HomeMy WebLinkAboutLamb, Janet OJJVV *
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JUDITH T. TERRY : Town Hall, 53095 Main Road
TON CLERK : T P.O. Box 1179
W
REGISTRAR OF VITAL STATISTICS s tin Southold, New York 11971
MARRIAGE OFFICER ‘04,
�- °' Fax (516) 765-1823
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(516) 765-1801
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 895 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 AS APPROVED BY THE SUFFOLK COUTNY DEPARTMENT
OF HEALTH SERVICES ON 6/6/92.
Name Of Owner LAMB, JANET F.
Mailing Address 1 121 BENSON AVENUE
City St Zip SAYVILLE NY 0000
Property Address 1 GRANGE ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 75.00 block 4 lot 9.000
Cross Street BAYV I EW ROAD
Building Permit Number Cross Reference:
Issue Date: 8/17/92 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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�,, yL $ w Town Hall, 53095 Main Road
JUDITH T. TERRY � �
TOWN CLERK ` p rZ iIx i` • P.O. Box l 179
REGISTRAR OF VITAL STATISTICS Southold, New York 1 1971
MARRIAGE OFFICER Fax Fax (516) 765-1823
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(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: August 8, 1992
Transmitted herewith is a copy of application No. 919 for a Cesspool/
Septic Tank Construction Permit submitted by:
Riverside Homes, Inc. for Janet F. Lamb
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.
Uwe:
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE 0c
DISAPPROVE
Comments: q,. stJ ,11
t.DVANC
\(..t..C. 44. 4.•
Signature
8\lo\gL
Dated
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QFFICE OF THE TOWN CLERK
Town of Southold
Judith T. Terry,
Town Clerk Application No
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
APPLICATION
for *
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
AUG -
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
single family dwelling
•
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Janet F. Lamb
OWNER MAILING ADDRESS: 121 Benson Avenue, Sayville, NY
OWNER PROPERTY ADDRESS: WS Grange Rd at curve into cul d sac S/0
Bayview Rd, Southold
TELEPHONE NUMBER OF CONTACT PERSON: 727-3395 Riverside Homes, Inc..
TAX MAP NO. : Section 75 Block 4 Lot 9
CROSS STREET: Bayview Road
BUILDING PERMIT NUMBER CROSS REFERENCE:
RI 'SIDE OMES, NC.
.07
ighature of Applicant
8xx'xxtutXxRruxz>i' utx
RECEIVED BY: Richard Wandaloski, agent
Tow rk's Office
DATE:
iktit 07 'Ort
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.
• we// shown SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
p on 1,/e04 /napFOR APPROVAL OF CONSTRUCTION ONLY
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1. DATE to SII r J 17.3E MS. :,� < _ '
REF. NO.
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1.1 �r �/1 S.C. DEPT. OF
, F of HEALTH SERVICES
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�, u 19"i° .The water supply and sewage disposal
cosystems for this residence will conform
to the stand ds of The Suffolk County
2 4.3 Department h Services.
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P/O LOT 12 ‘01- 4if-iii,-. ifY(4t.
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AREA = 16,259 sq. /1.. II
SOUTH HARBOR' HOM S 0' i
ELEVATIONS ARE REFERENCED FILED JULY 14, 1964 FILE ,' O • 096 �� ' r
To AN ASSUMED DATUM AT SOUTHOLD . _
CERTIFIED TO; 3, . �G
TOWN OF SOUTHOLD
NJ I)
CHARLOTTE ANN MILLER SUFFOLK COUNTY N. Y.
U.S.D.A. FARMERS HOME
ADMINISTRATION ,;.77.7-7,-;',77--:
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SCALE I" = 30' ,� ; - -, - _--' _.. ;
JUNE 3, /986
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; / fi Y.S.LIC. NO. 49618 Preared in accordance with the minimum
• SUR • 'S, P.C. standards for title surveys as established
P. .- - : by the L.I.A.L.S and approved and adopts
_,mo•i�s, for such use by The New York State Land
MSOUTHOLD, NY. 11971 Title Association.
• 86 - 303 A