HomeMy WebLinkAboutBertorello, Robert .l°
Lid ' Town Hall, 53095 Main Road
, P.O. Box 1179
Southold, New York 11971
JUDITH T. TERRY TELEPHONI:
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
•
April 28, 1987
Robert and Nancy Bertorello
P.O. Box 1451
Mattituck, New York 11952
Re: 1800 Country Club Drive
Cutchogue, 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,
ioliglea404 16.04dIker..
Judith T. Terry
Southold Town Clerk
Enclosures (3)
JTT/Ijc
•
OFFICE OF THE TOWN CLERKSFOUr�,
Town of Southold �� �Gy
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road 8 ''
P. O. Box 1179 ��
Southold, New York 11971 O'yl ro.7.;
Telephone
O1 , 0
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 154 Residential X
Non-Residential
Fee $ 10.00
Septic Cesspool X
PERMIT ISSUED TO:
NAME: Robert and Nancy Bertorello
ADDRESS: P.O. Box 1451
Mattituck, New York 11952
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION •
New Single Family Dwelling
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Robert and Nancy Bertorello
OWNER MAILING ADDRESS:P.O. Box 1451
Mattituck, New York 11952
OWNER PROPERTY ADDRESS: 1800 Country Club Drive
Cutchoque, New York
TAX MAP NO. : Section 109 Block 3 Lot 2.18
CROSS STREET: Linden Avenue aka Moores Lane
BUILDIING PERMIT NUMBER CROSS REFERENCE:
Judith T. Terry
Southold Town Clerk
DATE : April 28, 1987
(TOWN SEAL)
f f
(g#' '..,
444A`'; �� $ Town Hall, 53095 Main Road
��� • P.O. Box 728
'4.�i.� ����, Southold New York 11971
Aft$0.
JUDITH T.TERRY TELEPHONE
TOWN CLERK
(516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
April 20, 1987
To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 158 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by Robert and Nancy Bertorello
Please review the application and location map and advise if the
project has received Suffolk County Health Department approval
and if we may issue the permit.
Please complete the form below and return it to my office.
Thank you.
•
1..04 Igiod
Judith T. Terry
Southold Town Clerk
I have reviewed Ore application and location map of the project
cited above and make the following recommendation:
APPROVE - X
DISAPPROVE -
COMMENTS: oititAn�I,LA
\ra9kA-
Signature
l qZ?/73
Date
• OFFICE OF THE TOWN CLERK
Town of Southold
Application No���
Judith T. Terry, Town Clerk /
Town Hall, 53095 Main Road Construction
P. 0. Box 1179
Alteration j
Southold, New York 11971
Telephone Residential _
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee •$ / 0 0 0
DATE (ipt_a_ /1, l 11- 7
APPLICANT NAME:
D
APPLICANT ADDRESS: P 0 • / /S7
`wto •► . y). - /9
SEPTIC ' CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
C6--itotLa_ 5. A1-y Xi-
LOCATION , L L- F. G L,f. € �L j�,L c1i yx c.�x
MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: ,t hfaD
OWNER MAILING ADDRESS:Q. , Acti /4/5./
IYJGi CLr. c e
OWNER PROPERTY ADDRESS:-JIOU (
Le" ,./2/q //9
TELEPHONE NUMBER OF CONTACT PERSON: 0W-5:5 -
TAX MAP NO. : Section/09. GO Block IV- 6° Lot L Gj .Gl.
CROSS STREET: /tj-/-411_,J �tL1-n &, y tk
BUILDING PERMIT NUMBER CROSS REFERENCE:
4,-)a.42 , /,
ature of Applicant
RECEIVED BY: Rt _EIV'ED
Town Clerk's Office
DATE: APR 2 0 1987
Town Clerk Southold
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U I� 86 SOZZ . .• E \ \s R=160.00; r�j, RI'f'EF Y 1901
D E .o. LOT i s ,�2 L= 25.00 c4 tie !�yt 22 2 29 PM '87
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W I O $_ r.. ment of Health Services. 0
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C LOT 17 X3 LOT .16
e iit‘l, . r(741 be
.cr 11 Rt$14* ),)(i'-
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'A. ,s `\ N �0 F NORTH FORK COUNTRYPc � foraceordancs with tl„� m...;-�,�m „ MAP OF COUNTRY CLUB ESTATES rr
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FILED OCT. IT 1978 FILE NO. 6736
' 4 1 y Irl: �,ew
r� a CERTI FI EO TO : Ti*. Association. and l4 T C UTCHOGUE
--, }
CHICAGO TITLE INSURANCE COMPANY TOWN OF SOUTHOLD
14498.,o // N.Y. S . LIC . N0. 49668 ROBERT J. BERTORELLO SUFFOLK COUNTY , N. Y.
f�i � NANCY J. BERTORELLO f000 - 109 - 03 - 2 .18
P CONIC SURVEYORS a ENGINEERS , P C . .
SCALE I " = 100
( 516 ) 765 - 5020
JULY 14 , 1986
. • N 0 . 80X 909 AREA = 145 , 161 SQ . FT.
MAIN ROAD
SOUTHOLD , N.Y . 11971 OR 3. 33 ACRES
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