HomeMy WebLinkAboutInland Homes (3) JUDITH T. TERRY Town Hall, 53095 Main Road
TOWN CLERK • ® ` r x ;, P.O. Box 1179
REGISTRAR OF VITAL STATISTICS - Southold, New York 11971
�` � ��' Fax (516) 765-1823
MARRIAGE OFFICER " Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER _ 1 to
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. 1171 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : INLAND HOMES INC.
Address 1 : P. 0. BOX 117
City St Zip MATTITUCK NY 11952
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. #R10-94-0033
Name Of Owner INLAND HOMES INC.
Mailing Address 1 P. 0. BOX 117
City St Zip MATTITUCK NY 11952
Property Address 1 RHODA ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 106.00 block 5 lot 19.000
Cross Street CAPTAIN KIDD DRIVE
Building Permit Number Cross Reference:
Issue Date: 7/20/94 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
/ 7
e°&%OT .
JUDITH T. TERRY : ;'' ® 9`9St1 ow al , 53095 Main Road
TOWN CLERK : v ,� : J�,� . P.q,. Box 1179
6n S� mit old,New York 11971
REGISTRAR OF VITAL STATISTICS `Af "CL�.r, rax
MARRIAGE OFFICER sf1 OUITelE15hone(5 6) 765-1801
RECORDS MANAGEMENT OFFICERy®1
' W
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: July 19, 1994
Transmitted herewith is a copy of application No. 1215 for a Cesspool/
Septic Tank Construction Permit submitted by:
Inland Homes Inc. •
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 EXCAVATION INSPECTION
Se 662-642, REQUIRED
Comments: f,�® q� ev®,
RECEIVED Signature7
UR 2 0 1994
D. -d
Town Clerk Southold
•
OFFICE OF THE TOWN CLERK ��rr
GA ���►
Town of Southold O f.
Judirth T. Terry, Town Clerk �,!' LI;� r ` Application No. % /�
Town Hall, 53095 Main Road c
t�.�%
P. 0. Box 1179
cn i;°; Construction "-----
Southold, New York 11971 P,\ r Alteration
Telephone �l 44 �bfiv Residential
(516) 765-1301 �`
Non-Residential
• TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION •
•
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
•
Permit No.
Fee .$
DATE 7/18/94
APPLICANT NAME: Inland Homes Inc
•
APPLICANT ADDRESS: P.O. Box 117, Mattuck, 11952
SEPTIC CESSPOOL 111/ -
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
New Single Family Dwelling
•
•
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Inland Homes Inc.
OWNER MAILING ADDRESS: P.O. Box 117,Mattituck,11952
•
OWNER PROPERTY ADDRESS: / •
OF - v
TELEPHONE NUMBER OF CONTACT. PERSON: 298-9696
TAX MAP NO. : Section 106 Block 05 Lot 019
•
CROSS STREET: Captain Kidd Drive
, BUILDING, PERMIT NUMBER CROSS REFER NCE:.
0
!AL-SSPAA •
Signature •41^; .licant •
RECEIVED BY: I / 1
' -Dawn Clerk's Office.
DATE: 7 5
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