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HomeMy WebLinkAboutWillott OFFICE OF THE TOWN CLERK �S�FFUC��O Town of Southold _k• • Judith T. Terry, Town Clerk Town Hall, 53095 Main Road ;4 ` P. 0. Box 1179 :to Southold, New York 11971 • 0 ,e�� Telephone - ?j ,,/� (516) 765-1801 ' TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or ,CESSPOOL Permit No. 96 - Residential X Fee $ 10.00 Non-Residential Septic Cesspool X PERMIT ISSUED TO: NAME: Winds Way Building Gorp.' ADDRESS: 1020 Glen Road Southold, New York 11971 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION • One family dwelling LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: Richard and Nancy Willott OWNER MAILING ADDRESS: P.O. Box 708 Rocky Point, New York 1778 OWNER PROPERTY ADDRESS: ROW Goose Creek Southold, New York TAX MAP NO. : Section 77 Block 3 Lot 21 CROSS STREET: North Bayview - BUILDING.PERMIT NUMBER CROSS REFERENCE: Pending Judith T. Terr Southold Town Clerk DATE : January 21 , 1987 t \, i 1 (TOWN SEAL) 0" MilL7# 111 '!te, Town Hall, 53095 Main Road ,� ; , �4 P.O. Box 1-179 Southold, New York 11971 JUDITH TERRY +�'�����i4>" TELEPHONE TowN CLI•RK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD January 21 , 1987 Winds Way Building Corp. 1020 Glen Road Southold, New York 11971 Re: Richard and Nancy Willott • P.O. Box 708 Rocky Point, New York 11778 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, goolgoleate...4 Judith T. Terry Southold Town Clerk Enclosures (3) JTT/Ijc w own,, 44 eo 1�� Town Hall, 53095 Main Road ,, P.O. Box 728 roo 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 December 24, 1986 To: Victor Lessard, Southold Town Building Department . From: Judith T. Terry, Southold Town Clerk Transmitted herewith is a copy of application No. 94 for a CONSTRUCTION or ALTERATION Permit for a cesspool or septic system submitted by Winds Way Building Corp. for Richard and Nancy Willott. 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. egt°41.4/41113.2.8...4.1""".°%so,. upwie 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: Signature Date OFFICE OF THE TOWN CLERK }c F® ' Town of Southold � "* ��G Application No.22.5 Judith T. Terry, Town Clerk Y4 Town Hall, 53095 Main Road .� f, q Construction P. O. Box 1179 _ '1,"•'' ; ' �. Alteration Southold, New York 11971 • - + Telephone 7,a1 P 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. 94 Fee $ l DATE /-- /11 APPLICANT NAME: / !�/ Jfd�%�` 44 APPLICANT ADDRESS: 16;5 44-i 4 , Al SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION (k,if T/7 &kJ-at/6 LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: Fiaoodo q �vjq-,✓Gy ,, J //o 7 OWNER MAILING ADDRESS:Jia, /ry )0g • OWNER PROPERTY ADDRESS: /ZU/,/ (3o be 62 L4 S6cj//0 / /I. y•. TELEPHONE NUMBER OF CONTACT PERSON: TAX MAP NO. : Section -) 7 Block 3 Lot I CROSS STREET /, Or � eeti BUILDING PERMIT NUMBER CROSS REFERENCE: Signature of Applicant RECEIVEDY: •.� �_ ,� J EC2lVE''own CIe c's O o DATE: DEP 24 1986 Town Clark Southold NT NTLTI--11:: �1A7'1=�� SUPPLY ;,2 1J `; r- ! c ��FFQL! co. HEALTH:�L.l't i DEPT, fry(' r J151-l-.1-1S FOQ- 'F-I!S �:LsIL:� .NcE Wlu_ I, q �, k{._5. N s:'. - - u CONFQ2M TO TFC :3TAr.L:iAI:DS OF THE 1 i(-1U j — 5UFTQ..k. CO.? DEPT :F N1EAr- "i--f SEfc\.'EC,E�ar - IA I • . ,"` e 9, E.. .�,,1 ..v i r 1,,. 1...:. 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