HomeMy WebLinkAboutKanellopoulos (2) •
OFFICE OF THE TOWN CLERK
Town of Southold
Judith T. Terry, Town Clerk .
Town Hall, 53095 Main Road
P. O. Box 1179 ` kf.
Southold, New York 11971 %O 0��;
Telephone WO/ ��i
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' ''y'. ,�� Town•Hall, 53095 Main Road
P.O. Box 1179
=_®,( tz, 11/4f,�� Southold, New York 11971
JUDITH T. TERRY 'I TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
October 20, 1987
Haralambos_Kanellopoulos -
31-12 42nd Street, Apt. 12
Astoria, New York 11103
Re: Parkview Lane and Ryder Lane -
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 ?fours, •
Judith T. Terry
Southold Town Clerk
Enclosures (3) -
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00,0001....
411
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Town Hall, 53095 Main Road
4.' � 5V '� P.O. Box 728
L l IP 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 •
To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk-
Transmitted herewith is a copy of application No. 244 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by Haralambos Kanellopoulos - . --- - -
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 - 1 -
DISAPPROVE -
COMMENTS: (Q c c �� �. I
\\(:114..x.)
Signature
iA ‘c\\-11 . •
Date
OFFICE "OF THE TOWN CLERKc0FOLA-
Town of Southold c 3 CDi - �
Judith T. Terry, Town Clerk - s Application No. �
Town Hall, 53095 Main Road ` can - LIPSfiR'
Construction v •
P. O. Box 1179 �'+.: ='r �% Alteration
Southold, New York 11971 _:. �- ,
Telephone ole* `���, �� 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. (1,3 7 .
Fee $
DATE /0//(, 2
APPLICANT NAME: HqrQr4)0S 6/2 &//0 & (o S
APPLICANT ADDRESS: (—/c). % vL gi- //Pt- /2
/95/-Ar1 'L._ AIV / / /O3
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
-77.-e.2-e_..? S-4-1/17(...4- '' =1-"Cvv-)z-et 4!_i_t_i_..1_,e447
LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONSTRUCTION OR ALERATION:
OWNER OF PROPERTY: HOYCJOw+bO S ne-i l 9 rv-10_s
OWNER MAILING ADDRESS: 3"1 '1 )_ ti.)--S I A$ fr2 ' -
1\J*
11103
^ LieOWNER PROPERTY ADDRESS: Q041)eAA) Lave
7
TELEPHONE NUMBER OF CONTACT PERSON: )& 1 1-4SI (0
TAX MAP NO. : Section V) J 5 Block Lot 2)4 Z 3
CROSS STREET : R' • C'J�f- •LtY a\ La'
BUILDING PERMIT NUMBER CROSS REFERENCE:
/4_Si---C ___ kALQ,ge*Vit-t-17)
Signature of App cant
RECEIVED BY: jcEc Qi
Town erk's Of, ice
DATE:
•
- / p� SUFFOLK CO HEALTH DEPT APPROVAL
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1:: : , 1 • CIVAL
�. App„
A } {.--„ 1 t •--y. ( ;r • r kr ; .,---Th, STATEMENT__ O F I N T E�d T
,f ii 4 r'"" t, ' ' x -�i I 1 j + THE WAT ER SUPPLY AND SEWAGE DISPOS•
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- + • • ; -AT CONFORM TO THE STANDARDS OF T
• , �� I SUFFOLK CO. DE,jr OF�HEA TH SERVICE
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Vt' ' TOS/i'� OF ``iOL i.1 1'.a 1...;.:r `Y. AI-PLIC NT 1
SUFFOLK COUNTY DEPT OF HEAL-I
SERVICES -- FOR APPROVAL C
>f� - CONSTRUCTION ONLY
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1t APPROVED:
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