Loading...
HomeMy WebLinkAboutJA Bldg • OFFICE OF THE TOWN CLERK S.FFOUC' Town of Southold b _ Judith T. Terry, Town Clerk . Zw } ' • Town Hall, 53095 Main Road o P. O. Box 1179 crs _ '�� Southold,' New York 11971 -- O�f ���•• . Telephone- �1 `N ,e. (516) 765-1801 TOWN OF -SOUTHOLD - SOUTHOLD WASTEWATER DISPOSAL DISTRICT • CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL • Permit No. 295 Residential X Non-Residential . Fee $ 10.00 Septic - Cesspool X PERMIT ISSUED TO: NAME: J. A. Construction Corp. - ADDRESS: P. O. Box 900 Mattituck, New York 11952 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION New Single Family Dwelling with Cesspool System APPROVED as -indicated 'by Suffolk County Health Department approval. LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: J. A. Building Corp. OWNER MAILING ADDRESS: P.O.Box 900 Mattituck, New York 11952 OWNER PROPERTY ADDRESS: ROW off Waterview DRive Southold, New York 11971 TAX, MAP NO. : Section 78 Block 7 Lot p/o 32 CROSS STREET: Bayview Road BUILDING PERMIT NUMBER CROSS REFERENCE: Judith T. Te • South-old Town Clerk DATE : February 29, 1988 (TOWN SEAL) C=3 '.151'�'1 ' Town Hall, cam "<<= 53095 Main Road P.O. Box 1179 / ;.Yq � • Southold, New York 11971 NZ JUDITH T.TERRY • - �7j" TELEPHONE • TOWN CLERK `Cv G, (516) 765-1801 REGISTRAR of VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD FEbruary 29, 1988 J. A. Construction Corp. P. O. Box 900 _ Mattituck, New York 11952 -- Re: ROW off Westview Drive - Southbld, New York 11971 Dear Mr. Skrzypecki: 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 yours, Judith T. Terry Southold Town Clerk Enclosures (3) -JTT/Ijc ,4 pours, tr3 `v^`yea:, r yy tA " Iia l'vr a��,&«3,.- �. c : i Town Hall, 53095 Main Road ;� ,s' P.O. Box 728 • 0r Southold, New York 11971 JUDITH T.TERRY TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD February 23, 1988 To: Victor Lessard, Southold Town Building Department From: Judith T. Terry, Southold Town Clerk Transmitted herewith is a copy of application No. 299 for a CONSTRUCTION or ALTERATION Permit for a cesspool or septic system submitted by J A Building Corp. • 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: Signature Date 0 ,,,,, OFFICE OF THE TOWN CLERK Town of Southold �� <, Judith T. Terry, Town Clerk �;- :" C�lj 1 Application Noc�. Town Hall, 53095 Main Road ) Construction P. 0. Box 1179 � ' Southold, New York 11971 'O •`J Alteration Telephone 'I * '1 . Residential 1_,/(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 $ / 0, DATE r�4) APPLICANT NAME: 14 , 6e,u cea" ,n APPLICANT ADDRESS: , 0. ,Btu e0 j/_' i(c_Ac CSV A �. /( S S'Z SEPTIC VSSPOOL �!'f 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: ,T J . i /c/i7 CQ v OWNER MAILING ADDRESS: J6. 0 , / 090 0 1471-7-77 OWNER PROPERTY ADDRESS: .