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HomeMy WebLinkAboutRodick Const • OFFICE-OF THE TOWN CLERK , C��FFQ(x`, Town of Southold �� Judith T. Terry, Town Clerk Azit Town Hall, 53095 Main Road P. 0. Box 1179 u' '� 700. Southold, ,New York 11971 . O � �•`,, Telephone ®1'41 ; (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL - Permit No. 128 Residential X Non-Residential Fee $ 10.00 Septic Cesspool x PERMIT ISSUED TO: NAME: Rodick Construction Company Inc. ADDRESS: 428 Route 25A Miller Place, New York 11764 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION Two-story single family dwelling COMMENTS: Approval granted to ,put septic system where approved by S .HD provided permission is obtained to put well on other property. LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: Stanley and Clare Sledz OWNER MAILING ADDRESS: 66-70 78th Street Middle Village, New York 11379 OWNER PROPERTY ADDRESS: S/S Fleetwood Road Cutchogue, New York 11935 5 4 TAX MAP NO. : Section 137 Block 4 Lot 19 CROSS STREET: Hamilton Avenue BUILDING PERMIT NUMBER CROSS REFERENCE: Unknown ee- ttlf Judith T. Ter Southold Town Clerk ,F1 DATE: March 31 , 1987 (` ✓� (TOWN/ SEAL) 3 Town Hall, 53095 Main Road s.c. P.O. Box 1179 z7� 'Poo�, _ Southold, New York 11971 .00 JUDITH T TERRY "%Porn fir' TELEPHONE TOWN CLI RK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD March 31 , 1987 Rodick Construction Company Inc. 428 Route 25A " Miller Place, New York 11764 Re: Stanley and Clare Sledz - S/S Fleetwood Road Cutchogue, New York 11935 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 ($25.00) for non-residential. Please have the owner complete the enclosed Application for an Operation Permit and return it to this office along with the proper fee. For your general information I have enclosed an Informational Bulletin regarding the Scavenger Waste Laws adopted. by the Southold Town Board. Should you have any questions pertaining to either permits or the Scavenger Waste Laws, please do not hesitate to contact this office. We will be glad to assist you in any way possible. Very truly ?fours, f Judith T. Terry Southold Town Clerk Enclosures (3) - - - JTT/Ijc " 1 OFFICE OF THE TOWN CLERK Town of Southold Judith T. Terry, Town Clerk Application No. /36 Town Hall, 53095 Main RoadConstruction P. 0. Box 1179 Alteration Southold, New York 11971 � Telephone Residential - ' (516) 765-1801 Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee .