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HomeMy WebLinkAboutRiverside Homes • OFFICE OF THE TOWN CLERK COFOCKc Town of Southold OHO . �• G Judith T. Terry, Town Clerk `mss � 7'I�yt� � Town Hall, 53095 Main Road c ,,, ;� P. O. Box 1179 . vF ^ x •` Southold, New York 11971 O Telephone d * ,' (516) 765-1801 ' TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 268 Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: NAME: Riverside Homes, Inc. ADDRESS: P.O. Box 274 Riverhead, New-,York 11901 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION New Single Family Dwelling with Cesspool System. • APPROVED as per Suffolk County Health Department approval. LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: Riverside Homes, Inc. OWNER MAILING ADDRESS: P.O. Box 274 Riverhead, New York 11901 OWNER PROPERTY ADDRESS : w/s Jacobs Lane Southold, New York 11971 TAX MAP NO. : Section 79 Block 4 Lot 4.5 CROSS STREET: North Bayview Road BUILDING PERMIT NUMBER CROSS REFERENCE: Judith T. erry Southold Town Clerk DATE: December 10, 1987 (TOWN, SEAL) "•+•� • 4,.-^,�.x3 C}�'�.9 ~ x,r., Town Hall, 53095 Main Road P.O. Box 1179 'PP,0 Southold, New York 11971 JUDITH T. TERRY '•" "/041' l "yteTELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD December 10, 1987 Riverside Homes, Inc. • P.O. Box 274 Riverhead, New York 11901 Re: Jacobs Lane Southold, New York 11971 Enclosed herewith is the Construction, Alteration or Modification Permit for -a Septic Tank or Cesspool System for which you applied. Please be advised that each owner of real property operating an on-site sewage disposal system, such as a septic tank or cesspool must, prior to such operation, possess in the name of the owner an Operation Permit for the system. The Operation Permit is issued by the Town Clerk's Office. The fee for an Operation Permit is ten dollars ($10. 00) for residential use and twenty-five dollars ($25.00) for non-residential. Please have the owner complete the enclosed Application for an Operation Permit and return it to this office along with the proper fee. For your general information I have enclosed an Informational Bulletin regarding the Scavenger Waste Laws adopted by the Southold Town Board. Should you have any questions pertaining to either permits or the Scavenger Waste Laws, please do not hesitate to contact -this office. We will be glad to assist you in any way possible. Very truly ?tours, • • Judith T. Terry Southold Town Clerk Enclosures (3) _ JTT/Ijc OFFICE OF THE TOWN CLERK Town of Southold Application No. .2 73 Judith T. Terry, Town Clerk Town Hall, 53095 Main Road Construction "' P. 0. 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 • 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 construction of single family dwelling / LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: Riverside Homes, Inc. OWNER MAILING ADDRESS: PO Box 274, Riverhead, New York 11901 OWNER PROPERTY ADDRESS: W/S Jacobs Lane, 811.29' S/0 North Bayview Road RayviPw TELEPHONE NUMBER OF CONTACT PERSON: 727-3395 TAX MAP NO. : Section 79 Block 4 Lot 4.5 CROSS STREET: North Bayview Road BUILDING PERMIT NUMBER CRO REFERENCE: R --„;,,,,1 . or AI: t--4-7 ,16 1 i / ,... 0 Signatu -e of Applic. t RECEIVED aom , Q Town erk's O'ffice DATE: DEC 1 0 �r town Clerk Southold ,. - - _ - _ _- ..-,,:,..-..:,..:77:,•‘- „„,2.f,4,f,,y,,..: . ';'c5)r r1::,-. .- .'? ,:aW :,, gym.--• ,i I,�,o�,-y'"m rsn%:irs..*+,,,�aafH+eRe.hgw;' s �� ,�� I _ :, .. v, '� tr'^a^M(41kn�,,it'�1h+��M?4'A• �9�',Cr„•: ..h�. �� t`, "sY�''U1dAUPP.1?.1'tdCAoi1LF�i�tP[3c511G"iSt+'^.dfi ,VJ' SINGLE FAMILY DWE��.I�9 1 Ts16nc,�nQTl�A IOLAT80 µ = , "I am familiar with the Standards (3 ON TION TSIIti OA T6i� l:E,D r1Dt _ Tac ,t y 'EXPIRES TWO YEARS FROM �ryy�pr,p•�ryr ��� EVOCATION TlQP74k” '`7 .., for Approval€1!1(�Construction of ©� r r,,/�p COSIES os THIS own,'wzpsaavu:;rsirt 1 �r L� THU LAND tUTDFATOP'61WG0 SEAL GA ttt-, ubsurfas:e SewrAge Disposal y3teraas 7 E, oteD DIfAL SHALL ROS SE CONSTGYr o'. 1 3 ..�' TO OE A VALID TFtST COPY �E for Si:t�le Family Residences and Il ____________----- GUARANTEES on CERTIFICATIONS tewr will abide by the,crniditiaras set '�f'C) ' CATED HEREON SHALL f S ONLY To THE r 'het ]and© ' e,; it to ( �" veo��uO on�i'ms DeHaiF 7n Twa PRY: COURANT.GOVERNMENTAL ROESICT AND ,... ,e ,. ri lip ,... -` _: �J E�filtl�bi,(C G�UNrY i�r.P�`r'; J Vkl0 t" LEpOlN¢ I41fTTITUT10P1 L19TifD HQk@C1M, I � � ��^ � �.'�'�I.T f i ` `c ci'; AND TO THE A9E40NE09 OF THE l.ft MOUILS I'.,< . —f— (T) MAD DADS ROT TRANSFERABLEATO I AD. 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