HomeMy WebLinkAboutMarion Woods Assoc fe
ELIZABETH A.NEVILLE I`Z`� Gym Town Hall, 53095 Main Road
TOWN CLERK
•� P.O. Box 1179
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c/3 = Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Al 1
MARRIAGE OFFICERO 1 Fax(516) 765-6145
RECORDS MANAGEMENT OFFICER � �f 0- Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER = �'� * 'Os"
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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. 2157 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : DBM CO., INC
Address 1 : PO BOX 2100
City St Zip GREENPORT NY 11944
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 # R10-99-0050
Name Of Owner MARION WOODS ASSOCIATION
Mailing Address 1 PO BOX 2100
City St Zip EAST MARION NY 11939
Property Address 1 805 KAYLEIGH COURT
City St Zip EAST MARION NY 11939
Tax Map No. section 31 .00 block LI lot 16.011
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 10/01/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. EVILLE 2 Ilc �e h 'h‘ Town Hall, 53095 Main Road
TOWN CLERK „ p '' P.O. Box 1179
'tiZ % Southold, New York 11971
REGISTRAR OF VITAL STATISTIC•DL:1- t
MARRIAGE OFFICER �r SOL- �'n Fax(516) 765 6145
1
RECORDS MANAGEMENT OFFICER _ ` ...to" �a00. SI Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICERjig ale
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: September 20, 1999
Transmitted herewith is a copy of application No. 2243 for a Cesspool/
Septic Tank Construction Permit submitted by:
DBM Co for Marion Woods Associates
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.
47L4e-4.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recom dations:
APPROVE
DISAPPROVE
Comments:
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OFFICE OF THE TOWN CLERK ,�"�
TOWN OF SOUTHOLD ,� CSG `` Application
ELIZABETH A.NEVI1.I.F,TOWN CLERK ----"•4"1-41°`
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P.O.BOX 1179 wt.----t
SOUTHOLD,NEW YORK 11971 i _
c Alteration
Tele hone -0,� Qr10.00 - Residential _min_
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(516) 765-1801 =Zt $010 i/' $25.00 -Non-Residentia
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE 7' q- /
APPLICANT NAME: 0 € VV&
APPLICANT ADDRESS: P 0 ( f OD
G-1- \-),1/41 ,
SEPTIC — SSPOOL ."------
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: i-Ask,v,, (J.D,Dap-& A oc,.,o,
OWNER MAILING ADDRESS: P. c> aye a,(A)0
C.--r v,3\-1/4-
OWNER PROPERTY ADDRESS: WO 'j • CL•trti
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TELEPHONE NUMBER OF CONTACT PERSON: V77 /300
TAX MAP NO. : Section 3 1 Block 4 Lot ho,
CROSS STREET: Yv\e,,,wJ 12
BUILDING PERMIT NUMBER CROSS REFERENCE:
RA.CP)2-eGS ‘2'415C;
Signature of Applicant
RECEIVED BY:
ato7
f
wn rk's Office �.
DATE: `; �"�,� ``'
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D .PLEASEwets �
Minimum distance between At E
and Cesspool is t� be 150 feet.
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SL's 'OLK COUNTY DEPARTMFAT OF IMAM SERVICE i o County Tax
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PERMITMR APPROVAL GP CONSTRUCTION FOR A
SINGLE FAP .Y RW;Ia9LNCE ONLY
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DATE
APPROVED .42i / A ��
. FOR MAXIMUM OF '' E • .•v S , I A I 1 D(1 A Cl MAP PREPARE[