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Home My WebLink AboutRerisi OFFICE OF THE TOWN CLERK �FFE1Lj' ' Town of Southold Judith T. Terry, Town Clerk 'Y" :Skt : ` Town Hall, tom` 53095 Main Road ; 8 i;,�� la,;tiE4-4 R. O. Box 1179 % P.; ' Southold, New York 11971 O t O�-�;� Telephone 0i c ,,, (516) 765-1801 - TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 174 Residential X Non-Residential Fee $ 10.00 Septic Cesspool x PERMIT ISSUED TO: NAME: Victor E. Parisi ADDRESS: 9 Cat Hollow Road Bayville, New York 11709 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION New single family dwelling with sanitary system.- APPROVED as per Suffolk CountyHealth Dept. approval. LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: Victor E. Rerisi OWNER MAILING ADDRESS: 9 Cat Hollow Road ' Bayville, New York 11709 OWNER PROPERTY ADDRESS: Osprey Nest Road (100' W of Maple Lane) East Marion, New York TAX MAP NO. : Section 35 Block 6 Lot 36 CROSS STREET: Maple Lane BUILDING PERMIT NUMBER CROSS REFERENCE: Judith, T. Teri- Southold Town Clerk DATE: June 8, 1987 (TOWN SEAL) 0 Ns> ,,4-).-;----N:--, 4:-:c.--8 cr' =, rvP =�4 Town Hall, 53095 Main Road `,"), ` <�' P.O. Box 1179 N. °" �...,. Southold, New York 11971 ,JUDITH T. TERRY4".....m.,4".....m.,. i• 1. TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK - TOWN OF SOUTHOLD June 8, 1987 Victor E. Rerisi 9 Cat H011ow Road • Bayville, New York 11709 Re: Osprey Nest Road . East Marion, 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, ..,a6,7... Judith T. Terry - Southold Town Clerk Enclosures (3) JTT/Ijc • -" U .._ .. .4 ; D m@ Lil LI\\.....fil/ i Fl p.& ,e?._`= A 2 1987 6 t� `�,x��' -'_ P�lp�1F�3![.��Cijjf•F. D._F�.p4` D 1'.,+` / Town a' , 095 Main Road ;_f x„p ',Va.r P.O. Box 728 -. iI,,, Southold, New York 11971 �.... JUDITH T TERRY TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD April 28, 1987 To: Victor Lessard, Southold Town Building Department From: Judith T. Terry, Southold Town Clerk Transmitted herewith is a copy of application No. 163 for a CONSTRUCTION or ALTERATION Permit for a cesspool or septic system submitted by Victor E. Rerisi 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„:".:: office® Thank you. r 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 - to( DISAPPROVE - COMMENTS: CLAy C.A. ' : 1 a . .4.0 Signature Cs4 a-/ g 7 Date OFFICE OF THE TOWN CLERK Town of Southold �� Judith T. Terry, Town Clerk Application No. 3 Town Hall, 53095 Main Road Construction P. 0. Box 1179 Southold, New York11971 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 .$ /U DATE 4,1eie_ -2 7 / 5Y7 APPLICANT NAME: lit C-loe2 E. ,f'F,e/si. APPLICANT ADDRESS: 9 c,r /hLLcw A) - /3voile Ai, 1/ 709 SEPTIC CESSPOOL ,( DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION IQea) l c4rliLy 7wezz/Ai To E3e 6cci47- LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: U1G-/0.e 46.e,S / OWNER MAILING ADDRESS: 9 CAT ,iol.[.o4u 6/3yv,//e N y //70� OWNER PROPERTY ADDRESS: csp,2ey NesT ,&b. /00 /u.) o� /fooie_ A sr-- TELEPHONE 7 TELEPHONE NUMBER OF CONTACT PERSON: 5/6, ‘,..?Q - /160 TAX MAP NO. : Section 36— Block 6 Lot 3 CROSS STREET: BUILDING PERMIT NUMBER CROSS REFERENCE: 0,64 Signature of Applicant RECEIVED BY: i. c/ dr. _J_ ,- - Town lerk's Office DATE: • 0 o�fr t;:e, )0t;(101C: T - - .... ,._ SUFFOLK CO. HEALTH \i DEPT. APPROVAL 1 , t-2• . ''.- • t 2. I 1'• ' STATEMENT OF INTENT --, 7 THE WATER SUPPLY AND SEWAGE DISPOSAL ' SYSTEMS FOR THIS RESIDENCE WILL ' 2 .......,/ , . L.. CONFORM TO THE;-•STANDARDS OF THE -„, - .1 i" SUFFOLK CO. DEPT. OF HEALTH SERVICES. Pee;rri i;le -- (5) 1.! APPLICANT 1 - , , .i SI • _ SUFFOLK COUNTY, DEPT. OF HEALTH SERVICES — FOR APPROVAL OF1 ' t . ,l' CONSTRUCTION ONLY . „ ..__:. . DATE: H. S. REF. NO.. APPROVED: / r-d 41.1 . / • l'' _ / . SUFFOLK CO. TAX MAP DESIGNATION: . . . DIST. cagcJ) B •CK L. • v, , ....., 1000 0..1.5 , 4(11 s:,1 , OWNERS ADDRESS: - . ' 9 ca e• i-/o II,rau, i2o ad , /I Z-0 e..:) INI Av-i,f:t 4c,,, eay v i 1 I,e , ' ..., y. - 71 7 0 9 - : 5 C. /0 0 '---z /” ,.. . , . . . , . . , ,/ ,• . , .. ._ _ . • , • ref:- 6 z 6 - iitrO 'clv , . . . ' . , . . . , DEED: L. h1/61 P: „„ ,r' • TEST HOLE ! . STAMP., -, < , al ritheri,,1 elmration er Adlitiori; •":7..:- . ,,i; d .• - , , . . to'gut survey is o v;olation of I ' ' - .. ,, , ` S 1,rt-n 720q o`the New York State-‘7,''i „ Ekicr--.i.ion Lew. . , ' •:. ../(1 .1 . r = c:0,--.iez of thiti Curecy mep n32 InarfrO',;;:',:' the-Jane surveyor'9 inknet tool , . '( k' embossee seal sh.T.II net In conoislartte,;',.:.' - . . ' ' • . ,,,,! , , to be a valid trun copy. '4, .— ,--— , (•,7-.s"-. ‘ I. ... Guarantees Inaltete4 hermit sh , . „' ' c'.e to the perton for whom the eunroy',..-.'-` , I.t, , Only1 ' ?C2 Is prepared,end on his behalf to the , - . • • .. ,1 ' „ title company.gevcrnmontol anoneY end.-;', , I ' je 17 eid' lenckne institution listed horoon and - - to the ew4onacts ef tho lending Mad-, _ , - - - ,:'••'P' . Union.Guarantees ero not transferable "L''- 7: ,•.;-'''.,'::'.1:. ' ' •1-, : to ad4itional moitationa or sube•querit'..,:-....-- .. „ • -' • 't ''.1 „ . , ,, „- 1 , ':!,,,,',%'''‘,.•- -., ,''',L' ''''''.,..''',--';'A,..:;.:;...i.:,`r.4(7'....,,. t , , . . - •'I S . L. - ,:"1'''':•'t , • oF N Eti, '”.,,.,,,-.p, , '',',2•i, , , „ , ,‘,. ,;,,, cc, ''-';it':-. • , . ,.'..--.-i, I. ,',. '• " ' -- . . ,-.'.‘.. j:3 ccOQ t:D d 4.1 :C''.4,-f.* --f,f. 1 .-,:- „... . ., . 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