HomeMy WebLinkAboutDBM Co (17) x ,,,/iiiii.ii
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JUDITH T. TERRYTown Hall, 53095 Main Road
TOWN CLERK r= P.O. Box 1 179
REGISTRAR OF VITAL STATISTICS trI ' Southold, New York 11971
MARRIAGE OFFICER yQ O�' .$ Fax (516) 765-1823
NOP;$.$
Fax
(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. 1097 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
SANITARY SYSTEM FOR NEW SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. SCHD REF #R10-94-0007
Name Of Owner DBM CO.
Mailing Address 1 P. O. BOX 2130
City St Zip GREENPORT NY 11944
Property Address 1 ORIOLE DRIVE
(LOT 39)
City St Zip SOUTHOLD NY 11971
Tax Map No. section 55.00 block 6 lot 15.042
Cross Street TUTHILL ROAD EXTENSION
Building Permit Number Cross Reference:
Issue Date: 3/10/94 Judith T. Terry
Southold Town Clerk
(TOWN_ SEAL)
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JUDITH T. TERRY % Town Hall, 53095 Main Road
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TOWN CLERK : p T P.O. Box 1179
U' .� �� Southold, New York 11971
REGISTRAR OF VITAL STATISTICSVO ," Fax (516) 765-1823
MARRIAGE OFFICER �� Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER . 4 to�s
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK 17r7.1-7,7777_
TOWN OF SOUTHOLD fl
MA<
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office^ r
DATED: March 1 , 1994
Transmitted herewith is a copy of application No. 1134 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: /O , ?lei eh, r 9 V- r?d"7
RECEIVE
ignature
M,::1 9 1994 � 954
Dated
iouthold Town Glen
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. tlrrrrr,�j�rl
OFrICF OF THE TOWN CLERK ,1$11
1
rc.1\C1l�r',(�
l ownof Southold � <� ' ''j"' //
, . 1, 'y
Judith T. Terry, l own Clark y
�_. ,.1 ( Application No.�. --
I.own Hail, 53(195 &lain Roar) �n'` ~ jj. 11 Construction
P. O. Box 1179 •
Alteration
Southold, New York 11971 !stmeo C:.)1- sv
"e7j -� Vote
to Residential
Ielelrhoo s j r
(516) 765 11101 ' "►r'rNon-Residential
I (IWO r)1' S;oIJ i Ilvl_I)
sou 11101 I) WAS I EWA I ER DISPOSAL DISTRICT
AI'I'LIr:A 11011
for
• CONS PIM(: I I(111 nu AI. I I_i1A Hot' PERMIT
Ir: UAiJI; or CESSPOOL
.
Permit No.
Fee
DAiE 3/1/94
. APPLICANT NAME: I) B 11 ('rr.
APPLICANT ADDRESS: 443 Main Sraevl, r. 0. sox 2130
•
O'u' iil'nh r, N. V. 11944
•
SEPTIC X CESSPOOL
DESCRIPTION OF PROi'osi a Anis I 'WC HON OR AI_i ERATION
new du/elf tnO
LOCATION MAP: Must be altac:hr'd hereto before permit may be issued.
LOCATION OF PROPOSED CONS HOW i ION OR ALTERAT ION:
OWNER OF PROPERTY : H 11 1.1 1'0,
OWNER MAILING. ADDRESS: 413 11,rin Sthen.t, H. 0. Box 2130
Gher'irl'o'rf, N.V. 11941
OWNER PROPERTY. ADDRESS : On ofe Waive, Lax #39
. . Southold, N. V. 11971
TELEPIIONE: NUMBER (/1_ r r1111 Ar: r I'1_Itsc1N: 477-2223
TAX Ib1Al' NO. : Section '"'' IlItn 1< 6' Lot 15.42
•
CROSS SI RI ET:_-TWtJVL .2. Road Extewstian
BUILDING PERMIT NIIMI1FR CROSS REFERENCE :._
Sitotatur a of Applican __
RECEIVED i3Y :
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EL=2O.0 53.301EL=20.0 (0 \
V)
N.89°54N IO"W. �
now or formerlyI Drainage Area J "" J
Carl & Anthony Codan a Another I AN 1p )1
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SINGLE FAMILY DWELLNG ONLY N�"CrH S;RV�£s
EXPIRES THREE YEARS FROM DATE OF APPROVAL
SURVEY FOR
D.B.M. COMPANY
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICE: LOT NO.39,I HIGHPOINT MEADOWS,SECTION TWO"
AT SOUTHOLD DATE. JULY 22, 1991
FOR APPROVAL OF CONSTRUCTION ONLY TOWN OF SOUTHOLD
SCALE 1"= 40'
9'/ `
JAN 2 5 HS REF. NO(I/ ` L Y �da7 SUFFOLK COUNTY, NEW YORK NO 91 -0646
•UNAUTHORIZ ED ALTERATION OR ADDITION TO This
SURVEY 4 A vIOLATION OF SECTION 7209 OF THE
NEW YORK STATE EDUCATION LAW ,�9,it Of NEA.
K COPIES OF THIS SURVEY NOT SEARING THE LAND S
SURVE YON 5 INKED SEAL OR EMBOSSED SEAL SHALL T,ED * frO
NOT BE CONSIDERED TO SE A VALID TRUE COPY „40' • `O 9 ,',
*GUARANTEES INDICATED HEREON SHALL NUN ONLY 10
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUC T THE PERSON FOR WHOM THE SURVEY IS PREPARED * N C,
AND ON MIS BEHALF TO THE TITLE COMPANY,GOVERN- ,y Q
A WATER SAIN_MI ' *SOURCE OF WATER PRIMITE_ PUBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED
R DUFF CO.TAX NAP DHT..QQQfcCTION 55 BLOCK_j—LOT 15.42 HEREON,AND TO THE ASSIGNEES OF THE LENDING `tt:,,
RENEW ARE NO OWEI.LIIH$ WITHIN 100 FEET OF THIS PROPERTY INSTITUTION GUARANTEES ARE MOT TRANSFERABLE +,5-OTHER THAN THOSE SHOWN HEREON TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT
N THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE OWNERS
WILL CONFORM TO THE fTANDAR01 OF TML SU/rout COUNTY DEPARTMENT *DISTANCES SHOWN HEREON FROM PROPERTY LINES / O. .3 4jN'
OF WEALTH SERVICES TU PURPOSE AND
STRUCTURES HOT TO ARBE FOR •TO ESTABLISH
.P�,
APPLICANT. PROPERTYAUNES OR!OR TTHEEERECTION Of FENCES
fG LOD Writ
DBM CO
ADORES!
443 MAIN STREET - .
GREDH'OR�T,NY 11944 YOUNG a YOUNG RL RIIVOERHEAO NEW Y RK'E
NOTE
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN W YOUNG,PROFESSIONAL ENGINEER
SUFFOLK COUNTY ON MAR.19,1990 AS FILE NO.8911. AND LAND SURVEYOR N Y.S LICENSE NO 12845
HOWARD W.
oNO, LANDSURVEYOR
*TN LOCATOWIL
R OF L(W),SEPTIC TANNIIT)$CESSPOOLS(CP)PIOWN HEREON
ARE PROW FIELD DEITIORS NO OR DATA OBTAINED IRON OTHER! N.Y.S.LICENSE NO 45893
OR1M
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BRANDIS i SONS INC. r \'
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