HomeMy WebLinkAboutFilasky, Leonard I
JUDITH T. TERRY ; y�. : Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
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REGISTRAR OF VITAL STATISTICS : : Southold, New York 11971
MARRIAGE OFFICER yO` �O�' Telephone on(516)
(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. 681 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : LEONARD G. FILASKY
Address 1 : 3 IDA LANE
City St Zip AQUEBOGUE NY 11931
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 12/12/90.
Name Of Owner FILASKY, LEONARD AND ROSEMARIE
Mailing Address 1 3 IDA LANE
City St Zip AQUEBOGUE NY 11931
Property Address 1 1995 ALDRICH LANE
City St Zip LAUREL NY 11948
Tax Map No. section 125.00 block 2 lot 1 .017
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 2/20/91 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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P® 1 41991
TOL.�s,' :�. Town Hall, 53095 Main Road
i ,�. „ P.O. Box 1179
'moi = ' Southold, New York 11971
JUDITH T.TERRY TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Southold Town Code Enforcement Officer
From: Linda Cooper, Southold Town Clerk's Office
Dated: February 14, 1991
Transmitted herewith is a copy of application No. 701 for a Cesspool/
Septic Tank Construction Permit submitted by:
Leonard G. Filasky .
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.
w
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE K
DISAPPROVE
% A,
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Dated
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OFFICE OF THE TOWN CLERK �c)"%, (rD
Town of Southold ice. `"" ' lj
Judith T. Terry, Town Clerk Application No. '10 /
Town Hall, 53095 Main Road t +Vr: _; '�—� Construction
P. 0. Box 1179 # '
Southold, New York 11971 1;40• �. Alteration
Telephone O./ r � Residential i-
(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 $ /0 °$
DATE - 7-/
APPLICANT NAME: ` eovv40
APPLICANT
ADDRESS: � I�S,>! �����
cue o 'c il. % //r3 /
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
2-- S t0 ,�/ l�n /
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: /..otv�r7/)G .7'/,/sK/
OWNER MAILING ADDRESS: Afr 1,52
/9y 730 c /V. 7' l/r3/
OWNER PROPERTY ADDRESS: /f f5 // ic' / i / (/// /7
TELEPHONE NUMBER OF CONTACT PERSON: 72- '3 9
TAX MAP NO. : Section /,01-, Block �-- Lot A /2
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:..
,,e,y6,02,./A/
7e-47
Sign ure of A plicant
RECEIVED BY: yw
Town C erk's 0 five
DATE: 02// di/A/
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1990
�Q\ft ``• rr I or
SURVEY FOR
FILASKY FARMS,INC. •
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICE LOT NO.4, "MAP OF RICHARD J. CRON"
AT LAUREL DATE NOV. I2, 1990
FOR APPROVAL OF CONSTRUCTION ONLY TOWN OF SOUTHOLD SCALE : I": 100
SUFFOLK COUNTY, NEW YORK N0 90-0879
.
DATE 11.-‘).--94) REF. NO., P-r' S C) •_311.-‘).--94) • , � „
$UNAUTHORIZED ALTERATION OR ADDITION TO MIS CERT ET. TD ly
SURVEY 4 A VIOLATION Of SECTION 7209 OF THE F1 S�Y , q `O
�� / NEW YORK STATE EDUCATION LAM ypK
4PPROVED• (-•.-...
% �� ,etc I�VV� MCO►IES Of THIS SURVEv NOT REARMIG THE LAND S UT' a V1j((`��
-r. SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL O "G
n - i. /� /Ar' _ NOT SE CONSIDERED TO BE A VALID TRUE COPY . �"
7 U .. 3 /1/ ?/ $GUARANTEES INDICATED HEREON SHALL RUN ONLY TO ' • Z
THE PERSON FOR WHOM THE SURVEY IS PREPARED 0—.
HEALTH DEPARTMENT DATA FOR APPROVAL TO CONSTRUCT Y .
AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERN-
* NEAREST WATER GAIN—MI • *SOURCE OF WATER PRIATE_PUBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED ..%�,
M SUFI CO. TAX MAP DIST J000 S[CTIOM 12s BLOCK Z LOT_LIZ_
HEREON, AND TO THE ASSIGNEES OF THE LENDING �''n
*MERE ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION GUARANTEES ARE NOT TRANSFERABLE # N
OTHER THAN THOSE SHOWN HEREON TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT . C 45695
WILL CONFORM TO THE STAN 0$OERS
* THE WATER SUPPLY AND SEWAISE F
ME SUFFOLK AL SYSTEM COUNTY DEPARTMENT THIS IDENCE
*DISTANCES OWSHOWN HEREON FROM PROPERTY LINES F�sEO LAND SURAA- 4
TO EXISTING STRUCTUREs ARE FOR A SPECIFIC -�'
OF MEAL TN SERVICES. PURPOSE AND ARE NOT TO BE USED TO ESTABLISH
APPLICANT. PROPERTY LINES OR FOR THE ERECTION OF FENCES
, Po/11)7?/) G •f./ S �
ADDRESS __
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� �� ()0�c,e ,✓r��/ TEL > Z ^�0 :� YOUNG a YOUNG ET NDERIAVENUE
NOTE: ■ =MONUMENT L =STAKE
• SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ALIEN W.YOUNG,PROFESSIONAL ENGINEER
SUFFOLK COUNTY ON SEP 30,1985 AS FILE NO. 7975. AND LAND SURVEYOR N Y.S.LICENSE NO.12845
•
a HOWARD W.YOUNG, LAND SURVEYOR
mIE*TLOCATION OF WELL(W),SEPTIC TANK(ST)111MOWN OWN HEREON N.Y.S. LICENSE NO.45893
ARE PROM FIELD OBSERIATIONS AMO OR DATA OBTAINED FROM OTHERS
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