HomeMy WebLinkAboutSturm OFFICE OF THE TOWN CLERK cffilir
Town of Southold ��j
Judith T. Terry, Town Clerk �
Town Hall, 53095 Main Road • a A •
P. O. Box 1179 .c-r1 tzrZ, ®- :
Southold, New York 11971 x,. , .A0� •,�
Telephone -1 ,r
(516) 765-1801 0
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 267 Residential X
Non-Residential
Fee $ 10.00
Septic Cesspool x
PERMIT ISSUED TO:
NAME: E-Z Homes Inc.
ADDRESS: P.O. Box 297
Cutchogue', New York 11935
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New Single Family Dwelling with Cesspool System.
APPROVED as per Suffolk County Health Department approval.
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: JoAnna Sturm
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS : 365 Ryder Farm Lane
Orient. New York 11957
TAX MAP NO. : Section 15 Block 8 Lot 3
CROSS STREET: Park View Lane
BUILDING PERMIT NUMBER CROSS REFERENCE:
s � f
u.it . Te,t'y
Southold Town Clerk
DATE: December 10, 1987
(TOWN SEAL)
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$ Town Hall, 53095 Main Road
P.O. Box 1179
\''�/� sslit Southold, New York 11971
JUDITH T. TERRY ''atiolf Of- TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
December 10, 1987
E-Z Homes, Inc.
P.O. Box 297 _
Cutchogue, New York 11935
Re: JoAnna Sturm
365 Ryder Farm Lane
Orient, New YOrk 11957
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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JUDITH T TERRY f TELEPHONE
TOWN CLI 121, (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
December 9, 1987
To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 271 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted byE-Z Homes, Inc. for JoAnna Sturm •
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 to my office.
Thank you.
"fed td di.416).s :...1:r 4 7 1 d....0 4•`''''''Cor7..•..•.••
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 - X
DISAPPROVE -
COMMENTS CLAQ r- 42.. LA ..1:11 d R C Cop , w.. •
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Signature
1 s--I i o / 3 7
Date
OFFICE OF THE TOWN CLERKc�vFFUL4
Town of Southold
Judith T. Terry, Clerk F . > COQ ‘ Application No. X27%
��,
Town Hall, 53095 Main Road cinita Construction ✓
P. O. Box 1179
Southold, New York 11971 �v, Alteration
Telephone
01 O;t 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 $ /O — n,
DATE beC (, IgE 7
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APPLICANT NAME: / Irrs� ..Lr1c Ur-- Jncoir%cu STIl,Crrn
APPLICANT ADDRESS: R a-ot Uie� (� (7)0:"--865.)(- (,(:) 7
03C-UL k-29 //9
SEPTIC '' CESSPOOL
DESCRIPTION OF PROPQSED CONSTRUCTION OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: _fey gimp,
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS: Iter- Fac m Lcr €
TELEPHONE NUMBER OF CONTACT PERSON: 73 `f- S 9 / 7
TAX MAP NO. : Section / 3 Block 6 Lot 3
CROSS STREET: Mr U
BUILDING PERMIT NUMBER CROSS REFERENCE:
•4. i
Signature of Applicant
RECEIVED BY • A: • �_i3, ,,�
14iL'-1-° '4Town/Clerk' ' Office
DATE: nin + riq
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