HomeMy WebLinkAboutDBM Co (4) 1',,e%c FFOLp(1OG-`
IP W$ Town Hall, 53095 Main Road
_`+A �ir P.O. Box 1179
1 * „•,'' Southold, New York 11971
JUDITH T.TERRY .,,�,,./0- FAX(516)765-1823
TOWN CLERK TELEPHONE(516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 599 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
-
PERMIT ISSUED TO:
Name : DBM CO.
Address 1 : P. O. BOX 2130
City St Zip GREENPORT NY 11944
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 4/12/90.
Name Of Owner DBM CO.
Mailing Address 1 P. O. BOX 2130
443 MAIN STREET
City St Zip GREENPORT NY 11944
Property Address 1 ORIOLE DRIVE (MODEL A)
City St Zip SOUTHOLD NY 11971
Tax Map No. section 55.00 block 6 lot 15.001
Cross Street LISA DRIVE
Building Permit Number Cross Reference:
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___40101.
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Issue Date: 5/03/90 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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` ' {s x" T ' Town Hall, 53095 Main Road
BLDG.DEP . �`�' ��� P.O. Box 1179
TOWN OF SOUTHOLD — "` , c--,_ 0.*
�' = 1 s$,,..� Southold, New York 11971
JUDITH T.TERRY -7i
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��.•„,90p°.� TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
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To: Southold Town Code Enforcement Officer
From: Linda Cooper, Southold Town Clerk's Office
Dated: April 17, 1990
Transmitted herewith is a copy of application No. 613 for a Cesspool/
Septic Tank Construction Permit submitted by:
DBM Co. (Model A)
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
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Signature
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Dated
OFFICE OF THE TOWN CLERK
Town of Southold // /3
Judith T. Terry, Town "Clerk' � : Application No�O
Town Hall, 53095 Main Road 8Construction
P. O. Box 1179
Southold, New York 11971 O Alteration
Telephone 0_1 [ Residential
(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 Api 16. 1990
APPLICANT NAME: v B M Co.
APPLICANT ADDRESS: 443 Main StAzet, P. 0. Box 2130, G'reenpoht, N.Y. 11944
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
one Icaxn%2u howse MoD L � A"
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: V B M Co.
OWNER MAILING ADDRESS: 443 Main St., P. 0. Box 2130, Gneenpoitt,N.Y. 11944
OWNER PROPERTY ADDRESS: �Uz Lem
TELEPHONE NUMBER OF CONTACT PERSON: 323-2585
TAX MAP NO. : Section 55 Block 6 Lot p/o 15. 1
CROSS STREET: Lisa vru,ve
BUILDING PERMIT NUMBER CROSS REFERENCE:
Ali
1
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REMO
RECEIVED BY:
ApR1-en199Grk's Office
DATE:
LISA DRIVE
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SURVEY FOR
,UFFOLX COUNTY DEPARTMENT OF HEALTH SERVICES D.B.M. COMPANY
LOT NO. 3, HIGHPOINT II AT SOUTHOLD,SECTION ONE
FOR APPROVAL OF CONSTRUCTION ONLY AT SOUTHOLD DATE SEPT. 6, 989
APR 121(on , TOWN OF SOUTHOLD scALE I 40'
)ATE H NO. ..-C, . SUFFOLK COUNTY, NEW YORK NO 89 • 1025
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HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT , G
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•WEARER,WATER O•1N_NI : *MACE OF WATER PRIVATE_ PUN'CY ..,./.. •0l MC• MC,(rOrIG'Mf r�Ty+IOH LISTED '��
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NOTE
SUBDIVISION MAP NOT FILED AS OF SEPT 6,1989 AL DEN W YOUNG,PROFESSIONAL ENGINEER
AND LAND SURVEYOR N YS UCENSE NO i 2845
HOWARD W YOUNG, LAND SURVEYOR
•TOR LOCATOR OF WEL LITTI,N•TIC TAINISTI•CES(r00LSICr)MONO Nt1T100. N r S LICENSE NO 45893
M[ANON FIELD ODNMVA1IOWU AND OM DATA°STANK°PION 015E01
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