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
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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 �—'
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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-- � — -