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HomeMy WebLinkAboutLenk, Karl JUDITH T. TERRY : Town Hall, 53095 Main Road TOWN CLERK : o T : P.O. Box 1179 UI'' Southold, New York 11971 REGISTRAR OF VITAL,STATISTICS = y ' Fax (516) 765-1823 MARRIAGE OFFICER = ' ��Ill�� Fax (516) 765-1801 RECORDS MANAGEMENT OFFICER AO FREEDOM OF INFORMATION OFFICER = � OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1279 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : MARK AND MARISA FINNERTY Address 1 : 1530 FLEETWOOD ROAD City St Zip CUTCHOGUE NY 11935 Descripton of Proposed Construction or Alteration SANITARY SYSTEM FOR NEW SINGLE FAMILY DWELLING. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. Name Of Owner LENK, KARL F. Mailing Address 1 1149 SOUTH 19TH STREET City St Zip HARRISBURG PA 17104 Property Address 1 PINEWOOD ROAD City St Zip CUTCHOGUE NY 11935 Tax Map No. section 110.00 block 3 lot 5.000 Cross Street SOUTHERN CROSS ROAD Building Permit Number Cross Reference: Issue Date: 1/26/95 Judith T. Terry Southold Town Clerk (TOWN SEAL) 4tIo peso % JUDITH T. TERRY : t� Town Hall, 53095 Main Road TOWN CLERK : o T : P.O. Box 1179 iri Southold, New York 11971 REGISTRAR OF VITAL STATISTICS "20. ��� Fax (516) 765-1823 MARRIAGE OFFICER = .,/'g. �0 .� Telephone (516) 765-1801 RECORDS MANAGEMENT OFFICER '='R/1 0. FREEDOM OF INFORMATION OFFICER ...i.°.• OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD ' TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: January 23, 1995 Transmitted herewith is a copy of application No. 1326 for a Cesspool/ Septic Tank Construction Permit submitted by: Mark & Marisa Finnerty for Karl F. Lenk 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. Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE L/ DISAPPROVE Comments: ?",(/-- �� SC�f� ,,�� - Alar Signatur- Dated r ,, OFFICE OF THE TOWN CLERK •,,�1 ,f``l'' Town of Southold Oc�Cfgtr - Ju : Otvn Clerk ";',.��-'��r' �• •-a-...-;•-• TO ,;all. 53095 Main Roadc � i '°��v`►�� -�<� Application No-ES P. O. Box 1179 cr.' �_ `" •4C1'�" f= • Cons(ruction Southold, New York 11971 O`• crl'. .c • �: O� (' AlterationTelephone •Igl x`< , I (516) 765- 1301 Residential Non-Residential • TOWN OF SOUTHOLD • SOUTHOLD WASTEWATER DISPOSAL DISTRICT • APP • LICATION • for • CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL - Permit No. : Fee $ • • DATE ...1 ' ca /'45-- APPLICANT NAME: 4 C.IL • LI APPLICANT ADDRESS: /53(7 F . •ice' 1 .DO.1 . SEPTIC . CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION 's' all-) 't CHUB k it• - . • ; LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION. OR ALTERATION: OWNER OF PROPERTY: A ' • OWNER MAILING ADDRESS: " ) I LI• ...a ' 1 i. ' +4 OWNER. PROPERTY ADDRESS: I • • ... 11-dim U' 119 TELEPHONE NUMBER OF CONTACT PERSON: TAX MAP NO. : Section / /0, O0 Blocic 03.vC) Lot QDJ. i:SU CROSS STREET: • BUILDING PERMIT NUMBER CROSS REFERENCE: X055 t Signature of • -J ' Applicant RECEIVED BISCINVEDi Town Clerk's Office DATE: JAN 2 W 1995 - tow Clerk WW1 • • i : SURVEYED FOR:- /Vf4Ric—Auk QTy • LOCATED.AT GuTc'ic-,/a �� , TOWN OF ex-tplac•-0 , SUFFOLK COUNTY N.Y. . 7 T '2.447f 4 LOT MAP OF DES GIS/& / D�c'oPEQ�/ aUFFOLK COUNTY DEPARTMENT OF , CO. CLK. NO.41 FILED a HEALTH SERVICE 0--- 45 4 SCALE 1" = ------"L FOR APPROVAL OFCONSTRUCTION a'1r'Y /,/�o� SUFFOLK CO. TAX MAP DATA:- DATE : �r MST../061 ' , SEC. //O .00 N APPnovED: D�'�. ; b w6u, - N� ' : 121 BLK. 03-a0 LOT O©5 . OOd �� f '. 0,57-'/-4,41r- 7- ,:' goEivED 0xgG, � }° = Ems. z o I��O ! � p,5- c..0 Toa So,L DEC 2 1994 •v� � /e o,ao ( � ;' /.6 Loi�M i `/ i , j4e0a'e _`rrat. S.C. DEPT. OF It Y� 117 y N� 3�t r s�'G�,.E� HEALTH SERVICES1. ith al" �P nn�,' a c?�b ¢ oQ0 'U k��e� h i �( th Pip .' � ‘i V ' E._ �o 3 X50�.�,. (4 .. /OWS FROM STRUCTURES� /h ��, u Gq¢ to N '� ` ,. C: Q• K a 0 4 • , , r)) TOEtS.ATIVE BOUNDRY LINES J o ,,",r , N • '� �1 ON SURVEY, ARE FOR P L '" L. rict VI A0_ - ° ��� �� • ; , N ti t' poems 'n i SPKTRC USE ONLY, ANC Q P.eoP, D '(/E iso ire)* u ti) 1 , • SHOULD NOT SEL' � V - - - / ' CONSTRUCTION OF , W.5.57'42'°0"W • /04.a I - t _.,,Aig. ke _• . ! V THE WATER Sl.PPLf i-.ND SEWAGE DISPOSAL - OR OTHER STRUCTURES SYSTEMS FOti THIS RESIDENCE WILL.CC"i�'JFOf�i, p N • n `t`tttvRe4 , inikvi'!'i, J. " 0 • 0�� I TO THE STANDARDS OF THE SUFFOLK x COUNTI • DEPARTMENT OF HEALTH SERVICES. Q `'cA °i�TFsc * t•N O A.IG i•�' OWNER �.._.._-..�..m...._.�. . SEAL = SUBSURFACEIi i tl1�+C: l N I{ 0 -SURVEYED- --�&------19-94-9Y— ...p5 4-$V—. �f°° j 1891 i�_ �� LOCATION & II F:OFtMATION : Y.00PROVIDED BY OTHERS RAMPART SURVEYING P.C. P/O BOX 377 [ . '' ��� /� CRoss ,rw, ��� I .t1«i��� / G NYS LIC. 3408 FILE NO. /4005 JAMESPORT, L.L, N.Y. 11947 +