HomeMy WebLinkAboutStrakosch OFFICE OF THE TOWN CLERK VFO(/(r`,D
Town- of Southold
Judith T. Terry, Town Clerk : �v� ,
Town Hall, 53095 Main Road y x
P. O. Box 1179 .v' 3a � F
Southold, New York 11971 , O O. �''
Telephone i �;,�
(516)` 765-1801 '
TOWN OF SOUTHOLD"
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT -
SEPTIC TANK or CESSPOOL
Permit No. 106 Residential X
Non-Residential
Fee $ 10.00
Septic Cesspool X
PERMIT', ISSUED TO:
NAME: Frank J. Strakosch
ADDRESS: P.O. Box 612
New Suffolk, New Y&rk 11956
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New single family dwellinq:1
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Frank J. Strakosch and Ruth Geyer
OWNER .MAILING ADDRESS: P.O. Box 612
New Suffolk, New YO`rk 11956
OWNER PROPERTY ADDRESS: 350 Fred Road
New Suffolk, New York
TAX MAP NO. : Section 117 Block 4 Lot 20
CROSS STREET: Fanning Road
BUILDING PERMIT NUMBER CROSS REFERENCE: Unknown
, Judith T. Terry
Southold Town Clerk
DATE: February 10, 1987
(TOWN SEAL)
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i r' Town Hall, 53095 Main' ``'-
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JUDITII T.TERRY, ""to.••/i - TELEPHONE
TOWN CLI?RI. (516)765-1801
REGISTRAR OF VITAL STATISTICS' OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
February 10, 1987
Frank J. Strakosch
P.O. Box 612
New Suffolk, New York 11956
Re: 350 Fred Road
New Suffolk, New _Yo-rk
Dear Mr. Strakosch:
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 ($25. 00) for non-residential.
Please have the owner complete the enclosed Application for'an Operation
Permit and return it to this office along with the proper fee.
For your general information I have enclosed an Informational
Bulletin regarding the Scavenger Waste Laws adopted by 'the Southold
Town Board. Should you have any questions pertaining to either permits-
or
ermitsor the Scavenger Waste Laws, please do not hesitate to_ contact this
office. We will be glad to assist you in any way possible.
Very truly yours,
Judith T. Terry
Southold Town Clerk
Enclosures (3)
JTT/Ijc -
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1
OFFICE OF THE TOWN CLERK
Town of Southold
lkudith,T. Terry, Town Clerk Application..No.
Town ,Hall, 53095 Main Road - Construction
'P. O. Box 1179
Alteration
Southold, New York 11971
Telephone Residential
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. /101
Fee .$ /6
DATE Ie
APPLICANT NAME: G- a IVB S T 14 I« s,e I�
APPLICANT ADDRESS: �
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED
POSEDI CONSTRUCTION OR ALTERATION
n
I
LOCATION MAP-: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: I' A- (L11< J gid hose I( e ck -q-e•I •
OWNER MAILING ADDRESS: b Q7 �( Z
V\e w--4 e, `ln, ft S`C
OWNER PROPERTY ADDRESS: 3,32) )?E 7
TELEPHONE NUMBER OF CONTACT PERSON: 1 3 L( cq <
TAX MAP NO.': Section 1 I 1 Block Lot 2 6
CROSS STREET: j,411/A/ /A/G' ,i)-
BU LD I NG
D_BUILDING PERMIT NUMBER CROSS REFERENCE:
Signat e of Applicant
RECEIVED :,tE
Town CI/rk's Offlc���f
DATE: FEB 1 01987
Town CLerk Southold
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