HomeMy WebLinkAboutHeidtmann (3) OFFICE OF THE TOWN CLERK �FFOC
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Town of Southold ,
Judith T. Terry, Town Clerk . : . j
Town Hall, 53095 Main Road '_"
P. O. Box 1179 ;cr2 ~2 r' � —
Southold, New York 11971 O� `
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(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 73 Residential x
Non-Residential
Fee $ 10.00
Septic Cesspool y
PERMIT ISSUED TO:
NAME: Glenn F. Heidtmann F Son, Inc. '
ADDRESS: P.O. Box 932 •
Cutchogue. New York 11935
DESCRIPTION OF PROPOSED CONSTRUCTION or" ALTERATION
New Construction of One =Family Dwelling
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Frank R. and Catherine L. Helminski
OWNER MAILING ADDRESS: 46 Edgmere Road
Grosse Pointe, Michigan 48236
OWNER PROPERTY ADDRESS : ROW off Route 25
Orient. New York •
TAX MAP NO. : Section 20 Block 1 Lot p/o 1
CROSS STREET: Route 25
BUILDING PERMIT NUMBER CROSS REFERENCE: Pending
Judith T. Terry
Southold Town Clerk
DATE: November 17, 1986
(TOWN SEAL)
il
C� c,C.s rte+ P"ri
Town Hall, 53095 Main Road
i+ P.O. Box 1 17 9
, 1\-0 oto Southold, New York 11971
JUDITHT TERRY "'moo se TELEPHONE
TowN CLE'Iti. (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
November 17, 1986
Glenn F. Heidtmann & Son, Inc.
P.O. Box 932
Cutchogue, New York 11935
Re: Frank R. and Catherine L. Helminski
ROW off Route 25
Orient, 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 ours,
ofreOlea400.
Judith T. Terry
Southold Town Clerk
Enclosures (3)
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; .' r� Town Hall, 53095 Main Road
t 6 '• �/ P.O. Box 728
1 ,0
�i 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
November 5, 1986
To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 73 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by Glenn F. Heidtmann & Son Inc. for Frank R. and Catherine L. Helminski
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 - k`
DISAPPROVE -
COMMENTS: — kio,o Q12.e.tA;A4.1
94— Sv -- J () z
RECEIVED
NOV 1 3 1986
Town Civil Soua9ao@d
Signature
Date
OFFICE OF THE TOWN CLERK
Town of Southold
Application No. 73
Judith. T. Terry, Town Clerk pP
Town Hall, 53095 Main Road Construction
P. O. Box 1179
Southold, New York 11971 Alteration
Telephone • 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 November 05, 1986
APPLICANT NAME: Glenn F. Heidtmann & Son , Inc.
APPLICANT ADDRESS: P.O. Box 932
Cutchogue, New York , 11935
SEPTIC X CESSPOOL X
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
New Construction of One Family Dwelling
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Frank R. & Catherine L. Helminski
OWNER MAILING ADDRESS: 46 Edgmere Road
Grosse Pointe, Michigan 48236
OWNER PROPERTY ADDRESS: Lloyd Terry (
R.0.60 ° }`as j
Minor Subdivision Lot #1 A.0(
TELEPHONE NUMBER OF CONTACT PERSON: 516 - 734 - 7484
TAX MAP NO. : Section 1000 Block 20-1 Part cf t 1 Lot 1
CROSS STREET: Route 25
BUILDING PERMIT NUMBER CROSS REFERENCE: PE-A/4//U6--
Signature
E-A/4//UGSignature of Applicant
•
RECEIVED BY:
Town Clerk's Office
DATE:
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