HomeMy WebLinkAboutDBM Co (50) � ��� co
ELIZABETH A.NEVILLE i��� l/y Town Hall, 53095 Main Road
TOWN CLERK P.O.rP.O. Box 1179
N Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER *. ' Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER • �� `e I Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER
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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. 2047 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : DBM CO.
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 #R10-97-0159
Name Of Owner DBM CO.
Mailing Address 1 PO BOX 2100
City St Zip GREENPORT NY 11944
Property Address 1 240 LISA DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 55.00 block 6 lot 15.004
Cross Street ORIOLE DRIVE
Building Permit Number Cross Reference:
Issue Date: 3/23/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
of SAFF0(„' '-. ."'. ------ ._.9 x:i
ELIZABETH A.NEVILLE j,h�0 (✓,y y o'�,il Hall, 53095 Main Road
TOWN CLERK ° P.O. Box 1179
2 So hold, New York 11971
REGISTRAR OF VITAL STATISTICS �. • 1 BLDG.OEp
I ax (516) 765-1823
MARRIAGE OFFICER O `A 'Li •F .� lI„� ,
RECORDS MANAGEMENT OFFICER Z`y�1 �� ephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER *
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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: March 23, 1999
Transmitted herewith is a copy of application No. 2128 for a Cesspool/
Septic Tank Construction Permit submitted by:
DBM Company
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 recomm ndations:
APPROVE
DISAPPROVE
Comments:
.. , --- s.c.r .,______
ignature
31.13)41
Dated
ti I
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OFFICE OF THE TOWN CLERK AFFUIk '
TOWN OF SOUTHOLD %,' CSG Application No. ajcp,g
F.1.17ABETH A.NEVI1.i.F,TOWN CLERK
P.O.BOX 1179 Construction 1�--
SOUTHOLD,NEW YORK 11971
ces; r=*' ; Alteration
Tele hone O,j' $10.00 - ResidentialP -
(516) 765-1801 �1 �,►o'� $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 3 - - l9
APPLICANT NAME:
APPLICANT ADDRESS: 0 'soy a 10 0
G-rt,e pv rt Il l YY
SEPTIC i -ESSPOOL —
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
fl) Q N-o 9-
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: S yc c App I�C.�••iL�'
OWNER MAILING ADDRESS: p. & Aos, 010 0
(14EL7Q-D aL: � A/ . /1 9 5(
OWNER PROPERTY ADDRESS: ( 2._410 Lic it v
Sa v'Pf a --01 Y4`% t l y 7 /
TELEPHONE NUMBER OF CONTACT PERSON: Lf77— ) 30 C.9
TAX MAP NO. : Section 5 5 Block 6 Lot /c. •
CROSS STREET: 1-, 154 rue_ 4- O,r l.O (€ 1 r tv-c2-
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY:
Town C erk's Office
DATE: �2 .
- ' y SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES 1
.. PERNST FOR APPROVAL OF COT131RUC'TION FO5I A
A11O1d[R BID F. ONLY
11\)
y APPROVED ,�L�/moi
FOR MAX PALM OF 7 BEDROOMS —N
EIC'1RES THREE YEARS FROM DATE OF APPROVAL
1
1
(Dwelling With Public Water)
--f-
f-WATER MAIN -- •-.-/
ELA23.° LISA � —
DRIVE R=40.00'
S.87°21'40'1E. L=62.26'
:+23.1
139'58'
o L
I': L+2 3.9
!� o SPLIT RAIL FENCE v �� oplO
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IC 8 I�i INN
now or formerly __I�I_4'__________mI PROPOSED I ItJ
Elizabeth :5.0-7-1.5.,Simci k
(Vacant) .r. ay:.
+ (Dwelling With Public Water 1
I "' ° lJ+J
i 2° 0 _40.0__ ) I .XJ
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m o iROFeLSED C� I O _ -----
-�_ ORIV£WM O • r
tai [n g ' in
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w :I 2. --II Et,
=2. i23.2
a 5"\s.k. (VACANT)
0 •
Are LJ �9?.33 t\
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now or formerly z
William Moffet,Jr. } �L
EU,e25A S 76° 4•20'W i'
(Dwelling) $
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th public Walerl
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. LAP6)''
SURVEY FOR
D.B.M. COMPANY
LOT NO.2,"HIGHPOINT MEADOWS,SECTION ONE" OCT 16, 1997
1 AT SOUTHOLD DATE DEC. 16,1991
1
TOWN OF SOUTHOLD SCALE, I"=s0
COT 2 2 7 SUFFOLK COUNTY, NEW YORK NO. 91-1109
•UNAVTHORIZCD ALTERATION OR ADDITION TD 1141$ CERTIFIED TO:
.. -- - SURVEY 4 A VIOLATION Of SECTION 7209 OF THE
- NEW YORK STATE EDUCATION LAW D.B.M. COMPANY
*COPIES Of TNI! SURVEY NOT SEARING THE LAND BRIDGEHAMPTON NATIONAL BANK
SURVEYOR'S INKED SEAL OnEMBOSSED SEAL SHALL TICOR TITLE GUARANTEE
A VALID WE CONSIDERED TO BE A VALID TRUE CORY
NGWRANTEES INDICATED HEREON SHALL RUN ONLY 10
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED
ANo ON NIS .[HALF TO TM TITLE COMPANY,GOVERN-
-A mEARUT woo •AIM_MI.• N SOURCE OF WATER PRIVATE_PUSLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED
*UIP CO.TAX MAP SMT JI SECTION_LI_sum(�_ I
LOT S.4 HEREON,AND TO THE ASSISMS[$OF THE LENDING .
BMW ARL ND DWELUMIS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION GUARANTEES ARE NOT TON
ONO MAN THOS[ SHOWN HEREON. TO ADDITIONAL TIOMAL INSTITUTIONS OR SUS![OUEMT
M TNM WATER SUPPLY AND MINK DISPOSAL SYSTEM FORMS PO I DEMLL
'OWNERS I
111114=WORN TO TIM STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT N DISTANCM$ SNOW* H[R[OM FROM PROIERTY UMLf /yvR/-/L �, fro.....--• o
0/IMALTN SgViC[5. TO POSE t lTRUC TURF$ ARE USED A SPECIFIC
AIT. ••,..
PUIIPOSE AND ARE NOT TO GE TO ISN
') )2) Fl e PROPERTY LINES OR FOR THE ERECTION OF FENCES
""g"443 MAIN STREET
P.O.BOX 2100 TEL 4 —7—)_ I S o o YOUNG a YOUNG 400 OSTRANEAO,DER EW�'E
NOTE 1U MONUMENT .
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN W.YOUNG,PROFESSIONAL ENGINEER
SUFFOLK COUNTY ON MAR.19,1990 AS FILE NO.8910. AND LAND SURVEYOR N.Y.S.UCENSE NO.12845
HOWARD W.YOUNG, LANO SURVEYOR
1 0n LOCM5aorwo.L(W),'CFTC TANNISnSCESIPO0LS(CP)MOWN HUMOR N.Y.S.LICENSE NO.45993
w ARM SROM FIELD 01111ERIMTIONS NO OR DATA OSTAIIMD PROM OTHERS Zi
SRANDIS A SOME INC. -