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HomeMy WebLinkAboutCassidy, Joseph Jr „,''%SUFE° 4/ • i -1" E!: : Ln ' ` „ , p �' Town Hall, 53095 Main Road = t�1 ir ���” P.O. Box 728 " ,,go' Southold, New York 11971 .....ii JUDITH T.TERRY TELEPHONE TowN CLI- (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD July 23, 1986 - Robert Johnsen 4300 Soundview Avenue Southold , New York 11971 Enclosed herewith is the Construction, Alteration or Modification Permit for a Septic Tank or Cesspool System for which you applied. Please be advised that each owner of real property operating an on-site sewage disposal system, such as a septic tank or cesspool must, prior to such operation, possess in the name of the owner an Operation Permit for the system. The Operation Permit is issued by the Town Clerk's Office. ` The fee for an Operation Permit is ten dollars ($10.00) for residential use and twenty-five dollars ($25.00) for non-residential. Please have the owner complete the enclosed Application for an Operation Permit and return it to this office along with the proper fee. For your general information I have enclosed an Informational Bulletin regarding the Scavenger Waste Laws adopted by the Southold Town Board. Should you have any questions pertaining to either permits or the Scavenger Waste Laws, please do not hesitate to contact this office. We will be glad to assist you in any way possible. Very truly yours, - eirrede4;;eeas,,r....,,o••"."•••"'"°° *,..004er 1....04.10.167-..... Judith T. Terry Southold Town Clerk Enclosures (3) JTT/Ijc i OFFICE OF THE TOWN CLERKFULf't. Town of Southold , 0� 4, Judith T. Terry, Town Clerk Town Hall, 53095 Main Road P. O. Box 1179 �`. Southold, New York 11971 Telephone l * *A (516) 765-1801 ' TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 004 Residential X Fee $ 10. 00 Non-Residential Septic Cesspool X PERMIT ISSUED TO: NAME: Robert Johnsen ADDRESS: 4300 Soundview Avenue Southold, NY 11971 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION New System LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: Joseph A. Cassidy , Jr . OWNER MAILING ADDRESS: 39-17 222 Street Bayside, NY 11361 OWNER PROPERTY ADDRESS: 375 Reydon Drive Southold, NY 11971 TAX MAP NO. : Section 079 Block 5 Lot 231 CROSS STREET: N . Bayview BUILDING PERMIT NUMBER CROSS REFERENCE: 151082 400Z;(14q‹..; Judith T. Terr Southold Town Clerk DATE : July 24 , 1986 (TOWN SEAL) VF0 • . 1,. .4...e.a ,,„„. .,.. ...4. • tLi, cill,. ,._ af'3 f`t9 • a=Y; -- Town Hall, 53095 Main Road =_ �t-��''lk P.O. Box 728 �l in. i' ' Southold, New York 11971 JUDITH T.TERRY �.0'"''i'��� TELEPHONE TOWN CLFRI: (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD July 22, 1986 To: Victor Lessard, Building Department From: Judith T. Terry, Southold Town Clerk Transmitted herewith is a copy of application No. 004 for a CONSTRUCTION Permit for a cesspool or septic system submitted by Robert Johnson for J . A. Cassidy Please advise if we may issue the permit. • ,00rdiled a<04,7r: Judith T . Terry Southold Town Clerk Attachments JTT/ljc Potti,-..• - ' x t-; CONSTRUCTION X � ALTERATION O , RESIDENTIAL X *el * *,a!";.' NON-RESIDENTIAL , TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Application No. 004 Permit No. Fee $ / . — DATE 7 - APPLICANT NAME: (ere ( • 5 s fri ( cii -) APPLICANT ADDRESS: '/ 300 Av-� 5a ad SEPT IC VCESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION: PLt� ST e Ap/°kave / iJy 1, PaL paid 9 ' °' LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER NAME: U ��s�1dy OWNER ADDRESS: ' 5 Reyp1o� TAX MAP NO. : Section Q 7 Block C Lot a 3 ( CROSS STREET: N l o jj ; cw BUILDING PERMIT NO. CROSS REFERENCE: 57 d8 Z 'gnature ,f Applicant RECEIVED BY: G ►�-vkd� Town CI k's Offke DATE: c,70? / �� P q_ HEALTH DEPT. APPROVAL - 1 WE..,t,.,---0 ,a i 1 PL i `.,- E NOTE —., 1 ma1r t Kpt . ..P t 8 f si : x ' i Z _ �A 4,.F ^ n ® _ .r -a .vi t Sl.,,wlY 8-.t. sewage •, ' ° .,_ THE WATER SUPPLY AND SAGE DISPOSAL L(�ie�Q� .... -- . �. SYSTEMS FOR THIS RESIDENCE WILL �' .-...�.� � A_ E CONFORM FORM TO STANDARDS. OF' THE _ .- ... 3 E, \ -' 2 SIrFFc�L DEPT. A#,.T,�s S. yr 21- _--- --- (o s� ° APPLt NT r SUFFOLK COUNTY DEPT. OF HEALTH Y 1 to -"� ',. �1..! ` \ frl -- SERV ICES -- FOR APPROVAL OF ; '" PG P iris. ti ION L CONSTRUCT , s , � i i w i � q Se# �- 4. DATE' i� /' © ,� i ""` .� j i v ;ti H. S. REF. NO.: til . f 1 ....`.. .. .: % APPROVED' ovED. S1o 'A X MAP 1' ES$GNAT iON: R4:1I i)." SECT. a • tiLI) , � c ( s � QRS� . . ESS: . r' E iJA1�J �:1 L. ,,..,.-, p t; E21�i .1til ;J.� �, ,icE1::� I't:.E� `{ • 12 `. ;:,F= r'� ACAi�;IT, } a - : 1'" i.. . �} -fir-� t4. i ` 12EAS ; ',F DEED: L. 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