HomeMy WebLinkAboutAllen, Charles Xi
Town Hall, 53095 Main Road
�1 P.O. Box 1179
----1-"762
_ /Ol .� rOt 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
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 351 R Residential X Non-Residential
Fee $ 10. 00 Septic Cesspool X
PERMIT ISSUED TO:
Name : ALLEN, CHARLES & VALERIE
Address 1: 5880 SOUND SHORE ROAD
City St Zip RIVERHEAD NY 11901
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLD COUNTY HEALTH
DEPARTMENT.
Name Of Owner ** **ALLEN, CHARLES & VALERIE
Mailing Address 1 5880 SOUND SHORE ROAD
City St Zip RIVERHEAD NY 11901
Property Address 1 BAYVIEW ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 106. 00 block 6 lot 35.000
Cross Street MILL ROAD
Building Permit Number Cross Reference:
**NOTE - Do not own property at present, but intend to close an purchase in very
near future.
Issue Date: 6/09/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
11 If
JUN 81988
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DEPT -�E. i .TOWN OF SOUTHOLD Town Hall, 53095 Main Road
' ' -74 0 P.O. Box 728
Southold, New York 11971
Aim.. •
JUDITH T.TERRY TELEPHONE
TOWN CLF RK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
June 8, 1988
To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 354 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by Charles and Valerie Allen .
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.
oredd�•e
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 - ,�11
COMMENTS: a... a .lC.rq�.t.A..
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Signature
Date
OFFICE OF THE TOWN CLERKcuFFULk' _
Town of Southold OHO Co� ; Application No.
c y
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road Construction
P. O. Box 1179
Southold, New York 11971 oyo �0�`, Alteration
Telephone _ 1t Residential
(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 $ lu
DATE June 6 , 1988
APPLICANT NAME: Charles and Valerie Allen (p
APPLICANT ADDRESS: 588 0 Sound Shore Road, Riverhead, NY 11901
SEPTIC x CESSPOOL x
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
Single family home and . car c7arage_
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Overhaul/D 'Urso
OWNER MAILING ADDRESS: C/O Joseph Brancato
585 Stewart Avenue, Garden City, NY
OWNER PROPERTY ADDRESS: Bay View Avenue
Mattituck, NY
TELEPHONE NUMBER OF CONTACT PERSON: 722-406 .
TAX MAP NO. : Section 106 Block 6 Lot 35.
CROSS STREET: Mill gnarl
BUILDING PERMIT NUMBER CROSS REFERENCE:
x •
Catevar.‘ COL
Signature of Applicant
RECEIVED BY 09vyc t Serk's
Town Off ce
DATE: RECEIVED
JUN 0 81988
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