HomeMy WebLinkAboutOvsianik (3) 1
Town Hall, 53095 Main Road
` P.O. Box 1179
Egs 1% op.' Southold,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
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 371 R Residential X Non-Residential
Fee $ 10. 00 Septic Cesspool X
PERMIT ISSUED TO:
Name : OVSIANIK, JEFFREY & CYNTHIA
Address 1: 1405 LITTLE NECK ROAD
City St Zip CUTCHOGUE NY 11935
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED AND AS PER SUFFOLK COUNTY HEALTH DEPARTMENT
APPROVAL OF 6/24/88.
Name Of Owner OVSIANIK, JEFFREY & CYNTHIA
Mailing Address 1 1405 LITTLE NECK ROAD
City St Zip CUTCHOGUE NY 11935
Property Address 1 40100 MAIN ROAD
City St Zip PECONIC NY 11958
Tax Map No. section 86. 00 block 4 lot 1. 005
Cross Street INDIAN NECK ROAD
Building Permit Number Cross Reference:
Issue Date: 7/11/88 - Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
ffe
4/0'tvti
+ CP .Illy
y
'▪ 12 tj04
��. __:,,,i TV �`�+ ; Hall, 53095 Main
, Road
BLDG DEBT. �. u� � "t Townoa
TOWN OF SOUTHOLDP.O.4• P O Box 1179
Southold, New York 11971
JUDITH T.TERRY t/
TELEPHONE
TOWN CLERK • ��/'
(516) 765-1801
REGISTRAR 01-VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Victor Lessard, Southold Town Building Department
From: Linda Cooper, Southold Town Clerk's Office
Dated: July 8, 1988
Transmitted herewith is a copy of application No. 373 for a Cesspool/
Septic Tank Construction Permit submitted by:
Jeffrey and Cynthia Ovsianik
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
DISAPPROVE
Comments: M Ck3Crek tir oft.)-0-4-ka
5.t). N . >>a{P C.\ \��
d�-
Signature
Dated
-
OFFICE OF THE TOWN CLERK �� FOU'
Town of Southold Oma.
. �r Application lication No. 37.3
Judith T. Terry, Town Clerk xt ti
4.
Town Hall, 53095 Main Road __ x Wig Construction
'rte`tip
P. O. Box 1179
Southold, New York 11971 � Alteration
Tele hone C Residential L�
(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 $ /a
DATE -pti) /- 1-6/8• 5
di
APPLICANT NAME: 6 ` try tcyvsi c1MLJU
APPLICANT ADDRES : 21-10 5 -&-( ,{S / PA> .
Okt chg4)-e
SEPTIC CESSPOOL / •
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION Nt= ' S�►�J�T�'
rm P V0 E= 1.-!_. 1 euis W ;i S P a o t_ s s i 1 hw
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: 0
OWNER OF PROPERTY: 4e i /> eclo,^, ,, ,,
OWNER MAILING ADDRESS: ) t riLA
•
Njifhy 171;td tit Q?
OWNER PROPERTY ADDRESS: 40100 itlairtj
-e esti cj I1a5&
TELEPHONE NUMBER OF CONTACT PERSON: �3q - 553-1
TAX MAP NO. : Section Deb. OO Block O'-l. On Lot -00 ) 1) 005
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
x •
f 07111044;74
Signature of Applicant
RECEIVED BY: (�c�
Town-rark's Off ce
DATE: RECEIVED
0 81988
Town Clerk Southold • _
I r'
PLEASE 'NOTL 1t.'
Requires septic tank , �� PLEAS NOTE
,,; ��rer tv grade.
it is the applicant s mponsibiiity ta-
• : maintain adequate sari#ary distanc
T ,
1,•/- c �,,-`f , I between all water 'lip and sewa ;
ii-y,� ,�J I s,' disposal facilities.
o�' tiI ,
r1 '-
Iccs,iR'co 2 ,a v
1 eye ac
•
rm.* ,A,/ I cT) N Q. —
a(I)
---\ t CCX Is it ,
• 01 f. _
\O a W I 1 Vim..►�
�- ® ` 4 orsa
a _0 _n
%) � 0 1
q} I\ I o c G� ^c� Com ,
II -�- t \ , s df ..-J'"..„5" ----_-....,7„..7-.4
z 75'' I -
_ �I 3 tt
yam. " I 1 cr
i + c,
I �_;t:. t 3�a
J y'? `,• W tr,
% , 0 -- I \)
,`� ______U
). : z5 Lof ��, c
N I �'
v �' est
!� c.. \ C, it
L `' L,J t i
i-± (L
/. ,C, i a .t+, u
—E---- SSG `v _ -_ —`� 'n t--,..1 ..4; .:
•
.49,e2f F'G '. .TEF /7 Ad/�_ :�!!�
Lar• 3 `F��wic .vyC'G�-� c - - - —- -- Z.--.4.e ' .,�� : - `-';k*`;'\
�OG57T/ceI• �'G` o,u/�� TaK''v_� UTyv.c.O �2J,z-iC'cJL•✓6v..vy? - 7"..)Y( %c,frte ' •,y "4-.,U.S+.evu Q '�
r4-�o X•.5Q✓r�Y.o t....7�,vv�,v�1�'..s0•ut.,�y/Zkra4.�i /7,�ly;1 T_f rc-- •
.1 a
A v'
4. 04,-A„...„),-,a6, STN t' . r . �, v 6 9...::„."-/ '
y`• S..G:sem_ t'.--
_ .