HomeMy WebLinkAboutDanielowich, Stanley T ul I
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:., Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
JUDITH T.TERRY TELEPHONP.
TOWN CLFRK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
September 24, 1986
Winds Way Building Corp.
1020 Glen Road
Southold, New York 11971
Re: Stanley L. and Helen E. Danielowich
New Suffolk Avenue
Mattituck, New York 11952
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,
000��� 7
Judith T. Terry
Southold Town Clerk
Enclosures (3)
JTT/ljc
OFFICE OF THE TOWN CLERK
Town of Southold
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road
P. 0. Box 1179
Southold, New York 11971
TelephoneOl
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 41 Residential XX
Fee $ 10.00
Non-Residential
Septic Cesspool XX
PERMIT ISSUED TO:
NAME: Winds Way Building Corp
ADDRESS: 1020 Glen Road
Southold, New York 11971
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New Single Family Residence
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Stanley L. and Helen E. Danielowich
OWNER MAILING ADDRESS: 1040 Harrison Avenue
Riverhead, New York 11901
OWNER PROPERTY ADDRESS: New Suffolk Avenue
Mattituck, New York 11952
TAX MAP NO. : Section 115 Block 15 Lot 25
CROSS STREET: Donna Drive
BUILDING PERMIT NUMBER CROSS REFERENCE: Pending
Judith T. TerhV
Southold Town Clerk
DATE: September 24, 1986
(TOWN SEAL)
4
Town Hall, 53095 Main Road
.r:way P.O. Box 728
Southold, New York 11971
JUDITH T.TERRY TELEPHONE
TowN CLI RK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
September 22, 1986
To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 43 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by Winds Way Building Corp. for Stanley L and Helen •Danielowich.
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 -
COMMENTS:
Signature
Date
1
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
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
DATE 'IY
APPLICANT NAME:
APPLICANT ADDRESS:—i o ,�o
IQ
SEPTIC CESSPOOL
DESCRIPT ON 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: sGq tj(,� L. y. I� c�c� 0 ��n/ �. 1 0�.1;�C�
OWNER MAILING ADDRESS: 164 [4 tn-i ,(Jry P10t ,
mac.. ktvt-j , ,t' V
cs7 .
OWNER PROPERTY ADDRESS: L.-T- - ;L1- mit��t�o 6`�a [c C't-L-t-h- L'at,) 'n4'L✓•_
TELEPHONE NUMBER OF CONTACT PERSON: -3L�- 13 3L5-`�
TAX MAP NO. : Section �- Blocker /S� Lot av
CROSS STREET: X10 n.
BUILDING PERMIT NUMBER CROSS REFERENCE:
Pp
Signature of Applicant
9
RECEIVED BY:=
Tow Clerk' Office
DATE: -Z-q�
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NEW SUFFOLK AVENUE
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LOT 44 LOT 23
( dwelling ) ( dwelling
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LOT 21
(n ` NJ " MAP OF DEEP HOLE CREEK ESTATES "
FILED' JAN . 28 , 1965 FILE NO. 4256
o, _ AT MATTI TUC K
o` TOWN OF SOUTHOLD ,r
�\ SUFFOLK COUNTY N. Y.
o _ WOO - 115 - 15 - 2 5 'N c
U w The water supply 8, "age p' _
terns for this residence 9 dIs °Sol Sys- SCALE 1 " = 401
'
O standards of the SuffoUc'll conform to Il1e
JUNE 20 , 198 6
� a ment of Health Services, •
UG . 14 , 1986 CO
n
`/fes CERTIFIED TO :
LAND TICOR TITLE GUARANTEE
tt,�Sy�NA. tN�c9STANL`tn HELENEYE.LDAN ELOWIyJR.
CHH ,
�0 20 0
/ ♦ 7D
(P * Prepared 6n accordance with the minimum
o,49868 OQ Y. S_ LIC. N 0. 49668 standards for title surveys as established by
the L.I.A.L.S. and approved and adopted
N E VY
for such me by The New York State Land
P E C O N I C S Y O R S a ENGINEERS , P. C. title Association.
( 516) 765 - 5020
P. 0. BOX 909 ELEVATIONS ARE REFERENCED TO
MAIN ROAD AN ASSUMED DATUM
SOUTHOLD , N. Y. 11971
86 - 342 A