HomeMy WebLinkAboutRiverside Homes (2) •
OFFICE OF THE TOWN CLERK c.0FVLk' "
Town of Southold 0� A
Judith T. Terry, Town Clerk : y %-74-44,��
Town Hall, 53095 Main Road -
P. O. Box 1179 .�SWA 1447
Southold, New York 11971 � � "' �- ••
Telephone 01 e ��,
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 242 Residential • X
• - - Non-Residential
Fee $ 10.00
Septic Cesspool X
PERMIT ISSUED TO:
NAME: Riverside Homes, Inc.
ADDRESS: P.O. Box 274, 1159 West Main Street
Riverhead, New York 11901
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New Single Family Dwelling with Cesspool System
APPROVED as per Suffolk County Health Dept. approval
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: River§ide Homes, Inc.
OWNER MAILING ADDRESS: P.O. Box 274
Riverhead, New York 11901
OWNER PROPERTY ADDRESS : Jacobs Lane
Southold, New York
TAX MAP NO. : Section 79 Block 4 Lot 4.3
CROSS STREET: North Bayview Road --
BUILDING PERMIT NUMBER CROSS REFERENCE:
Judith T. T:% y
Southold Town Clerk
DATE : October 27, 1987
(TOWN SEAL)
Cr2
S g: . ; - . Town Hall, 53095 Main Road
�e ��� P.O. Box 1179
kr,) Southold, New York 11971 _
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JUDITH T. TERRY „ TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
October •27, 1987
Riverside Homes, Inc.
P.O. Box 274
Riverhead, New York 11901 •
Re: Jacobs Lane
Southold, New York
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 ($25. 00) for non-residential.
Please have the owner complete the enclosed Application for an Operation
Permit and return it to this office along with the proper fee.
For your general information I have enclosed an Informational
Bulletin regarding the Scavenger Waste Laws adopted by the Southold"
Town Board. Should you have any questions pertaining to either permits
or the Scavenger Waste Laws, please do not hesitate to contact -this
office. We will be glad to assist you in any way possible.
Very truly ?fours,
• Judith T. Terry -
Southold Town Clerk
Enclosures (3) _
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OFFICE' OF THE TOWN CLERK
Town of Southold
Judith T. Terry, Town Clerk Application No �
Town Hall, 53095 Main Road Construction
P. O. Box 1179 Alteration
Southold, New York 11971
Telephone Residential
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
- t
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
• Permit No. (•-/ •
v '
Fee '$
DATE
APPLICANT NAME: RIVERSIDE HOMES, INC.
APPLICANT ADDRESS: P.O. Box 274/ 1159 West Main Street
Riverhead, New York 11901
SEPTIC CESSPOOL •
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
Construction single family dwelling
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: -
OWNER OF PROPERTY: RIvER,.TnR Rnmp.s, TNC
OWNER MAILING ADDRESS: pJ Roy 274 Riverhead, New York 11901
OWNER PROPERTY ADDRESS: W/S Jacobs Lane. , 450.43' S/0 No. Bayview Road
Bayview, New York
TELEPHONE NUMBER OF CONTACT PERSON: 516-727-3395
TAX MAP NO. : Section 79 Block 4 Lot 4.3
CROSS STREET: North Bayview Road
BUILDING PERMIT NUMBER CROSS REFERENCr:
ssksipc... 1.64Es e
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Signature of Applicant
RECEIVED BY: ' LIZAB TH A. CANNAZARO Age
Town Clerk's Office
DATE:
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UNAUTHOAI1CD ALTERATION OR ADDITION ,
. , . , . TO Tt4:9•OURVEAY ID A VIOLATION OP SEC-
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TO OF.1C TH.I.EO: 'LTR„SERVICES • ' TION 9209 OP rite NEW YORK STATE
EDUCATION LAW
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lam familiar with the Standards - SUITOLIC COUNTY -DEPARTMEN
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COPIES OF THIS SURVEY DIAP NOT SEARING
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P',II-VAL OF CONS
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THE LAND SURVEYOR'S INKED SEAL OR CFA-
. for Approval and Construction of ,
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DOSSED SEAL SHALL NOT DE CONSIDERED
FOR I ONLY ' ''
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Subsurface Sowage Disposal Systems I/1 , . ,
TO De A VALID TRUE COPY
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CATED HEREON ENIALL RUN ONLY TO TNE
will abide by,cce condith .So
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PERSON FOR WHOM THE SURVEY/S NW-
PPACD.AND ON MS BEILALP TO THe TITLE
forthibt,.'e ,r,,,,.,,,i on ' '.,.• ;..•:., bt
. APPROVED .,41(allime;0110... fr'T,
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COLIPADY, GOVEDINIENTAL AGENCY AND
LENDIGIO INSTITUTION LISTED HEREON,
AND TO THE ASSIGNEES OF THE LENDING
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liplioST,41:UTARIO G
E4P4033T TRAIVEIVIDI E Cl'IOIFICADA.
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DITIONAL INSTITUTIONS OR CUDSEOUENT
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OWNERS
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FOR RIVERS!) I,OM S,,
MAP OF CROWLEY ESTATES
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PILEILDSS.116 ,
,SITUATE AT DAY VIEW . .
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•1 IN4Wr t'- TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK
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NOTESI I. EA3EMENTS OP RECORD, IF AM, ARE NOT SHOWN. '
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* ; DATE JAN.71717EFEA=111-77517-- ,
2. suesunxzez PEATURUS 14RE NOT SHOWN.
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3. PARCE.g. AREA 2 102,809 BO.FT. On 2.540 ACRES.
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4. Er -4 - r---1 Ar 54\ L- -sil•-•-• 1 ''i
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CHESTER C. KELSEY!
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. : Ili oca (-14- SIDNEY B. BOWNE & SON
c(‘ ct. 491, , 4,.... , ,
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LIC. LAND SURVEYORS N.Y. LIC. NO. 36923
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MINEOLA — SEVIITHTOWN, N.V. ROBERT W. BROWN i
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