HomeMy WebLinkAboutSuskevich OFFICE OF THE TOWN CLERK
Town of Southold �Q py OG
Judith T. Terry, Town Clerk .�ti ` �41* '
Town Hall, 53095 Main Road t
P. 0. Box 1179 .to 'F=,_4' �-
Southold, New York 11971 O � O_
Telephone i-40 1147 ��i;-
(516) -765-1801
TOWN OF SOUTHOLD
- SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT '
SEPTIC TANK or CESSPOOL
Permit No. _257 Residential X
Non-Residential
Fee $ 10.00r- =
Septic Cesspool X
PERMIT ISSUED TO:
NAME: Winds Way Building Corp.
ADDRESS: 1020 Gtenn Road -
• Southold, New York 11971
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: Lawrence Suskevich
OWNER MAILING ADDRESS: P.O. Box 218, Robinson Lane
Peconic, New YOrk 11958
OWNER PROPERTY ADDRESS: w/s Indian Neck Lane
Peconic, New York 11958
TAX MAP NO. : Section 86 Block 4 Lot 1 .8
CROSS STREET: Main Road
BUILDING PERMIT NUMBER CROSS REFERENCE:
•
golge
Judith =17.-11-Cy-
Southold
.-11- rrySouthold Town Clerk
DATE : November 20, 1987
(TOWN SEAL),
', ! III
'64 'C��1 F Q n _
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a ?;' ' Town•Hai1, 53095 Main Road
fir ' . %‘C" e• P.O. Box 1179
t( ')" � - Southold, New York 11971
JUDITH T. TERRY .1.4.00i0�� TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK -
• - TOWN OF SOUTHOLD
November 20, 1987
Winds Way Building Corp.
1020 Glenn Road
Southold, New York 11971
Re: Lawrence Suskevich -
Indian Neck Lane _
Peconic, 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 Yours,
r` 4' expa.perive.7•1'
p4 D
Judith T. Terry
Southold Town Clerk
Enclosures (3)
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�A`` �k` ��t Town Hall, 53095 Main Road
= ®1 �!`' P.O. Box 728
�;,�i 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
November 19, 1987
To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk .
Transmitted herewith is a copy of application No. 260 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by Winds Way Building Corp. for Lawrence Suskevich.
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.
Judith T. Terry
Southold Town Clerk
* *
I have reviewed the application and location map of the project
cited above and make the following recomni�ndation:
APPROVE -
DISAPPROVE -
• COMMENTS: r
A 64--J
Signature
Date
•
,,,'I•-
OFFICE_OF.THE TOWN CLERK. �c0FOCK
Town of Southold
Judith T. Terry, Town Clerk Application No. ..260
� � z
Town Hall, 53095 Main Road -S n Construction
P. 0. Box 1179 F=" "'a =`'' '
Southold, New York 11971 O , _- _ ��J Alteration
I �'Q! . `�. Residential L_
Telephone _ r
(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 $ /0
DATE /1/171/ 7
APPLICANT NAME: MAr arvi;/1
APPLICANT ADDRESS: /6)-0 Q,
A- calf-4
SEPTIC CESSPOOL ✓
_ DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
,Gy
LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:_
OWNER OF PROPERTY: C.I(c1� C'1 l.� ,suf/� ko.pc j
OWNER MAILING ADDRESS: 1 0 `(3N ,J g 12.4 tjtox'ei i
OWNER PROPERTY ADDRESS: kJ 1,✓h.rw Actg., Lq,`— do,AI: or
TELEPHONE NUMBER OF CONTACT PERSON: 7- S- /3.3S-
TAX MAP NO. : Section PL Block V Lot /.
CROSS STREET: `yilrwi/ /4, Gn). oy' d/ti,e4d
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY: )
Town Cerk's Office
DATE: n� .jj ) /9 ./ 17
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