HomeMy WebLinkAboutAndrews, James (4FGLK \
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_ : Town Hall, 53095 Main Road
A
�esIP.O. Box 1179
Southold, New York 11971
JUDITH T. TERRY Arm ii- TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR QF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
December 4, 1987
Winds Way Building Corp.
1020 Glenn Road
Southold, New YOrk 11971
Re: James and Muriel Andrews
ROW off Indian Neck Road
Peconic, 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 a_n 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 s,
Judith T. Terry
Southold Town Clerk
•
• Enclosures (3)
JTT/Ijc
5.
OFFICE OF THE TOWN CLERKFO
Town of Southold �%��� �DG
Jud'th T. Terry, Town Clerk `g: •a .
To n Hall, 53095 Main Road
P. O. Box 1179 crp :
S•uthold, New York 11971 OY O `�
Telephone O7 Pt W� ��
(516) 765-1801
TOWN OF SOUTHOLD
•
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT •
SEPTIC TANK or CESSPOOL
Permit No. 264 Residential X
Non-Residential
Fee $ 10..00
Septic Cesspool X
-PERMIT ISSUED TO:
NAME: Winds Way Building Corp.
ADDRESS: 1020 Glenn Road
Southold, New YOrk 11971
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New Single Family Dwelling With Cesspool System
APPROVED as per Suffolk County):Health Department approval.
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: James and Muriel Andrews
OWNER MAILING ADDRESS: P.O. Box 227
Peconic, New York 11958
OWNER PROPERTY ADDRESS: ROW off Indian Neck Lane
• Peconic, New York
TAX MAP NO. : Section 86 _Block 4 Lot p/n 1 .7
CROSS STREET: Main Road
BUILDING PERMIT NUMBER CROSS REFERENCE:
eogro•ex a�
Judith T. Terry
Southold Town Clerk
DATE : December 4, 1987
(TOWN SEAL)
RE Eovt
DEC • 8I !1X %'
�
TOWN c.11 ,'fid ,��to�ti �;
BLDG DEPT. Town Hall, 53095 Main Road
OF SOUTHOLD ����,
P.O. Box 728
/,,, " 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
December 3, 1987
To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 269 for a _
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by winds Way Building Corp. for James. & Muriel Andrews.
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°414;a4411.6".
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 - DC •
DISAPPROVE -
COMMENTS: •`, L �,' 1 ) ' ea, . 6ex& T.
Od+ .fps-w A.4 .
Signature
Date •
a r
OS
OFFICE OF THE TOWN CLERKc0FOUr
Town of Southold sCD� Application No. ��y
Judith T. Terry, Town Clerk •
Town Hall, 53095 Main Road ` jZC Construction
P. O. Box 1179 `
Southold, New York 11971 ,y, O� J Alteration
�l [ ��; Residential
Telephone
(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 $
DATE PAM)
APPLICANT NAME: 4 '''4( % •
APPLICANT ADDRESS: /4)>-p (j/---../ /4(. 4..&‘)/xe
SEPTIC CESSPOOL /7"--
DESCRIPTION
/DESCRIPTION OFFFPROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CON RUCTION OR ALTERATION:
OWNER OF PROPERTY: fAte4.4a-/ 4006R6-ti1
OWNER MAILING ADDRESS: PU, tc.q 1-17 //JJ
OWNER PROPERTY ADDRESS: ie� C✓ „A14,i, /
S/o,c Ata.-A) /. ic_.
TELEPHONE NUMBER OF CONTACT PERSON: 71•J
TAX MAP NO. : Section (Dd't•o Block 41 Lot i/n �- L
CROSS STREET: `hni;(f/ 4'
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED
Town4erk's O fice
DATE:
DEC 031987
Temp Clerk Southold
-
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f SUFFOLK CO. HEALTH DEPT. APPROVAL
! ' H. S. NO.
, i - .,,.. -,. 0,,-r.-.-•1 :•7.c;!t•2 .:,-';,.•,.:- 71
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