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HomeMy WebLinkAboutSenia mur 1 • 2E 1 125 r71 Town Hall, 53095 Main Road �r P.O. Box 1179 ei� 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 SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 349 R Residential X Non-Residential Fee $ 10. 00 Septic Cesspool X PERMIT ISSUED TO: Name : SENIA, ANTHONY Address 1: 59 RENISON DRIVE City St Zip WESTBURY NY 11590 Descripton of Proposed Construction or Alteration NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM. APPROVED AS SUBMITTED AND AS PER SUFFOLK COUNTY HEALTH DEPARTMENT APPROVAL. Name Of Owner SENIA, ANTHONY AND BARBARA Mailing Address 1 59 RENISON DRIVE City St Zip WESTBURY NY 11590 Property Address 1 225 ROSEWOOD DRIVE City St Zip MATTITUCK NY 11952 Tax Map No. section 113 . 00 block 2 lot 16 .000 Cross Street COX NECK ROAD Building Permit Number Cross Reference: Issue Date: 6/02/88 Judith T. Terry Southold Town Clerk (TOWN SEAL) . 3 (1 \ -_-_ rrit j1 E �Ur� DLA,© A ' z .. ,� 511� ��,. . r., ,-0, � • Town Hall, 53095 Main Road L•1,ft, !'.h;% .a s f `�� N_ i� ��� P.O. Box 728 Southold, New York 11971 JUDITIi T TERRY T~•-"',,,,Aor TOWN CLERKTELEPHONE REGISTRAR OF VITAL STATISTICS (516)765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD - May 31, 1988 - To: Victor Lessard, Southold Town Building Department From: Judith T. Terry, Southold Town Clerk Transmitted herewith is a copy of application No. 353 for a CONSTRUCTION or ALTERATION Permit for a cesspool or septic system submitted by Anthony Senia . 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. etr • ee4044 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: flea A.+ti. al• 0311a LOU L .dam .\(1::;k1k. (j),,E...2..=et,,,,L. Signature 6-A1 y g Date a , OFFICE OF THE TOWN CLERK Town of Southold " _'` C ., Application No. �S Judith T. Terry, Town Clerk fes: "i;• ••• '. f;" Town Hall 53095 Main Road a - _; ".p}F � '� CoDstruction P. 0. Box 1179 w �'' _ •,F ;. Southold, New York 11971 Alteration Telephone 170 4 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. Fee $ DATE ,5 7-__)/- , APPLICANT NAME: 427ic.7 APPLICANT ADDRESS: - moi o� SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION 1^ ticA A ocSC LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: /02/X,ex. OWNER MAILING ADDRESS: /_5---74-44,,,, �r^, 7/)--70- OWNER PROPERTY ADDRESS: ,2,,75 �sctvocf 074 1/e- TELEPHONE NUMBER OF CONTACT PERSON: (574 -) 9?7-33,7 TAX MAP NO. : Section //3 Block Lot /6, CROSS STREET: BUILDING PERMIT NUMBER CROSS REFERENCE: • Sgnature of Applicant RECEIVED BY: 4. 4 ,//; • ,„77 !Jerk's Office DATE: Qi ' •:; IVO Clerk Southold ----- -- Ct,.l i Y EIVED F'0b2 - .. : `C� '-.. • 111 _._tom- • STATEMENT OF INTENT +` j• THE WATER SUPPLY AND SEWAGE DISPOSAL (���,��/�Q j�, T �� SYSTEMS TO THEFOR HIS STANDARDSCE OF THEILL u A - ' Filed Map12 32��� SUFFOLK "CO. DEPT. OF HEALTH SERVICES. `?' _ �'- -- • . (S) , MATT] APPLICANT SUFFOLK COUNTY DEPT. OF HEALTH •."-` i liteC.,& d. SERVICES — FOR APPROVAL OF CONSTRUCTION ONLY - DATE: eg $O SCQI6 =--.604= 1". • H. S. REF. NO.: se _ APPROVED: SUFFOLK•CO. TAX MAP DESIGNATION: -t7 . -- IYJsi/u tier i- _ --: '- DIST. SECT. BLOCK PCL. 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