HomeMy WebLinkAboutDBM Co (22) It I''
JUDITH T. TERRYTown Hall, 53095 Main Road
zP.O. Box 1179
TOWN CLERK G T
REGISTRAR OF VITAL STATISTICS in •• Southold, New York 11971
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MARRIAGE OFFICER �y0` ��- �, Fax (516) 765-1823
Tel
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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. 856 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 8/20/91 .
Name Of Owner DBM CO
Mailing Address 1 P. O. BOX 2130
City St Zip GREENPORT NY 11944
Property Address 1 MOCKINGBIRD LANE
HIGHPOINT MEADOWS LOT 55
City St Zip SOUTHOLD NY 11971
Tax Map No. section 55.00 block 6 lot 15.061
Cross Street TUTHILL ROAD EXT.
Building Permit Number Cross Reference:
Issue Date: 6/25/92 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
kt‘.5Z7
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JUDITH T. TERRY yL = Town Hall, 53095 Main Road
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TOWN CLERK t rZr P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER y0 �- •4% Fax (516) 765-1823
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(516) 765-1801
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: June 17, 1992
Transmitted herewith is a copy of application No. 880 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:
APPROVETIN
DISAPPROVE
Comments: C111.-• a,.. �Qel Da et;CtiD kAti
C3Ne‘
(32,RA.-L
Signa ure
to 18 °�Z.
Dated
OFFICE OF THE TOWN CLERK ,''' ''-
Town of Southold �FF�(K
Town Clerk o CSG Application No.
Judith T. Terry, ,
Town Hall, 53095 Main Road � Construction
P. O. Box 1179 Alteration V
Southold, New York 11971
Telephone � Qr�', $10.00 - Residential
p _ 1D ,e
(516) 765-1801 1 41 „ �' $25.00 -Non-Residential
-,i3O,,'
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE June 16„ 1992
APPLICANT NAME: V .B M Co.
APPLICANT ADDRESS: 443 Main StAeet, P. 0. Box 2130
Gneenpont, N.Y. 11944
SEPTIC CESSPOOL XX
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
Gneenpant, N.Y. 11944
OWNER PROPERTY ADDRESS: MoelungbL'd Lane, Southad, N.Y.
Lot #55 Highpo-Lnt Meadow's
TELEPHONE NUMBER OF CONTACT PERSON: 516-477-2223
TAX MAP NO. : Section 55 Block 6 Lot 15.61
CROSS STREET: Tuthdee. Road ExtewsLon
BUILDING PERMIT NUMBER CROSS REFERENCE:
L. f
Signature • pplic= ”
RECEIVED BY:
ToOffice
DATE:
JUN 17199?
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SINGLE FAMILY DWELLING ONLY
EXPIRES TWO YEARS FROM DATE OF APPR
OVgL
SURVEY FOR
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES p B.M. COMPANY
LOT NO.55,IIHIGHPOINT MEADOWS,SECTION THREE
FOR APPROVAL OF CONSTRUCTION ONLY AT SOUTHOLD DATE. JULY 22,1991
7 TOWN OF SOUTHOLD SCALE I"=40
DATE Alla-2-0-1.9-41-11 ' NO'9/ SUFFOLK COUNTY, NEW YORK NO 91 - 0648
i I - 9 UIYUTNORIZEO ALTERATION OR ADDITION TO THIS
.r.��FT) S(Iu SURVEY q A VIOLATION OF SECTION 7209 OF THE
W YORK STATE EDUCATION LAR
/ r /A'S-- *COPIES OF THIS SuRvEY NOT SEARNG THE LAND ii
OF NEW
,3?- oi S6 410x'. SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL Pia
NOT SE CONSIDERED TO BE•VAUO TRUE COPY .3O W J.0 PF.
— AGUARANTEES INDICATED HEREON SHALL RUN ONLY ID
rimHEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT rPERSON FOR WHOM THE SURVEY IS PREPARED
AND d HIS BEHALF TO THE TITLE COMPANY,GOVERN- * . 611_.:t
R WATER MAIN MI ! *SOURCE Of WATER PRIVATE_PUBLIC_. MENTAL AGENCY AND LENDING INSTITUTION LISTED 1 O
a BOP CO TAX MAP OMIT IOOOSECTION 55 BLOCK 6 LOT 14.61 HEREON,AND TO THE ASSIGNEES OF THE LENDING 1>
*TICK ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION GUARANTEES ARE NOT TRANSFERABLE t
OTHER THAN THOSE SHOWN HEREON TO ADDITIONAL INSTITUTIONS OR SUSSEOUENT I
a THE WATER SUPPLY AND WOW DISPOSAL SYSTEM FOR TNI!Rfl ENCS OWNERS (1N1y 7
WILL CONFORM TO THE STANDARDS OF THE SIMFOIK COUNTY DEPARTMENT *DISTANCES SHOWN HEREON FROM PROPERTY LINES 4,0, Of
OF WEALTH SERVICE!. TO[SIS TNG STRUCTURES ARE FOR l SPECIFIC
APPLICANT. PURPOSE AND ARE NOT TO BE USED TO ESTABLISH -0.
.D414 (ltj , PROPERTY LINES OR FOR THE ERECTION OF FENCES
NOOSE SS MA Ino ST. , P,D./3 ox c;I)o
CAcE,t)�02T ,Cy t/9,04 TEL s/G-4»-Lz23 YOUNG a YOUNG 4000STRANDERAVENUE
RIVERHEAD,NEW YORK
NOTE
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN W YOUNG,PROFESSIONAL ENGINEER
SUFFOLK COUNTY ON MARCH 19,1990 AS FILE NO.8912. AND LAND SURVEYOR N Y.S UCENSE NO 12845
HOWARD W YOUNG, LAND SURVEYOR
e MTM LOCATOI OP WO.L(W),SEPTIC TANKIIT)SCEIRPOOLS(C,)INN HEREON NY.S.LICENSE NO 45893
AK MON FIELD DSRCRIMTIONS AND on DATA MITA/NCO FROM OTHERS
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BRANDIS a SONS INC.