HomeMy WebLinkAboutWeber OFFICE OF THE TOWN CLERK c0FULA'
Town of Southold
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road can ;Fr ,
P. 0. Box 1179ii4efte.cf
Southold, New York 11971 ���`
Telephone �l
(516) 765-1801 '
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 309 Residential X
Fee $ 10.00 Non-Residential
Septic Cesspool X
PERMIT ISSUED TO:
NAME: Robert Johnsen
ADDRESS: 4300 Soundview Avenue
Southold, New York 11971
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New Single Family Dwelling with Sanitary System.
Approved as per Suffolk County Health Department approval.
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: John Weber
OWNER MAILING ADDRESS: 579 Webster Avenue
Uniondale, New York
OWNER PROPERTY ADDRESS : Theresa Drive
Mattituck, New York 11952
TAX MAP NO. : Section 115 Block 15 Lot 3
CROSS STREET: New Suffolk Avenue
BUILDING PERMIT NUMBER CROSS REFERENCE-:
eigithefOrs
Judith T. T y
Southold Town Clerk
DATE : March 17, 1988
(TOWN SEAL)
j-'-,,.;- Town Hall, 53095 Main Road
�� •:'''-‘,.'::?' ` i P.O. Box 1179
`�,� y Southold, New York 11971
JUDITH T.TERRY
� � ` l r`- TELEPHONE
10\\'N CLERI. (516) 765-1801
RL(,ISTRAft Of VI CAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
March 17, 1988
Robert Johnsen -
4300 Soundview Avenue
Southold, New York 11971
Re: John Weber -
Theresa Drive
Mattituck, New York 11952
Dear Mr. Johnsen:
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,
-. . ,,4%Ow, vim
470•41.
Judith T. Terry
Southold Town Clerk
Enclosures (3)
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3(9
MAR I
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G`°I OLD '�mss' •' � `'-'=^i Town Hall, 53095 Main Road
ToWN
P.O. Box 728
Southold, New York 11971
JUDITH T TERRY TELEPHONE
TOWN CLI RK
(516)765-1801
REGISTRAR OF VITAL STATISTICS - OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
March 15, 1988
To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 313 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by Robert Johnsen for John Weber
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: @,® . 011 Qa5hiCALA %.41,010Atl
ig./2....0 cu—CL,
Signature
'4\fir CIA
Date
••
OFFICE OF THE TOWN CLERK COFflUre,'
Town of Southold � z
Judith T. Terry, Town Clerk Application No. / 3
Town Hall, 53095 Main Road ` `{+ Construction IV-
P. O. Box 1179 ��"h ' '
Southold, New York 11971 0 ® % Alteration
Telephone ®1 41 $`‘‘0 Residential 0"---
(516)
(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 3 - 15- es-)-
APPLICANT
'APPLICANT NAME: J•obtocr Tuk
APPLICANT ADDRESS: 4-2,00
c.'TL.Lot
SEPTIC CESSPOOL 1-7
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION )Ueki `;)/s
•
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: ,"7-;,-An UJe6P,`
OWNER MAILING ADDRESS: 3-7g Webys e. 4 ,
OWNER PROPERTY ADDRESS: k2r).‘ bit •
M x'71 i y
TELEPHONE NUMBER OF CONTACT PERSON: 7C S-,'// 5
TAX MAP NO. : Section /i5 Block J Lot :3
CROSS STREET: jve..o Su•}:.(;oi k jL
BUILDING PERMIT NUMBER CROSS REFERENCE:
/Ct. Awa
Signat re of Applicant
RECEIVED BY : 1 /L __cmc.,
T wn le k's Office
DATE:
i"-
NEW SUFFOLK AVE. .
SURVEY OF N LOT43
, o
Y 2
MAP OF
oit) LOT 44 • �} - W LOT DEEP HOLE CREEK ESTATES
(DWELL /NG) 3 23 FILED JAN 28, 1965 NO. 4256
•
1g, AT MATTITUCK
€ � s87°19'20'E 182. 00' frF 1` E ,, TOWN OF SOUTHOLD
o
2.0.0. . a E ' •• SUFFOLK COUNTY, N. Y.
i , - 1000-115-15- 03 .
SCAL E 1 = 40
90
'� MAY 8, /987 .
3 O
Q Y LOT SINGLE FAMIt DWELLING ONLY
16.0. o� "' PSR .4.` Q YEARS FROM DATE OF APPROVAL
o 2 41. , p .2w _; 1,1
p SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
w p LOT 43 ,p 4F NFGR AF CVA OF CONSTRUCTION ONLY
V' v o t
0 Vpj . �/ / DATE h REF N• rG0' i Li
s & mten" ®' °'�E APPROVED
mog
Z,` Lt\2T 1 N 87°19 '20"W 182.00' f ^
LOT
W LOT 42 25 13c'a-S,
3 (DWELLING)
„ p The waior supply & sewage disposal sys-
'r /LAND
CER T I F/ED TO: terns for this residence will conform to the
,
1 (4° t,M `94,4` COMMON WEALTH LAND TITLE INSURANCE CO, sment of Health Services. County Depart-
/4o �< • JOHN W. WEBER ,
! . —;u ' o .Y.S. LIC.NO. 496I8 EVELYN L. WEBER
'NI F iri,,,1 E ► '1. a ENGINEERS PC. rrepared in accordance with the minimum
`'i 1 T"� �' - • 2• standards for title surveys as established G, % ,
s -O 42 the L I.A.L S. and approved and adoptea '' • j ;.
r,� • • = '' ' 0 by The New York State Land THE LOCATION Or WELLS AND CESSPOOLS sFawn
'.1 .a /19T! for such use HEREON ARE Fear tToo ,:'r ;i:
OBSERyity, 'c akin fill FRO! DATA OBTAINED FROM OTHERS „;;'•' '``K
Title Association. - °f