HomeMy WebLinkAboutKeller •
OFFICE OF THE TOWN CLERK cOFO(A-
Town of Southold •< COG
Judith T. Terry, Town Clerk '�.. ti %
Town Hall, 53095 Main Road
P. O. Box 1179 .v' '�` � ��
Southold, New York 11971 O " rO�,�•�
Telephone O t,/
(516) 765-1801 '
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 237 Residential x
Fee $ 10.00 Non-Residential
Septic Cesspool x
PERMIT ISSUED TO:
NAME: Sunrise Construction Custom Home Builders Inc_
ADDRESS: P.O. Box 28
Southold. New York 11971
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: James Keller
OWNER MAILING ADDRESS: 127 Vanderbilt Blvd.
Oakdale, New York 11769
OWNER PROPERTY ADDRESS: Top Sail Lane, Leeward Acres
Southold, New York
TAX MAP NO. : Section 79 Block 7 Lot 49
CROSS STREET: North Bayview
BUILDING PERMIT NUMBER CROSS REFERENCE:
_10 • isso„„,,,irateo
Judith T. T ry
Southold Town Clerk
DATE: October 20. 1987
(TOWN SEAL)
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•1�' "x� }& * Town-Hall, 53095 Main Road
„p„,• - � ��ti) P.O. Box 1 179
art Southold, New York 11971
JUDITH T. TERRY ��--room,� sr TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
• TOWN OF SOUTHOLD
October 20, 1987
Sunrise Construction Custom Home Builders Inc.
P.O. Box 28
Southold, New York 11971
Re: James Keller
Top Sail Lane, Leeward Acres
Southold, 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 yours,
Judith T. Terry
Southold Town Clerk
•
Enclosures (3)
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• -�g�, �v' � Town Hall, 53095 Main Road
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FA' �•► P.O. Box 728
• ��r,p Southold, New York 11971
JUDITH T TERRY TELEPHONE
To CLERK (516)765-1801_
REGISTRAR OF VITAL STATISTICS - OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD •
October 15, 1987
To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold- Town Clerk--
Transmitted herewith is a copy of application No. 242 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by Sunrise Construction Custom Home Builders Inc_ fnr James Keller.
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 cdtplete the form below and return it to my office.
Thank you.
_ s
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 -
COMMENTS: 0f..o qt, -
•
Signature
1 0// (2/ 7
Date
o
OFFICE OF THE TOWN CLERKS�FFU
Town of Southold ®'% ,-
Judith T. Terry, Town Clerk ; ., � � Application No. o2-,1742
Town Hall, 53095 Main Road ttr Construction
P. O. Box 1179 :• ,.4,,47.! � J
Alteration
Southold, New York 11971
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. (;23 7
Fee $ `/-
DATE CJGf f L/ !?F7
APPLICANT NAME: SOi1d-L5C Co/75lrc,c ftem Cosi-ail. //ewe /3ot /de'S -1-116
APPLICANT ADDRESS: "0 /Sox Z cf
Socithe,a (V 1l17/
SEPTIC CESSPOOL X
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION [Lew Hee-
a-dzd hem retis0o ( J y 1e
LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION :
OWNER OF PROPERTY: a-CchiLs
OWNER MAILING ADDRESS: ly 2 7 Vali�C -hl 1 f &fret
k 04k IVY /, 7 7'
OWNER PROPERTY ADDRESS: r0 Sat/ Lane cao-vvI &el-5
coct4 1 Ail / NV
TELEPHONE NUMBER OF CONTACT PERSON: ty '6 '~ C13&&
TAX MAP NO. : Section O7' Block 7 Lot 116f
CROSS STREET: A/oi't4 g View
• BUILDING PERMIT NUMBER CROSS REFERENCE:
p
Signature of Applicant
RECEIVED BY: � —�
Rti_:E T .Vvn C rk's Offif e
DATE: n- 1E. 07
Town r!prk Southold -
SUFFOLK COUNTY DEPARTMENT OF HEALTH SE RICES 1
N FOR APPROVAL OF CONSTRUCTION ONLY ,
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•
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TO THE ASSIGNEES OF THE LENDING I'.$P5,--
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