HomeMy WebLinkAboutRomboli OFFICE OF. THE TOWN CLERK C§\Y,, PIX-e,
Town of Southold
Judith T. Terry, Town Clerk ; j= :fi X �'
Town Hall, 53095 Main Road
P. O. Box 1179 - u' .t4%3-Vi
Southold, New York 11971 �0 .•`
Telephone- �l ,,"
(516) 765-1801 '
TOWN OF _SOUTHOLD -
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
•
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 296 Residential x
Fee $ 10.00 Non-Residential
Septic Cesspool x
PERMIT ISSUED TO:
NAME: Bruce Romboli
ADDRESS: 1319 Madison Avenue
West Islip, New York 11795
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New Single Family Dwelling with ress-ponl System.
APPROVED as per Suffolk County Health Department approval_
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Bruce and Edith Romboli
OWNER MAILING ADDRESS: 1319 Madison Avenue
West Islip, New York 11795
OWNER PROPERTY ADDRESS : 240 Windjammer Drive
Southold, New York 11971
TAX MAP NO. : Section 71 Block 2 Lot 11 .2
CROSS STREET: Harbor Lights Drive
BUILDING PERMIT NUMBER CROSS REFERENCE:
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6‘1.file41
.rhe ®
Judith T. T Ty
Southold Town Clerk
DATE : March 1, 1988
(TOWN SEAL)
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f; - 1 Southold, New York 11971
JUDITH T.TERRY it. TELEPHONE
TOWN CLERI (516) 765-1801
REGISTRAR 01 \'IT\L S fATISTICS OFFICE OF THE TOWN CLERK -
TOWN OF SOUTHOLD -
March 1, 1988•
.
Bruce Romboli
• 1319 Madison Avenue
West Islip, New York 11795
Re: 240 Windjammer Drive
Southold, New York 11971
Dear Mr. Romboli:
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,
1.04
Judith T. Terry
Southold Town Clerk
Enclosures (3) -
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A • 7
OFFICE OF THE TOWN CLERK �� FULI ( ' Application No. u 6
Town of Southold Town Clerk r•M1, 4`S"";` Construction
Judithn HaT. Terry, , o � S.,12,6•0
Town Hall, 53095 Main Road cnmoi,' Alteration
P. O. Box 1179
Southold, New York 11971 -
'�1' ' 'V •�®�� Residential
Telephone Non-Residential
(516) 765--1801--
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ D
DATE February 12 , 1988
APPLICANT NAME:
Bruce Romboli
APPLICANT ADDRESS: 1319 Madison Avenue
West Islip, N. Y. 11795
SEPTIC 1 CESSPOOL 3
DESCRIPTION OF PROPOSED CONSTRUCTION OR_ ALTERATION �n
Will construct a 3 cess•ool sewa•e dissosal
Health Department a••roval.
LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY : Bruce & Edith Romboli
OWNER MAILING ADDRESS:1319 Madison Avenue
West Islip, N. Y. 11795
OWNER PROPERTY ADDRESS: 240 Windjammer Drive /
Southold, N. Y. 11971 /
TELEPHONE NUMBER OF CONTACT PERSON: Home: 669-5974 Work: 434-2525
TAX MAP NO. :
Section 071 Block 2 Lot 11 . 2
CROSS STREET :
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY : C✓ � '-
Town r erk's •`fice
DATE: ;7-9 �y
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GREENPORT NEW YORK