HomeMy WebLinkAboutDempsey, John �V 6 Town Hall, 53095 Main Road
P.O. Box 1 179
a
i'4. `` Southold, New York 11971
JUDITH T. TERRY TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
November 30, 1987
Inland Homes, Inc.
315 Westphalia Road
Mattituck, New York 11952
RE: John Dempsey
Sterling Road
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 withthe 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,
ofrisiedrigefror .
• Judith T. Terry
Southold Town Clerk
Enclosures (3)
JTT/Ijc
OFFICE OF THE TOWN CLERK c0FU(KC,
Town of outhold O
Judith T. Terr , Town Clerk ; Gy
1
Town Hall, 530 5 Main Road
•
P. 0. Bax 1179 u''
Southold, Newl York 11971 Ota O��i`•',,
Telep one 'td0/ 0(516) 76 -1801 '
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2 Residential X
- Non-Residential
Fee $ 10.0
Septic Cesspool X
PERMIT ISSUED TO:
NAME: _Inland Homes. Inc,
ADDRSS: 315 Westphalia Road
Mattituck. New YOrk 11952
DESCRIPTI N OF PROPOSED CONSTRUCTION or ALTERATION
New Single Family Dwelling with Cesspool System
APPROVED as per Suffolk County Health Department approval.
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNEF OF PROPERTY: John Dempsey
OWNSF. MAILING ADDRESS: P.O. Box 5
Cutchogue, New YOrk11935
OWNER PROPERTY ADDRESS : Sterling Road
Cutchogue, New York
TAX MAP NO. : Section 104 Block 2 Lot 22
CROSS STREET: Horton Road
BUILDING PERMIT NUMBER CROSS REFERENCE:
41:011612Y071.6
Judith T. Ter
Southold Town Clerk
DATE: Novlember 30, 1987
(TOWN SEAL)
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TOWN OF SOUTHOLD _ �� P.O. Box 728
'�O'l ilt ydo°. Southold, New York 11971
••..../1
JUDITH T.TERRY TELEPHONE
TowN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
November 25, 1987
To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk,.
Transmitted herewith is a copy of application No. 262 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by Inland Homes, Inc. for John Dempsey •
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.
100.11444°.°:":".
../rte
Judith T. Terry
Southold Town Clerk
* * * * * * * * *
I have reviewed the application and location map of the project
cited above and make the following recommndation:
APPROVE - X
DISAPPROVE -
' COMMENTS: awl, 4m.,,L:cAda. Q.4.WWI c.4.tQ�, ii •
\(A. ...+.40.‘o 4.t..3._.,44.4s_ _
Signature
1,\ ea.-,\$ \
•
Date
OFFICE OF _THE TOWN CLERK
Town of Southold
Judith T. Terry, Town Clerk Application No.0Z6 07-'
Town Hall, 53095 Main Road Construction
P. 0. Box 1179 Alteration
Southold, New York 11971
Telephone Residential
(516) 765-1001 Non-Residential
TOWN OF SOUTIIOLD
SOUTIIOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
_3-t71061C.,�a�t,
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ 10.00
DATE November 25, 1987
APPLICANT NAME: INLAND ROMPS, T1NC-
APPLICANT ADDRESS: 315 Westphalia Road
Matti tuck, N. Y. 11952 ..__
SEPTIC CESSPOOL X
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
1 Family dwelling
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: john DAmpsey.__
OWNER MAILING ADDRESS: P.O. Box 5 _
Cutchogue, N. Y. 11935
OWNER PROPERTY ADDRESS: Sterling Road
Cutchogue, N. Y.
TELEPHONE NUMBER OF CONTACT PERSON: ?34-6058
TAX MAP NO. : Section 104 Block 2 Lot pel. 22
CROSS STREET: Horton Road
BUILDING PERMIT NUMBER CROSS REFERENCE:
S' n?Aim of A. •licant
Robert lii
RECEIVED BY:
Town Clerk's Office —
DATE:
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