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HomeMy WebLinkAboutDiviney, Marie V3 y Town Hall, 53095 Maim Road. P.O. Box 1 17 9 Southold, New York 1 1971 .JUDITH T. TERRY 'I'ELF;NHONIt TOWN CLERK (516) 765-1801 REGISTRAR OF VITAL STATISTICS _ OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD July 8, 1987 Bob Kehl's Home Improvement, Inc. P.O. Box 520 Southold, New Ybr-k 11971 RE: Marie C. Diviney 1399 Little Whaleneck Road North, Merrick, New York 11566 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 `cr 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, I OF Judith T. Terry Southold Town Clerk Enclosures (3) JTT/Ijc ��r OFFICE OF THE TOWN CLERK S�FFOC �, Town of Southold 0� oGy Judith T. Terry, Town Clerk :G Town Half, 53095 Main Road P. 0. Box 1179 Southold, New York 11971 O Telephone �lt �.a0 (516) 7651-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 196 Residential X Non-Residential Fee $ 10.00 _ Septic Cesspool X PERMIT ISSUED TO: NAME: Bob Kehl's Home Improvement Inc. ADDRESS: P.O. Box 520 Southold New York 11971 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION New Single Family Dwelling with Sanitary System. APPROVED as approved by Suffolk County Health Dept. LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: Marie C. Diviney OWNER MAILING ADDRESS: 1399 Little Whaleneck Road North Merrick New York 11566 OWNER PROPERTY ADDRESS : Highland Road Cutchogue, New York TAX MAP NO. : Section 102 Block g Lot 24 CROSS STREET: Bridle Lane BUILDING PERMIT NUMBER CROSS REFERENCE: ------------ Judith T. Terry Southold Town Clerk DATE: July 8, 1987 (TOWN SEAL) t Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 JUDITH T.TERRY TELEPHONE TowN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLDm C .July 7, 1987 D To: Victor Lessard, Southold Town Building Department From: Judith T. Terry, Southold Town Clerk TOV N C- Transmitted herewith is a copy of application No. 199 for a CONSTRUCTION or ALTERATION Permit for a cesspool or septic system submitted by Bob Kehl's Home Improv. Inc. for Marie C. Diviney 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: Q.0 L.Q& Signature -21 .21 Date t OFFICE OF THE TOWN CLERK _ Town of Southold Judith T. Terry, Town Clerk Application No.- i 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. Feed p DATE jwu 3" -t APPLICANT NAME: 1 ►'� p�j s o rUV in APPLICANT ADDRESS: La mss' {-�C (► - SE SEPTIC CESSPOOL— 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: MP-(2[ - C \/l n P_ c,! OWNER MAILING ADDRESS: �3QC( l._I Me- ujkaj Y12C� I'Z4 ,, OWNER PROPERTY ADDRESS: 1--f"l GkI 1X114 e6pT) TELEPHONE NUMBER OF CONTACT PERSON:(„ TAX MAP NO. : Section _Block r Lot ­44�a CROSS STREET: � P_ l L) LC LAN E BUILDING PERMIT NUMBER CROSS REFERENCE: S' nature of Applic nt RECEIVED BY: _ Town Clerk's Office DATE: c%06`ao L^!FFat v, Ct�i.ii1 DEP 11!11 r4;.T Gil* k!r�t''✓? i 1 tk ��7`i f'360 WtD YEARS, FROM DATE OF APPRo7 h,,,'00 �—' , ` � Q , '' N , am ffilar with the Standards folt r Ila d �l 4 nstr ct an of E ubsurtace Savia e GIs r", tenqs �S$aGp1 GOJatZ ft?r :1[t!`In Fn 't!;! rtivtcnCs 3nt 8 tile conditions sej iota tthweitt irld Crt t�PP it mit ib Construct. Signature �Uoh K e AI's f b Q Tm�Oru✓em 4S �,ohe.✓4— i4. K e1�l WILLIAM G. ELS M�„f. 3v few Ra s�.�..�.�Ic� LAND SURVEYOR 5i(° --7,tos - 9-)V HUNTINGTON STA., NEW YORK 11746 The offsets for dimensions) shown here- 516 427 - 5133 on from the structures to the property lines are for a specific purpose and use and therefore are not intended to guide the erection of Fences, Retaining Walls, Pools, Patios, Planting oreos, LOT AA addition to buildings and any other ON MAP OF I a� µ 4 �� _ Construction. SITUATE 6u $U r F O 1 K COUNTY. N. Y. GUARANTEED ONLY FOFL— A 1 V !�'• p�'1t�1 ,_ UNDER TITLE OF . BLDR'S JOB NO. �a� SCALE 1,. - --- --_FILE JOB-- � — -