HomeMy WebLinkAboutCusumano, Irene Town Hall, 53095 Main Road
P.O. Box 1179
.V/ " 1%;#1 Southold, New York 11971
JUDITH T.TERRY "••iii/r�
TELEPHONE,
TOWN CLI RK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
March 9, 1987
Inland Homes
315 Westphalia Road
Mattituck, New York 11952
Re: Irene Cusumano
Naugles Road
Mattituck, 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 trulyours000048;er„,,,7��.�
U
Judith T. Terry
Southold Town Clerk
Enclosures (3)
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OFFICE OF THE TOWN CLERKc5wFFEUt,
Town of Southold %
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road
P. O. Box 1179 •
Southold, New York 11971 O''�l oO�-
Telephone �l 4t
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 116 Residential X
Non-Residential
Fee $ 10.00
Septic Cesspool X
PERMIT ISSUED TO:
NAME: Inland Homes
ADDRESS: 315: Westphalia Lane
Mattituck, New York 11952
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New single family dwelling.
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Irene Cusumano
OWNER MAILING ADDRESS: 138 Fieldway Avenue
Staten Island, New York 10308
OWNER PROPERTY ADDRESS : Naugles Road
Mattituck, New York
TAX MAP NO. : Section 99 Block 5 Lot 12
CROSS STREET: Cox Neck Lane
BUILDING PERMIT NUMBER CROSS REFERENCE: Pending
Judith T. Terry
Southold Town Clerk
DATE : March 9, 1987
(TOWN SEAL)
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p k, $ Town Hall, 53095 Main Road
=:�;� ; �� ••� P.O. Box 728
,air Southold, New York 11971
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JUDITH T.TERRY TELEPHONE
TOWN CLFRK (516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
March 9, 1987
To: Victor Lessard, Southold Town Building Department -
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 120 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by Inland Homes for Irene Cusamano •
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.
eir •
rf°e14
Judith T. Terry
Southold Town Clerk
* *
I have reviewed the application and location map of the project
cited above and �maake the following recommendation:
APPROVE - /X
DISAPPROVE -
COMMENTS: ara 040112A, e_AX4-4-AAWat, 9 V
.Ac\\11
Jaw- 0 4
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Signature
Date
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OFFICE OF THE TOWN CLERK OC��FFDL4 ,
Town of Southolde C� : Application No /..)-eJudith T. Terry, Town Clerk
Town Hall, 53095 Main RoadConstruction
P. O. Box 1179
Southold, New York 11971 0 •W$ Alteration
Telephone 0t �,aO�'y. Residential c_.--/
(516) 765-1801so
Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE G pnaec1\ _g 1
APPLICANT NAME: __l_ \, LAV t-FOV\AC° S
APPLICANT ADDRESS: 3 IS— Dc-s7 Phe1/4, 1 ; cL. CCS
SEPTIC CESSPOOL (/
DESCRIPTION OF PROPO D CONSTRUCTION OR ALTERATION
S \/N6V,__ . 0,Nr\i‘ : \f auuelt:1-,
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION- OR ALTERATION:
OWNER OF PROPERTY: 1 'eC v\ CUScxvv\con Q
OWNER MAILING ADDRESS: `�� 'ice\ .Wa-\/ KUB
5Tc e -C-S , N:yL IC208'
OWNER PROPERTY ADDRESS: Navghe.S- eA. atiT 1 Cr-vCk_
TELEPHONE NUMBER OF CONTACT PERSON: BkAele 2Off'3-964G
TAX MAP NO. : Section CIC Block S Lot 64 I a -
CROSS STREET: CoN I\re_C-- Leg. ,
BUILDING PERMIT NUMBER CROSS REFERENCE: Per.dv.
Signature of Applicant
RECEIVED BY:" x,,, �/
Town CJrk's Of ice
DATE: `,-)ce 47_i ,1f�2
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SUFFOLK CO. HEALTH DEPT. APPROVAL
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STATEMENT OF INTENT
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