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4 r ,.° Town Hall, 53095 Main Road
.}< N- 'r P.O. Box 1179
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®j to Southold, New York 11971
JUDITH T.TERRY �i�� FAX(516)765-1823
TOWN CLERK TELEPHONE(516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 459 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : WINDS WAY BUILDING CORP.
Address 1 : 1020 GLENN ROAD
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 9/24/88.
Name Of Owner WINDS WAY BUILDING CORP.
Mailing Address 1 1020 GLENN ROAD
City St Zip SOUTHOLD NY 11971
Property Address 1 8585 NEW SUFFOLK AVENUE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 116.00 block 1 lot 1 .001
Cross Street LOCUST AVENUE
Building Permit Number Cross Reference:
Issue Date: 1/30/89 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
-910
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BLDG. DEPT. v e*
+" s' 1Town Hall, 53095 Main Road
TOWN OF SOUTHOLDt +` Nr 4� P.O. Box 1179
JUDITH T.TERRY ' -wi�� Vii{ r� ��l,' Southold, New York 11971
TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Victor Lessard, Southold Town Building Department
From: Linda Cooper, Southold Town Clerk's Office
Dated: January 20, 1989
Transmitted herewith is a copy of application No. 467 for a Cesspool/
Septic Tank Construction Permit submitted by:
Winds Way Building Corp.
Please review the application and location map and advise if the project
has received Suffolk County Health Department approval and if this office
may issue the permit.
Please complete the form below and return it to me.
Thank you.
�cCCc�
Linda J. Cooper
* * * * * * .* * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE
DISAPPROVE
Comments: et, . a ,fiD% �; 1
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Signature
JAN 301989
Dated
OFFICE OF THE TOWN CLERK D
Town of Southold '� 9 , 7
Judith T. Terry, Town Clerk " 041;00,� , - -
Application No.
Town Hall, 53095 Main Road 4.-14. -� Construction
P. O. Box 1179k -_
® � ��� Alteration
Southold, New York 11971
Telephone _OI ; Residential f
(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 /*rc
APPLICANT NAME: 14"4o L le4Ya i Ar
APPLICANT ADDRESS: /4.2-c., 06-d 4/
Sci le-1/4 #+ G?f7/
SEPTIC CESSPOOL /
DESCRIPTION OF PROPOSED/ ONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
- LOCATION OF PROPOSED CONST/RUCTION OR ALTERATION:
OWNER OF PROPERTY: .4,. I�✓ /:/
OWNER MAILING ADDRESS: /d)-v 6/&,(JA/. dpa4i0, .E/� Ac ),
``
�$5 �QWN R PROPERTY �i
ADDRESS:ESGur / �y/ # ' 44, eh'A/Av
IP 0 Le) oty6
TELEPHONE NUMBER OF CONTACT PERSON: 74
TAX MAP NO. : Section //c Block / Lot 64
CROSS STREET: 1jVGr-Akt/e— ,if ,s't.
BUILDING PERMIT NUMBER CROSS REFERENCE:
•
‘6
Signature of Applicant
RECEIVED BY: o li_ Q, eio_e
RECE.D1 wn CL'�rk's Of ice
DATE:
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\ \ \� \ \ \ LTA,T.... 0 systems for this residence wdl
\ \ \ \ \ \ \ -' 6+., - ,t,� Q - Rl to the standards of the $uttdti county
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Z '/ � N. 5/'2500"K% / / , ....
93 S 5 o ilio, `,
0 west main street
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r . 1 j ASPHALT _ : •�- 96 3B
mriverhead, new york 11901
NE`, / 1 Ill (516) 369-1717
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A/ .. AVENl�E
N 1000-116-01-OI.1 Scale: In= 50�
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