HomeMy WebLinkAboutLevien, John e11..GU
IpS\
Fo
Town Hall, 53095 Main Road
v �`� P.O. Box 1179
�-„�'` Southold, New York 11971
JUDITH T.TERRY 1 TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 343 R Residential X Non-Residential
Fee $ 10. 00 Septic Cesspool X
PERMIT ISSUED TO:
Name : LEVIEN, JOHN
Address 1: BEEBBE DRIVE
City St Zip CUTCHOGUE NY 11935
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM
APPROVED AS SUBMITTED AND AS PER SUFFOLK COUNTY HEALTH DEPARTMENT
APPROVAL
Name Of Owner LEVIEN, JOHN & SANDERS, MILTON
Mailing Address 1 BEEBE DRIVE
City St Zip CUTCHOGUE NY 11935
Property Address 1 BEEBE DRIVE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 97. 00 block 7 lot 10. 000
Cross Street ANTLER DRIVE
Building Permit Number Cross Reference:
Issue Date: 5/23/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
!'IL E
iir:Orir I, 9 1988
F4
1.1k p ` r
Cri
N 4 t f `\ Town Hall, 53095 Main Road
P.O. Box 728
-i41 Southold, New York 11971
��. ►i r
JUDITH T.TERRY TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
May 19, 1988
To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 345 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by John Levien and Milton Sanders .
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.
tooredeaVevi,......0400.••••••
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 - X
DISAPPROVE -
COMMENTS: Q,o caia. gLIVA d UWACO a.
as. > �Qv
(:iL401-
Signature
Date
4
OFFICE OF THE TOWN CLERK S�FFOLj
Town of Southold OHO Application No. 3 V'S-
Judith T. Terry, Town Clerk .,.�
Town Hall, 53095 Main Road 8 :;_ Construction
P. 0. Box 1179 Alteration
Southold, New York 11971 0;*
0! t Residential
Telephone
(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
DATE / 19 , [ 2
APPLICANT NAME: (- Lc'
V ( c
APPLICANT ADDRESS: 7"a6- e -
�u T-c
fir/riot , 1, . I 1
SEPTIC CESSPOOL
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: PA I L (SOA-( 4 ✓(
OWNER MAILING ADDRESS: � ' -6)C;� r2/2-
C u -re__ r-LC
OWNER PROPERTY ADDRESS: 012_,
ee_(-(D 00e_ f
TELEPHONE NUMBER OF CONTACT PERSON: 3 -sem 17
TAX MAP NO. : Section 9 7 Block Lot / U
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
•
Signature WApplicant
RECEIVED BY: ad4- Q
NamCIe�`k's Offite
DATE: ivtAY-1 9
1988
Wm Cloth Southold
—
-,--
' • 7',..F..- F(:),._:* :..:0 HEALTH '.2.,.:Pr i'‘'..-TRCIVI,L
. H F, .I0
. thillAi .
,...,-...
0 -,-
• ,_,,,/,;:„)
4 I'l -?'(;,„
. tP • ‘-.4),
.4 i, -,------.------------------- .
-v'/',., le T A TE MENT CIF' INTENT
. -.....,
. ".-:•.>, ' Tr-ti: WATER SUPPLY AND SEWAGE DISPOSAL
. .-.
. .,
TENIS FOR THIS :;iESIDENCE WILL
•
.....
• .NFORNI TO TI 5TArgDART_NS OF THE
1....::".e.-- . . • -,2,-- I . SUFFOLK CO. DEPT. OF HEALTH SERVICES.
.. 4.'
4 1,.z • .....
---- 1
APPLICANT
, . 1 -•-' . _
. _ ... ... ... ;
SUFFOLK COUNTY DEPT. OF HEALTH 1
; •-• •
... SERVICES --- FOR APPROVAL OF
• i
' CONSTRUCTIONC!til Y
ey'crIC DATr- __MY- 1 3 198 i
i
.., ,...,1.1.• .to
H. S. Fl!EF. NO. -6-17 t•••...--
--- _ t Ne i i —••-
—
'- V•A‘ i,-‘‘ 1° -7•Ct..
APPROVED: 11.1r.. 41 A., _ le, ..-.1.
v./ • :
,.•4:4....,:.,-, . . ,./ 10 LI, ...', •
-4.• . 4
--,
1 th al i , t,,, '- • . HSUFFOLK CO. TAX MAP DESI ' TION:
ir i.- ''•t•-• • • 0.
i DIST. SECT. BLOCK PCL.
•... •- ./ •i i 1
F 7..., ' ': ,„1#nkr-1 r--... ft 1 •
.,•••
..,. I, '',f.,-.:"'";rs r):;7 •7 10
•
.1 ' •-•'
1.—OW—N_ERS ADDRESS: .....---• ...1.0
, .•
i
....c rrt•••••(--
. .
....._ . - . .... . ... ...3"II
'
N .
, •-.1• CI
i .
, , .•••••••••=x, Tr--...;97.1.....,,,C.„.... '
, . . .
. ' .
-..::.
rø
4 -
------ ....7.--..•-=4--
;,-* ........
DEED: L.;1/,;',. P. 1...2 S•....r.
.. .
. -
.. i TEST HOLE - „-
. r-Nt•i•'-“21 1
t • • .7.:;....N,I,,y.,Y; 17=tr.to
•, , , ...,.. •eti,,y r,..0.7,rr-`.
- _ , , .... ! , . -:,_-.., 1,•••i •,..;
. ,.._._ , __. i.., : • -: • 0,• a,.!..*1,‹QS CG,IP.116141,44
e ,'.• .'',: ,.,.-'44...!-•:,,e-sn oh-47 tfi•s!
:
- , ' • •:.•c•-•:t.;ii, •0.404,471
-. • . •
. . . - : !W.:. 4'41 Or III%1;4..10 te env
-- - • - '
- _ .
:
- ••: ...,i ii.,, ,.crInv..411.1,!N•:.•ncy•lite
., • . . — _ .. • • : . • • .,.::1,9,-.1.4.1 h4r•on et!!
.
-- •.•.:-. ,.,..-•:. cf ti'( im-tatittl irwsk;-
..
-•-- - : i , .•‘..164-c hi 3 flet hrsv.otror olio
- • • • . .',r,.....mt:..,VetNI•C t..441111,A411.12
;, •. I
. , . .
I • . .
- .
. ------ .
. ..,
• - -- ' .—.
. . i
• 1 . ......______ _____,,:
C NE14,
. .
Cl 84' •tv!I c..
• I . ;2? t...,;.:?'.4,;,"-..., r.'4\• 1
' — . - .• t to,,,-'''••• .4 I 0- I
• . ,. . ..
ODERiz".:K VAi4 TI.IY1., P.C.
. \co•<1,0--v.::•-.--_-.,:y,4,,:,
;*.::: i 44•••••1,....•,,, ,. ......***,*,..• 4\•t',N t,7: , ,..1.' •-•,;
...,—.... -goar....-......”
LICENSED LAND SURVEYORS
-:,...
GREENPORT ' NEW YORK
_ _.,..
. _
_ ___ — •:.„---. - - - _.
NYSD E C
APPROVED
DATE
- J • —Ji
.3
fF
c•
-4
.A •
•
•
•
1*.1 •
• ••••
n Or
IF*NIP
.10111111111111111..