HomeMy WebLinkAboutHennemeier (2) OFFICE OF THE TOWN CLERK c.31F ,"
Town of Southold 0� •A
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road = =�
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P. O. Box 1179rf � '
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Southold, New York 11971 O ;K) O�
Telephone Ol ,�-
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(516) 765-1801 - -
TOWN OF SOUTHOLD •
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 279 Residential X
Fee $ 10.00 Non-Residential
Septic Cesspool X
• PERMIT ISSUED TO:
NAME: Structural Technology Inc. , Attn: Joan Pallater
ADDRESS: 1029 William Floyd Parkway, P.O. Box 378
Shirley, New York 11967
DESCRIPTION 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:
OWNER OF PROPERTY: Edward and Dorothy Hennemeier
OWNER MAILING ADDRESS: 27 Leonard Drive
Massapequa, New York 11758
OWNER PROPERTY ADDRESS: Kouro's Road
New Suffolk, New York 11956
TAX MAP NO. : Section 117 Block 6 Lot 11 .1
CROSS STREET: Grathwohl Avenu-
BUILDING PERMIT NUMBER CROSS REFERENCE:
odglagefev:midommio.0
Judith T. Te
Southold Town Clerk
DATE: January 14, 1988 -
(TOWN SEAL)
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Ca 1,45-51
4141-
Town Hall, 53095 Main Road
•o P.O. Box 1179
`442.14 , �'�®�� Southold, New York 11971
. JUDITH T. TERRY "'d-""" TELEPHONE
TOWN CLERK . (516)765-1801
REGISTRAR-OF-VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
January 14, 1988
Structural Technology Inc.
1029 William Floyd Parkway
P.O.Box 378
Shirely, New York 11967
Re: Edward and Dorthy Hennemeier
Kouro's Road
New Suffolk, New York 11956
Dear Ms. Pallater: -
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 ?fours,
Judith T. Terry
Southold Town Clerk -
Enclosures (3)
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,15-');\131:P11...-
0,7 '- as'--&,ry 2,-c,
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', � f' i :',i,, :' q.`^ Town Hall, 53095 Main Road
,,,, t' i„A, P.O. Box 728
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3{ "' 1 ' „.11-y Southold, New York 11971
.,t41-
JUDITH T TERRY TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
January 14, 1988
To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 282 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by Structural Technology Inc. for Edward and Dorothy Hennemeier.
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.
• "dlormem.ogo"'""°
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 - 7(
DISAPPROVE -
•
COMMENTS: cx„ 'cA,A, 61 h ,,, Q", q Li
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- Signature
Date
OFFICE OF THE TOWN CLERK c0Filtii-
Town of youtholn ; ' Application No. ��'--
Judith T. Terry, Town Clerk � ,�. ,e ��.,, , � , �
Town Hall, 53095 Main Road ` o = Construction ,., '
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iS,ice:. �'�`;J',.,
P. 0. Box 1179 0 z { P -
Southold, New York 11971 �= '`rte'0-'''
��, 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. a, 7 -
Fee $ JO 6a - p7
_ . DATE `LPI 45 /,-a .J
APPLICANT NAME: S OC41 °- r-P I-- e_ 11301C7 11
APPLICANT ADDRESS: 10(3°14) H , !� I ci` D ffçui fOLSc�C ,,,�
5h i (2-ucj Nify, ii , ;(-2
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SEPTIC X CESSPOOL _
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION n01 ✓
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LOCATION MAP: Must be attached hereto before permit may be issued.
• • LOCATION OF PROPOSED CONSTJ��UCTION OR ALTERATION:
OWNER OF PROPERTY: FC�;(�tI I ��v,,,H,Y ,,v„ `,O`/L.�G,�'
OWNER MAILING ADDRESS: o27 st,41,0--2.-z_ .4._ ,t4 ..? .
MA,155,9�a-e--cy r7) N// i.5 a'
OWNER PROPERTY ADDRESS: /<00 (e ® IS. O
Afecy S d-/;(\\ez_ K.
TELEPHONE NUMBER OF CONTACT PERSON: ' 2 �/—VPS
TAX MAP NO. : Section // 7 Block 0 6 Lot /�.
CROSS STREET: 6 kli-1 yt(ieh L .0,
BUILDING' PERMIT . NUMBER CROSS REFERENCE:
O / ;;?
1-
gnature of Applicant
RECEIVED B Y: '��-C-C�_(�
ktL`"iTown erk's ffice .
DATE: ,� ;Il 14. 1999 ,
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