HomeMy WebLinkAboutVerderese JUDITH T. TERRYTown Hall, 53095 Main Road
TOWN CLERK T P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Cl' Southold, New York 11971
MARRIAGE OFFICER ®�� - ®� I Fax (516) 765-1823
®1 1�, Telephone (516) 765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1095 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : RIVERSIDE HOMES, 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. SCHD REF. #93-SO-94
Name Of Owner VERDERESE, DOROTHY K.
Mailing Address 1 C/O RIVERSIDE HOMES, INC.
P. O. BOX 274
City St Zip RIVERHEAD NY 11901
Property Address 1 ALVAHS LANE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 109.00 block 2 lot 5.000
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 3/10/94 Judith T. Terry
Southold Town Clerk
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JUDITH T. TERRY <t. 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
__,�®® Kx �� Telephone (516) 765-1801
RECORDS FREEDOM OF MANAGEMENT
ON OFFICER I�������i ��•ll
OFFICE OF THE TOWN CLERK F-� �_.._� ..�r;-- __ ,`\_�
TOWN OF SOUTHOLD If i'`> i ' w
11 i\:\ FEB 2 8 19.94 ;;
TO: Southold Town Building Department IIIAP
FROM: Linda J. Cooper, Southold Town Clerk's Office :;.q_Fj._,. �;,�,-E. �-
Towiv O SOUTE.'3;'' ,I
DATED: February 28, 1994 ..�,,.- — —
Transmitted herewith is a copy of application No. 1132 for a Cesspool/
Septic Tank Construction Permit submitted by:
Riverside Homes, Inc. for Dorothy K. Verderese •
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.
Please complete the form below and return it to me.
Thank you.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE
DISAPPROVE
Comments: c.5C ii-a2 .93 , S'0 9 56
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Signatur,
9-
MJ? 1994 �� 9J
Dated
lighiAd To Coen
OFFICE OF THE TOWN CLERK
Town of Southold Application No. 7/3
Judith T. Terry, Town Clerk
Town Hail,- 53095 Main Road Construction
P. O. Box 1179 Alteration
Southold, New York 11971
Residential L
Telephone
(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: Dorothy K. Verderese
OWNER MAILING ADDRESS: c/o Riverside Homes, Inc. , PO Box 274
Riverhead, New York 11901
OWNER PROPERTY ADDRESS: ES Alvahs La 154.82' NO Main Rd
Cutchogue
TELEPHONE NUMBER OF CONTACT PERSON: 727-3395
TAX MAP NO. : Section 109 Block 2 Lot 5
CROSS STREET: Main Rd (Rte 25)
BUILDING PERMIT NUMBER CROSS REFERENCE:
44111
Sig atur Applicant
S. Gordon, rresid= t
RECEIVED BY: X
Tow Clerk's Office
DATE: (0-/9-2S/9' - .
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• • s LUIS A. SERRANO & SHARYN SERRANO
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e 3O ; ?r�P` a i �� Q, 19° \ SUFFOLK COUNTY N. Y.
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DAO ( CERTIFIED TO'
SN R LUIS A. SERRANO
MASHARYN SERRANO
The locations of wells and cesspools USDA FARMERS HOME ADMINISTRATION
shown hereon ore from field observations pF NEW O
and or from data obtained from others. S`P��,z.MErj0 ef.
AREA = 10,340 sq.ft. 4 R
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES S�
FOR APPROVAL OF CONSTRUCTION ONLY
Prepared in accordance with the minimum i i'�u. N • LIC. NO. 49618
The water supply and sewage disposal standards for Lille surveys as established
..-
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`'- a DATE HS. REF. NO. systems for this residence will conform
to the standards of The Suffolk Count by the L.I.A.L.S and approved and adopted PEC• tri '•', P.C.
County for such use by The New York Slate Land 1516) MB'
1 Department of Health Services.
Title Association. P. O. B• ' -
`� APPROVED_ MAIN ROAD
*
ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM. SOUTHOLD, N.Y. 1197/
-- 93 -288