HomeMy WebLinkAboutLisante, James OFFICE OF THE TOWN CLERKSVFFU1J% ►"
Town of Southold Olj
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road
P. O. Box 1179 ul
Southold, New York 11971 O �'
Telephone Ol *
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 39 Residential XX
Non-Residential
Fee $ !0.00
Septic Cesspool XX
PERMIT ISSUED TO:
NAME: A. Reilly & Sons. Inc.
ADDRESS: Box 434
Mattituck, New York 11952
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION •
Precast 900 gallon septic tank: 1-12' Leaching pool: 3-4' Rings: solid cover:
Plastic pipe
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: James Lisante and Joseph Lukaszewski
OWNER MAILING ADDRESS: St. Agnes Cathedral
Rockville Centre, New York 11570
OWNER PROPERTY ADDRESS: Greton Court
Mattituck, New York 11952
TAX MAP NO. : Section / v 7 Block o2 Lot &1. 2.
CROSS STREET: Grand Avenue
BUILDING PERMIT NUMBER CROSS REFERENCE: Pending
Judith T. Terr
Southold Town Clerk
DATE: September 18, 1986
(TOWN SEAL)
OFFICE OF THE TOWN CLERK
Town of Southold Application No. 1/
Judith. T. Terry, Town Clerk
Town Hail, 53095 Main Road Construction
P. O. Box 1179 Alteration
Southold, New York 11971
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. C-J7
Fee .$ ,d c
DATE g / g g' 6
eel LLg
y sys / �,vG
APPLICANT NAME: MIL -111011 - :..11c"..�
APPLICANT ADDRESS: 2 X 93 V
m/9i 7/ 77-(Gk , .,c) //
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION hge
loo 6I/4 L . PTHC j/ N K,
j ^ i2 � 1.0 cIiNC; Ido L . 3 - iNG' S
Soi i P Cou i . Pt- AST/ / l Pe
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 37 �1 5 A Sol) jc A_SZ-e c S /<
OWNER MAILING ADDRESS: v f_ fiG-Ai es 697-/-/ i?i-
OOIL g. C'E.,t/ /, tet/ '/ // S76
OWNER PROPERTY ADDRESS: Cl &c• (O T) C T'
/YI A-- r• t_ T U --l<- • Ili y.
TELEPHONE NUMBER OF CONTACT PERSON: p -- C
TAX MAP NO. : Section /0 0 0 Block /0 '7 Lot Da -- 0 3.l 2
CROSS STREET: 1/ A AJ 4O . AP47-7-
BUILDING
47- -BUILDING PERMIT NUMBER CROSS REFERENCE:
_/7t'a'm e
Signature o Applicant
RECEIVED BY:C cYG—
Town Crk's Of ce
DATE:, L /r,. /9g-
..
(, dwelling )
N / 0 / F 0. AN RIG
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. 13 ° 42 ' 10 " E. 191. 00' iinnos's
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A-' T. t!1
v ?' EASEMENT TO TOWN OFI SOUTHOLD tT
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N No 50 ' a
NO- O-
0 y 0 4,f.. LOT 3
0
"9° 9 V
�� LOT I ( dwelling )
40 (IN
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( vacant)
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wy � � `r
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The water supply & sewage disposal sys- {rdn Rt
terns for this residence will conform to the 1
N
standards of the Suffolk County Depart.
mint of Health Betulas. �O�A O \�` \ 's'� 2\� 3 A �-
�N
O 1 ,\ ik , 3 ic. .e
a. s/� S ��"� N. 4594 'rL� ,AAs • �b 18
V 31 snfit�r Q" 'I¢lc a�2 .j9 a
/ � �/� /(9 ' ) cid' ir69z 4+% IA. y`)`o,, Ok
CERTIFIED TO �,�40.0Z
• �`'i e1G�e5 w\
JAMES LISANTE °1 1� 46•oo O 1
JOSEPH LUKASZEWSKI ` f' , 'c
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES tNt Glik l 4 A .
FO APP VAL OF CONSTRUCTION ONLY a<A� �B
i9S�
DATE /9 s F •
N•. •, i — t.
SURVEY FOR �uN 2�
���'
jAMES LISANTE
APPROVED ' ��f fr. S.0 QE{'T. QF
8 HEAITH SON/ICES
SINGLE FAMILY DWELLIN E P Y LUKASZEWSKI
EXPIRES TWO YEARS FROM DATE �1► L TU CK
Prepared In accordance with the minimum 0 SOUTHOLD
standards for tidal surveys as established by SUFFOLK COUNTY , N. Y.
the L.I.A.L S. and approved and adopted
for such use by The New York State Land 1000 I 0 T O 2 03. 12
Title Association. S C A L E I " = 5 0'
JUNE 9 , I 9 8 6
C LANDS
G\�� LOT NUMBERS REFER
- f'p TO" MAP OF GRETON ESTATES"
r�
k '/ FILED IN THE SUFFOLK
►I \ a*f. - * .Y. S . LIC . NO. 49 66 8 COUNTY CLERK'S OFFICE
Tir \-9'), 0 49 p/ SEPT.20 , 1976 AS MAP
CO -ver -t% 1!J ORS 8 ENGINEERS , P. C . NO. 6447
t 5 I 6 ) 76"x- 5020
P. 0. BOX 909 ELEVATIONS ARE REFERENCED TO ,
MAIN ROAD ASSUMED DATUM
SOUTHOLD , N.Y. 11971
4
86 - 320