HomeMy WebLinkAboutPapadopolas •
OFFICE OF THE TOWN CLERK �FFOC/rre"
Town of Southold
Judith T. Terry, Town Clerk • Z
Town Hall, 53095 Main Road •
P. o. Box 1179 :cn {r` K`:'-
New York 11971 O k' �O�-�•••
Southold,
Telephone - ZI
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 157 Residential X
Non-Residential
Fee $ 10.00
Septic Cesspool x
PERMIT ISSUED TO:
NAME: John Epidy
ADDRESS: 1050 Ruth Road, P.O. Box 1007
Mattituck, New York 11952
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New Single Family Dwelling
APPROVED as per Suffolk County Health Dept4 approval and city water.
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Alexandra Papadopolas
OWNER MAILING ADDRESS: 90-66 .53rd Avenue
Elmhurst, New York 11373
OWNER PROPERTY ADDRESS : Ruth Road
Mattituck, New York
TAX MAP NO. : Section 106 Block 5 Lot 29
CROSS STREET: Breakwater Road
BUILDING PERMIT NUMBER CROSS REFERENCE:
Judith T. Terry
Southold Town Clerk
DATE: April 29, 1987
(TOWN SEAL)
I4.0"c3q Fair t
:" 'r7 Town Hall 53095 Main Road
74,11,*
�'` P.O. Box 1179
ir
(11 � � Southold, New York 11971 -
JUDITH T. TERRY I -,,,,i ii/�' TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
April 29, 1987
John Epidy
P.O. Box 1007
Mattituck, New York 11952
Re: Alexandra Papadopolas
Ruth Road
Mattituck, New York
4
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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_ I `� Town Hall, 53095 Main Road
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‘./ P.O.P.O. Box 728
,,011 - 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
April 10,1987
To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 150 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by John Epidy for Alexandra Papadopolas
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.
•
%.04040,47...
Judith T. Terry
Southold Town Clerk
* * * * * - * * �e
I have reviewed the application and location map of the project
-cited above and make the following recommendation:
APPROVE -
DISAPPROVE -
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COMMENTS: o> c� C.�. i.J�o 1- 4147'0.-C, Scj 3 {
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Signature
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Date
ti
OFFICE OF THE TOWN CLERK
Town of Southold Application No. 7S7)
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road Construction
P. 0. 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. /6-7
Fee .$ /O
DATE 330/9
APPLICANT NAME: ✓ V EP/ b '
Po k3 /007
APPLICANT ADDRESS: /e,..5-6 J/ i /j/C1ct'/ /
SEPTIC V CESSPOO L
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTR CTION OR ALTS TION:
OWNER OF PROPERTYA.-/f/A/AeW `" i AZ
OWNER MAILING ADDRESS: qD -�� 53/eb a E ,7 (J
67 -7
OWNER PROPERTY ADDS: x`7/47✓ //Cc�C 'yix
/ jeaL
� oro) 19T
TELEPHONE NUMBER OF CONTACT PERSON 122
TAX MAP NO. : Section /06 Block 6- Lot 2,
CROSS STREET: geilAidl' / ,
BUILDING PERMIT NUMBER CROSS REFERENCE:
Ar—
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•atur of Ape Ica
RECEIVED BY:
Town Clerk's Office
DATE: ; _:_
r SUFFOLK CO HEALTH DEPT APPROVAL
1 H S NO
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\�s STATEMENT_OF_INTENT
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Ct \\!;tS SYSTEMS FOR T IS RESIDENCE WILL
S ) ., S 1 CONFOR T S ' N•AR• OF THE
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SUFFOLK • • HEAL ' i SERVICES.
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