HomeMy WebLinkAboutDiamond Builders .0,� „of Four
ELIZABETH A.NEVILLE is h0 �t; Town Hall, 53095 Main Road
. TOWN CLERK p !4 P.O. Box 1179
r13Z Southold New York 11971
REGISTRAR OF VITAL STATISTICS V. ivy '
Fax(516) 765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER `S* �O�'1�� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER . '� J
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2128 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : DIAMOND BUILDERS
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 #R10-99-0120
Name Of Owner DIAMOND BUILDERS
Mailing Address 1 PO BOX 2100
City St Zip GREENPORT NY 11944
Property Address 1 140 ORIOLE DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 55.00 block 6 lot 15.014
Cross Street TUTHILL ROAD EXT.
Building Permit Number Cross Reference:
Issue Date: 7/28/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
p) g H 1 III i e
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9 i a (,..
2 6 1999 '' 1,o�pS�FFO��eO
ELIZABET$A.+NEVILLE EPt ,)�`1` •yam`. Town Hall, 53095 Main Road
TOWN CLE ' I: a D ." �� p '' % P.O. Box 1179
s TOWN ii* Aleota y y1
Z
Southold, New York 11971
REGISTRAR OF VITAL 841A" O
MARRIAGE OFFICER Fax (516) 765-6145
RECORDS MANAGEMENT OFFICER ` 72, dk 1 Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER z •IIiit * �i1
is
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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: July 26, 1999
Transmitted herewith is a copy of application No. 2214 for a Cesspool/
Septic Tank Construction Permit submitted by:
Diamond Builders - Bob Jenkins •
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.
r
��14
�'klaw'"
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE
DISAPPROVE
Comments:
ignatur
Dated
OFFICE OF THE TOWN CLERK .,�'Cw f 01.1(
TOWN OF SOUTHOLD `I' �l �1 -4*----. Application No. f.? .
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 r` Construction D�
SOUTHOLD,NEW YORK 11971 ; P
cc/ Alteration
Telephone Qiy s.0i $10.00 - Residential (>�
(516) 765-1801 =�".1 ��,�'� $25.00 -Non-Residential
• -- ,,.,i,,
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE \.}(J f 212/ / 1 ? ?
APPLICANT NAME: (?Iv /J 8 o 1__:b - .4.S
ADDRESS: .OIJOX 2100
&e iJto4r� ley /ISO
SEPTIC / CESSPOOL v/
l
DE CRIPTION OF PROPOSED ONSTRUCTION OR ALTERATION
4/1441
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CO TRUCTION OR ALTERATION:
OWNER OF PROPERTY: /42/11' i Al•(Jt,,,. /A —
Id %.
OWNER MAILING ADDRESS: `o,4X 2100
6I iLl/ /119 i/F
OWNER PROPERTY ADDRESS: NO (04101_6 "bk_i t)
so Jo l10 ii ri i
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section .3 Block 6 Lot /'j, if .
CROSS STREET:
/'-LO ►l.l x( t aro
BUILDING PERMIT NUMBER CROSS IREFERENCE:
" . I�
Signature of Applicant
RECEIVED BY:
Tow �Fe 's Office
DATE: 7 0._,
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4 Subdivision – " Map of Yennecott Pork IF `L� ' ell
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John Schnurr, Land Surveyor
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ELs23.3DMOLE DRIVESURVEY FOR °
D . B . M . COMPANY 1
I LOT N0. 11, "HIGHPOINT MEADOWS, SECTION TWO" E
1 I Lot 21 At Southold, Town of Southold rl
Lot 22 I (Dwelling W,th New York age
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Lot 23 1 (Dwelling With Pub 1 g I
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BUILDING PERMIT SURVEY 1i
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AREA 20478 SQ. FT. 11 I
• SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF 1 I CERTIFlCATION RICHMOND REALTY 84
SUFFOLK COUNTY ON MAR. 19, 1990 AS FILE NO. 8911. 1 443 MAIN STREET 1;
MAP PREPARED JUNE 2, 1999 >s
• VERTICAL DATUM = N.G.V. DATUM (M.S.L. 1929) • WE HEREBY CERTIFY TO D.B.M COMPANY THAT THIS P. Box
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• ELEVATIONS SHOWN HEREON MAY BE FROM MAPS OR SURVEYS SURVEY WAS PREPARED IN ACCORDANCE WITH THE CODE OFGREENPORT.NY 11944 pIt
PREPARED BY OTHERS AND ARE SUBJECT TO FIELD VERIFICATION. PRACTICE FOR LAND SURVEYS ADOPTED BY THE NEW YORK STATE SCALE 1" = 50 1177-(30D
0-MONUMENT SET -YQIIAIEN7 FOUND A-STOlE SET -57N(E FOUND ASSOCIATION OF PROFESSIONAL LAND SURVEYORS. JM N0. 99-0356 ! 77-�J�v U OF 1 lib
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