HomeMy WebLinkAboutO'Brien (3) OFFICE OF THE TOWN CLERK c,)\\FFair"-
Town of Southold -VG
Judith T. Terry, Town Clerk #
Town Hall, 53095 Main Road
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P. 0. Box 1179 .to
Southold, New York 11971 O .
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Telephone 4l t
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 36 Residential XX
Non-Residential
Fee $ 10.00
Septic Cesspool xx
PERMIT ISSUED TO:
NAME: East End Log Homes & Construction, Inc.
ADDRESS: 4465 Wickham Avenue -
Mattituck, New York 11952
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New Construciton of a single family dwelling
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Anne P. O'Brien
OWNER MAILING ADDRESS: Hollywood Drive
Crestwood. New York
_ OWNER PROPERTY ADDRESS: 2025 Reydon Drive
Southold. New York 11971
TAX MAP NO. : Section 80 Block 2 Lot 91
CROSS STREET: West Shore Drive
BUILDING PERMIT NUMBER CROSS REFERENCE: 15257Z •
Judith T. Terry
Southold Town Clerk
DATE : September 11, 1986
(TOWN SEAL)
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may`' Town Hall, 53095 Main Road
P.O. Box 728
' 40it Southold, New York 11971
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JUDITH T TERRY- TELEPHONE
TOWN CLERk (516)765-1801-
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
September 11, 1986
East End Log Homes & Construction, Inc.
4465 Wickham Avenue
Mattituck, New York 11952
Re: Anne P. O'Brien
2025 Reydon Drive
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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OFFICE OF THE TOWN CLERK
Town of Southold
Judith. T. Terry, Town Clerk Application No.
Town Hall, 53095 Main Road Construction 1�
P. O. Box 1179
Southold, New York 11971 Alteration
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.
Fee $
DATE 61 - to - oc
_
APPLICANT NAME: _4467-
AU CND LOCA 1\"O 3 r ug- JC -
APPLICANT ADDRESS: y L 5 W CX f+l ev&
Wl A"l1` 11)0(1 ( 1952--
SEPT I C
19SZSEPTIC /CESSPOOL /
DESCRIPTION OF PROPOSED CONSTRUCTION R ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY : Rome_ P. v`b EEO
OWNER MAILING ADDRESS: 2.0 25 R'zy3Qw C*
Souk kly
OWNER PROPERTY ADDRESS: 0) 1 fWUOn DEQ �\
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TELEPHONE NUMBER OF CONTACT1PERSON:
TAX MAP NO. : Section 0 v Block Lot Z- /
CROSS STREET: 60 g
BUILDING PERMIT NUMBER CROSS REFERENCE: ISZSZAita7-
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Signatty of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
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