 1986
(TOWN SEAL)
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OCT 2 21986 ''
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L t�r Town Hall, 53095 Main Road
r.. 'w�• P.O. Box 728
fel 1r: �' .4 Southold, New York 11971
JUDITII T.TERRY TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
October 22, 1986
To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 66 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by Lehesk Building Corp.
Please review the application and location map and advise if the
project has received Suffolk County Health Department approval
and if we may issue the permit.
Please complete the form below and return it to my office.
Thank you.
Judith T. Terry
Southold Town Clerk
I have reviewed the application and location map of the project
cited above and make the following recommendation:
APPROVE -
DISAPPROVE -
COMMENTS: J .CciLI,t,:t,t.1 A4 Q , 1-J .
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Nov rtn 1986 (A:AM) �4‘2.-""
Id Signature
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Date
OFFICE OF THE TOWN CLERK
Town of Southold
Judith. T. Terry, Town Clerk Application No.6
Town Hall, 53095 Main Road Construction Ci
P. O. Box 1179 Alteration
Southold, New York 11971
Telephone Residential c�
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
c)C, 2' 1986 APPLICATION
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for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ 70 (4
DATE /°/ Z a.-/
APPLICANT NAME: LC.-I c K isui 'Iih/ &42t/C)
P.o - ►fox_
APPLICANT ADDRESS: DD /
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SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY : ��� �s� ,guy/�I��� eosP ,
OWNER MAILING ADDRESS: P.O. goy 900
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OWNER PROPERTY ADDRESS:
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TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section /DC.) Block 03 Lot 0//. oo-
CROSS STREET: Jami /1 Eoct Z _t_10.47,1, 44 /
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BUILDING PERMIT NUMBER CROSS REFERENCE:
• Signet,/ • - Applicant
RECEIVED BY:
Town CI rk's Off ce
DATE:
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SURVEY FOR
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it •.0 ., , ; CORPORATION
` i: '.' ! :'I !i '' '''� ' 'I t LOT 5 "SEBASTIAN'S COVE , SECTION TWO"
., rT 8,1986
f 1 r) -. 1 I �v AT MATTITUCK DATE: SEPT. 26,1986
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TOWN OF SOUTHOLD SCALE: In = 50'
",• :) 1' A- cam.-: .�„-h-___.__.._- -__— - SUFFOLK COUNTY, NEW YORK NO. 86 = 1145
e r D'' O . (`,l?1: (J1 )tf'1't,•,):'�'I. SURVEY IS IvED VIOLATATION OR ADDITION TO ION SECTION 7209 OF THE THIS GUARANTEED TO:
E (';t;[`i 1,;,) Y{..�+[•: f r , SUFFOLK COUNTY NATIONAL BANK
/ NEW YORK STATE EDUCATION LAIN
;' �" �) i., }� *COPIES OF THIS SURVEY NOT SEARING THE LAND ALFRED SK §KIty
SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL LEHESK BULK OQ .N":i
•E ', ( 1 NOT SE CONSIDERED TO BE A VALID TRUE COPY
*GUARANTEES INDICATED HEREON SHALL RUN ONLY TO FIRST A RICLe T'LB UN CE
THE PERSON FOR WHOM THE SURVEY IS PREPARED COMP F YORK o` '
HEALTH DEPARTMENT-DATA FOR APPR0VAL TO CONSTRUCT AND ON NIS BEHALF TO THE TITLE COMPANY,GOVERN- o
* NEAREST WATER MAIN MI.• *SOURCE Of WATER, PRIIMTE_PUBLIC� MENTAL AGENCY AND LENDING INSTITUTION LISTED PECONI 2,-,A SRA ,2 t
ow*SUFF CO. TAX MAP D1000SECTI0N.loo BLOCK..91_1.0y011.0011 HEREON,'AND TO THE ASSIGNEES OF THE LENDING 0
*THERE ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE II
OTHER THAN THOSE SHOWN HEREON. . TO ADOITIONAL INSTITUTIONS OR SUBSEQUENT •
* THE WATER SUPPLY AND SEWAGE DIlPO3AL SYSTEM FOR TH13 RES IOEMCI:
OWNERS
WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNT., T DEPARTMENT DESISTING SHOWN HEREON FROM PROPERTY LINES...•.-.. ... -�.,,,.-. OE%IGTING STRUCTURES ARE FOR A SPECIFIC. I. 1.0 —,
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SURVEY FOR
"" ` LEHESK BUILDING CORPORATION
''7 '' i'' r LOT 5 "SEBASTIAN'S COVE , SECTION TWO" .
