HomeMy WebLinkAboutSGB Incorporated �OSfFO�,�c
ELIZABETH A. NEVILLE ,'�l�I••,�0 Gy�% Town Hall, 53095 Main Road
TOWN CLERK ` o P.O. Box 1179
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REGISTRAR OF VITAL STATISTICS
‘14 Southold, New York 11971
MARRIAGE OFFICER : 1i 11 ��� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER \_ *Q .0%-�i� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2311 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : GLENN F HEIDTMANN & SON INC
Address 1 : PO BOX 932
City St Zip CUTCHOGUE NY 11935
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-99-0255
Name Of Owner SGB INCORPORATED
Mailing Address 1 350 VETERANS MEMORIAL HIGHWAY
City St Zip COMMACK NY 11725
Property Address 1 NORTH SEA DRIVE
City St Zip ORIENT NY 11957
Tax Map No. section 15.00 block 3 lot 37.000
Cross Street RYDER FARM LANE
Building Permit Number Cross Reference:
Issue Date: 5/08/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE '� ~O O `
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Town Hall, 53095 Main Road
TOWN CLERK - P.O. Box 1179
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REGISTRAR OF VITAL STATISTICS v' � Southold, New York 11971
MARRIAGE OFFICER , Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER 1
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� ��/ Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICE S 1; (H " 1 �a .0-
F . t ,. :_' TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 2, 2000
Transmitted herewith is a copy of application No. 2399 for a Cesspool/
Septic Tank Construction Permit submitted by:
Heidtmann for SGB Incorporated _ .
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 reco endations:
APPROVE
DISAPPROVE
Comments:
nature
ql/o0
Dated
•
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OFFICE OF THE TOWN CLERK I',' i1Q
TOWN OF SOUTHOLD ' CO` = Application No. „cf9
ELIZABETH A.NEVILLE,TOWN CLERK �,1�
P.O.BOX 1179 Construction 64...
SOUTHOLD,NEW YORK 11971 Z ;
at 1 Alteration
Telephone ,j' c c / $10.00 - Residential
(516) 765-1801 ' 0.a{ 1$''
►� $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 April 3, 2000
APPLICANT NAME: Glenn F. Heidtmann & Son, Inc.
APPLICANT ADDRESS: P.O. Box 932,
Cutchogue, New York 11935 •
SEPTIC X CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
New Single Family Dwelling
Board of Healtt approved Septic System
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: SGB Incorporated
OWNER MAILING ADDRESS: 350 Veterans Memorial Highway
Commack, New Yor11725
OWNER PROPERTY ADDRESS: Same_as above
TELEPHONE NUMBER OF CONTACT PERSON: 631-734-7484/ Glenn Heidtmann
TAX MAP NO. : Section 15 Block 3 Lot 37
CROSS STREET: Ryder Farm Lane
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY :
Town Clerk's Office
DATE:
SUM=COUNTY DEPARTMENT OF IEALTK SERVICES .
H mar 1 OR APPROVAL OF COMRUCITON FOR A
RfiSIDEN
CE ONLY
DATE. D- (3271,24:701,y
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• EXPIRES YEARS FROM DATE OF APPROVAL \ LOTtMENT 346 `•
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