HomeMy WebLinkAboutIzzo OFFICE OF THE TOWN CLERK K c,31FRA-
Town of Southold , � ��
Judith T. Terry, Town Clerk { �
Town Hall, 53095 Main Road c Or. to
P. O. Box 1179 .u' - " %;,WqF
Southold, New York 1. 1971 OFO ��$
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Telephone 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. 215 Residential X
Non-Residential
Fee $ 10.00
Septic Cesspool X
PERMIT ISSUED TO:
NAME: - Peter V. Izzo
ADDRESS: 1435 Vanston Road
Cutchoque, New York 11935
DESCRIPTION OF PROPOSED- CONSTRUCTION or ALTERATION
New Single Family Dwelling with Sanitary. System
APPROVED as per Suffolk County Health Department approval.
--LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Peter V. Izzo
OWNER MAILING ADDRESS: 1435 Vanston ,Road
Cutchogue, New York 11935
OWNER PROPERTY ADDRESS : Pine Tree Road
Cutchoque, New York
TAX MAP NO. : Section 104 Block 2 Lot 9
CROSS STREET: Bittersweet Lane
BUILDING PERMIT NUMBER CROSS REFERENCE:
etr-40e124.,/,
Judith T. Terry
Southold Town Clerk
DATE: September 2, 1987
(TOWN;,SEAL)
siorisies
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gb, W:,.,=s: Town Hall 53095 Main Road
P.O. Box 1179
4- `1 010 Southold, New York 11971
JUDITH T. TERRY 411%,....”���i' TELEPHONE
TOWN CLERK - - (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
September 2, 1987
Peter V. Izzo
1435 Vanston Road
Cutchogue, New York 11935
Re: Pine Tree" 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.•
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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 yours, •
Judith T. Terry
Southold Town Clerk
Enclosures. (3) ' -
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' " eopitr �1�� '('own Hall, 53095 MR
Won oad
' �r� 4 *6 ��6 P.O. Box 728
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/1001 Southold, New York 11971
10 Dm TTI RRY TELEPIIONE
TOWN CI I R} (516) 765-1801
REGISTRAR OF VI1 Al.SI ATIS PICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
August 28, 1987
To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 218 for a
• CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by Peter V. Izzo •
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. -
rir
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 - X\
DISAPPROVE -
COMENTS: ,a-S16-1,4es .414 . t 52.�� 1, 2
Signature
Date
OFFICE OF THE TOWN CLERK c.31FOU _
Town of Southold C�
Judith T. Terry, Town Clerk - � �r•� � .� � Application No. a e
Town Hall, 53095 Main Road = Construction
P. O.. Box 1179 f
v' A $ Alteration
Southold, New York 11971 -' . �-
Telephone• N�O Residential 17
(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 (97 7
APPLICANT NAME': /L'p`t 4, \/.
APPLICANT ADDRESS: /4k35 D
e,_c/
a Lei c ,� u.p d 4f 11 q 3 5 "
SEPTIC CESSPOOL
DESCRIPTION OF PROP SED CONSTRUCTION OR ALTERATION
c9 cc7 p At —1 -- ;( Lt r c� E-0 Hi l jU
LOCATION MAP:` Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: D e�E, r \, I ��
OWNER MAILING ADDRESS: tL13 f j frJ YSCr�azc(
aaw.,,, ot.35
OWNER PROPERTY ADDRESS: Pig loTh-e_to o ��
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section 101- Block ` a Lot
CROSS STREET: ;4--1ke1,jGle 7t L- P _ t
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY: . �4 �����
T.wnlerk s fice • - - ,
DATE: �C' 11,7 .
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SUFFOLK CO HEALTH DEPT PPPI
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SING' LE FAMILY DWELLING ONLY
EXPIRES TWO YEARS FROM DATE OF APPF-
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STATEMENT OF INTENT
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'1 THE WATER SUPPLY AND SEWAGE D
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SYSTEMS FOR THIS RESIDENCL
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CONFORM TO ' THE STANDARDS
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SERVICES -- FOR APPROVA:
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