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OFFICE OF THE TOWN CLERK cOFO(/il,"
Town of Southold � , = �li ;
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road
'
P. 0. Box 1179 : cno. =r.-
Southold, New York 11971 O O�°��
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Telephone _ Ol * ��;
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 69 Residential X
Fee $ 10.00 Non-Residential
Septic Cesspool X
PERMIT ISSUED TO:
NAME: Ron Morizzo Builder, Inc.
ADDRESS: P.O. Box 789
Southold, New York 11971
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New Single Family Dwelling
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Stephen Vali
OWNER MAILING ADDRESS: 47 Outlook Avenue
Yonkers, New York 10700
OWNER PROPERTY ADDRESS : 1325 North Sea Drive
Southold, New York
TAX MAP NO. : Section 54 Block 4 Lot 15.3
CROSS STREET: Kenny Road
BUILDING PERMIT NUMBER CROSS REFERENCE: Pending
Judith T. Terry
Southold Town Clerk
DATE : November 17, 1986
(TOWN SEAL)
ate _��
At c.,\WFULA
a VV`f: Town Hall, 53095 Main Road
4," Lf k'4eie YS"` 4A'�. .., 'l'9.w
�_ P.O. Box 1179
V°7./ �.10 Southold, New York 11971
JUDITII T TERRY "Wo/1 TELEPHONE
TOWN CLI Rh (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
November 17, 1986
Ron Morizzo Builder, Inc.
P.O. Box 789
Southold, New York 11971
Re: Stephen Vali
1325 North Sea Drive
Southold, 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 ($25. 00) for non-residential.
Please have the owner complete the enclosed Application for an Operation •
Permit and return it to this office along with the proper fee.
For, your general information I have enclosed an Informational
Bulletin regarding the Scavenger Waste Laws adopted by the Southold
Town Board. Should you have any questions pertaining to either permits
or the Scavenger Waste Laws, please do not hesitate to contact this
office. We will be glad to assist you in any way possible.
Very truly ?fours,
Judith T. Terry
Southold Town Clerk
Enclosures (3)
JTT /Ijc
c r _ � �� I V OGT 171986 ill O
�� :�+` I �°—VVNl--- F, I�a01 •I;56 X 95
� �To I>�H�a Main Road
�� �� P.O. Box 728
'��l� � " •
Southold New York 11971
JUDITH T TERRY TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
October 17, 1986
To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 64 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by Ron Morizzo Builder for Stephen Vali •
Please review the application and location map and advise if the
project has received Suffolk County Health Department approval
and if we may issue the permit.
Please complete the form below and return it to my office.
Thank you.
Judith T. Terry
Southold Town Clerk
* * * * * * * * *
I have reviewed the application and location map of the project
cited above and make the following recommendation:
APPROVE - X
DISAPPROVE -
COMMENTS: ,;, Q C; 1J�2 . cal7,0 .o9..
vo"- so - ..1s cal
7,0-0.4,9_
13 is
g.toold ` �� ��
®Wn G�rk Signature
A) e-cczs-+n I / 3 1 9$C.
Date -
OFFICE OF THE TOWN CLERK
• Town of Southold
Judith T. Terry, Town Clerk Application No
Town Hall, 53095 Main Road Construction
P. O. Box 1179
Southold, New York 11971 Alteration
Telephone Residential f
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCT ION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
•
Permit No. / •
Fee .$
DATE * )b v l � /CM('
APPLICANT NAME: ROC.). MOY1Z?o
APPLICANT ADDRESS: Po. 80x 7 g
Oce ho ict, A. v /197/
SEPTIC CESSPOOL X
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
&L-0 . //')/Z ! i 4. 'zueU�r y
7
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: fepher) Va LL
OWNER MAILING ADDRESS: 4/7 Ock-+/oOK f veva
L/onLers, A)• y. /)700
OWNER PROPERTY ADDRESS: /3.z25 ' ea 2 ri Cie
3O Id &J.L/. 1071
TELEPHONE NUMBER OF CONTACT PERSON: 7 P 6--- 5-770-
TAX MAP NO. : Section 3-41 Block Lot /575
CROSS STREET: J eu n C i Poo_
BUILDING PERMIT NUMBER CROSS REFERENCE: 72z <<,, ,
%Z4 a 77 -W
Signature of Apji icufnt
RECEIVED BY:
Town Clerk's Office
DATE: •
.
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