HomeMy WebLinkAboutMagen cOf ULA-t,
Town Hall, 53095 Main Road
�;? P.O. Box 1 179
'' Southold, New York 11971
JUDITH T.TERRY TELEPHONE
TOWN CLERK <!:�/ �ll (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. 407 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : LYNCH HOMES, INC.
Address 1 : 321 COUNTY ROAD 39A
City St Zip SOUTHAMPTON NY 11968
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY SUFFOLK COUNTY DEPARTMENT OF
HEALTH SERVICES.
Name Of Owner MAGEN, NINA S.
Mailing Address 1 8445 151ST STREET
City St Zip JAMAICA NY 11432
Property Address 1 THE STRAND
City St Zip EAST MARION NY 11939
Tax Map No. section 21 .00 block 5 lot 1 .000
Cross Street THE LONG WAY
Building Permit Number Cross Reference:
Issue Date: 10/05/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
,� a
I •A,1111 •
i5 • Cir
1+C)-1
''/'dun
•
• Town Hall, 53095 Main Road
OCT - 41.., 8 � � Tr r, _ jY P.O. Box 1179
�'`" �' Southold, New York 11971
JUDITH TE'_se..._- TELEPHONE
TO\VN CLERK ELoG.DEPT 271
REGISTRAR OI vj ,YON:I,1,OF SOUTHOLD (516) 765-1801
-OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Victor Lessard, Southold Town Building Department
From: Linda Cooper, Southold Town Clerk's Office
Dated: October 4, 1988
Transmitted herewith is a copy of application No. 413 for a Cesspool/
Septic Tank Construction Permit submitted by:
Lunch Homes Inc. for Nina S. Magen
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
_ I
DISAPPROVE
Comments: � cazi ciZtel•
cue-o-asx s
aC. oLJ
Signature ,x
Dated 3\ l
OFFICE OF THE TOWN CLERK 0 D t�
Town of Southold 1 , Application No. / /���'
Judith T. Terry, Town Clerk , , •
Town Hall, 53095 Main Road c 1, Vat Construction
P. O. Box 1179 .04=' J
Southold, New York 11971 � ® Alteration
-flY •
Telephone _vl [ 'I\ 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 $ e
DATE- ,
APPLICANT NAME: Lynch 1 tone ) Lnc
APPLICANT ADDRESS: 3.2,( &ad c3q A
t.t 4-ha rn pivic) , N . . l l q
SEPTIC CESSPOOL}d
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
Singe e - antra j C1-&0`e.-
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: N (Nc, S . (1e)
OWNER MAILING ADDRESS: ���5' t5► S•
Jam Ica, N, L • /l4'c3a—
OWNER PROPERTY ADDRESS:5 ' S.w 7ri tains way or. The S C,nd
os.) Noll tck- LK ( aj+ Mar/oh
TELEPHONE NUMBER OF CONTACT PERSON: 2-$3 - 000C
TAX MAP NO. : Section .:71-'1 Block b Lot --1---
- CROSS STREET: The Lon: ("fay
BUILDING PERMIT NUMBER CROSS REFERENCE://
Signature of Ap i ant
RECEIVED BY:
RECtliffi Town Clerk's office
DATE: 0 .! D,a 1933
Town -Cloth Southold - - .
_O
:= \)
0 /
J •IOC) / %9 ,
\G} S00 •
#A09 . c-16.
g 6, <,.
\'� ��+. o
/ 6 eco �-0
cP
•so / .
,( r s
.4Y, Vs%s'' 3e- • / C0� p`O
/7 c...7-_, 6.-N.e.ttp•
.s 0p��.0
o'/
/ `.'/O 'O. S4'‘.1.0
• O„pg VII
\\
Q C2
p�FF 4,p •7T`9 ...r. �.`8 ! y v
• PpGy p�� d..01 /00. �� ``� �Q° `'/ neo �Qo h0
4 ;y .p�0•/ �q .
A
v
4v .a p.D
c� �' 9} \ f +
'Q
P4 IA
r. LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD • 4 4 •
SERVATIONS AND/OR FROM DATA OBTAINED FROM OTHERS r
`,0 6 -
WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL /d ,0
VFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT OF HEALTH �•l \ /
ei
RVICES + aaVVV////
'PLICA'N,T- - - - - - - - - - - - -
�
--
)DRESS'- - - - - - - - - - - --- - �� a\
--- - - -- - --TEL -- - - - - - - -
LJFFOLK COUNTY DEPARTMENT OP HEALTH SEWTCS1.
►,
FOR
' APPROVAL OF CONSTRUCTION ONLY
ATE i B-IK 0JHS REF. NO. JI
O I r6 A 60 ,
. .
,PPROVED
__22.,-,...:7-.7 ' .C....-/'
3'