$ lb DATE March 18, 1987w___ r 0 APPLICANT NAME: RodickConstruction Company Inc. APPLICANT ADDRESS: 428 Route 25A, w�_ Miller Place NY 11764 SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION _ to construct at new two-story one family residence LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: Stanley and Clare Sledz _ OWNER MAILING ADDRESS: 66-70 78th Street �- Middle Village, NY 11379 OWNER PROPERTY ADDRESS: S/S Fleetwood Road _248.55 E/0 Hamilton Avenue, Cutchogue, NY TELEPHONE NUMBER OF CONTACT PERSON: 516-928-5440 TAX MAP NO. : Section 137 Block 59 —..,..r._._..._ 4 Lot 19 _ CROSS STREET: .wHarm l.ton_Aaenue -�� _ BUILDING PERMIT NUMBER CROSS REFERENCE: :., __cje„z,6te 4/ ,_ - , Signature of Applicant �.Urtitin o ,' / .er -t ±hco / Md4 RECEIVED BY: e° 4,_41F .1_ _� _ _ 7fO /i 65Town/Clerk° , Office ROBERTAJ. ERI- Notary Public,State of New York ���"nn N-1-3J`r DATE: �' D�� 2O' / L MyComm5 237 Suffolk es Countyarch 0,19 .n e61414A— ' I ---70:10'. '7777.7"7,r.. d. •71,77,f--,1-,•I.,. .,• Ir.^__ •. - - '_ _ - ^I_ - _ _ .. i '� ......:._.;-.,,,,,,,,,•„...,,,,,+ tLw�'.°..�.,. 'da. + - •`R%^t•!!. '` •` "7 ' L"J'" ' a-.^.-^•s_ac:,.--.. a-..wo.eae:- .' ^ ' _ r m ? ,„ •� .:,1t , , I. i ?. DEPT.",; ;T, %��„".;+`';I fir. :,I:' 1 x SUFFO'` CO. HEALTH EPT. Ii: i!t,l{' �4 G 0. I.: j{ml„!!,`,,. ., 1 ,if,'•• ,+r� is .`Ir • ,I' +t ,� / ,�`i' �I i' I 1 'I�' ,'�i I S. NO. 1 �N`a'U+'R-i�``'4::".1:,'r-.V., .f�w,'II �I�''• 1 •`•,,'�!!' •� r»„i•` `� I '}i ' `'I h' ,' ., p /� • r:,'A,....t '+ 4 , {vj�, •.,A' `'�.+ /1'�~'' `a; 0� '� • „ !' �OdfCk C:.onsEzucEfon eo., �izm CEJ^� G �.\. •I, , , Li' 'c. -„- , • :.. 'E�• !, ,' `'Y' ,t�.., �\�e AI 5CJ f r i, 428 CRoute 25 -(a(�, ,i,�,0 • • �� \ --- �I�CJ ', ;. + iI ff'f'ez Mace, SVew Toa 11764 �” (L �` Tlr( Fi�l_ .f 1 ,"� ��j'} I� rss. STATEMENT OF INTENT DISPOSAL . / • ' \� C�' � � �, �' THE WATER SUPPLY AND SEWAGE • r ;,, \ `c; i , , 4\ ; t I � ` RESIDENCE WILL, y'�1 ,. ', Alf'', \., � \ �.I SYSTEMS FOR THIS t' \ "'' : I CONFORM TO THE STANDARDS OF THE by �" a y e ' �� \`\ r! ,• I .,\� i'�' i SUFFOLK C' D. OF E T SERVICES. 5�, i „G i. S V r, , , , , • • , \' 1 j',•:,11,',,..,,,'14,,,,, APPLICANT • I al, `�C/,•�{ ,; !•I '0 L� ;��/� SUFFOLK COUNTY DEPT. OF REALTOR „ ,e�,I:; � ;� ,I ,/ `;., �, SERVICES — FOR APPROVAL F ,} •„ • • •• �3 , L,� A I. , E,,b�••l i;411 i j ,/' CONSTRUCTION ONLY t • `/ l • i t‘J nr ' '\ ,� Iti0 /r • r • r' ! DATE: �r� �/' !� �' ` �L � . . U��j � , . _ �cz,. ,-, ,/,. , H. S. REF. NO.. �Clr. .. . ,, I '• )C , .0(s�G� d o ~I i?�/,,1• , ' `�;.•.,/I pp APPROVED: , . , , . . . ,, . + �;,. "Yd���`, `\ +j�•i” �"� �1J, A., �O — ipso g �� �f 1y +" - •k', Y�5';, `�•' ', ) , ,"i ,J 'fit ee L Iw: `6.0 �'''� 1 °'t�• �/ t 1• SUFFOLK CO TAX MAP DESIGNATION: - '11111.110 \. `� / �`. ^(� S” ,}� .,� �'�G �' ��•tjk,�y tS'�, ! DIST. SECT BLOCK CL. / '' / .� �, :�, j,,._,_ q .r � j ti � �S ti ..t.) J +^ =�j /�r kyr' L��•/ �/�jG?�i� OWNERS ADDRESS A. `,w,� w ,,, l'.'11 rA ,,,.�L-.. 1 \ ✓`� '� �, ma,(/,'.•-• ' \” w' , �/ \ \ I '�° ? "(r'1 _ ....__--.-•�,-- , }. 3 w. t tl�rn� .. 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