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Home My WebLink AboutNelson (6) a - /ze-cam � - /4 ' « c7£ ' JUDITH T.TERRY ® ��\� Town Hall, 53095 Main Road TOWN CLERK ; P.O.Box 1179 REGISTRAR OF VITAL STATISTICS � � Southold,New York 11971 MARRIAGE OFFICER .� � Fax(516)765-1823 RECORDS MANAGEMENT OFFICER = .� t;,10' Telephone(516)765-1800 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. 1278 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : RIVERSIDE HOME, INC. Address 1 : P. O. BOX 274 City St Zip RIVERHEAD NY 11901 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. Name Of Owner NELSON, ROBERT AND STACY Mailing Address 1 C/O RIVERSIDE HOMES City St Zip RIVERHEAD NY 11901 Property Address 1 LUTHERS ROAD City St Zip MATTITUCK NY 11952 Tax Map No. section 106.00 block 9 lot 7.009 Cross Street MILL ROAD Building Permit Number Cross Reference: Issue Date: 1/19/95 Judith T. Terry Southold Town Clerk (TOWN SEAL) tty- JUDITH T. TERRY7 - Town Hall, 53095 Main Road TOWN CLERK ® 4 P.O. Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS 'Tzt ; '��' Fax (516) 765-1823 MARRIAGE OFFICER _ /�j � �® i Telephone (516) 765-1801 RECORDS MANAGEMENT OFFICER A eve/ �y•1•` 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. 1278 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : RIVERSIDE HOME, INC. Address 1 : P. O. BOX 274 City St Zip RIVERHEAD NY 11901 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. Name Of Owner JOHN, NICHOLAS T. Mailing Address 1 PARCKYS, IRENE H. City St Zip 0000 Property Address 1 LUTHERS ROAD City St Zip MATTITUCK NY 11952 Tax Map No. section 106.00 block 9 lot 7.003 Cross Street MILL ROAD Building Permit Number Cross Reference: Issue Date: 1/19/95 Judith T. Terry Southold Town Clerk (TOWN SEAL) • i,,,,S /c)-7 ® Town Hall, 53095 Main Road JUDITH T. TERRY L TOWN CLERK =zt v r-ri P.O. Box 1179 U' $ Southold, New York 11971 REGISTRAR OF VITAL STATISTICS 1204. *' Fax (516) 765-1823 MARRIAGE OFFICER �` ®/�� Telephone (516) 765-1801 RECORDS MANAGEMENT OFFICER __(// + � ' FREEDOM OF INFORMATION OFFICER ''.....1. /°° OFFICE OF THE TOWN CLERK "rr--- `: TOWN OF SOUTHOLD ;i. 4 JAN 101995 �� ,, TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office BLDG.DrPT' L OF SOUTHOLD s DATED: January 10, 1995 Transmitted herewith is a copy of application No. 1325 for a Cesspool/ Septic Tank Construction Permit submitted by: Riverside Homes for Nicholas John and Irene Parckys • 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. Fr7Please complete the form below and return it to me. 1 Di @ 0 2 , Thank you. IJ id Lid ,MIPT for-, ,. f ,„.;,. _BLDG :7 ��" TOWN OF SOUTHOLD Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following' recommendations- APPROVE v DISAPPROVE Comments: .L,,,,-- 44.7-7 SC/4) -1 i l Signature /77/.919e,,,9‘, Dated r CIFFIC,c- or THE TOWN CLERK Town of Southold Application No. :' Judith T. Terry, Town Clerk 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 APPLICAT ION 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: John, Nicholas T. and Irene H. Parckys OWNER MAILING ADDRESS: c/o applicant OWNER PROPERTY ADDRESS: ES Luthers Road '-/asv1.,#NO Mill Road Mattituck TELEPHONE NUMBER OF CONTACT PERSON: 727-3395 TAX MAP NO. : Section 106 Block g Lot 7.3 CROSS STREET: BUILDING PERMIT NUMBER CROSS REFER NC' RI RS:', �. ONE: INC. 4 /, ignature of pplicant S. Gordon, President RECEIVED BY: RIMED Town Clerk's Office DATE: JAN 1 0 1995 Iowa Clerk Southold • ( ANY ALTERATION OR ADDITION,'TO THIS SURVEY/S•A VIOLATION �� N/O/F KATHERINE PARCKY,S OF SECTION 7209,OF THE NEW YORK STATEEDUCATION LAW cwP///n5 EXCEPT AS PER SECTION 7209-,SUBDIVISION'2. AL'L.'CERTIFICA'TIONS LOT O HEREON ARE:VALID FOR THIS.MAP�4ND COPIES THEREOF:ONLY IF; ' Wei/ P /o��fro,- 2 SAID MAP OR COPES,'BEAR'TIE-1MPRESSED;'SEALrOF THE SURVEYOR WHOSE SIGNATURE.APPEARS'HEREON.-- vn,en owe) S 8s° 04' 00" E. -�T BE BYL ��TERM 30� - 2� OF ANOTHER SURVEYOR'S MAP. ' TERMS SUCH:AS aINSPECTED'AND , 264.44' 'BROUGHT-TO-DATE'ARE NOT IN'COAE'LIANCE WITH THE LAW. ' ' , N i �s LOT NUMBERS ARE REFERENCED TO'MINOR SUBD/V/SION-PREPAREb• FOR,CHARLES RIZZO 5, VIRGWIA,.RIZZO"FLED IN THE OFFICE OF THE O ® i SOUTHOL',D TOWN CLERK. i , - fho/e I N "' - , SI 13 I I - CERTIFIED TO' (SI2a ,�— P m USDA FA, RMERS HOME' ADMINISTRATION . `' pca " 1051., " s-k• 11 ROBERT AND STACEY NELSON ' . . ,5 � . � `� ‘pe - / 2 LOT0 ` c. - J do �r 0Is �`Je < • SURVEY . FOR • . . • i. -cc. lw ROBERT & STACEY NELSON - - p N ATMA T_TI TUCK 461 ho/e 25ii 3 , TOWN OF SOU•ThOLD OA: z�,�'lops oi/ �; • SUFFOLK COUNTY NY Y' ' `• ' /oar N N 1000-106-09-7.3. 28 I TS°/i' Opp, it o SCALE • 1" — 40' cc.„, 1 o NOV. 8, 1994 9,, 4V/p/F 30.0 - . -, /14 ,i-r y les /4- I k'e//,,, '9NN • 9 ��"''�� AREA = 40, 176 s, .ft ` ' � 4 ; • \ V ' ‘)*N /9/,SVRU' , I • l am familiar with the STANDARDS'FOR,APPROVAL J 94,o,.'•MEtNa Ifo AND CONSTRUCTION OF SUBSURFACE, SEWAGE. - ;' ��'moo'` i, '`�`� 1 DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES • - " J • ,--;-' and will abide by the conditions set forth lhereln and on the �'�'t' II 1 permit la construct �jH a, °a SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES.'SERVICES`'' _ e, > N6 *Q I FOR APPROVAL OF CONSTRUCTION'-ONLY•' r ,r a ,i N, , 's 496/8 At riryi ` . o N PECONIC S 2' EYORS,':,- . , DATE , HS. REF. NO (5161 765 - 5020 - - ' P. O. BOX 909 f . ELEVATIONS ARE REFERENCED , - ` MAIN ROAD - c, • - - TO AN ASSUMED DATUM. ,- SOUTHOLD, MY. 11971 M,ILL ROAD TEST HOLE FROM MINOR SUBDIVISION APPROVED _ - - - • , FOR CHARLES RIZZO A VIRGINIA RIZZO s l , ' w i 4 94-331