HomeMy WebLinkAboutRiverside Homes (7) OFFICE OF THE TOWN CLERK cOF1JLi(
Town of Southold '
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road
P. O. Box 1179 .Ln ,- r-r :•
11 .
Southold, New York 11971 O` ®! ` a ®�-���%
Telephone l ,;
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT •
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 14 Residential X
Fee $ 10. 00 Non-Residential
Septic Cesspool X
L
PERMIT ISSUED TO:
NAME: Riverside Homes , Inc.
ADDRESS: P. O. Box 274
Riverhead, New York 11901
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
Construction of single family dwelling
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
TAX MAP NO. : Section 113 Block 14 Lot 5
CROSS STREET: Westphalia Road
BUILDING PERMIT NUMBER CROSS REFERENCE: Not yet issued
Judith T. Terry
Southold Town Cler
DATE : August 19 , 1986
(TOWN SEAL)
OFFICE OF THE TOWN CLERK
Town of Southold ? /
Judith T. Terry, Town Clerk Application No.c
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 dr CESSPOOL
Permit No.
Fee $ iO �
• DATE 'August 11, 1986
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, NY 11901
OWNER PROPERTY ADDRESS: E/S Cox Neck Rd 465.28' S/0 Westphalia Rd
Mattituck
TELEPHONE NUMBER OF CONTACT PERSON: 727-3395
TAX MAP NO..; Section kk3 Block 14 Lot 5
CROSS STREET: Westphalia Road
BUILDING PE ;,, 'CUMBER "CROSS REFERREENCE': not yet issued
A fAtp0
ign- ure of • splican ,\ " -
Eliz-b-th A. Can razaro, ,agnt for
RECEIVED BY: L `� , property owner a: d builder
Town CI/k's Of rce '
DATE: / 9' li A
at a` SUFFOLK CO.HEALTH DEPT.APPROVAL
TWO YEARS FROMpTE OF APPROvAL,
! T'J • exp0R INGL� FAMILY DWELLING
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