. Y OCT 8,1986
r . DATE: SEPT. 26 1986
_ �c. s :,•, +.. :,,•,,, . i � .., 1 , �' � .' AT MATTITUCK ,
TOWN OF SOUTHOLD SCALE: I" = 50'
•- � ------ SUFFOLK COUNTY, NEW YORK NO. 86 = 1145
P1 `,,.I.- i - .t r;l;�w i *UNAUTHORIZED ALTERATION OR ADDITION'TO THIS GUARANTEED TO:
j' ''f` 1", ) , , i I :Ji, , 1 tJ r1. I'. SURVEY R A VIOLATION Of SECTION 7209 Of THE SUFFOLK COUNTY NATIONAL BANK
NEW YORK STATE EDUCATION LAW •
ALFRED SK
• r� �'y *COPIES Of THIS SURVEY NOT BEARING THE LAND rKII�y
SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL LEHESK B �M •
e ''', I MOT BE CONSIDERED TO BEA VALID TRUE COPY ,,�
*GUARANTEES INDICATED HEREON SHALL RUN ONLY TO FIRST A tRIC DLE',� CE
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT
THE PERSON FOR WHOM THE SURVEY IS PREPARED COMP "NY NV W YORKFO
E L DEP LQ
BEHALF COMPANY, v
` AND ON HIS DEM L TO THE TITLE GOVERN- pECONI rAR• ` •
* NEAREST WATER WAIN MI.• *SOURCE Of WATER. PRIMITE__PUBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED ' A•
0 SUFF CO. TAX MAP DIST I000-SECTION 100 BLOCK o3_LOT2!1.009 HEREON,'AND TO THE ASSIGNEES OF THE LENDING
*THERE ARE NO DWELLINSS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE �„,.....,•;
d!
TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT ),°
OTHER THAN THOSE SHOWN HEREON. •rte-
M THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE OWNERS ti 1
*DISTANCES SHOWN HEREON FROM PROPERTY LINES
WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT TO EXISTING STRUCTURES ARE FOR A SPECIFIC +O,
OF HEALTH fERVICE3. PURPOSE AND ARE NOT TO BE USED TO ESTABLISH Q5E APir
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APPLICANTS PROPERTY LINES OR FOR THE ERECTION OF FENCES 'ai�(r 'fl
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ADDRESS -n Po-19
a �lAy�� �L -2-F 4--3-0-17
��� YOUNG a YOUNG ' 4.00 RRHEAONNEW YORK
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NOTE: •.1 ; -,
IN =MONUMENT A=STAKE '.1 ALDEN W.YOUNG,PROFESSIONAL ENGINEER
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SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ,._ I AND LAND SURVEYOR N.Y.S.UCENSE NO.12845
SUFFOLK COUNTY ON NOV. 30,1984 AS FILE NO.7807 s HOWARD W.YOUNG, LAND SURVEYOR
*TIE LOCATION Of WELL(W),SEPTIC TANK(ST)A CESSPOOLS(CP)SHOWN HEREON N.Y.S.LICENSE NO.45893
ARE FROM FIELD OSSERMITIONS ANO OR DATA OBTAINED FROM OTHERS
BRANDIS & SONS INC. 1046 •
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