HomeMy WebLinkAboutVitelis (2) •
OFFICE OF THE TOWN CLERK �vFFD(�I��,"
Town of Southold Olj
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road 1 8 t14. , "'•§'
P. 0. Box 1179 .to
Southold, New York 11971 O
Telephone 0•! c ,r,'
(516) 765-1801 '-
• TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
• Permit No. 240 Residential X�
Fee $ 10.00 Non-Residential
Septic Cesspool X
PERMIT ISSUED TO:
NAME: Joseph Radich
ADDRESS: Oaklawn Avenue Ext.
Southold, New York 11971 •
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New Single Family Dwelling with Cesspool System
APPROVED -as per Suffolk County Health Dept. approval •
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
' OWNER OF PROPERTY: JOhn Vitelis
OWNER MAILING ADDRESS: 147-21 Hoover Avenue , •�
Jamaica, New York 11435
OWNER PROPERTY ADDRESS: •Wild Cherry Way, Arshamomeque-
Southold, New York
TAX MAP NO. : Section 52 Block 3 Lot 32
CROSS STREET: • Bayberry Lane •_
BUILDING PERMIT NUMBER CROSS REFERENCE:orirweiheoroihoosoix.....
,
Judith T. Te
Southold Town Clerk
DATE: October 22, 1987 -
- 1
i(TOWN SEAL)
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JUDITH T. TERRY ' TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD -
October 22, 1987
Joseph Radich
Oaklawn Avenue Ext. '
Southold, New York 11971
Re: John Vitelis
Wild Cherry Way
Arshamomoque —
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 ?ours,
,��"`' %w -
• Judith T. Terry
Southold Town Clerk -
Enclosures (3)
JTT/Ijc
OFFICE OF THE TOWN CLERK �c0FOUre
Town of Southold = `'�
Judith T. Terry, Town Clerk ` '. � � Application No,,p4.5—
Town Hall, 53095 Main Road ' a Construction"W
P. O. Box 1179 J
® y Alteration
Southold, New York 11971 ,b,. ,t . • `��
_7®1 [ � � Residential x
Telephone `
(516) 765-1801 �" - Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. (7740
Fee $/o /
DATE /4/22/s7
APPLICANT NAME: _ eph AD/Gy
APPLICANT ADDRESS: O,'7 K C. otV N ,' V e /1
5 vvLh oL;" L. /.
SEPTIC / CESSPOOL 2
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION /j/ r /louse
LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION :
OWNER OF PROPERTY: Jctf1V
OWNER MAILING ADDRESS: aJJff/y V(l'eL/' AlooveR Yivc�,
�A! Ai c,4 , w i1/ !t ( ' 6
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OWNER PROPERTY ADDRESS: v,// t 7> ,�,Ke g .l/ \AG';! V-'
.'`+- 1`i CJ 1-1 0 C l/ L 5 4")
TELEPHONE NUMBER OF CONTACT PERSON: 7G5 - J
TAX MAP NO. : Section Block Lot Y.2 7
r
CROSS STREET: B:'-i i'`i.%'� ,'r ��' !- A 1V "-
BUILDING PERMIT NUMBER CROSS REFERENCE:` -"
,911/3.4
Signature of Applicant
RECEIVED BA .ah; 101 93)
own frerk's •ff e
DATE:
OCT 22 39 7
Southold Tow® Clerk
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