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HomeMy WebLinkAboutBolletino, Anthony r"'--` , t�(le, ; '� " 'i; Town Hall, 53095 Main Road ,,,. -.,. is sc? X / P.O. Box 1179 f�y N,, r Southold, New York 11971 JUDITH T. TERRY '., �d0j TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD April 15, 1987 Garrett A. Strang P.O. Box 1412 Southold, New York 11971 Re: Anthony Bolletino 16705 Main Road East Marion, 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 ?fours, oreelicenix...4:000......01 Judith T. Terry Southold Town Clerk Enclosures (3) JTT/Ijc OFFICE OF THE TOWN CLERK Town of Southold ; 0� - Judith T. Terry, Town Clerk Town Hall, 53095 Main Road c P. O. Box 1179 cr2 Southold, New York 11971af 0���: Telephone �l •t �,; (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 146 Residential X Non-Residential Fee $ 10.00 (paid) Septic Cesspool X PERMIT ISSUED TO: NAME: Garrett A. Strang ADDRESS: P.O. Box 1412 Southold, New YOrk 11971 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION New Single Family Dwelling LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: Anthony Bolletino OWNER MAILING ADDRESS: 889 Gardiners Drive Bayshore, New York 11706 OWNER PROPERTY ADDRESS : 16705 Main Road East Marion, New York TAX MAP NO.: Section 23 Block 1 Lot 14.6 and 5 CROSS STREET: Old Main Road BUILDING PERMIT NUMBER CROSS REFERENCE: 158572 d0Ore‘4,04Inief.04 610 ,0404 .4 Judith T. Terry Y Southold Town Clerk DATE : April 15, 1987 (TOWN SEAL) 4 41 c0Fittp"" • • • tr:1„... crs qb, d'` ' �••`� Town Hall, 53095 Main Road ►►• P.O. Box 728 _��1 ,,�, ► Southold, New York 11971 JUDITH T.TERRY TELEPHONE TOWN CLE RK REGISTRAR OF VITAL STATISTICS (516)765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD April 9, 1987 To: Victor Lessard, Southold Town Building Department From: Judith T. Terry, Southold Town Clerk Transmitted herewith is a copy of application No. 148 for a CONSTRUCTION or ALTERATION Permit for a cesspool or septic system submitted by Garrett Strang for Anthony Bolletino 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. • erde404 1,00001p 4.000 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 - ,C DISAPPROVE - COMMENTS: 0.„3 , Signature (// 7te 7 Date A OFFICE OF THE TOWN CLERK - Town of Southold Application No. Ner Judith T. Terry, Town Clerk Town Hall, 53095 Main Road Construction P. O. Box 1179 Alteration Southold, New York 11971 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 .$ 1 0 . 00 DATE April 6 , 1987 APPLICANT NAME: Garrett A. Strang, Architect APPLICANT ADDRESS: P•0. Box 1412 , Southold, New -York 11971 SEPTIC X CESSPOOL x DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION New Single Family Residence LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY : Anthony Bolletino OWNER MAILING ADDRESS889 Gardiners Drive Rayshore new Ynrk 117n6 OWNER PROPERTY ADDRESS: North Side Main Road .,46./47‘,..5— East x/470.3East Marion, New York TELEPHONE NUMBER OF CONTACT PERSON: 765 5455 TAX MAP NO. : Section 023 Block 1 Lot 14 . 6 & 5 CROSS STREET: G /or e„ti,L, Pc/- BUILDING PERMIT NUMBER CROSS REFERENCE: /S'8 .5-7 Z. / Signature of Applicant RECEIVED BY: Town Clerk's Office DATE: • .�. �la.,W.. ,�_in.NAUMANNIIIMPV.OnFlar r _ l�i97rg 46A:1_1,-- e- CAppeaK.LcCd91 e t1) ' f. • Z.© • U I "` SUFFOLK CO.'HEALTH DEPT. APPROVAL (rC4�'de"rtc r_ R 1; � N.S. Nth, 3 4 of i ;t �7 . _,,0 , =A 6 s"� '.sc� E: . i.5'4,0 4 W o�A $INOLE FAMILYD NEk. iNCD� f�:3 ;:-7 f XP1RE TWO YEARS FROM DATE ' i I He.. _ 4 � 8 :: ,..- ::,. 'Itkirt , v / , , ,�oarr RDtj 1 i .. *, 11p, ,„, , %TV 'V' STAT t4T-OF INTENT •- cert :::eiTHE WATER SUPPLY.AND SEWAGE LMI OS �` E l Aee.+cn ' � cES�✓C1L �cArtory SYSTEMS P I$ RESIDENCE Wf .44' E RE. r vr„ tUti� 4) lA�� ) pV 1� HE STANDARDS" '. 1 �. CONFCff'+!`I�rl TO rT� h _ � r I � 4 r 52' � •o .� '`,� X ," ,x +� �� $Ut=t=+ • Co. �',-PT. or TF4:;�RVEC'� ! J'1' f / 4 'I '. ' f '. `�1 ' `?'`Y'' SUFFOU( COUNTY DEPT, Al.' ! QAda i :. ''O ; z .'5' (ir ,,i,,►',e/ t+r t •. ., , r<, ... °, 'CONSTRUCTION"ONLY . rte'' � .t =4, + q (141 1 ,, 1 /-1 ' - R V eoLLETINO AecA 4t ' r ..f-.9, 6-...1- . lON �._.__ ____ — _ I'H. S. REF. �,r. ' APPROVED: --44.00- 4r4.117=0",--",'' �y r IONs 0 Mil / ►� ++� SUFFOLK CO Et ' `✓ aJ'7"HC7,t.., , N.Y.. TAX MAP DC'4it :" { DIST.,4 mei. *LOOK k.,','!,.,',.`-0,PCS: .. rr 023I '� a OWNERS ADDRESS: ,� ` X89 �,r r^ 0i-4 , _� h �aYarioN ��sP l tr Weesf l .A 1 . (3 - v R ui� � �, on�men- } Pr; \ Nam. If�'"''Jfe -�: ; �V poetic c�.ArER - 7r 'l (.7/9 Ac:. 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