HomeMy WebLinkAboutCarita, Robert ,,�� sVfFO(,�ee
JUDITH T.TERRY � _� y< Town Hall, 53095 Main Road
TOWN CLERK y Z P.O. Box 1179
$ Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER :`yif' O�' � Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER Ol 4, 1.„10
Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER ������„ .••��
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1509 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : EAST ISLE CUSTOM BUILDERS, INC
Address 1 : 278 JAMAICA AVENUE
City St Zip MEDFORD NY 11763
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR A NEW SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. SCHD REF. #R10-06-0056
Name Of Owner CARITA, ROBERT AND SHARON
Mailing Address 1 C/O EAST ISLE CUSTON BUILDERS
278 JAMAICA AVENUE
City St Zip MEDFORD NY 11763
Property Address 1 OREGON ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 83.00 block 2 lot 19.001
Cross Street DUCK POND ROAD
Building Permit Number Cross Reference:
Issue Date: 7/24/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
7._c°1/7
,,�•,o��StFFO(��oG
JUDITH T.TERRY 0k =� y` Town Hall, 53095 Main Road
TOWN CLERK ; y Z 1 P.O. Box 1179
v- ,�% Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER .44, �� �1�' Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER �•/ * .01 0 Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER ..01°
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD , (� V7
- n' !
TO: Southold Town Building Department 9 is
FROM: Linda J. Cooper, Southold Town Clerk's Office .__. .
DATED: July 18, 1996 TOv
Transmitted herewith is a copy of application No. 1574 for a Cesspool/
Septic Tank Construction Permit submitted by:
East Isle Custom Builders Inc. for Robert & Sharon Carita •
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 rreecommendations:
/
APPROVE 4
DISAPPROVE
Comments: -Q "CZ4/11.7
i
�-;g4C11 /' di I '
'gnature ,l/
/07 90
Dated
•
GFVICE OF THE TOWN CLERK
Town of Sout1�`ol+� SWFU� =
Judith T. Terry, Town-Clerk' ti� �Oy Application NIS?,
y �': .G $10.00 - Residential i/
Town Hall, 53095 Main Road
P. O. Box 1179 s
` ' $25.00 - Non-Residential
Southold, New York 11971 V6 - '° -0�•W$
Telephone �� ►'
(516) 765-1801
•
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION •
for dew` r,44)44,
VallfallaWN PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ • 10
• DATE July 9, 1996
'OWNER NAME: Robert & Sharon Carita (was Harris, Slaga & Bruzdoski)
•
OWNER MAILING ADDRESS: c/o Builder : 278 Jamaica Avenue,
Medford, NY 11763
OWNER PROPERTY ADDRESS: n/s Orecton Road
Cutchoaue, NY
OWNER TELEPHONE NUMBER: 345-5264
TAX MAP NO. : Section 83 Block 2 Lot 19.1
CROSS STREET: 300' e/o Duck Pond Road
TYPE OF SYSTEM: Septic Tank New Existing
•
Cesspool x New Existing
Residential x Non-Residential
DATE OF PREVIOUS PUMP-OUT:
LOCATION MAP: Must be attached hereto before permit may be issued.
(Locate building and system; give north arrow and feet
of distance, approximately, to building and closest road.) -
A) Ew StNGc 11 (
1�
rem Sign ^". - •f Applicant
Richard Op.- � ., President
EAST ISLE CU '""�,' = ILDERS, ,INC.
RECEIVED BY:
Town Clerk's Office
DATE:
1
1
SINGLE FAMILY RESIDENCE ONLY
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APPROVE+ .
FELLINGER — IHAR O1 l.2/W z 1 FOR MAXIMUM OF • BEDP.o+ ` _S
CONC.
(RECHARGE A(VACANTREA)E A) • Off'�' MON' SIRES THREE YEARS FROM DATE OF APPROVAL
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