HomeMy WebLinkAboutDelaney, Walter T
cn ' Town hall, 53095 Main Road
P.O. Box 1179
Southold, New York 1 1971
JUDITH T. TERRY
TP.LF•:YNONP.
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
July 29, 1987
A. Reilly & Sons Inc.
Box:-.434
Mattituck, New York 11952
Re: Winter DeLaney
North Bayview Avenue
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 Yours,
���
Judith T. Terry
Southold Town Clerk
Enclosures (3)
JTT/Ijc
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 O ,
Telephone �li
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 204 Residential X
Fee $ 10.00
Non-Residential
Septic Cesspool_X
PERMIT ISSUED TO:
NAME: A. Reilly h Sons Inc.
ADDRESS: Box 434
Mattituck, New York 11952
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: Walter DeLaney
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS : North Bayview Avenue
Southold, New Y0'rk
TAX MAP NO. : Section 79 Block 2 Lot 3
CROSS STREET: Ship's Drive
BUILDING PERMIT NUMBER CROSS REFERENCE: ----------
Judith T. Terry
Southold Town Clerk
DATE: July 29, 1987
(TOWN SEAL)
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27 71987
Town Tla1T,g5 }9 .Road
�"� •�j P.O. Box 728
Southold, New York 11971
JUDITH T.TERRY TELEPHONE
To%N CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
My 27, 1987
To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 207 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by A. Rielly S Sons, Lim; for Walter Delaney
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.
•
ef
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 - X _
DISAPPROVE -
COMMENTS:
Q
A C,�
Signature
-7/Z$/g
Date
-a
OFFICE OF THE TOWN CLERK c�)O 7
Town of Southold yQ�� CDS Application No,
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road Constructions
P. 0. Box 1179 0 � Alteration
Southold, New York 11971
Telephone alt 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 $��
DATE 7/2.v
APPLICANT NAME: Q 44 � C
APPLICANT ADDRESS: Axy
TT/T U C/C
SEPTIC 1//CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
C R . ]
�• I_��Cf(S( � /CJS i A•LG�T/l) N
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: !��LA AUC
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS: /�� , , A 41)i e ul A Ve.
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section p D O Block 0/? f :Z Lot _3
CROSS STREET: 12 Q0? I Ve
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY:
wn Cler s Office
DATE:
v
AJ
_ x \oma 1 am familiar wiih the Standards for A roval and
CS G cz:, \Construction of Subsurface Sewage Disposal Systems
�r Single f=amily Residences and will abide by the
L cc Sandi tLQns sE;t forth therein�rW on the permit to
-a o construct.
o � Signature
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