HomeMy WebLinkAboutWhelan (2) OFFICE OF THE TOWN! CLERK S1FU l'
Town of Southold t
Judith. T. Terry, Town Clerk : J'
Town Hall, 53095 Main Road • o
P. O. Box 1179 c.r3
Southold, New York 11971 O , _ �O�-�•'
Telephone
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 137 Residential X
Fee $ 10.00 Non-Residential
Septic Cesspool x
PERMIT ISSUED TO:
NAME: Denise A. And Robert H. Whelan
ADDRESS: 32 Chapel Place
North Babylon, New York 11703
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION •
New Single Family Dwelling
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Denise A. Whelan
OWNER MAILING ADDRESS: 32 Chapel Place
North Babylon, New York 11703
OWNER PROPERTY ADDRESS: 100 Bungalow Lane
Mattituck, New York 11952
TAX MAP NO. : Section 123 Block 2 Lot 2
CROSS STREET: Marratooka Road
BUILDING PERMIT NUMBER CROSS REFERENCE: rw
deig
Judith T. Terr
Southold Town Clerk
DATE : April 7, 1987
(TOWN SEAL)
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,=, t.`' -:� ;f''•` "x. Town Hall, 53095 Main Road
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JUDITH T TERRY '\-C- -7-a'-'1 TELEPHONE
TOWN CLI ItI. (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
April 7, 1987
Denise A. and Robert H. Whelan
32 Chapel Place
North Babylon, New York 11703
Re: 100 Bungalow Lane
Mattituck, 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,
.00447-...
Judith T. Terry
Southold Town Clerk
Enclosures (3)
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(r% ma. ,,. ���,��� Town Hall, 53095 Main Road
?�1N )� �,� P.O. Box 728
311
so Southold, New York 11971
JUDITH T.TERRY TELEPHONE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS (516)765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD -
March 31 , 1987
To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 140 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by Denise A. Whelan and Robert H. Whelan
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 -oomplete 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: (1✓
v a c
Signature
- Date
. as
OFFICE OF THE TOWN CLERK _
' Town of Southold
Application No./ E�
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road Construction '"---d
P. 0. Box 1179
Southold, New York 11971 Alteration
Telephone 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. /31 .
Fee .$ /, -----
DATE 3/s,,,W q'7
APPLICANT NAME: ��/tI/�G� , / i„G-G4'0 0.86- ---- - A, ""GG,
APPLICANT ADDRESS: 3Z O0//7G-Z /L'C6 '
/i%2/227' XW.W/ ° /" //703
SEPTIC L"CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
/W7� ,_57/(il"LC7,c2i/G7 / ) /t .
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: ZG`/t)/SC' / (,(y, 4 z (.)
OWNER MAILING ADDRESS: g2 e /6z /7L.'Ge
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OWNER PROPERTY ADDRESS: �00 , G<il/6��G6)./// -
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TELEPHONE NUMBER OF CONTACT PERSON: / -z42Z-�j z
TAX MAP NO. : Section /Z- Block Lot MZ-
CROSS STREET: ` /f /Z9/7 9 ,1 ,Z'%2
BUILDING PERMIT NUMBER CROSS REFEREN - .
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ignature of Applicant
RECEIVED BY.0 -7Y---c6`c-C1--ecl
RECLP>'f own;Clerk's Office
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MAP OF ROPERTY
'THE HATER SUPPLY AND SEWAGE DISPOSAL tIATED AT
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GUARANTEES OR CERTIFICATIONS INDICATED '-1 i
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