HomeMy WebLinkAboutCherepowich, Joseph NO z d
Town Hall 53095 Main Road
'At,
P.O. Box 1179
`;};( ' `f+` Southold, New York 11971
JUDITH T.TERRY TELEPHONE
TOWN CLI RI.. (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
October 15, 1986
Long Creek Homes Inc.
Main Road
Box 439
Jamesport, New YOrk 11947
Re: Joseph Cherepowich
Main Road
East Marion, New York
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,
gl lerm•It 4 Vegodli .
_ U
Judith T. Terry
Southold Town Clerk
Enclosures (3)
JTT/Ijc
OFFICE OF THE TOWN CLERK c\\VFO(/re,"
Town of Southold DSO OGy
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road -
P. 0. Box 1179
Southold, New York 11971
Telephone X01 „
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 59 Residential XX
Non-Residential
Fee $ 10.00
Septic Cesspool XX
PERMIT ISSUED TO:
NAME: Long Creek Homes Inc.
ADDRESS: Main Road, Box 439
Jamesport, New York 11947
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New One Family Residence
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: JOseph Cherepowich
OWNER MAILING ADDRESS: Gillette Drive
East Marion, New York 11939
OWNER PROPERTY ADDRESS: Main Road
East Marion, New York
TAX MAP NO. : Section 38 Block 1 Lot 1 .1
CROSS STREET: Gillette Drive
BUILDING PERMIT NUMBER CROSS REFERENCE: Pending
Judith T. Terr
Southold Town Clerk
DATE: October 15, 1986
(TOWN SEAL)
1111
<f,
•
1986 r77
p ' Town Hall, 53095 Main Road
-'.'.. _4.0/ • P.O. Box 728
• Southold, New York 11971
•
JUDITH T.TERRY TELEPHONE
TowN CLI RK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
October 3, 1986
To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 58 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
-.,. submitted by Long Creek Homes Inc. for Joe Cherepowich •
Please review the application and location map and advise if the
project has received Suffolk County Health Department approval
and if we may issue the permit.
Please complete the form below and return it to my office.
Thank you.
Judith T. Terry
Southold Town Clerk
• I have reviewed the application and location map of the project
cited above and make the following recommendation:
APPROVE -
DISAPPROVE -
COMMENTS:
Signature
Date
OFFICE OF THE TOWN CLERK
Town of Southold
Judith. T. Terry, Town Clerk Application No.
Town Hall, 53095 Main Road Construction
P. O. Box 1179 Alteration
Southold, New York 11971
Telephone Residential
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
C7
Permit No. ��
Fee $
DATE /6'/3/(r
APPLICANT NAME: ,••`•:� -r�� • o /vG .Q _ - -._- ��-!�'
APPLICANT ADDRESS: n � i.L Q.i5 _ (30-ze Cf 3c(
s PvAL-z N-y . // Y7
SEPTIC /CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
v/s. /i4 f^I i "K
LOCATION MAP: Must he attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: N.S c) G E-E a {Ja 1,telG64.
OWNER MAILING ADDRESS: LL47E i> 2
,E,v 57 /7 p-!2- N ,/.L/-
s/s
OWNER PROPERTY ADDRESS: /l-1<<y ,4() - Lr-/.4 <-7- /1,y ,Q�G/-',
/0a / 1F •/z_z_s t 1sk—
TELEPHONE NUMBER OF CONTACT PERSON: Z.2...2- ///'g/
TAX MAP NO. : Section O 3 p Block / Lot /,/(/p,,i
CROSS STREET: L L 1 E P e
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Ap scant
RECEIVED BY Ara .1
Town C rk's Of ce
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