HomeMy WebLinkAboutDBM Co (23) I. CO HIL
Town Hall, 53095 Main Road
` y0Q�/ P.O. Box 1179
`� rrr Southold, New York 11971
JUDITH T.TERRY '"'��'�'' 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. 642 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 8/24/90.
Name Of Owner DBM CO.
Mailing Address 1 P. O. BOX 2130
City St Zip GREENPORT NY 11944
Property Address 1 HIGHPOINT MEADOWS, LOT 14
TUTHILL ROAD EXTENSION
City St Zip SOUTHOLD NY 11971
Tax Map No. section 55.00 block 6 lot 15.001
Cross Street ORIOLE DRIVE
Building Permit Number Cross Reference:
Issue Date: 10/12/90 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
NHs�
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W{M{E ; � �,
Se 131990
• Town Hall, 53095 Main Road
BLDG Cir�F; ��' * P.O. Box 1179
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TOWN OF Sr, �o�.° Southold, New York 11971
JUDITH T.TERRY ,��� TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Southold Town Code Enforcement Officer
From: Linda Cooper, Southold Town Clerk's Office
Dated: September 13, 1990
Transmitted herewith is a copy of application No. 657 for a Cesspool/
Septic Tank Construction Permit submitted by:
DBM Co.
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.
44.x aa)
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE 1)4,
DISAPPROVE
Comments: Qv, �t.+..r �. . 1Zo \1 .Q
thn '21 ZA\(=ID
RECEIVED- ci- -vt_.
Signature
OCT 10 15'iu I o\ 1/4`t‘ o
Dated
Town Clerk Shy
r-
OFFICE OF THE TOWN CLERK ,,,'""''"--
Town of Southold ���' �FFOIKC;"
y Town Clerk %` �l/ Application No.�pS
Judith T. Terry,
Town Hall, 53095 Main Road ; z Construction
P. 0. Box 1179 •
Southold, New York 11971 Alteration
Telephone ,� % .-� $10.00 - Residential
(516) 765-1801 1 �, �' $25.00 -Non-Residential
,,.,,,,
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE 9////9"0
APPLICANT NAME: VVI C.0
APPLICANT ADDRESS: IP 0 /8k g- (30
U
itiqY
SEPTIC K CESSPOOL)
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: - NV_ Co
OWNER MAILING ADDRESS: V. () "d-. 13 0 I ..9jr-e•e1,.yo
OWNER PROPERTY ADDRESS: �o 1 (� �� m-e c=�wS
So LAI. o td 1,0L- (4'
TELEPHONE NUMBER OF CONTACT PERSON: 7 7— ZZ Z 3
TAX MAP NO. : Section c5.- Block Lot Pio )
CROSS STREET: C>.J .-(Q r 5(.5*--(tt.o
BUILDING PERMIT NUMBER CROSS REFERENCE:
•
Signature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
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SURVEY FOR
D. B.M. COMPANY
SUFFOLK COUNTY DEPARTMENT OF HEALTH SEk�; LOT NO. 14, I,HIGHPOINT MEADOWS, SECTION TWO "
AT SOUTHOLD DATE
FOR APPROVAL OF CONSTRUCTION ONLY TOWN OF SOUTHOLD SCAT
/y SUFFOLK COUNTY, NEW YORK NO
)ATEAUG 2`+-�9 REF. NO.,1 4`0/..
-------\
N uNAUTHOR12E0 ALTERATION OR ADDITION TO THIS
`- SURVEY LS A VIOLATION OF SECTION 7209 OF THE
NEW YORK STATE EDUCATION L11M �
ppROVED -P -
` I _��`` , N COPIES OF TM13 SURVEY NOT BEARWG THE LAND
SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL
3j� �j • / NOT SE CONSIDERED TO BE A VALID TRUE COPY
(/ � � J� . �� NGUARANTEES INDICATED HEREON SMALL RUN ONLY 10
---- ----- ---- - ' THE PERSON FOR WHOM THE SURVEY is PREPARED
:EALTH DEPARTMENT-DATA FOR(APPROv14L TO CONSTRUCT AND aN HIS BEHALF TO THE TITLE COMPANY,PREPARED
-
• E..� MENTAL AGENCY AND LENDING INSTITUTION LISTED
- NEAREST WATER MAIN mi _ M SOURC' WATER PRINTF_PUBLIC—
SUFF CO. TAX MAP 01ST IO00 sic TION 55 BLOCK 6 LOT 2/±15.1 HEREON,AND TO THE ASSIGNEES OF THE LENDING
=THERE ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION GUARANTEES ARE NOT TRANSFERABLE
=TN[R THAN THOSE SHOWN HEREON TO ADOITIONAL INSTITUTIONS OR SUBSEQUENT
THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE OWNERS
**ILL CONFORM TO THE STANDAROS OF THE SUFFOLK COUNTY DEPARTMENT *DISTANCES SHOWN HEREON FROM PROPERTY LINES �,__�_J
2f(
TO EXISTING STRUCTURES ARE FOR A SPECIFIC /�^'^'�
OF HEALTH SERVICES. PURPOSE AND ARE NOT TO BE USED TO ESTABLISH
V'►LICANT, -D" . m_ C/ PROPERTY LINES OR FOR THE ERECTION Of FENCES
ADDRESS 4-O t7D-., 3-13o
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