HomeMy WebLinkAboutOlson (2) OFFICE OF THE TOWN CLERK c.pFU(/rl,
Town of Southold o �G
Judith T. Terry, Town Clerk yt
•Town Hall, 53095 Main Road
P. O. Box 1179 .� .
Southold, New York 11971 0 �,$ �0
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Telephone - 4 $70! -
(516) 7651/4-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 188 Residential X
Non-Residential - -
Fee $ 10.00
Septic Cesspool ' X
•
PERMIT ISSUED TO:
NAME: John A. Olson
ADDRESS: 99 Dunlop Road
Huntington, New York 11743
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New Single Family Dwelling with Sanitary System
APPROVED as approved by Suffolk County Health Dept. _ - i
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: John A. Olson
OWNER MAILING ADDRESS: 99 Dunjdp Road
Huntington, New York 11743
OWNER PROPERTY ADDRESS : Sutton Place
Greenport, New York
TAX MAP NO. : Section 33 Block 5 = Lot 4 •
CROSS STREET: McCann Lane
BUILDING PERMIT NUMBER CROSS REFERENCE:
Judith T. Terry
Southold Town Clerk
DATE: June 25, 1987
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Town Hall, 53095 Main Road
® ��� P.O. Box 1179
� �� ,'� Southold, New York 11971
JUDITH T. TERRY .v„i 04111° TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
June 25, 1987
John A. Olson
99 Dunlop Road
Huntington, New York 11743
Re: Sutton Place
Greenport, 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 ($25.00) for non-residential.
Please have the owner complete the enclosed Application for an Operation
Permit and return it to this office along with the proper fee.
For your general information. I have enclosed an Informational
Bulletin regarding the Scavenger Waste Laws adopted by the Southold
Town Board. Should you have any questions pertaining to either permits
or the Scavenger Waste Laws, please, do not hesitate to contact this
office. We will- be glad to assist you in any way possible.
Very truly yours,
•
Judith T. Terry
1 - Southold Town Clerk
Enclosures (3) - _
JTT/Ijc -
Town Hall, 53095 Main Road
,���•1 P.O. Box 728
����#�ti Southold, New York 11971
JUDITH T TERRY TELEPHONE
TOWN Cu-RI:
(516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
June 22, 1987
To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 190 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by John A. Olson
Please review the application and location map and advise if the
project has received Suffolk County Health Department approval
and if we may issue the permit.
Please complete the form below and return it to my office.
Thank you.
•
Judith T. Terry
Southold Town Clerk
* * * * * * *
I have reviewed the application and location map of the project
cited above and make the following recommendation:
APPROVE -
DISAPPROVE -
COMMENTS: 0,,0
44-42-04...iS- 411 •
Signature
Gl.a Lily
Date
OFFICE OF THE TOWN CLERK SVFFUL-
Town of Southold 0�� CSG
Judith T. Terry, bku = Application No. /fv
Town Clerk � �,� �� .��,�� �
Town Hall, 53095 Main Road ` can '.sx,4,< rhe Construction
P. O. Box 1179 �h � J Alteration
Southold, New York 119710�-�,
Telephone ®_1 ��; Residential '
(516) 765-1801 0 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. •
Fee •$/O
DATE
APPLICANT NAME: 'CA/ ,• 104 sod
APPLICANT ADDRESS: 97 f 1 'A/W R.64--4p
//vi.y7-31Ag471,4) AA/• //7' 3
SEPTIC CESSPOOL 1�
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
.4/.. z4_, `7 s7-4-4/ H7-2
LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: D'Wm, 4. ®i .Sb,&)
OWNER MAILING ADDRESS: 9 „,e72.4.144 DP' J b
,91..).e)7,.v4;A)✓ Jv/ //7,93
OWNER PROPERTY ADDRESS: --l5' 5L)7 j ) 7, 4e /E , 3.20
c-WA) . ,, G iPzvar/V•
TELEPHONE NUMBER OF CONTACT PERSON:67) L753/ '/
TAX MAP NO. : Section 55 Block 5 Lot 4r
CROSS STREET: /2-1(e_ Cd012-Ai✓ti
BUILDING PERMIT -NUMBER CROSS REFERENCE:
• 7)7-
Signature of Applicant
RECEIVED BY :
Town Clerk's Office
DATE:
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