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HomeMy WebLinkAboutBurke, John N �F UI C n• ••• •CO 1� Q�� w ` Town Hall, 53095 Main Road `�1 �Z' te P.O. Box 1179 � Southold, New York 11971 JUDITH T. TERRY "Woo"SO TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD July 29, 1987 John Bertani Builder Inc. 1380 Oakwood Drive' Southold, New Yd rk 11971 Re: John W. Burke Robinson Road Southold, 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, dgesatedivo.....o. Judith T. Terry Southold Town Clerk Enclosures (3) JTT/Ijc OFFICE OF THE TOWN CLERK S�FFU(k Town of Southold C�Gy Judith T. Terry, Town Clerk . L' Town Hall, 53095 Main Road P. O. Box 1179 Y Southold, New York 11971 Oaf �0�.��•` Telephone • (516) 765-1801 ' TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 207 Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: NAME: John Bertani Builder Inc. ADDRESS: 1380 Oakwood Drive Southold, New YOrk 11971 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION New Single Family Dwelling with Sanitary System APPROVED as per Suffolk County Health Dept. approval LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: John W. Burke OWNER MAILING ADDRESS: 135 Split Rock Road Syosset, New York OWNER PROPERTY ADDRESS: Robinson Road Southold, New York TAX MAP NO. : Section 81 Block 1 Lot 15.7 CROSS STREET: North Bayview Road BUILDING PERMIT NUMBER CROSS REFERENCE: ciredea;e0101.8.01:0000. 0. Ju 'T. erry Southold Town CI k DATE : July 29, 1987 (TOWN SEAL) •t ..,IWOO",,,,' ` ` .1 L e• , F! 's u� A . Bl_DG. DEPT • .4:5r' `� • TOWN OF S0 UVIO1tD Hall, 53095 Main Road ti _•'�. �' �0 '.I. Box 728 Southold, New York 11971 JUDITH T.TERRY TELEPHONE TOWN CLERIC REGISTRAR OF VITAL STATISTICS (516)765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD July 27, 1987 To: . Victor Lessard, Southold Town Building Department From: Judith T. Terry, Southold Town Clerk Transmitted herewith is a copy of application No. 210 for a CONSTRUCTION or ALTERATION Permit for a cesspool or septic system submitted by John Bertani Builder Inc. for John W. Burke • 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. • 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 - .1)),4e COMMENTS: q..0 -\(0112iA,AdiELOOL.1.001.- Signature -1\ 3.3 1 Date OFFICE OF THE TOWN CLERK Town of Southold Judith T. Terry, Town Clerk Application Noo2/ Town Hail, 53095 Main Road Construction P. 0. Box 1179 Alteration Southold, New York 11971 Telephone Residential (516) 765-1801 Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION nor-----tSm=Si_, for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ /Z). o0 DATE i L y 2-77 /f6 APPLICANT NAME: /3c ,q,Lji i -D APPLICANT ADDRESS: /3tryb.4iCwoe20 ,d2(UC StyvWYOGp x.F, y, /(p7/ SEPTIC_ 7 CESSPOOL t/ DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION e)/c( ,'u`Gy Duji- ,f LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: j /l i Imo,/ jj 02/CC OWNER MAILING ADDRESS: /3 /20G/C 0314,0 sY0ss'e7 , ,v. OWNER PROPERTY ADDRESS: A-20/5/Ai50 xi /2042 /2�/44 (Ae ,a/./� , 561) 71,16(-0 TELEPHONE NUMBER OF CONTACT PERSON: 7&6"-- TAX (5"--TAX MAP NO. : Section OSI Block_ / Lot /-S- 7 CROSS STREET: BUILDING PERMIT NUMBER CROSS REFERENCE: .0 4...)idai, / Signature of Applicant • RECEIVED BY: Town Clerk's Office W� DATE: OFFICE OF THE TOWN CLERK Town of Southold Judith T. Terry, Town Clerk Application Noc,2/6 Town Hall, 53095 Main Road Construction P. O. Box 1179 Alteration 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 $ /� oD DATE j I ' L7, f 7 LI APPLICANT NAME: 2oBE/e7-79 Air f3G� APPLICANT ADDRESS: /3c Or9K )00 , 7, 'ec'C So °M©L0_ x/',y, (197/ SEPTIC CESSPOOL t/ DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: Nfo/ic/ I4../ g e22/C-C OWNER MAILING ADDRESS: /3 /&c.JC �.0 —� syosser- OWNER PROPERTY ADDRESS: /foe/A./S0,u f22 ,c 2 .gi4,74 J4(IV7� / So rive) -D TELEPHONE NUMBER OF CONTACT PERSON: TAX MAP NO. : Section O8/ Block / Lot f S, 7 CROSS STREET: BUILDING PERMIT NUMBER CROSS REFERENCE: ---144Signature of Applicant • RECEIVED BY: Town Clerk's Office __.. DATE: E.; ti if 4 j y' • • 1 , • 1 y • , yb V/� atE✓,e7• Acs✓� F/L6.i MAP / .am u, e 1..(:)7 l l N .. 1 • • . N 0_.z._ ,� 3 5' t ,' \� • 7.35' h+' 1 , ��7 a + ..9Il IP ` y.-. J:,_(..-, t„ __i •zi,,,, 1, , - 1..01- f-6.4./1 ...g.„6 , i-loyor-i �t�.�-rte la '' M AP c�1= N. ;;: z r : - h -I p... !ie,-• Po I P4T1 til � � P14.� H `>•�}�.. '�UF�'� Co. 1.. pave, 2-. 7),. �:, + Rtsro �cF�. , 14: CE.�.olk4 OFF.'ce--'dab in. Y F�f'ap i-1 o.' S7(01, 2�:" • - h ? 5r ot.&If 3 4 , 6URvt.-fe,p 1 .? . ,4, (fir tcxr below) Rvor..�cfc. 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