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HomeMy WebLinkAboutWeiss (2) • OFFPCE OF THE TOWN CLERK OFR/re" Town of Southold &,% �G Judith T. Terry, Town ClerkIjA Town Hall, 53095 Main Road � ti P. O. Box 1179 u' ,K� Southold, New York 11971 O,10l s � Telephone g,, (516) 765-1801 ' TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 249 Residential • X Fee $ 10.00 Non-Residential Septic Cesspool X PERMIT ISSUED TO: NAME: Richard T. Weiss ADDRESS: 86 Kingsbury Road Garden City, New York 11530 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: Richard T. Weiss OWNER MAILING ADDRESS: 86 Kingsbury Road- Garden City, New York 11530 OWNER PROPERTY ADDRESS: Old Menhaden Road Cutchoque, New York 11935- TAX MAP NO. : Section 111 Block 7 Lot 20 CROSS STREET: Wunneweta Road BUILDING PERMIT NUMBER CROSS REFERENCE: istoeavvr Judith T. Te y Southold Town Clerk DATE: November 6, 1987 % (TOWN SEAL'•) ', ,•000000.i i +`"`,` ti y i Town Hall, 53095 Main Road ? ,• P.O. Box 1179 _©.z i;?,yi „A '�1.� Southold, New York 11971 JUDITH T. TERRY - •'I TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD November 6, 1987 Richard T. WEiss 86 Kingsbury Road Garden City, New York 11530 • ' Re: sw Corner of Old Menhaden Road Cutchogue, New York 11935 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 • 1 }.: 62 ri *ay ex-ri M L`g Ar . ♦ Ln 112404: a. b N4' �� y �•`� Town Hall, 53095 Main Road ®Nr s' P.O. Box 728 4%11.10/000 �� Si'o• Southold, New York 11971 .... 1111)1T1I T TI IZRY TELEPHONE IOwN( I IRI. ,5-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK "TOWN OF SOUTHOLD '02/- g7 g7 - 51981 • To: Victor Lessard, Southold Town Building Department • SLDG. DEPT. TOWN OF SOUTHOiD From: Judith T. Terry, Southold Town Clerk Transmitted herewith is a copy of application No. for a CONSTRUCTION or ALTERATION Permit for a cesspool or septic system submitted by ! . - -- - - 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 - )\ DISAPPROVE - COMMENTS: ( 4.. dot. ...�)q1. 1 ! ,c Jorma oi.A2 Signature tf! Sdb- Datc ♦r/ OFFICE OF THE TOWN CLERK c��FFD(K`," Town of Southold ,&N)- 4y _ Judith T. Terry, Town Clerk °`�= _ . Application No. a2 Town Hall, 53095 Main Road ` c, X" �h F`'1 ' Construction ul ik f. �yr"n 1_ P. O. Box 1179 �V'' - . :.K ��0 Alteration Southold, New York 11971 •.. - Telephone Ol [ 1�O �� 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. 02 1/9 Fee $ DATE &'- 97 01 /, /4917 APPLICANT NAME: /CP�/9', I I - //L,'SS' APPLICANT ADDRESS: 84 KiN6-5 1itAy /'m-,,p L _�r(J e/ � /v. /. 7(.5-3 a SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION 1.Ci4�t74/rt/(,— /7o 7 c, LOCATION MAP: Must be attached hereto before permit may be issued. • LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: j ei- Z9 /. %/F755 . OWNER MAILING ADDRESS: F(, Aj/va_crn'/{ ' /28. 17 /l?9'L1 e/ry , N, V /(5-3 0 OWNER PROPERTY ADDRESS: 3bt/ Cd/2/V6K o/'. pcj 4/1E./,/~/c/ /9/v/ Wani /E-pt ETr4- (?,S., /.4 foci. TELEPHONE NUMBER OF CONTACT PERSON: 6 ' 75/7 - 4679 TAX MAP NO. : Section // 1 Block 7 Lot 0..eD CROSS STREET: BUILDING PERMIT NUMBER CROSS REFERENCE: iCaa,zi 7-; 11,/-J Signature of Applicant RECEIVED BY: r`0/Z` o n " erk Office DATE: Y -02,/- ,F7 / ,:;- w / Go14 . j . i , i r IC90 _ 'I . ,a' el.° 18 6 ' y✓:- tti -. f I C• /.` •/- ' c) 1, i !r!l- . ' .5'0I,','/C: { I'_-- - L - 1 L'>�-+�r- _='r b'r'a/1 `,=z T L� r i I /(._ /�4RD 1. V/E/ �-� 1- A T <-�0f Tcf-k)G< J A/ Y 7" / V, , ., ' - • . / f- � /------/c7 r .• r - 'i --lYi,',. 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