HomeMy WebLinkAboutCorey, Roscoe ' "°CSFOur
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lir
°. Town Hall, 53095 Main Road
-�� •� P.O. Box 1179
ill ‘N17' 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
November 12, 1987
John Bertani Builder Inc.
• 1380 Oakwood Drive
Southold, New York 11971
Re: Roscoe Carey
Clearview Road
Southold, 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 withthe 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,
• Judith T. Terry
Southold Town Clerk
Enclosures (3)
JTT/Ijc
OFFICE OF THE TOWN CLERK cOfo(k�+�"
Town of Southold �� • `'
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
%NO 0
Telephone - 1t 10.,v1'
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 254 Residential • x
Fee $ 10.00 • Non-Residential
Septic Cesspool x
•
PERMIT ISSUED TO:
NAME: ,IQhn Bertanj, $gilder Inc.
ADDRESS: 1380 Oakwood Drjye
Southold, New York j1971 •
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New Single Family Dwelling with Cesspool System .
APPROVEQ •as per Suffolk County _Health Department approval.
LOCATION OF PROPOSED CONSTRUCTION 'or ALTERATION:
OWNER OF PROPERTY: Mr. Roscoe Corey
OWNER MAILING ADDRESS: Box 1698
Soy_thold, New York 11971
OWNER PROPERTY ADDRESS: Clearvjew Road
Southold, New York _
TAX MAP NO. : Section 88 Block Lot p/o 11 .1
CROSS STREET: Main Bayyiew Road
BUILDING PERMIT NUMBER CROSS REFERENCE:
Judith T. T ry
Southold Town Clerk
DATE: November 12, 1987
(TOWN SEAL)
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0 41
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`0 ' ' ��,I$ Town Hall, 53095 Main Road
y,4 11 • • P.O. Box 728
•,,,• Southold, New York 11971
lirlit-' ,....I.' A ' .
JUDITH T.TERRY TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
k...i(tA
November 9, 1987
To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk-
Transmitted
lerkTransmitted herewith is a copy of application No. 258 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by John Bertani Builder Inc. for Roscoe Corey .
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.
e".41.1411.41("rms°61. 41,11.46
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 - X
DISAPPROVE - nn
• COMMENTS: 0.,0 ° t 1 � ..0. I •
111
)04101.4
t Q .£ . -
Signature
I,/ toll 7
Date
OFFICE OF THE TOWN CLERK
Town of Southold
d,SeJudith. T. Terry, Town Clerk Application No
Town Hall, 53095 Main Road Construction .�
P. 0. Box 1179 Alteration
Southold, New York 11971
TelephoneResidential ✓
(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 $ /O
DATE Non . 9 lqi-7
. 2
APPLICANT NAME: . oda P)eaTAN ► 1;butc.pr-r2
APPLICANT ADDRESS: $O OA44ND0o D2iQC
SEPTIC J CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: HQ pccic „Co y
OWNER MAILING ADDRESS:�pX Uogg a, _gi,_ ( 19171
OWNER PROPERTY ADDRESS: C LEAP..V I et,...) ec) A Q
› v` tN.e.LO
TELEPHONE NUMBER OF CONTACT PERSON: 'Mc—/6q4
TAX MAP NO. : Section 0.8"/ Block 3 Lot P f o if , I
CROSS STREET: it-4 A,N f.3d / V.egiculn
BUILDING PERMIT NUMBER CROSS REFERENCE:
4t/yLV
Signature o Applicant
RECEIVED BY: af-ex.a..-.9 _
Town �lerkrs ice
DATE: /1 9- r ?
Y 11 1 I 11 II I III u 1 II 1111 111111 11111,11111Mic HI 1W... .... . . ..•_..•.-.��� _ -..,--,..... ......,rholl 1 I II 1 IIIIIIII
SUFFOLK CO. HEALTH DEPT. APPROVAL
H. S. NO.
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;v " +`. ' - P20P,P ^ uS. .M FI t-f:1-' MAJ.:).
rr 1 � FAMILY DW STATEMENT OF INTENT
.-.. '� ;:4t. ., -` P,. - r> t tc:l�',.;:�'2~ "t`v Est :. . r . 1. k �f. SINGLE
C• - �, -f'- ( THE WATER SUPPLY AND SEWAGE DISPOSAL
. � , '� �`,r$ ` p ' y
SYSTEMS FOR THIS RESIDENCE WILL
1 CONFORM TO THE STANDARDS OF THE
f,�• '` " � �. �� "' _ SUFFOLK CO. DEPT. OF HEALTH SERVICES.
' ` « is ac. APPLICANT
\ .
f'�1, `! ;�. SUFFOLK COUNTY DEPT. OF HEALTH
�`- ` � ` '"g��s��: �i ► !�`� I' SERVICES — FOR APPROVAL OF
1,:.',4''''• -' • (�� `-�-�4 ....... .., i :. r ', ONSTRUCTION ONLY
,. �`' , _ `� ,` , A;"i,w - r'`i..,,1:'rl_ :-,:.....z.,,,.; ..g ..-.1.{ DATE: 0 ..
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� > / r r ; T.i-"L1 146. U'I.-iiL,501 APPROVED: a- .'! 1y� ,
,,,` .-...,„/ .i . ,i �,�.. , it S� ' ' r^' •
SUFFOLK CO. TAX MAP DES NATION:
4 � ``,... 'l � •r,,, L
SECT. BLOCK PCL.
• -,,.j �,' X 4 `— ./ OWNERS ADDRESS:
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V`` V ,1 '0\c 1 , i 5w-p. aL9 11477.*I � `
• �� '`*` . ► -, k DEED: L. P.
PLEASE NOTA '�-. .�� 7 •
f' .,, _ '' J''` , ,r'4 a 1., ' „} TESTHOLE STAMP
the licant's responsibility to , f r . k , Un.rK ,; .+�t.�«, addition
L. it is ♦] i •. w O A aWVAy iso violation of
t 'rnsMta�1 t� Istanae. '"/ a New York EStnta
, . 4•' 0 4�~ b C" 1 '`''`I'7)7ra" til
between ail water supply'and sewage : . , , '',, - + .f,c,it, w.
disposal facilities. ., -' �►., t Cv•..«,,nr e�� iv t Waring
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wawa* �' "� r �'•*e S f `� ,4 -' /�i wn �� lha 4�ui surveyor's fNcc�d seal a
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, olna iibCi NAl shell net y0 oon erect
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