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HomeMy WebLinkAboutPafitis • OFFICE OF THE TOWN CLERK c0FU(A%`, Town of Southold ; 4.4%4 Judith. Judith. T. Terry, Town_Clerk . Town Hall, 53095 Main Road " P. O. Box 1179 .cr3 "e �: �,t Southold, New York 11971 Oji iF �n �-'�•� Telephone 1 (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 139 Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: NAME: Robert Kehl Home Improvements Inc. ADDRESS: 4450 Main Bayview Road Southold, New York 11971 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION New Single Family Dwelling LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: Charles Pafitis OWNER MAILING ADDRESS: 2841 35th Street Astoria, New York 11106 OWNER PROPERTY ADDRESS : 125 Lands End Orient, New York TAX MAP NO. : Section 15 Block 9 Lot 1 .14 CROSS STREET: Main Road BUILDING PERMIT NUMBER CROSS REFERENCE: Judith T. Terry Southold Town Clerk DATE: April 7, 1987 (TOWN SEAL) J c._ a!i z • Town Hall, 53095 Main Road ,; P.O. Box 1179 MY 0° `: - Southold, New York 11971 JUDITH T TERRY TELEPHONE TOWN CLI Rk .. (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK • TOWN OF SOUTHOLD April 7, 1987 Robert Kehl Home Improvements, Inc. 4450 Main Bayview Road Southold, New York 11971 Re: Charles Pafitis 2841 35th Street Astoria, New York 11106 Property Location : 125 Lands End Orient, 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 ours, goribmmse Judith T. Terry Southold Town Clerk Enclosures (3) JTT/Ijc • �1/ ;I' c�JFrglar 11 ffO® A-7-'7, .,. glare, = _ k ,. :a % �� " h hAy,r a 1 p, 'I Town Hall, 53095 Main Road _A% ' .4.. . P.O. Box 728 lam... a�,�ire Southold, New York 1 1971 JUDITH T TERRY TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD April 2, 1987 To: Victor Lessard, Southold Town Building Department - From: Judith T. Terry, Southold Town Clerk Transmitted herewith is a copy of application No. 142 for a CONSTRUCTION or ALTERATION Permit for a cesspool or septic system submitted by Robert Kehl Home Improvements, Inc. for Charles .Pafitis. 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 - X DISAPPROVE - COMMENTS: Q.o . 041- Q-6-4-4-1L\ , _90- \Celi-61-tji :LL.J.- Signature q/°2-/YZ Date OFFICE OF THEk TON,1N CLERK Town of Southold Judith T. Terry, Town Clerk Application No. /41 Town Hall, 53095 Main Road Construction 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 .$7d o c,_, DATE / /i/ xr-ou= xeA A NT NAME. _:.A.:"w,.��graLe= APPLICANT ADDRESS: - r SEPTIC / CESSPOOLS \\,, // DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION N /?t — • LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION• ,/ ` OWNER OF PROPERTY: e��-/2e5 P/9 -/�js ' ' OWNER MAILING ADDRESS: 12- 81f( 5 AS-v/2l/ ( AL9 a ( / O OWNER PROPERTY ADDRESS: k' 5 (\1 ®S SND-- O2J n1- , )cit i jdt1 TELEPHONE NUMBER OF CONTACT PERSON: 7 (, 5 - TAX MAP NO. : Section 0/ 5 Block g Lot "' 1 ( CROSS STREET: ,fiiti( BUILDING PERMIT NUMBER CROSS REFERENCE: LI Signature of Applicant — RECEIVED BY: ' �'-G'c • t`�EC :crown 'ler-'s office DATE: i_ , , l� aa Tnw^ r'�rSouthold I i I . . it\ ' 1 . \ ,.... . . . . ".' . ..... .f-/ ',..J .. I 1 c--... c,. ., U - 41 t .--------------7--1 , 1• • ....-' n- . 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