HomeMy WebLinkAboutDBM Co (10) • ' ,i r/,ria.,.
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JUDITH T. TERRY Town Hall, 53095 Main Road
TOWN CLERK T P.O. Box 1 179
REGISTRAR OF VITAL STATISTICS .�► �� Southold, New York 11971
MARRIAGE orFICER 0 ����.��'� Tel phonFax e 3
(516) 765-18016)
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 900 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 SANITARY SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON SEPTIC SYSTEM ONLY.
Name Of Owner DBM CO.
Mailing Address 1 P. O. BOX 2130
City St Zip GREENPORT NY 11944
Property Address 1 ORIOLE DRIVE
(LOT 23 - HIGHPOINT MEADOWS)
City St Zip SOUTHOLD NY 11971
Tax Map No. section 55.00 block 6 lot 15.026
Cross Street LISA DRIVE
Building Permit Number Cross Reference:
Issue Date: 8/25/92 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T. TERRY : Town Hall, 53095 Main Road
TOWN CLERK : rZ • P.O. Box 1179
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REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER V0 �.. •,, Fax (516) 765-1823
�,yol 10 Telephone (516) 765-1801
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OFFICE OF THE TOWN CLERK
TOV TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: August 18,1992
Transmitted herewith is a copy of application No. 924 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
DISAPPROVE
Comments: q,,, cLif Vt4,\ 1[ Q4-N. An‘D
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Signature
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Dated
OFFICE OF THE TOWN CLERK c.0FU(�'
Town of Southold � Application No. 902
..4,1
Judith T. Terry, '
Town Clerk � �T�; -,: .,� , �
Town Hail, 53095 Main Road o �*,'' ,-
tr, 11,11Tr, ConstructionP. O. Box 1179 `
Southold, New York 11971 ' 71" Alteration
Telephone01 rt r�0 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 $ /D
DATE 8/17/92
APPLICANT NAME: 1J B M Co.
APPLICANT ADDRESS: 443 Main S &e.et , P. 0. Box 2130
Gneenpo' t, N.Y. 11944
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
new house
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: P. 0. Box 2130
Gneenpont, N.Y. 11944
OWNER PROPERTY ADDRESS: 0A-Lo.ee. 17/five, Southa:Ld
Lot #23 Highpain Meadows
TELEPHONE NUMBER OF CONTACT PERSON: 477-2223
TAX MAP NO. : Section 55 Block 6 Lot 15.26
CROSS STREET: lea. pj,,ive
BUILDING PERMIT NUMBER CROSS REFERENCE:..
Signature of Applic t
RECEIVED BY:
Town Clerk's Office
DATE: (V1/7/ e____
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