HomeMy WebLinkAboutSica OFFICE OF THE TOWN CLERK cvFFOCk
Town of Southold • �� CSG _
Judith T. Terry, Town Clerk �� S 4 : Y �
Town Hall, 53095 Main Road X54 '
P. 0. Box 1179
Southold, New York 11971 O z,:=�� oi•�
Telephone- 01 r,
(516) 765-1801 '
TOWN OF_SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
•
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 290 Residential X
Fee $ 10.00
Non-Residential
Septic Cesspool X
PERMIT ISSUED TO:
NAME: Gardiner's Bay Construction Co.
ADDRESS: Box 604
Shelter Island, New York 11965
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New Single Family Dwelling with Cesspool System.
APPROVED as on the submitted survey with slope percentages.
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Sica, John T. and Lucia Maria
OWNER MAILING ADDRESS: 1602 Clifton Street
Baldwin, New York 11510
OWNER PROPERTY ADDRESS : Main Road
East Marion, New York
TAX MAP NO. : Section 31 Block 14 Lot g
CROSS STREET: Trumans Path
BUILDING PERMIT NUMBER CROSS REFERENCE:
Judith T. T ry
Southold Town Clerk
DATE : February 29, 1988
(TOWN SEAL)
•
`' .` a rir-' Town Hall, 53095 Main Road•" P.O. Box 1179
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
•
February 29, 1988
•
Gardiner's Bay Construction Co. - -
Box 604
Shelter Island, New York 11965•
-
_Re: John and Lucia Maria Sica
Main 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,
Judith T. Terry
Southold Town Clerk
Enclosures (3)
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OFFICE OF THE TOWN CLERK c0FDLk
Town of Southold �� ��� "-- CO
1, A Application No. /V
Judith T. Terry, Town Clerk ���„ r ,� ;;! � � pp
Town Hall, 53095 Main Road x;, tea' ; Construction
P. O. Box 1179 ° ' '' q
'° `f Alteration
Southold, New York 11971i
Telephone
'�j �1�® Residential /
(516) 765-1801, ." Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
1
Permit No.
Fee $ /0 Wc"--
DATE 2/5/66
1
APPLICANT NAME: Gardiner 's Bay Construction Co.
APPLICANT ADDRESS: Box 60L1.
Shelter Island, NY 119h5
SEPTIC X CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
Single family dwelling
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: John `f. E< Lucia Maria Sica
OWNER MAILING ADDRESS: 1602 Clifton St.
Baldwin, NY 11510
OWNER PROPERTY ADDRESS: Plain Road
East Marion, NY
TELEPHONE NUMBER OF CONTACT PERSON:
516-749-01, 32
TAX MAP NO. : Section 031 Block 11i Lot 9
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
///
. Signature of.Applicant
RECEIVED BY: G6..y_a_ I 0
Town J'erk's Of'ice
DATE: c_/////f.;K
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f_ i"I1`,;I i 31;�i �_ ( �?r\U •I'? / Q��)Cj�
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