HomeMy WebLinkAboutPavich OFFICE OF THE TOWN CLERK • F�
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Town of Southold
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Judith T. Terry, Town •Clerk r�
Town Hall, 53095 Main Road • 8
P. 0. Box 1179 ' .u' 1! y :
Southold, New York 11971 O .. , �O�-��
•
Telephone 01 :-'
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
•
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 329 Residential X
Non-Residential
Fee $ 10.00
Septic Cesspool X
PERMIT ISSUED TO:
NAME: Bob Kehl's Home Improvement
ADDRESS: Box 520
Southold, New York 11971
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New Single Family Dwelling with Cesspool System.
APPROVED as per Suffolk County Health Department approval.
•
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Joseph Pavich and Daniel Puhalovic
OWNER MAILING ADDRESS: ' 21 Manor Road
Douglaston, New York 11363
OWNER PROPERTY ADDRESS : Land End Road
Orient, New York 11957
TAX MAP NO. : Section 15 Block 9 Lot, 1 .28
CROSS STREET': Latham Lane
BUILDING PERMIT NUMBER CROSS REFERENCE:
Judith T. T ry
Southold Town Clerk
i
DATE : May 3, 1988
(TOWN SEAL) )
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a�?: Town Hall, 53095 Main Road
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• P.O. Box 1179
�,;�� `'� ♦ Southold, New York 11971
•
JUDITH T.TERRY .r�� TELEPHONE
IO\l'N CLERK (516) 765-1801
REGISTRAR 01 VITAL S fATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
May 3, 1988
Bob Kehl's Home Improvements, Inc.
P.O. Box 520
Southold, NY 11971
Re: Pavich/Puhalovic
Lands End Road
Orient, NY 11957
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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,,, , �,_yy-'. Town Hall, 53095 Main Road
�� � P.O. Box 728
--- °' t Southold, New York 11971
JUDITII T TERRY TELEPHONE
TOWN CLI'RK (516)765-1801
REGISTRAR OF VITAL STATISTICS c/ OFFICE OF THE TOWN CLERK
3 °21 TOWN OF SOUTHOLD
April 27, 1988
To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 333 for a
CONSTRUCTION or ALTERATION Permit for--..a cesspool or septic system '
submitted by Bob IKelais Home Improvements Inc. for Pavich/Putaalovic.
Please review the application andilocation 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 - -
lc
DISAPPROVE - n
COMMENTS: q,o 1.,,,,LA �.. .p. OL, trv%
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\rt.e..154., C7 -,'") OtA- CL
Signature '
4\ . ...."\\1,1
Date
.OFFICE OF THE TOWN CLERK
Town of Southold N; f
Judith T. Terry, Town Clerk t- 1'4 __° Application No.
Town Hall, 53095 Main Road c=1 ,41---
Construction
P. 0. Box 1 179 cn fir"" `
p ut - � Alteration
Southold, New York 11971 ,
Telephone 410 It d � Residential
(516) 765-1801 Non-Residential
TOWN OF SOUTHOL .
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ / 0
DATE
APPLICANT NAME: efic/f , j/4 r hidet.e /�f'.2ad Ehs,✓ - 1,ve ,
APPLICANT ADDRESS: /.7,61, go-x- Soo Yee. -y�co, v)Y /79 ?/
SEPTIC v CESSPOOLv
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
,tel eV 676✓, GC /N f SA T7C C(SSroc e_
LOCATION MAP: Must be attached hereto before,permit may be issued.
- LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 7'o5-EPN 'gore// `k P4x//cc Pkt
/f ALoviC
r�AN fLL
OWNER MAILING ADDRESS: 2 / ,qwd2 RQ
vc11 /1-17c1ti, r✓
OWNER PROPERTY ADDRESS: 2441.0 S /v,e, Ra4,0,
/ (5s-
TELEPHONE NUMBER OF CONTACT PERSON : 7E 5'- mt7 Se-
TAX MAP NO. : Section oiS• Block p 9 Lot
CROSS STREET : 4-441‘, .5-
BUILDING
41 YBUILDING PERMIT NUMBER CROSS REFERENCE:
•
Signature of Applicant
RECEIVED BY • �
('mail ier Town CI rk's Office
DATE: 9, 7 VS
town Clerk Sautho'u
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LOT 2 9 - `cy.-."✓ 4,,,._
, tom: ��z t,
a e ( VACANT )
turn L(ec�/.I S 8 8°5 7' 4 0 I,I E . 200 00
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c. Cover d S tK.
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N 88° 57'40"W 200. 001 o.or
( VACANT )
LOT 27
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( VACANT )
AREA = 40, 000 SQ. FT.
' $- �: ' THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
.\C[s'-D O ER". : ,, D OR FROM DATA OBTAINED FROM OTHERS
est5Z+A g,..
V 's n'i ` •'
".43\
\ L Dc END ROAD
The water suPsewa arils osnl. s .__.;0 J T, .
u . C ' terns for this residence will-conform-toll ec'•c"`
stand rds of the"Suffolk�Coun iDe °art-
( LATHAM LAN E ) r__ q � ,.. ty ' P
`meet of Health Servicer.' •
CERTIFIED TO ; .!-'� �c="1 ` '." SURVEY OF
TERRAMARE ABSTRACT INC . �-1''{ -
TITLE NO. 635 S 0844 LOT 28
DANIEL PUHALOVIC " MAP OF LAND'S END ��
JOSEPH PAVICH
FILED MAY 3 , 1973 FILE NO. 5909
with the min'anum �- _
Prepared in accordance s as established b A T 0 R � t IN T POINT
!uO I N T -
s;andards for tiansurveys
P roved and adopts., TOW N O F S OUT H 0 L-0
standards
�•I A•l•S. �`® New York State Land
for such use �Y SU FF0 I< COUNTY , N . Y
Title Association. 1000 • - 01 5 - 09 - I. 28
LANA SCALE I" = 40 '-
; k, SG
;c�'�o�Q\A A. /N��`A,- �' OCT. 20 , 19 8 7
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i• r ZOO SUFFOLK CO.W'.TY En•P.,�`;T FENT OF Iifr MTH £t;VICES
q r? ` ' fOR AiIti:OVAL CF CONSTRUCTION C -Y
� . ` {' * ,' . Y. S . LIC. NO. 49668 �
' .r� +o. • S DA,,EAPR 19 1988 Hs REF. N�.Sc� —S '
.PECk ", '• '`RS ,a, ENGINEERS , P.
•,� ` ��
''( 5I6) - NE• �-
.P 0. BOX 909 - -_ - 1 .'
MAIN ROAD EL AN ASSUMED ARE
REFERENCED C..-
SOUTHO LD , N V 11971DATUM.
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