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HomeMy WebLinkAboutLessard, Ruth • ,,,,o�os�fFO0 ELIZABETH A. NEVILLE 01,h� Gyd •; Town Hall, 53095 Main Road TOWN CLERK ti - P.O. Box 1179 REGISTRAR OF VITAL STATISTICS ,i Southold, New York 11971 MARRIAGE OFFICER 1i �s Fax (631) 765 6145 RECORDS MANAGEMENT OFFICER "'/RI �a�'ii• Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER - -- .9" OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2361 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : RuTii LESSARD Address 1 875 ALVAHS LANE City St Zi CUTCHOGUE NY 11935 Descripton of Proposed Construction or Alteration SANITAR`> SYSTEM FOR SINGLE FAMILY DWELLING. APPROVE['. AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEAL-1 SERVICES. REF #R10-00-0079 Name Of C. ner LESSARD, RUTH Mailing Aci:.:iress 'I 875 ALVAHS LANE City Sc. Zi! CUTCHOGUE NY 11935 Property !Address 1 GRANT BLVD City St Zi11. ,,IATTITUCK NY 11952 Tax Map Ivo- section 139.00 block 3 lot 4.001 C.-oss Stt' ivi'CDLE ROAD 3 i� inr� I°ormit Number Cross Reference: Issue Date: 7/07/00 Elizabeth A. Neville "'- Southold Town Clerk (TOWN SEAL) )--3G goo AFF� � ` Fl _--� ELIZABETH A. NEVILLE f /i ; ' . all, 53095 Main Road TOWN CLERK ti1 ; q q zoo ' P.O. Box 1179 REGISTRAR OF VITAL STATISTICS t v, ��•�u� ...t old, New York 11971 MARRIAGE OFFICER :�,l,iLL ,1 (631) 765-6145 RECORDS MANAGEMENT OFFICER 7Q ' 1 E9 Civ•DrPT Te1e hone (631) 765-1800 FREEDOM OF INFORMATION OFFICER .� • GF SCiiTHO!C) OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: July 5, 2000 Transmitted herewith is a copy of application No. 2449 for a Cesspool/Septic Tank Construction Permit submitted by: Ruth Lessard 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. Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and loc n map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: Signature 7 Rib 0 Dated + OFFICE OF THE TOWN CLERK so, -If � f TOWN OF SOUTHOLD ��� (i /�' Application No. agt4 LLIZABETH A.NEVILLE,TOWN CLERK P.O.BOX 1179 F.. Construction SOUTHOLD,NEW YORK 11971 Alteration Telephone ‘�� ������ $10.00 - Residential (516) 765-1801 Ol *�,►o'. $25.00 -Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT , RECEIVED APPLICATION , JUL OS 2406 for unithold town Clerk CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ DATE O7- t73- o6 APPLICANT NAME: K-114- LC- #-tb APPLICANT ADDRESS: '7S 4LLJA4}S LA C-U-MbfoGAitr I t13� SEPTIC ✓ CESSPOOL' ' DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION IJ 1 Co1,3 Teucn© J - Z r- czoom I Sroe.,-1 i2�5► .±ccs LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: JT* Le i t2 OWNER MAILING ADDRESS: eq f}Lugr}S L.F1 Cure ti-06dd' NJ-4 i 03,s- OWNER 3:s'OWNER PROPERTY ADDRESS: s/€ t„,11,ce3. Ak.A nAt - E,t -I-e_osNk.L.,;% ea4 to G• • o A-0 a- r4;kp !0e,4,.rr 131.4D. N9ali�ru4k� TELEPHONE NUMBER OF CONTACT PERSON: alf5 -EnoZ, TAX MAP NO. : Section 1361 Block Lot q• CROSS STREET: BUILDING PERMIT NUMBER CROSS REFERENCE: Signature of Applicant RECEIVED BY : 411rA o Clerk's Office DATE: t SIO 0 , .4*ilia 1 1 [—SURVEY OF PART OF LOTS 15 * 16 N "AMENDED MAP��OFI� MATTITUCK HIEGHTS" SFPTc nFT PROPERTY OF/SUSTAV BAYER b. 0, A^'n".c'' o scale FILED'T 24-38 AS# 1184 p„ vi,xi 1 W E SITUATE, MATTITUOK P J' ;A�` TOWN SOUTHOLD 0,,a ,y, S "V,„ r:_ ' ,�,,h^ SUFFOLK COUNTY,NY I �^r — SURVEYED JAN.23,2000 AMENDED JUNE 21,2000 y��.a.. SUFFOLK COUNTY TAX" , \� Ica)-139-3-a.1 �� IC SUFFOLK COUNTY DEPARTMENTOF HEALTH rH SEItVtCES CERTIFIED TO: zJ.�e( \ � Q -� \. `ill \. PERMIT FOR APPROVAL OF CONSTRUCTION FORA TEST HOLE RUTHRUTH LES5ARD "e SINGLE FAMILY .^� LE SARDH LAND TITLE i,'6 �� RFSI7EN ONLY (not CO SGOIe) INSURANCE COMPANY -, / . '4<.? S58o \ ..7E G�3��o� Fi�Rp, /it G-O��CI,��I ' q.�ti. OSS3 . ���UIQ AP ,. ,_ C}(�� - Y _ _ FOR MAXA!11N1 OF BEDROOMS t I : S., o .,".. 10 p o__-- ' J2S ` ,I�fRES THREE YEARS FROM DATE OF APPROVAL 47, � o� ti F ® �°i\ ��a/ :. �. '. \A . c, A s ,/ -5 L w ygs gVV kS ^', 1L� BSSS. '' � , r A I r 4.7" , 3 � 04 d,c 0 4., � , ' °� • o# Dj qr� i4,G� I �' � 1 17 Nk�,t ~ `" C I NOTES. L �t .. y • MONUMENT 1 _ •!e t' stir ,+ \N O PIPE S j AREA=12500 OR 0.29 ACRES JOHN C.EHLERS LAND SURVEYO'. " v a a oo > N.Y.S.LIC.NO.5020 6 EAST MAIN STREET GRAPHIC SCALE I"=30' RIVERIIEAD,N.Y.11901 _. ... __ 369-8288 Fax 369-8287 REF.-TIGER\PROS\20-11