HomeMy WebLinkAboutMagg JUDITH T.TERRY Town Hall, 53095 Main Road
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TOWN CLERK ea g P.O.Box 1179
O 'I Southold,New York 11971
REGISTRAR OF VITAL STATISTICS \� �1 Fax(516)765-1823
MARRIAGE OFFICER �_�® ��1� Telephone(516)765-1800
RECORDS MANAGEMENT OFFICER : d 0 V;•
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1383 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : POSILLICO CONSTRUCTION CO.
Address 1 : 31 TENNYSON AVENUE
City St Zip WESTBURY NY 11590
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR NEW SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. SCHD REF. #R10-95-0044
Name Of Owner MAGG, RICHARD J. (INTRVS.
Mailing Address 1 TRUST 9-30-91)
367 ELM ST.
City St Zip ROSLYN NY 11576
Property Address 1 OREGON ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 94.00 block 3 lot 1 .003
Cross Street ELIJAH'S LANE
Building Permit Number Cross Reference:
Issue Date: 9/11/95 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
Oil,WF0g4 =•• \>,
JUDITH T.TERRY ` ® f Town Hall,53095 Main Road
TOWN CLERK t g P.O.Box 1179
REGISTRAR OF VITAL STATISTICS � , Southold,New York 11971
MARRIAGE OFFICER �� O �' ��� Fax(516)765-1823
RECORDS MANAGEMENT OFFICER w Volo' Telephone(516)765-1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: September 5, 1995
Transmitted herewith is a copy of application No. 1435 for a Cesspool/
Septic Tank Construction Permit submitted by:
Posillico Construction Co. for Richard J. Magg Intrvs. Trust 9-30:01
Please review the application and location map and advise if the project
has received Suffolk County Health Department approval and if this office
may issue the permit.
Please complete the form below and return it to me.
Thank you.
' _-I , ___ (� -,
•
46,-,LaceSFP �° 5 1995
Linda J. Cooper
* .- _ _
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE
DISAPPROVE
Comments: ,.r%u/"'ofi £a4 / 4%— ps`orp 441
4.49,:o97%
Signaty e
III,',
OFFICE OF THE TOWN CLERK OCOFOL'`D
Town of Southold Off, G
Judith T. Terry, Town Clerk �.; Application No. /V 5
Town Hall, 53095 Main Road o C•..,: ,e,j;;.�t "—
u, r: �'s� _Construction �
P. O. Box 1179 � � , �le4'
Southold, New York 11971 • Alteration
Telephone x
Ol )\ 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 .$
DATE V-5"--- 9-5
APPLICANT NAME: PO 5146te-c Co/ S72UG7/7AV C1,
APPLICANT ADDRESS: 3! Tc;VNVSo V ,YG
e3a05ci7 ov"Y //s70
SEPTIC / CESSPOOL VV
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
'7/c 714 v1C f cG s 5err aC. fiat' Art W A16,6.56-' Zv i
GO AiS &i
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: De/CPA-R.6 MA-66 /ATRYS. T/?v 5 T 9-50-V
OWNER MAILING ADDRESS: 34; 7 EL//1 571
•
lee 5 LY/V N' Y as-76
OWNER PROPERTY ADDRESS: 04'66-0 A/ „'®.
A'TT/ 4J}/ //9s2.
TELEPHONE NUMBER OF CONTACT PERSON: 333 - 0 6 6 6
TAX MAP NO. : Section 97' Block 3 Lot /.3 (pro)
CROSS STREET: /35 7L- 6/;:tails ,
BUILDING PERMIT NUMBER CROSS REFERENCE:.
ignatu re of Applicant
RECEIVED BY: REClIV D
DATE:
�F� ToSwn.,,Clerk's Office
lown
-,JF FOLK .0 rHE...�r H L)EP r APPROVAL
v'e./Ct1rr:'
H S NO,A/c, - `JJ -D 0y4
:V.63'$Z-3O B. - .'89..JZ - 50 I '
o •
a I '
Al -
Q well STATEMENT OF INTENT
- !/, THE WATER SUPPLY AND•SEWAGE DISPOSAL
n "'uta-' i�Dr`36 .5•742.,317,4: 1 SYSTEMS =FOR- THIS=- RESIDENCE WILL
Id
I. • + -• i i• I CONFORM TO THE STANDARDS ,OF THE
� -.L SUFFOLK CO. DEPT. OF HEALTH SERVICES.
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is I , �''� t Ni'`..
i APPLICANT
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vJ I SUFFOLK- COUNTY DEPT, OF HEALTH
h oi,;}. a f� SERVICES - FOR APPROVAL FOR
tw
H CONSTRUCTION ONLY
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H.S.REF. NO.. R NO-c5-0°44-
r' DATE: Al
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SUFFOLK CO.TAX MAP DES NATION:
a ;
C.w• '. () . ' - - ' ,4r•cbd. td-- -- 1 DIST. SECT- BLOCK PCL.
l `a ; 7 Za• ; OWNERS ADDRESS:
y' /66_8/ /arc 39'33I
I 36?' %r�?' vT•
- 3 . 8. „W i t� �__ &• - — Jed'&S• 60 ' • eos r:, ni.7'.
s. 63'�!J !!. 75I.
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73-0
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�- cu�:1 -Weil./ i . PLEASE (VOTE - : � - . ;
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(hoops._ tar e;47r). Minimum distance between well 3____..."Y__., Ems`°" -
. and cesspool is to be 150 feet. "��"°, °'"`'°
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SFS CS 256"A
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GREENPORT NEW YORK