• T " V TELEPHONE NUMBER OF CONTACT PERSON: • TAX MAP NO. : Section 7 Block 7 Lot ({9C L) jojcpS 2 CROSS STREET: j,.�0_4e r 1 C, / -CO ce 4e BUILDING PERMIT NUMBER CROSS REFERENCE: - A • 0), Signature : a licant 9 r A-Fe-4 LSI z1 e ck RECEIVED BY: , ,. / owl' Clerk's Office DATE: a,,3/4 t `' SUFFOLK CO. HEALTH DEPT. APPROVAL`'' 1 (� IV H. S. NO. 87-5°- 17 / . ' 4c 5.39°U�� eiv C / / \ \ . ,..z. ' 6-•,.„, • i .11 , \--- . ,� fV ' �� 1a 5�/ I� STATEMENT OF INTENT • $' 3ga �' ?,J / \ THE WATER SUPPLY AND SEWAGE DISPOSAL • �<� Cg�o ` O� �` 33 / AUSINGE2 �` SYSTEMS FOR THIS RESIDENCE WILL -.x �SIo�Cic l'V •- X88 / / \� CONFORM TO THE STANDARDS OF THE �cF) i/ 1� "-- - s-'F c - �\ SUFFOLK CO. DEPT. OF HEALTH SERVICES. �/ `0 O O N , i` '�,\ APPLICANT i C� \\ SUFFOLK COUNTY DEPT. OF HEALTH /' � �, �` I l� I \ SER VICES - FOR APPROVAL OF Ri• `�J.101'iC / 0�' / ` j LI ��� i\ CONSTRUCTION ONLY i ► �' - \ DATE /(---/L� - ? Ili t. ( i \ - H. S. REF. NO g7- SO - 17 • It- -a`-, _LL - 1 ; • • — 1' APPR VED: L/ tin‘ ��,� �1 pig . i his. r ,-�` Z1/ 2 rn I I . 1 \ SUFFOLK CO. TAX MAP DESIGNATION: •C\ \ CS4 ,y I• I m Ls �\ `t. o `s' 1 G �, CI 1 •f DIST. SECT. BLOCK PCL . \ - ( -'%s � It N - " i `-" '1 ' , I0O0 76 - 7 P/per - ss F ' ' \\)\ Pte; S DE 81 06 }-Poo! I; -- _ -- OWNERS ADDRESS: 559°DI'E. --• S% Z !.� ! l� 1agS• G--iT20 Ni 1=1 PE, AQUEBoGUE N_Y. 11931 Cl ,n i I ,� - N ,v,��' o. \ z . /L — — 7P9 -4052 0 W, 2"73.9-71 ' .PA/012'P. V4 2.L fc'.i (-', O N•5 Q r DEED: L. 23.41 P. 16 ; i NV.. paUa6 225.0 N75" PKOP'D.- HO. TEST HOLE STAMP -- J 4 ' � i 3 (Cr±'S.) (( `� ='?1 i�7�J 5 �cE ' T'J r'1E 1`1 'SEA L `v_1_, SJiNDY I' ,!^2!'t`1�IMd 3ITPf841Pn M Ld"litiQll TORSO J L rq t,.�e 72..v is a violation of 1 30 20 I - _. ___- —. 3 F ^n•:n 79C?ct hn Mnrr York:tato:1mI / ZeEtZp5t4I =tuoionLiiw.I } S• �►MEtJUrsD ..1i1 NEa L9 '_? SkiD Y cw� o-°ttsl-su+v v> a - 1,. , D LOAM larm!a:K,ke se&or'sOr in,t sad e f emla.^.��sep!x:11 not be ooneatEC3 tf 0 i , to bo a val, truo copy. Guarant' \ !i - a 3 only to the person ft whom thewwa► e the -I - ' 1981 --LOAM titlis e company.goved,end ernmental nt l money end i-V r�� ��� g® landing Inst tut+on listed hereon etd r _ -Q to t; as�gneas o(thD iwwtin�Mtetl. • (" ---6y2 tua .Gutsrantetss taro rttat tran.f rc6le �� �' F� C+ `Y� ° • S ©f_p�• I3V enexc. !ttaraSv.EA sact :ino: or r:sc, 1.lK S-� 5A1:3 i), QF NEW a. - -'•1r—� - r"--._,t,_,. \ r, \ f l _ _ , t I-I VY,Gf AVEL �P a��K p ' //�� ° `• (�r`-� t •'-I 2ANTEEG rQ_CG'.fJIMONWEAL.?•I-4 LAN; ?'I111 • cv Oti' yvq�' �.� >� L..., 1,..._ _ J 1 ;'1J /-\ L___31 t '�,: ti.% '�9 It'1_�J+�ANZ.E C4. - / SUN VEYEL;) - t�_9_aY29198r+- # �° r ,....t.?,,,-1 "'b� t cc C • AT - RODERICK VAN TUYL, P.C.- - - . 2 * C s 25'5'cc-v. ' L.---',A."(v` e-..,:'.."./ I • - I LICENSED LAND SURVEYORS - �LAND r�-'UJB!-V1' .5(....)t...)1-1--1'--L Ur i`�};^( - - GREENPORT NEW YORK ,_ -I