HomeMy WebLinkAboutDBM Co (9) ,, •,,,i
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JUDITH T. TERRY � ` Town Hall, 53095 Main Road
TOWN CLERK _ P.O. Box 1179
REGISTRAR OF VITAL STATISTICS : T i Southold, New York 11971
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MARRIAGE OFFICER �� Fax (516) 765-1823
Telephone (516) 765-1801
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 725 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 5/22/91
Name Of Owner DBM CO.
Mailing Address 1 P. O. BOX 2130
City St Zip GREENPORT NY 11944
Property Address 1 TUTH I LL ROAD EXTENSION
(LOT 13)
City St Zip SOUTHOLD NY 11971
Tax Map No. section 55.00 block 6 lot 15.016
Cross Street ORIOLE DRIVE
Building Permit Number Cross Reference:
Issue Date: 6/06/91 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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i. 11 _ ' y Town Hall, 53095 Main Road
, --%.-.el l' . -. .:�, \ P.O. Box 1 179
�- : 'it) 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: May 24, 1991
_8
Transmitted herewith is a copy of application No. 743 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.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE X
DISAPPROVE -
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OFFICE OF THE TOWN CLERK cOW`;'
Town of Southold �, Obi
Judith T. Terry, Town Clerk " < Application No. 7
Town Hall, 53095 Main Road =•, F 4.
" Construction c�
P. O. Box 1179r ---
Southold, New York 11971 0••CA Alteration
Telephone OJ rl, � 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 May 21, 1991
APPLICANT NAME: V B M Co.
APPLICANT ADDRESS: 443 Main St., P. 0. Box 2130
Gneenpan t, N.Y. 11944
SEPTIC CESSPOOL X
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION new hawse
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: D B M Co.
OWNER MAILING ADDRESS:443 Main StA.ee.t, P. 0. Box 2130
Gneenpan t, N.Y. 11944
OWNER PROPERTY ADDRESS: 2 /? ,
TELEPHONE NUMBER OF CONTACT PERSON: 516-477-2223
TAX MAP NO. : Section 55 Block 6 Lot 15. 16
CROSS STREET: ()Aix2e Vir.%ve
BUILDING PERMIT NUMBER CROSS REFERENCE:-.
A4 *.AFI.S , / -
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RECEIVED BY:
Town Cler k' Office
DATE: MAIM
MAY 24 1991
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APR 80 1991
SINGLE FAMILY DWELLING.ONLY.
EXPIRES TWO YEARS FROM DATE OF APPROVAL ke.IY, or-
.........•.....�..,.... _ timaW SERVICES
SURVEY FOR
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICE; D.B.M. COMPANY
LOT NO.13,' HIGHPOINT MEADOWS,SECTION TWO II
FOR APPROVAL OF CONSTRUCTION ONLY AT SOUTHOLD DATEAPR. 25, 1991
TOWN OF SOUTHOLD SCALE I".40'
DATE 5'LZ-`Z I HS REF. NO.
— O-:- 35 91-0352
� SUFFOLK COUNTY, NEW YORK No.
/ R UEYUTHORIZ(D ALTERATION OR ADDITION TO TNi3
�PODn�c7 _ J��. SURVEY IS A vIOLATION Of SECTION 7209 OF THE
_L/''L. _ NEW TORR STATE Eoucar'ON LAW pZE OF NFw
3 /' `n - ` •COPIES OF THIS SURVEY NOT SEARRG TH( LAND 41 RO
U J &3 ' /�J ` SVRv(TOR S INKS D SEAL OR EMBOSSED SEAL SHALL
N07 BE CONSIDERED TO BE A VALID TRUE COPT PPO W, y
NGUARANTEES INDICATED HEREON SHALL RUN dILY TO - •
jO '/•
HEALTH DEPARTMENT-DATA FOR APPR0s TO CONSTRUCT THE PERSON FOP WHOM THE SURVEY i5 PREPARED * 4. �. . %
AND CPI 1115 BEHALF TO THE TITLE COMPANY,GOvERN- ,T 0
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