HomeMy WebLinkAboutCitera, Anthony ' „,,,,/,ii i
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JUDITH T. TERRY Town Hall, 53095 Main Road
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TOWN CLERK : rZ P.O. Box 1 179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER 0 �- ��, Fax (516) 765-1823
�'� °� Telephone (516) 765-1801
'ItOFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 910 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : RIVERSIDE HOMES, INC.
Address 1 : P. O. BOX 274
City St Zip RIVERHEAD NY 11901
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH SANITARY SYSTEM.
APPROVED AS SUBMITTED AND APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF
HEALTH SERVICES.
Name Of Owner CITERA, ANTHONY AND CAROLINE
Mailing Address 1 (CONTRACT VENDEE)
City St Zip 0000
Property Address 1 MAIN ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 109.00 block 1 lot 15.000
Cross Street ALVAHS LANE
Building Permit Number Cross Reference:
Issue Date: 9/18/92 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T. TERRY = z Town Hall, 53095 Main Road
TOWN CLERK p rri P.O. Box 1179
REGISTRAR OF VITAL STATISTICS 'j9� Southold, New York 11971
MARRIAGE OFFICER
‘V.A. �', �1 $ Fax (516) 765-1823
��O � Tel (516) 765-1801
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: September 11, 1992
Transmitted herewith is a copy of application No. 934 for a Cesspool/
Septic Tank Construction Permit submitted by:
Riverside Homes, Inc. for Anthony & Caroline Citera (Contract .Vendee)
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.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE X
DISAPPROVE D
Comments: oma, «k..,p &. # I �j, ,Q.e,�i iev
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Signature
Dated
O 'F10E QF THE TOWN CLERK
� Town of Southold
Judith. T. Terry, Town Clerk Application No. y �
•
Town Hall, 53095 Main Road Construction
P. O. Box 1179
Southold, New York 11971 Alteration
Telephone Residential
• (516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE
APPLICANT NAME: RIVERSIDE HOMES, INC.
APPLICANT ADDRESS: PO Box 274, Riverhead, New York 11901
SEPTIC x CESSPOOL x
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
sing1P fAmily dwelling
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Rose Petrash - Contract Vendee is Anthony and Caroline A.
Citera
OWNER MAILING ADDRESS:c/o PO Box 274, Rivehread, New York 11901
OWNER PROPERTY ADDRESS: N/S Main Rd (Rt 25), 900' W/0 Alvahs Lane
Cutchogue
TELEPHONE NUMBER OF CONTACT PERSON: 727-3395
TAX MAP NO. : Section 109 Block 1 Lot 15
CROSS STREET: Alvahs Lane
BUILDING PERMIT NUMBER CROSS REFERENCE: /
RIVERSI) ' HIES, I
1411 '
gar Vjgnatu A
a of Applicant
: . G. don, President
RECEIVED BY:
Town Clerk's Office
DATE:
The locations of wells and cesspools
shown hereon are from field observations
alas 1,�' LIand or from data obtained from others.
P'
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Sao
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if GUI n°''• . AREA = Z285 soft.
O 6718�� 5 C.?' CERTIFIEDSTC TERA
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a%. 0 CAROLINE CITERA
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c, UNITED STA TES OF AMERICA FNMA
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0o o 9G� SURVEY FOR
4
0. ANTHONY & CAROLINE CITERA
-leek AT CUTCHOGUE '
Q. TOWN OF SOUTHOLD
o �'� e °� -� SUFFOLK COUNTY, N. Y.
ro
-.� M� � 1000 - 109
c.P N� �� Scae• 1 - 20
i3 5' o April 10, 1992
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The water supply and sewage disposal
"9 • I , W. - ee-1 a S'� systems for this residence will conform
-so \IIIIIIIft 1g, p0 U,r�/ P a4 to the standards of The Suffolk County
' 6Z on�i: , ` WATER N PALEDepartment of Health Services.
$. 0�- 25 ER FIVE TO
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( Prepared in accordance with the minimum SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
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�t /s !P 0 standards for title surveys as established FOR APPROVAL OF CONSTRUCTION ONLY
/' .Y ' IC. NO. 49618 601-ny �,0g by the L.I.A.L.S. and approved and adopted
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's P e>`'t O o for such use by The New York Stale Land
COlM •`'+' 1 •, P.C. �a `�I f 13� DATE REF. NO.
(5l6) 7fi �Q P1 Title Association.
P. O. gOx -.t.- M ,
MANN ROAD
SOUTHOLD, N.Y. 11971 APPROVED
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