HomeMy WebLinkAboutSullivan (5) .
`t . �'' Town Hall, 53095 Main Road
?... �� P.O. Box1179®1 °�°a®I Southold, New York 11971
JUDITH T.TERRY . �,,,,�z �.l TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 387 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : WINDS WAY BUILDING CORP.
Address 1: 1020 GLENN ROAD
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY HEALTH
DEPARTMENT 7/8/88.
Name Of Owner SULLIVAN, JOHN & ARLENE
Mailing Address 1 2100 NAUGLES DRIVE
City St Zip MATTITUCK NY 11952
Property Address 1 CROWN LAND LANE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 102. 00 block 17 lot 8. 000
Cross Street SPUR ROAD
Building Permit Number Cross Reference:
Issue Date: 8/22/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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TOWN OF SOUTHOLD : a "s �*;
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Southold, New York 11971
JUDITH T.TERRY —�.d , t, TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Victor Lessard, Southold Town Building Department
From: Linda Cooper, Southold Town Clerk's Office
Dated: August 16, 1988
Transmitted herewith is a copy of application No. 393 for a Cesspool/
Septic Tank Construction Permit submitted by:
Winds Way Building Corp. for John and Arlene Sullivan
Please review the application and location map and advise if the project
has received Suffolk County Health Department approval and if this office
may issue the permit.
Please complete the form below and return it to me.
Thank you.
Linda J. Cooper ,
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE D<
DISAPPROVE
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OFFICE OF THE TOWN CLERK ' - c0FULj' "" _
Town of Southold �o .,�..� D -
Judith T. Terry, Town Clerk -�� Application No. 3 ci.3
Town Hall, 53095 Main Road ` g k3Construction '�
P. O. Box 1179 %se�' �� '
Southold, New York 11971 ® 5"* �`J Alteration
Telephone of t '1 , �° 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 $ -DATE /AM"
APPLICANT NAME: (41/20elifit, X/
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APPLICANT ADDRESS: `40375 ‘4,a1 /J ,
SEPTIC v CESSPOOL
DESCRIPTION OF PR PO ED CONSTRUCTION//OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONSTRUCTION OR ALT ATION:
OWNER OF PROPERTY: oaf 5e /9j4 ff-AJ Lr~ `./jd .AJ
OWNER MAILING ADDRESS: 4?-1 & f,, "/ :At *Alrar,�J'MY 1.--
OWNER PROPERTY- ADDRESS: 6,4#6'w dig/Ai/ ' �l.I4 d�'4-
TELEPHONE NUMBER OF CONTACT PERSON: )6f>/?3j
TAX MAP NO. : Section "OV Block > Lot e
CROSS STREET: A.,41,44/>)
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY: C a --
RECE1v
own CI k's Offic -
DATE:
AuG 161988
• Town Clerk-Southold
DATE OF AppriovAt: , ,-
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STATEMENT OF INTENT i
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- , , , - CUTCHOGUE.. ' THE WATER SUPPLY AND SEWAGE DISPOSAL
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SYSTEMS FOR THIS RESIDENCE WILL ,
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SUFFOLK COUNTY DEPT,Q OF HEALTH '
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