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HomeMy WebLinkAboutQuintieri (2) • OFFICE OF THE TOWN CLERK �FF(Aire " Town of Southold • Judith T.- Terry, Town Clerk 1 Town Hall, 53095 Main Road 3 P. O. Box 1179 v ht : - Southold, New York 11971 O r � Telephone 01at, sk (516) 765-1801 - TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 286 Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: NAME: Edward Quintieri and Richard Pulcini ADDRESS: 290 Summit Avenue Mt. Vernon, New York 10552 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 Quintieri and Richard Pulcini OWNER MAILING ADDRESS: 290 Summit Avenue Mt. Vernon, New York 10552 OWNER PROPERTY ADDRESS: Sigsbee Road Mattituck, New York TAX MAP NO. : Section 126 Block 6 Lot 1 CROSS STREET: - Peconic Bay Boulevard (Corner lot) BUILDING PERMIT NUMBER CROSS REFERENCE: dgsdsegrr4o.,,,,,,,o Judith T. T ry Southold Town Clerk DATE : February 10, 1988 (TOWN SEAL) • pi e_.,,i• �� •cr2 ° 's:� rie{ - -Town Hall, 53095 Main Road yrs • .� , ., : �`�- P . Box 1179 - Southold, New York 11971 JUDITH-T.TERRY TELEPHONE TOWN CLERK-- - - - (516) 765-1801 REGISTRAR Ok VIT 1L STATISTICS OFFICE OF THE TOWN CLERK • TOWN OF SOUTHOLD February 10, 1988 • Edward Quintieri Richard Pulcini 290 Summit Avenue Mt. Vernon, New York 10552• - Re: Sigsbee Road Mattituck, New York Dear Sirs: - - • 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 ours, Judith T. Terry . Southold Town Clerk Enclosures (3) JTT/Ijc FEB IL::/ .�\, a Vhf V BLDG. DEPT. -, i� TOW�1 OF SOUTHOLD { Town Hall, 53095 Main Road P.O. Box 728 • Southold, New York 11971 JUDITH T TERRY TELEPHONE TOWN CLI.RK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD February 4, 1988 To: Victor Lessard, Southold Town Building Department From: Judith T. Terry, Southold Town Clerk Transmitted herewith is a copy of application No. 290 for a CONSTRUCTION or ALTERATION Permit f-or a cesspool or septic system submitted by Edward Quintieri • 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. e"if • eoe 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 - nn COMMENTS: CLo A ,�, S wiac.Q,Lt •Cc? . , • Lit.c.„416,6 C:Yer2.4--,a-4-SL Signature Date - . OFFICE OF THE TOWN CLERK c�FFO((`►" _ Town of Southold �� :° OGy Judith T. Terry, Town Clerk �'• Application No. 6/0 Town Hall, 53095 Main Road ` a _y. > M Construction P. 0. Box 1179 -' 1'.,,- Southold, New York 11971 J , O � • Alteration M O Telephone _(41_ t [ . Residential (516) 765-1801Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. • Fee .$ 1 d DATE APPLICANT NAME:EDW AR:b ill l is APPLICANT ADDRESS: ZPfl) `�V1Y1 (Yl V 02 yy}C) , vu t u 5 s Z SEPTIC CESSPOOL •'1 DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION ew cr e -- 11,1;)Gi 1,4-7elIj ,v LOCATION MAP: Must be attached hereto before permit may be issued. • LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: _, ACZ , 21Q1 l A b rJ L� ) OWNER MAILING ADDRESS: ��j(� � � rv1 ►'� U j'y) KIM . {b S S Z- OWNER PROPERTY ADDRESS: 6t4Ait TELEPHONE NUMBER OF CONTACT PERSON: CGIy(�� ( -1;T 1.4 6 TAX MAP NO. : Sections Block 4-2-t--Lot --� CROSS STREET: ..a.C7M1Q. tAci1t l �) 13aR�o - - BUILDING PERMIT 'NUMBER CROSS REFERENCE: • 11, G - Signature of `plicant RECEIVED BY:- Lib,r 11.4 l� To n" I-=r • s Office - DATE:� "r - ' �' fr j �µ q f�� SUFFOLK CO. HEALTH DEPT. APPROVAL • .M . O�' I`.R,31),t_..i Cy: -i H. S. NO. , ,-- rx,,,,(AD ) 0, , ,\I (1-- 1 .) 1 ,:-wei..- Z Reillei DATE oF Av . : _, , (�'ri 4,, ' I _ iil 4;; 2 ICLL1',A .`" t ')i- f "?'"` t i 1,-f z STATEMENT OF INTENT HO, , I .1 ..,, .. ,�_`_ .�„ 5, ( ^p THE WATER SUPPLY AND SEWAGE DISPOSAL U SYSTEMS FOR THIS RESIDENCE WILL 4d%Li I - Al+ - E CONFORM TO THE STANDARDS OF THE `'►f�S �T( � )i; SUFFO�; 'CO. ►rEP , F HEALTH SERVICES. , • ,,, - _ TS�`',�1#'-1 Or' �.:?=` v:.i') 'T i OL D 1,-.1-.y, 1 - (S) +, - ' .� ---- - r — APPLICANT u tri° v • ' CI ` '� ;t-, L SUFFOLK COUNTY DEPT. OF HEALTH ''` , , w,�� _ 6 `�� SERVICES - FOR APPROVAL OF wu r ). ® e - CONSTRUCTION ONLY D- C. 1 DATE: --� 1' L E% GSI . UA`•t'" E i..?G;. A1-4 '.CV :49* H. S. REF. No.. ►' om. -�' APPROVED: l1 {/GTI ,�1o°"-N:66 5.c .. �AO.13 ���i �. 1�((� ..WELL , _ 5 _ stn. SUFFOLK CO. TAX MAP DE _•.ATION: _ C�1 - ., /i•...,I ('- • (-�) ,a_4 1 f DIST. SECT. 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