Loading...
HomeMy WebLinkAboutMasci (2) OFFICE OF THE TOWN CLERK c..FFOCKc� Town of Southold .. Judith T. Terry, Town Clerk Town Hall, 53095 Main Roadt . P. O. Box 1179 . ' Southold, New York 11971O `11.11(` ‘c1.. Telephone _ � o, (516) 765-1801 -- TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 176 Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: NAME: Quality Crafted Homes of LI, Inc. ADDRESS: 365 Sunrise Highway North Manorville, New York 11949 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION New Single Family Dwelling APPROVED as approved by Suffolk County Health Dept. LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: Anthony Masci OWNER MAILING ADDRESS: 81 Stonehurst Lane Dix Hills, New York 11746 OWNER PROPERTY ADDRESS : Bridge Lane (140' S of LI RR) Cutchoque, New York TAX MAP NO. : Section 85 Block 2 Lot 19 CROSS STREET: Route 25 BUILDING PERMIT NUMBER CROSS REFERENCE: Judith T. Ter Southold Town Clerk DATE : June 8, 1987 (TOWN SEAL) * E ,t' rA „�? Town Hall, 53095 Main Road : P.O. Box 1179 N 'fir 1, �cr' Southold, New York 11971 'JUDITH T. TERRY w,,,,s TELEPHONE. TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK • TOWN OF SOUTHOLD June 8, 1987 Quality Crafted Homes of LI, Inc. 365 Sunrise Highway-'North Manorville, New York 11949 Re: Anthony Masci Bridge Lane Cutchogue, New York Enclosed herewith is the Construction, Alteration or Modification Permit for a Septic-lank 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) - JTT/Ijc • m©NOW _ „„,,„„, • SAY 2 1987 . � 4,J ; is i1�,�•,, y, " TOWN OF SO�UTHOLD .._ _! �, �,, 4 r ,r ��� Town Hall, 53095 Main Road , x �j� � P.O. Box 728 • Southold, New York 11971 �..../f JUDITH T TERRY TELEPHONE TOWN CLFRK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD May 29, 1987 To: Victor Lessard, Southold Town Building Department From: Judith T. Terry, Southold Town Clerk Transmitted herewith is a copy of application No. 179 for a CONSTRUCTION or ALTERATION Permit for a cesspool or septic system submitted by Quality Crafted Homes of LI, Inc. for Anthony Masci 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 - �( DISAPPROVE - COMMENTS: Piz, U r t � Q\ )4..t„alitifeZyurijain )(1(ari.A, °LAI-. Signature 7 Date OFFICE- OF THE TOWN CLERK cOFNK / Town of Southoldr Town Clerk : a Cy Application Nu. Judith T. Terry, , _.� Town Hall, 53095 Main Road Construction P. O. Box 1179 cry "' Alteration Southold, New York 11971 21(' ‘0-Tele hone Ol ,' b�0- '� Residential p (516) 765-1801 'I Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ /d • DATE 42 APPLICANT NAME: (Q(/01-0-) C/I470) l tle' -y'c. //✓C- APPLICANT ADDRESS: 345- site/ale Kir ticsj)f 1k, moat" `1- I Q?Yq SEPTIC /CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION mit / r-(Li t /l'o% cam LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: /),/aftci`( OWNER MAILING ADDRESS: B ( (S7DNE'`b(✓2ST a-Y. J17L OWNER PROPERTY ADDRESS: /300Cc TELEPHONE NUMBER OF CONTACT PERSON: 2317Y-35717 TAX MAP NO. : Section (35 Block 2 Lot / `i CROSS STREET: r20v 2s- BUILDING SBUILDING PERMIT NUMBER CROSS REFER CE: C Sign ure of Ap Iicant RECEIVED BY:`; (--1Lc-t O C? NECt IV't:Town/Clerk's ffice DATE: .rr.,r 0 n <nn t -- at.,"t: r.e t.�Ur jrrtltsi CL rk Southold • f d SUFFOLK CO. HEALTH DEPT. APPROVAL H S. NO. / - , EX P i► S 81 'x' YiPa —` i M Al ?.....:- ::t' APPROVAL -------------- STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOS/ SYSTEMS FOR THIS RESIDENCE Wit '' - CONFORM TO THE STANDARDS OF TI- . -•- - SUFFOLK CO. DEPT. OF HEALTH SERVICE ---- •----•---.. = ' ---'—t (S) APPLICANT \ SUFFOLK COUNTY DEPT. OF HEAL' VEGSVIt SERVICES - FOR APPROVAL C CONSTRUCTION ONLY I►AY " 1981 DATE -'�(Y' - ? 7 ,, H. S. REF. NO . S' 7 50 62 • F:: APPROVED ' A,.^._ . S,C DEPT. CS .1' 11?-6 7 A!o L. HEAESH SERVICE . . SUFFOLK CO TAX MAP DESIGNATION: DIST. SECT BLOCK PCL OWNERS ADDRESS: 0 f- -`— - , DEED. L. , P ' TEST HOLE STAMP E'-g;^! "i,'vi alt irseti, e.gdd t: uryiy is:7 violAbQn c „-.t-n 771)°a`the.Nays York r-e•:rttofl L,'w. Co-h9'of thi-.surroy men n st 1 V,i•lone surveyoes inkod eacl, embosser_sav,4!:th^!I not be co- -. to bee yelp run copy. I rsui?rantoe indict-te-!hermit only to the pinion for wham tt Ir promeredt,end on his behalf tier comr!ny,eceernrnont:I a, londrr institutionJr fated horra - tr tin,avtujno'u of tho londno I •:u:Jcrt ruc�rer,twc oto not Ira- . t,L..•:•:rgna'ulirt'Gbonw or tw' - - SEAL (}FN N✓ I / .c t, i. ., /c9 ..-;•• RODERICK VAN TU_YL. P.0 I `r1,7,L ''.... 1"0 , ;• .ti C-„ � � 't� ,'f_b .i9' LICENSED LAND SURVEYORS -J �S 256 J� •S� GREENPORT - NEW YORK I I ��LANDS° • Cc,"• ISC)d • ' —1• ' ' •"`' ,. • - • ; 7_1 ! - • ' 7 ; ; . . • • • :-.11..ci3'S 'I.: • ii ,. (0 • I/ - • — t — oi.. r _ , 4,7 • - I C • 0,.°4