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JUDITH T. TERRY ; : Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1 179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER yQ O� ��, Fax (516) 765-1823
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(516) 765-1801
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 961 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : GARRETT STRANG
Address 1 : P. O. BOX 1412
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR BARN.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 2/19/93.
Name Of Owner LIEB, MARK AND WIFE
Mailing Address 1 20 HARKIM ROAD
City St Zip GREENWICH CT 6831
Property Address 1 14990 OREGON ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 84.00 block 1 lot 2.000
Cross Street BRIDGE LANE
Building Permit Number Cross Reference:
Issue Date: 2/24/93 Judith T. Terry
Southold Town Clerk
------_ 11OWN SFAI
(
otFOLKcOG FEB 1 9 1989
JUDITH T. TERRY � Town Hall, 53095 Main Road
G T
TOWN CLERK ` P.O. Box 1 179
REGISTRAR OF VITAL STATISTICS tri �� � Southold, New York 11971
Fax (516) 765-1823
MARRIAGE OFFICER Q O�' •4�
41
,�j�� /t701.��� Telephone (516) 765-1801
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: February 19, 1993
Transmitted herewith is a copy of application No. 988 for a Cesspool/
Septic Tank Construction Permit submitted by:
Garrett Strang for Mark Lieb (system for barn)
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 DC
DISAPPROVE
Comments: o. ,.,,tee � a.n GT comica,.1Kilt �--
)) 1\(‘
Signature
X122\ k%
Dated ))
OFFICE OF THE TOWN CLERK } -iLL 51a;
Town of Southold %c raN
Judith T. Terry, Town Clerk Application No.
Town Hall, 53095 Main Road u-3 Construction
P. 0. Box 1179
Southold, New York 11971 O. ' Alteration
Telephone
"°1-4 .a� 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 $
DATE February 19 , 1993
APPLICANT NAME: Garrett A . Strang, Architect for Lieb
APPLICANT ADDRESS: Main Road, P .0. Box 1412
Southold, New York 11971
SEPTIC X CESSPOOL X
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
One ( 1 ) 900 gallon Septic Tank
One ( 1 ) 8 ' x 12 ' leaching pool ,
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Mr . & Mrs . Mark Lieb
OWNER MAILING ADDRESS: 20 Harkim Road
Greenwich CT . 06831
OWNER PROPERTY ADDRESS: 14990 Oregon Road
Cutchoque, NY . 11935
TELEPHONE NUMBER OF CONTACT PERSON: 516-765-5455
TAX MAP NO. : Section 084 Block 01 Lot 02
CROSS STREET: +_/- 750 ' West of Bridge Lane
BUILDING PERMIT NUMBER CROSS REFERENCE:.
Signature of Applicant
RECEIVED BY: 111
Tow Clerk's Office
DATE: or
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AREA - 19, 0774 Acres
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LETTER OF AUTHORIZATION
Re: SCTM #1000-84-01-002
I, MARK LIEB, authorize GARRETT A. STRANG, Architect to
act on my behalf when making application to New York State,
Suffolk,County, Town of Southold or any other Governmental
Agency with regard to the above referenced p emises.
MARK L ' B
Sworn to before me this
oap day of August, 1992
Iltd.h.i tiLL.01// ,/,-;
Notary 7 -1 j= a e of New York
+ Mary
.%ft of Wor ray!
Mc 4946216
GAHM hi sok cess*D,,
to'S4Ie fptro M .4 1L '
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JUDITH T. TERRY ; : Town Hall, 53095 Main Road
TOWN CLERK T P.O. Box 1 179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER yQ Off(' � Fax (516) 765-1823
;4TAfn .kW Telephone (516) 765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 960 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : GARRETT STRANG
Address 1 : P. O. BOX 11412
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
SYSTEM FOR NEW SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 2/19/93.
Name Of Owner LIEB, MARK AND WIFE
Mailing Address 1 20 HARKIM ROAD
City St Zip GREENWICH CT 6831
Property Address 1 14990 OREGON ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 84.00 block 1 lot 2.000
Cross Street BRIDGE LANE
Building Permit Number Cross Reference:
Issue Date: 2/24/93 Judith T. Terry
Southold Town Clerk
_ [_TnlAlhl SFAI 1
Air
,,,,o��FFOIkc4 FEB 1 9 933
y Town Hall, 53095 Main Road
JUDITH T. TERRY : z i P.O. Box 1179
TOWN CLERK ` D rr
REGISTRAR OF VITAL STATISTICS j tri �� :n T" T Southold, New York 11971
MARRIAGE OFFICER / V' �O� •�4 Fax (516) 765-1823
,�1 Telephone (516) 765-1801
•
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: February 19, 1993
Transmitted herewith is a copy of application No. 987 for a Cesspool/
Septic Tank Construction Permit submitted by:
Garrett Strang for Mark Lieb (system for house) •
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 ➢C
DISAPPROVE
Comments: axo y�dic o 01 2� �.C�aCY�d�- �.on ( (1,4.A.
Signature
-J �z193
Dated
•
OFFICE OF THE TOWN CLERK "110142,
Town of SoutholdG
Judith T. Terry, Town Clerk ti.^N Application No.7?-7
Town Hall, 53095 Main Roady
P. 0. Box 1179
5- , jr Construction
Southold, New York 11971 •
t7 Alteration
Telephone 14/1 r ��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 $
DATE February 19, 1993
APPLICANT NAME: Garrett A . Strang, Architect for Lieb
APPLICANT ADDRESS: Main Road, P .O. Box 1412
Southold, New York 11971
SEPTIC X CESSPOOL X
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
One ( 1 ) 900 gallon Septic Tank
One ( 1 ) 8 ' x 12 ' leaching pool
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Mr . & Mrs . Mark Lieb
OWNER MAILING ADDRESS: 20 Harkim Road
Greenwich CT . 06831
OWNER PROPERTY ADDRESS: 14990 Oregon Road
Cutchogue, NY . 11935
TELEPHONE NUMBER OF CONTACT PERSON: 516-765-5455
TAX MAP NO. : Section 084 Block 01 Lot 02
CROSS STREET: +1- 750 ' West of Bridge Lane
BUILDING PERMIT NUMBER CROSS REFERENCE:.
Signature of Applicant
RECEIVED BY:
ar To n Clerk's Office
DATE:
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pRoP it BARN��-- �9' PROP
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ceIST Y1
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PLEASE N A70t
Sanitary SyStFi7i IS to ��
placed under driveway area. , SINGLE FAMILY DWELLING ONLY I
EXPIRE.S� 3 YEARS FROM ?ATE OF APPR3V ..
4 v,
911 s3o o—
SUFFOLK COUNTY DEPT OF HEALTH SERVICES , j
FOR APPROVAL OF CONSTRUCTION ONLY
1 I
DATE •i No .91 1+ —
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APPROVED 1rif'F
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",'tit
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THE WATER SUPPLY AND • GE DISPOSAL . .
. .
. SYSTEMS FOR THIS RESIDENCE WILL CONFORM `:
TO THE STANDARDS OF THE SUFFOLK COUNTY
, :DEPARTMENT OF HEALTH SERVICES.
APPLICANT 145.111'r
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SPEC T,ISLE 19/496E, /,V
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SCALE 1'i ' REVISED
DRAWING N9
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Main Road P.O. Box 1412 Southold N.Y. 11971 DATE JA,..) . 2 7 •qz.,, 2.- i T-72., i-_,----.....-LI L.-1:- "r;_)C----f-Cr-C-'4A-4:1- 6 -1:7 --
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