HomeMy WebLinkAboutMarion Woods Assoc (2) //N' �-
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ELIZABETH A.NEVILLE ti� yam► Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS y , Southold, New York 11971
�� Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER N.MARRIAGE OFFICER �� 4 0 ��i � Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER * s"I
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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. 1982 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : DBM CO.
Address 1 : P.O. 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 #R10-98-0168
Name Of Owner MARION WOODS ASSOC.
Mailing Address 1 P.O. BOX 2100
City St Zip GREENPORT NY 11944
Property Address 1 KAYLEIGH'S COURT
City St Zip EAST MARION NY 11939
Tax Map No. section 31 .00 block 4 lot 16.009
Cross Street ROUTE 25
Building Permit Number Cross Reference:
Issue Date: 12/15/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
/ 01 2.---
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ELIZABETH A.NEVILLE , k4 y % Town Hall, 53095 Main Road
TOWN CLERK �� P.O. Box 1179
REGISTRAR OF VITAL STATISTICS N Z Southold, New York 11971
MARRIAGE OFFICER V 0 ** 1� Fax(516) 765-1823
RECORDS MANAGEMENT OFFICER4 0" 0Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER '1/4. qt lig 4'00'
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: December 11, 1998
Transmitted herewith is a copy of application No. 2061 for a Cesspool/
Septic Tank Construction Permit submitted by:
DBM Co for Marion Wood Assoc.
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.
14- -0e-x-e----
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE i/
DISAPPROVE
Comments:
t,1/4/(f '2
ignature
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Dated
•
OFFICE OF THE TOWN CLERK `,�' ,`I`/,/��C•,,•,KnG
'
TOWN OF SOUTHOLD �' " 0� "`� Application No. 2O6,(
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 .41 Construction
SOUTHOLD,NEW YORK 11971
Alteration
Telephone ���', $10.00 - Residential
(516) 765-1801 ' °.14114 ° $25.00 -Non-Residential
,,.,
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
Fteernirrt
APPLICATION • DEC 1 1 1998
for town Cleric Sour
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE /.z:) - 0 - 9 $
APPLICANT NAME: 1� 6 f-t C p ,
APPLICANT ADDRESS: P. D . /3 ?X cam-l O o
CI/2 vyoo,2T V l iI`Y
SEPTIC / CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
F h'1 l L)/ (-}-a t) S E
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: M tel- R- p N LJ o O b 5 /4-5 5 0C- .
OWNER MAILING ADDRESS: P . 0 . 6 0x f o
C, 2e-e-,)Pox_ 7- N / ( (91 Y
OWNER PROPERTY ADDRESS: K f} VL6-7 /C H- 15 ! T .
TELEPHONE NUMBER OF CONTACT PERSON: S I 6 - t.( '")") .. 0 0
TAX MAP NO. : Section//�� 3 / Block `7 Lot /6 ,
C/
CROSS STREET: /L TET , r..Q S
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of A. .
RECEIVED BY:
Town Clerk's Office
DATE:
1
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•.�•�: • Young & Young, Land Surveyors &lo'
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Dltltif 516-727-2303 '
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.� LOt n Thomas C. Wolpert, ProfessiS.onal Engineer
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Kenneth F. Abruzzo, Land Surveyor o
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1 t NOTES: __gi
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_---1.... DRtVE�►►`Y 1. SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK � �
N 7509'40"
E' PROPosEo t� t j• r COUNTY ON JULY 25, 1997 AS FILE NO. 10035. W 'I
C 2. ELEVATIONS SHOWN HEREON ARE REFERENCED TO N.G.V.D. b�
(M.S.L. 1929). XAV
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SURVEY FOR: _
01 °�t' o MARION WOODS ASSOCIATES s-
LOT NO. 3 "HIGHPOINT WOODS kalr
1' N At: EAST MARION Town of: SOUTHOLD
Suffolk County, New York isi
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Z Suff. Co. Tax Map: , 1000 , 31 , 4 , 16.999EE p9y
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MIN ROAD /�• v2,--- 04:4'-
�c 25) �tf*c ' _yzct �� DATE :NOV. 5, 1998 e4„<
(N.y.s. R / SCALE :1” = 50' s
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JOB NO. :98 - 0695 i
i SHEET NO. OF 1 I NI,
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"980695.DWG"
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