HomeMy WebLinkAboutLeMonda, Jim OFFICE OF THE TOWN CLERK ,
Foureo
Town of Southold
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road
P. 0. Box 1179on
vo-
Southold, New York 11971 O � •,,,
Telephone - 12l * *W
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. AT 8S Residential x
Non-Residential
Fee $ 10.00
Septic Cesspool x
PERMIT ISSUED TO:
NAME: Liso Construction Corp.
ADDRESS: Main Road. P.O. Box 439
Jamesport. New York 11947
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New Single Family Dwelling
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Jim and Ellen LeMonda
OWNER MAILING ADDRESS: 71 Dovecote Lane
Commack. New York 11725
OWNER PROPERTY ADDRESS: Saltaire Way
Mattituck, New York
TAX MAP NO. : Section 100 Block 1 Lot 38
CROSS STREET:_ Reeve Avenue
BUILDING PERMIT NUMBER CROSS REFERENCE: Pending
ereideaves.:70•00...
Judith T. Terry
Southold Town Clerk
DATE : December 22, 1986
(TOWN SEAL)
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dal,: DEC I 1 1986
;tn ",,lit- 'semi: ;b
`r , ..5',..IA ' '' $ Town Hall, 53095 Main Road
O�ffl 4, ����•' P.O. Box 728
,,i••• Southold, New York 11971
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JUDITH T.TERRY TELEPHONE
TOWN CLERIC (516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
December 11 , 1986
To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 87 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by Liso Construction Corp. for Jim & Ellen Lemonda •
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.
ireida•
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:
s
Signature
Date
F '
OFFICE OF THE TOWN CLERK
• Town of Southold A Iication.No. 7
Judith T. Terry, Town Clerk pp
Town Hall, 53095 Main Road Construction L/
P. O. Box 1179
Southold, New York 11971 Alteration
Telephone 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. 8S
Fee $ /6':e-
DATE P . % /?(
APPLICANT NAME: J/-co C-#A1
APPLICANT ADDRESS: hlac
/CESSPOOL tom+atesPa,a N7. //?4Z7SEPTIC
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
•
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: h , tLL -N4 L5-II1o
OWNER MAILING ADDRESS: 7/ /7 e7 L/4
cavh- /CI
OWNER PROPERTY ADDRESS: Sac %% , c 1A-ALK
/-'I!a--7/l.c-F�.. Ai T
TELEPHONE NUMBER OF CONTACT PERSON: 7„/a 9I57
TAX MAP NO. : Section f040d Block 0/061 Lot O 32, oo
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE: G 3,r�.�l�_
Signature of Applicant
RECEIVED BY; , - '
Rnivibwn Ierk's i%ffice
DATE:
mg oat
Town Clerk Southold
SURVEYED FOR:- J.4,-JE.s .EG G EA./ L E,A14A./0,4
LOCATED AT /''A 7-7"/ TUC. , TOWN OF S 0 G/ T�/OG 4 , SUFFOLK COUNTY N.Y.
LOT ✓3 5 /0 0.G/. To to T32 ww.ce)' /5 QES/GNA TEp ,4S
/ ,�Ec,2EA7Y0A4t,4IeEA C,��
MAP OF S,4 L TA /, ,E ES Tom{ "7—.E.._5 ^v) , CO. CLK. NO. 1 SZ AILED ,4C/G._3,/ w(o
SCALE 1" = .3o ' p N
SUFFOLK CO. TAX MAP DATA:- N° ,�� 34 '
•DIST. . /000 , SEC. /00.00 IQ /l/ 73"'00" O ,',E- ZOG. 00 I ti
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LISO CONSTRUCTION CORP. .-/� vL U1
-.:._. Main Rd. P. . �- J
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