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HomeMy WebLinkAboutHansen (4) sill se Wire" JUDITH T. TERRY � �` Town Hall, 53095 Main Road TOWN CLERK 2C • P.O. Box 1179 REGISTRAR OF VITAL STATISTICS = °71 Southold, New York 11971 MARRIAGE OFFICER Fax (516) 765-1823 ® ` Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 699 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : DBM CO. Address 1 : P. O. BOX 2130 City St Zip GREENPORT NY 11944 Descripton of Proposed Construction or Alteration NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES ON 3/18/91 . Name Of Owner HANSEN, MELVIN Mailing Address 1 P. O. BOX 130 City St Zip SOUTHOLD NY 11971 Property Address 1 ORIOLE DRIVE H I GHPOI NT MEADOWS LOT #25 City St Zip SOUTHOLD NY 11971 Tax Map No. section 55.00 block 6 lot 15.028 Cross Street LISA DRIVE Building Permit Number Cross Reference: Issue Date: 4/15/91 Judith T. Terry Southold Town Clerk (TOWN SEAL) J -4.. 6 i' I ,._, _,,,,,,z, =,,,,, _ ;Fr.) 1-4(,,,(-7:41',=.32J-512. ____,,,i 'Ii'l, Ac-1,\:?T'l..r;9„,,.,Lri'i.cifes):\ ' f� — 61991 I _ L,, .;v;. - 'ILI ,„y` -� -: ='.' Town Hall, 53095 Main Road BLDG. DEPT. i ;;3'':'''l' ,,, `-c` P.O. Box 1179 TOWN OF SOUTHO �,.,,, -Y;-.< - Southold, New York 11971 ` a TELEPHONE JUDITH T.TERRY ”" y� TOWN CLERK (516) 765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To: Southold Town Code Enforcement Officer From: Linda Cooper, Southold Town Clerk's Office Dated: March 29, 1991 Transmitted herewith is a copy of application No. 718 for a Cesspool/ Septic Tank Construction Permit submitted by: D B M CO. for Melvin Hansen 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 recommendations: APPROVE 'C DISAPPROVE � Comments: Rye A"..,e3L.e-ed.� A Dx a e�C11- Cio-te.x.t.,-Al. kl 24....4Q.. gS . ., r, N.-, ./is J 9, Signature . i'' ..,_,CL, V/ CA i Dated , - OFFICE OF THE TOWN CLERK �, Town of Southold `� ,. ''. . s Application No. 1/5 Judith T. Terry, Town Clerk Town Hall, 53095 Main Road o P. O. Box 1179 cry �, �� Construction �- Southold, New York 11971 O.' Alteration Telephone 'O1 44 ltO Residential (516) 765-1801 Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ DATE Mwtc.h 25, 1991 APPLICANT NAME: V - -M1:Co.= _ - APPLICANT ADDRESS: P. 0. Box 2130, Gneenpo'ct, N.Y. 11944 SEPTIC CESSPOOL X DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION new hours e LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: Mefvdn Hansen OWNER MAILING ADDRESS: P. 0. Box 130 Southold, N.Y. 11971 OWNER PROPERTY ADDRESS: Lot #25 H.Lghpoiwt Meadow's Utr,%o.2e Vi,Lve TELEPHONE NUMBER OF CONTACT PERSON: 516-477-2223 TAX MAP NO. : Section 55 Block 6 Lot 15.28 • _ CROSS STREET: 171uve BUILDING PERMIT NUMBER CROSS REFERENCE:. l , Signature o £:plica' RECEIVED BY: Town- Clerk's Office DATE: .€ ; 4fVV:W ;'rsSe .S nI . to ; i 'f. c ?.. .:Xs :;` n ''f'-' , i-zk, r P - ? i ? -3-4.,t7,-,,,;1 •_ �svn .+mac y .�':,•Si""~'.-- .s;$«ii-�s:e.:(r,'-'L ,.!�.�'::;�`'T ,: u�Y� .�.s�:-�,;Z'1'•' rr-w_ _ 'tR�. - __-..^ ,. �:r.»,*.Zts'„":::, �` _r«: r.n,-- �.�,i.' 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I VACANT) :F�CPlREg V O YEA SINGLE }- FROiVi �A OF J - sc.nt�. oF APPROVAL HEALTH SERVICES ' ` SURVEY FOR - MELVIN HANSEN a JANICE HANSEN I SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICE: LOT NO 25, 'HIGHPOINT MEADOWS,SECTION TWO AT SOUTHOLD. - 11 - DATE AUG.15,1990 , FOR: APPROVAL OF CONSTRUCTION ONLY TOWN OF SOUTHOLD -, SCALE• 1"=40' rip TMtR-1$1 1 SUFFOLK COUNTY, NEW YORK NO 90-0610 HO 11.5 REF. NO —/,� R uwuTNORIZED ALTERATION OR ADDITION TO THIS GUARANTEED TO: , - _SURVEY O A VIOLATION OF SECTION 7209 OF THE MELVIN HANSEN OW NEW YORK STAT[ EDUCATION LAW JANICE APPROVED R CO►I[S OF THIS SURVEY Nor BEARING THE LAND • '' dF N fs, ��_ �I` A ,SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL SUFFO '4.2 . , I'I•, L BANK 1y, -__74-4NOT IC CONSIDERED TO BEA VALID TRUE COPY '� ` ', RGUARANT(ES INDIUTED HEREON SHALL RUN ONLY TO T1COT T1 _0jIpA1kAt P-,MPANY HEALTH DEPARTMENT-DATA F•- app'OV i_TO CONSTRUCT TME PERSON Fon WHOM THE SURVEY IS PREPARED . (TI LE �t '290-Id AND CI HIS BEHALF TO THE TITLE CONPANY,GOVERN- IINEAREST WATER •AIN_MI-' .URCE . WATER PRI.iTE_PUBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED I 2. • , 'X I M .'RUFF CO TAX MAP DIST 1000 SECT! BLOCK_6_LOT Owls I HEREON,AND TO THE ASSIGNEES OF THE LENDING ` TI O R THERE ARE MD DWELLIWS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION GUARANTEES ARE NOT TRANSFERABLE it .:;,4„..2 THAN,THOSE SHOWNHEREONTO ADDITIONAL INSTITUTIONS OR SUBSEQUENT \ .� M THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE OWNERS "'1.;P'- WILL CONFORM DAR TO THE STANDS OF THE SuFFOLIK COUNTY DEPARTMENT RDISTANCES SHOWN HEREON FROM PROPERTY LINES Of HEALTH SERVICES TO EX HTING RTRUC TURES ARE EOR A SPECIFIC r /� PURPOSE AND ARE NOT TO BE USED TO ESTABLISH Cf 488 T ,11 APPLICANT. (.� C.{) PROPERTY LINES OR FOR THE ERECTION OF FENCES asFA LAND.-- io% • - ADDRESS 4 p 0:4,.„, 9-13 - ---- G-feenlpoTT TEL 119YY TEL 177-zzz3 - YOUNG a YOUNG Rot ERFEAD DER NEW YORKE NOTE: Om 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.8911. AND LAND SURVEYOR N Y_S UCENSE NO 12845 - HOWARD W YOUNG, LAND SURVEYOR m ATM LOCATDROF WELLIWI,SEPTIC TANKIST)S CESSPOOLSICP)114 JN HEREON NYS LICENSE NO 45893 e ARE PROM FIELD ONSERIASTI0NS AND OR DATA OBTAINED FROM OTHERS _ • - 2 I. BRANOIS & SONS INC. - -