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HomeMy WebLinkAboutStype (2) OFFICE OF THE TOWN CLERK cOF(bre Town of Southold Judith T. Terry, Town Clerk . Town Hall, 53095 Main Road , o tta P. O. Box 1179 _ 14-0 ` �: Southold, New York 11971 O ® , 0�- �•� Telephone (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 138 Residential X Fee $ 10.00 Non-Residential Septic Cesspool X PERMIT ISSUED TO: NAME: A. Reilly & Sons, Inc. ADDRESS: P.O. Box 434 Mattituck, New York 11952 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION New Single Family Dwelling LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: John Stype OWNER MAILING ADDRESS: Box 63 Mattituck, New York 11952 OWNER PROPERTY ADDRESS : East Road Cutchogue, New York TAX MAP NO. : Section 110 Block 6 Lot 11 .3 & 11 .5 CROSS STREET: Betts Road BUILDING PERMIT NUMBER CROSS REFERENCE: Judith T. Terry Southold Town Clerk DATE: April 7, 1987 (TOWN SEAL) - Town Hall, 53095 Main Road P.O. Box 1 179 Southold, New York 11971 JUDITII T TERRY " r " TELEPHONE TowN CLI'RI. (516) 765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD April 7, 1987 A. Reilly & Sons Inc. Box 434 Mattituck, New York 11952 Re: John Stype East Road Cutchogue, 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 ours, Judith T. Terry Southold Town Clerk Enclosures (3) JTT/Ijc fit/ /II,,,, Ait, ti �/ CAT' s, �, , Town Hall, 53095 Main Road '%d� %\ov P.O. Box 728 X;'4710 P.O. 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 March 31 , 1987 To: Victor Lessard, Southold Town Building Department From: Judith T. Terry, Southold Town Clerk • Transmitted herewith is a copy of application No. 141 for a CONSTRUCTION or ALTERATION Permit for a cesspool or septic system submitted by A. Reilly & Sons Inc. for John Stype 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. • .r' 0 ,..�.V�y��® "'dam 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 - �C DISAPPROVE - COMMENTS: A'v:Q gcyQ 1,Q��I Signature LINZ 7 Date OFFICE 'OF THE TOWN CLERK _ // Town of Southold Application No./,,7'/ Judith T. Terry, Town Clerk Town Hall, 53095 Main Road Construction P. O. Box 1179 Southold, New York 11971 Alteration Telephone Residential 4V (516) 765-1801 Non-Residential TOWN OF •SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL / ' LS n -1 13g/ � �- Permit No. Fee .$ /0 `r _ / DATE 3/3 sole APPLICANT NAME: A • APPLICANT ADDRESS: ., XY. V ,}.7—T/ 7-0 . 1f/Iy //9r SEPTIC v CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION /yen) ces5Pz o is C $ 7 /2I ///e w /710.i c . S/iv6'4-e (,---,441/‘-y 4/. /A/6' LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: ti y /x (, 3 /1 /ITT/ ,.), OWNER MAILING ADDRESS: X 6 , e 1TvN . y OWNER PROPERTY ADDRESS: ?Ce_ , -ou TELEPHONE NUMBER OF CONTACT PERSON: -ags, t TAX MAP NO. : Section/Do o Block G Lot //- 3 //• j CROSS STREET: f—/=—/�j---Y-` I3e 7'7-- S BUILDING PERMIT NUMBER CROSS REFERENCE: /P1 t'11111:" ..7 Signature of Applicant RECEIVED BY &s- �-c.J RI ,: �itnTowrb' Clerk's Office - DATE: • Thwn t.!�rx Southold —^ I SUFOL ._CO. HEALTH DEPT. APPROVAL j I H. S N O. Fr I 1 1 JAN 4 `9TA TEMEN_T OF INTENT y / �\ 19et • / „`�/`n� THE WATER SUPPLY AND SEWAGE DISPOSAL 0% sf" SYSTEMS FOR THIS RESIDENCE W LL 1 S•� t^,, ! CONFORM TO THE • FfEACThj r' ��, '�� � ' c STANDARDS OF THE Er' VICES �, SUFFOLI:. CO `=ET •F Ft _ALTIA SERVICES. /V// f c�LJ� �,�>`( •� (S) /, C ' [ • . ' t // `� , ' A PLICANT "'°`AN /5 Ki2 -rte 1 .4111' //2.65 A. 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