HomeMy WebLinkAboutLengvel ELIZABETH A. NEVILLE _& Town Hall, 53095 Main Road
TOWN CLERK h 7.4
P.O. Box 1179
Southold
REGISTRAR OF VITAL STATISTICS New York 11971
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MARRIAGE OFFICER Fax,gi �4���, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER � �®d r• Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER,,,,,�'� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2894 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : LISO CONSTRUCTION CORP -
Address 1 : PO BOX 439
City St Zip JAMESPORT NY 11947
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-01-0260
Name Of Owner LENGVEL, ANNE
Mailing Address 1 26 OAKLEY DRIVE
City St Zip HUNTINGTON STATION NY 0000
Property Address 1 PLUM ISLAND LANE
City St Zip ORIENT NY 11957
Tax Map No. section 15.00 block 5 lot 24.018
Cross Street PARKVIEW LANE
Building Permit Number Cross Reference:
Issue Date: 9/24/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
c
402 37 V
ELIZABETH A.NEVILLE /ht '.:74; Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS V
Southold, New York 11971
MARRIAGE OFFICER `� ,fi �tle+, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER =,_�®1 $�',i� Telephone(631) 765-1800
F t EDOM-OF_INR fRMATION O FICER ���,���� southoldtown.northfork.net
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4 j OFFICE OF THE TOWN CLERK
!.a:,'i SEP 8 2 2002 , y; TOWN OF SOUTHOLD
L_ ___________f i
Tr:;'-';r:
TO:--- ,—`=Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: September 9, 2002
Transmitted herewith is a copy of application No. 3004 for a Cesspool/Septic Tank Construction
Permit submitted by:
Liso Construction Corp.
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 location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: ��r � � .—
`7/Ze—,41, 4-_,
Signature
)7/.//.,04-.2—.
Dated
OFFICE ( THE TOWN CLERK
Town of Southold ,o���f0(Ir�;-
Judith T. Terry, Town Clerk ��'l •
Town Hall, .• i ., • OG_`.
Application No.3004
P. 0. Box 1179 ',.
Southold, New York 11971 ` a " ` '� ; Construction_�_V%
tn. ;:,.''ti,. *.
,, ��� Alteration _
Telephone :O TV--
Telephone
__.
(516) 765-1801 '='40'? ��0 .. $10.00 - Residential `V --
., "l• i $25.00 - Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ {
1
DATE
-_SG Q 1 q co
APPLICANT NAME: —�,__ , c_ _ _____e_____:
_ �r0 r CT �eo It P. ---_-`--
APPLICANT ADDRESS: y � � `V`
SEPTIC 1,"..---"CESSPOOL 1/ -- - `-- ---- -
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
--- - . 0 /Ve— -�d`.� _.________
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: . C et..i .Vi.i.L
OWNER MAILING ADDRESS: -
_fit-!'""Lc-►G=Low S I Pp, N/t
14.
OWNER PROPERTY ADDRESS: 7- vy,.t_ t 5 L�i„kb —DA ``
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section _Block__
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CROSS STREET: i�la. q.�,vL -� ---Lot-�� j�
BUILDING PERMIT NUMBER CROSS REFERENCE: _—_--"
Signature of Applic nt __g____i_d--'3---
RECEIVED BY: 6-0)14.4A__
Town Clerk's Office
DATE:__ 01(01,.
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SUR��„ �r O LOT # I-74 N
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SITUATE: ORIENT s
, TOWN: SOUTHOLD
SUI=IoOLSGOU NTY, NY I �n ,. ,,
SURVEYED 11-08-01 Vac art
AMENDED: 12-04-01
CERTIFIED TO:
ANN LENGYEL
FIRST AMERICAN TITLE
• INSURANCE COMPANY S88°57'40„E
TOPAZ ABSTRACT CORP. 3 21
TITLE # T 29060 'C'
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NOTES:
1111 MONUMENT
Vacant I
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0 PIPE
A STAKE
AREA = 1.18 ACRES
1
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1GRAPHIC SCALE 1"= 50' k
- — -- �v Lac
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