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Home My WebLink AboutCohill, James 604 f Writ' o VV 4:4 JUDITH T. TERRY z ; Town Hall, 53095 Main Road TOWN CLERK "me T P.O. Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS =' Fax (516) 765-1823 MARRIAGE OFFICER _.,`^ O. 0 Telephone (516) 765-1801 RECORDS MANAGEMENT OFFICER . 1 �. FREEDOM OF INFORMATION OFFICER = �� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1181 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 SANITARY SYSTEM FOR NEW SINGLE FAMILY DWELLING. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. SCHD REF. #R10-94-0049 Name Of Owner COH I LL, JAMES H. Mailing Address 1 C/O RIVERSIDE HOMES, INC. P. O. BOX 274 City St Zip RIVERHEAD NY 11901 Property Address 1 MILL ROAD City St Zip MATTITUCK NY 11952 Tax Map No. section 107.00 block 1 lot 2.005 Cross Street GRAND AVENUE Building Permit Number Cross Reference: Issue Date: 8/12/94 Judith T. Terry Southold Town Clerk (TOWN SEAL) I , /////////IIi��''i /j / teG JUDITH T. TERRY Town Hall, 53095 Main Road TOWN CLERK p r= P.O. Box 1179 to � Southold, New York 11971 REGISTRAR OF VITAL STATISTICS ‘20.4, Fax (516) 765-1823 MARRIAGE OFFICER `^ i b ,' Telephone (516) 765-1801 RECORDS MANAGEMENT OFFICER 1 4 i� FREEDOM OF INFORMATION OFFICER /,////,� OFFICE OF THE TOWN CLERK ) till t TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's OfficeTOWN DF.DEPT. OUTHOLD DATED: August 1, 1994 Transmitted herewith is a copy of application No. 1225 for a Cesspool/ Septic Tank Construction Permit submitted by: Riverside Homes, Inc. for James H. Cohill 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 DISAPPROVE Comments: J 4 L As2-0e1747///90 — QC(- co 5z7 G, yefr --� /AA. i�i-i i i✓ - , Signature � Da/ 4 OFFICE OF THE TOWN CLERK Town of Southold Application No./42, Judith T. Terry, Town Clerk Town Hall, 53095 Main Road Construction L- P. O. Box 1179 Alteration Southold, New York 11971 Residential Telephone (516) 765-1801 Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL s I 1994 Permit No. 1 BLDG.DEPT. 70WN OF SOUTHOLD Fee $ DATE APPLICANT NAME: RIVERSIDE HOMES, INC. APPLICANT ADDRESS: PO Box 274, 1159 W. main St. , Riverhead, NPw York 11 a01 SEPTIC x CESSPOOL x DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION single family dwelling LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: James H. Cohill OWNER MAILING ADDRESS: c/o Riverside Homes, Inc. PO Box 274, Riverhead, New York 11901 OWNER PROPERTY ADDRESS: SWC Mill Rd and Grand Ave Mattituck TELEPHONE NUMBER OF CONTACT PERSON: 727-3395 TAX MAP NO. : Section 107 Block 1 Lot 2.5 CROSS STREET: BUILDING PERMIT NUMBER CROSS REFERENCE: RIV/# fi-: ES, INC. C Signat re of Applicant RECEIVED RECEIVED BY : TQC in cperitapp Office DATE: Southold Town Clerk - . .... e ...... .. _ _ e..�._._.. •'�*y, •.: 's-.. ::. ....... .. ., ,.... .. y �. ,�..4... ..Y � x.uWu1�'�uti�tSo'a{�'YIIJOiLGYY4.,M-:Y... .__._..- ------...___..,.�.�"_-- _..._- , . -. .. ... - . •. _ ._ Ifs ' `4IL.S NO, a . 1 \ .1 . , , , : ., _ ,, itilkoWORMaLtit led.; MSL -0 ' E WA �t . $V$ EMTr FOR, THISolti4CP Wit.L. TO1' ` , 1 `.1111"'47.~.'71. `' Aro.!.` . SUFFOUC CO. � OF ,th Vim. 4 t31:, ' Q i ' SUFFOLK COUNTY t ft. i 4 + N.. © Yt V fC€S -- FOR A 'P OVAL il'3i\ • t ...r. . .Y i , 4 . . __- ,._ _.yid.' .�..___„ c%*' ' ' ' + Q. t" .i GN, j _ ". ti .yrs . ,, • ,... ,,,,, . . i, ..- . ,.. ,, ., , , T1TI t frowairet f; ,' ' Q �J " DAIS' I-/ FEVERS �. ',le. - , t a : :0,i $ x Z74 +4 \ k'rve ktd, Air. Y: .t/90/ i,� .5 4..;a% : 40'=- 1" re 1. 7Z'7-aJ'95 w 1 y' DEED: L. i4 P. — 1 - Unauthorized alter o.addition to this survey i „n of i «•---^.^ el , Section/2 ; : tote fork$tgtO a -" `-Q E�:uco,;cn' .w. if 1/ ,�,�y �r ,gyp A^./rind:rue cor.. ,..._., �...,._-._._ � Ari`". v...Cee C hoiCntfOc•i?P£ ,..^. ' 401/1.1rG �.1e A +G` a ,_-; > t3:. ...-,,d- d , • ,. .. (i�' C , ii E _, ~ '`t ltAl0/ /iii. iI V D f�r \�• i,�, `.' ,; 1 y P�! 11994 .,a• te` * ; ,,, -. ,, < Kik d ° , ,DEPT. nom'``Lair�sz,az /'"' TOWN OF S UTHOLD Nl fd.. YC. # ? c itialyillefeN1w .