HomeMy WebLinkAboutRiverside Homes (4) •
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• OFFICE OF THE TOWN CLERK' cOFRA-0 •
Town of. Southold DO Y-
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• Judith-T. Terry, Town Clerk `b ,` � ,'�_�
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Town Hall, 53095 Main Road . ,rr~
P. O. Box 1179 ' c }'i
Southold, ,
New York 11971 40;It, Oro ••'Telephone "�� \Jc •�
(516) 765-1801
TOWN OF SOUTHOLD
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SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 190 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
APPROVED as approved by Suffolk County Health Dept.
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 : Cox Neck Road
Mattituck, New York 11952
TAX MAP NO. : Section 113 Block 14 Lot 7
CROSS STREET: Westphalia Road
BUILDING PERMIT NUMBER CROSS REFERENCE:
ereeide4;,007...0.00,./
Judith T. Terr
Southold Town Clerk
DATE : June 30, 1987
(TOWN SEAL) .
000011
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AVA ` a'' : Town Hall, 53095 Main Road
• ® , . �. P.O. Box 1 179
ej ���0�+' Southold, New York 11971
JUDITH T. TERRY `"%woo/1"��, TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
June 30, 1987
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Riverside Homes, Inc.
P.O. Box 274
Riverhead, New York 11901
Re: 113-14-7
Cox Neck Road
Mattituck, 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 ($25. 00) for non-residential.
Please have the owner complete the enclosed Application for an Operation
Permit and return it to this office along with the proper fee.
For your general information I have enclosed an Informational
Bulletin regarding the Scavenger Waste Laws adopted by the Southold
Town Board. Should you have any questions pertaining to either permits
or the Scavenger Waste Laws, please do not hesitate to contact this
office. We will be glad to assist you in any way possible.
Very truly ;tours,
%woo:, umoviimaieVe......Judith T. Terry
Southold Town Clerk
Enclosures (3)
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OFFICE OF THE TOWN CLERK
Town of Southold
Application No./ 75---
Judith T. Terry, Town Clerk -
Town Hall, 53095 Main Road Construction ,(
P. O. Box 1179
Southold, New York 11971 Alteration
Telephone Residential X
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. /9E
ao
Fee •$ `D
DATE
APPLICANT NAME: RIVERSIDE HOMES, INC.
APPLICANT ADDRESS: P. 0. BOX 274
RIVERHEAD, NY 11901
SEPTIC X CESSPOOL X
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
SINGLE-FAMILY DWELLING
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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: P. 0. BOX 274
RIVERHEAD, NY 11901
OWNER PROPERTY ADDRESS: E/S Cox Neck Rd. , 786.04' S/0 Westphalia Rd. ,
Mattituck
TELEPHONE NUMBER OF CONTACT PERSON: 727-3395
• _ TAX MAP Section 113 Block 14 Lot 7
CROSS STREET: Westphalia Rd.
BUILDING PERMIT NUMBER CROSS REFERENCE:
toi 4 d
if 0
Ak Signature of Appl'
111,
RECEIVED BY:
• Town Clerk's Office
DATE:
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