HomeMy WebLinkAboutQuarty (2) 31
V
•
�
���` Town Hall, 53095 Main Road
r e P.O. Box 1179
MI t ,,'o Southold, New York 11971
JUDITH T.TERRY
� FAX(516)765-1823
TOWN CLERK TELEPHONE(516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 643 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 9/10/90.
Name Of Owner QUARTY, RICHARD
Mailing Address 1 P. O. BOX 269
City St Zip SOUTHOLD NY 11971
Property Address 1 HIGHPOINT MEADOWS, LOT 19
TUTHILL ROAD EXTENSION
City St Zip SOUTHOLD NY 11971
Tax Map No. section 55.00 block 6 lot 15.001
Cross Street ORIOLE DRIVE
Building Permit Number Cross Reference:
Issue Date: 10/12/90 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
tgcEowApf
BLDG. DEFf t.r2 (/3
LiVTown Hall, 53095 Main Road
TOWN OF SOUTHOLD •
� `,; * V P.O. Box 1179
a `n' i► Southold, New York 11971
JUDITH T.TERRY iAp TELEPHONE
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: September 13, 1990
Transmitted herewith is a copy of application No. 658 for a Cesspool/
Septic Tank Construction Permit submitted by:
DBM Co. for Richard Quarty
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. .
C��i)c�Cw
Linda J. Cooper
* * * * * * * * * * * *
I
have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE D�
DISAPPROVE
Comments: ,A,., e. .,)iYA ,
ilca)
tril 1110\90
•
Ri
OCT]. 0 199u
ign
Sature
Dated 1
OFFICE OF THE TOWN CLERK """"'
Town of Southold �' ,cgifULK�+�
Judith T. Terry, Town Clerk ��' ®e/ Application No.f Construction
Town Hall, 53095 Main Road � -`j ` L
P. 0. Box 1179
z
Southold, New York 11971 pJ� , , ;� Alteration
Tele hone ;`' h' • $10.00 - Residential
hone
Is
e%
$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 i9f0
APPLICANT NAME: - ii'j
APPLICANT ADDRESS:
v`e_e j of - ry.(4. 119 V
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
1\)—
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: ��c,(„cor-e auksi r ty_
OWNER MAILING ADDRESS: 'ID -)--(oq
S ovA.,,lit - 1 [97 /
OWNER PROPERTY ADDRESS: ���- IR �c� oAc.Aow5 So l�O
TELEPHONE NUMBER OF CONTACT PERSON: 1f77– Z23
TAX MAP NO. : Section S Block (p Lot Vio
CROSS STREET: CD v- sOLA* „ id
BUILDING PERMIT NUMBER CROSS REFERENCE:
I
6..44 ,
Signature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
'a M
.,
\ \
1
k.-0\ 20 \ EL.�x 2'4
LQA`AN, / �� 225 00 E�.z2 5 : \
----1 \-
/
L
AO' & OR°
(n
5ANIy1
Sys er� o
ts
N 0 0 a" m `�
,P C � oR°PEW AVC'P cn
- (" EL_2L 9 t `9 n a �alJ-
_ -, 3
LQ 0- 2.
sf• �S ' 3T s �y 0
2 2 / W- Z 0
1 L'
•Fi,Q i 1 O
a
/o - i a O-
e3 ,, 11 ` E1-=X
O
/ �' 165 0O
c
2'0 ,
S I."' 0 0
`►QpCAN 1 EVl2\A -t4o42o t^'P0.
.
t-
VQpG A$ 1 7D
r
cs) kr
-
1
r
too
q0 C
O
PLEASE � E---�y te •. m � no
t to be
:rS ^\�
O \ISL .! j' �
- Y (3
J•Itl i r..-. r
. . `:1,.1;V Lit{ ' -, i��jt,--•:. •-
• •..,I! x A'' a.
\.•
e=i:1`;r•iw.5 i ?Ivd--; .. �.F; •c. f_ (`%°.tilt C}:a-r� t-;;:.;0Vai f. k
0-�' I - i ;•--;;f;;."
!'��.'e .J . Li
1i
SURVEY FOR •
FOLK COUNTY DEPARTMENT OF HEALTH SERVIrr' RICHARD QUARTY & JENNIFER QUARTY
LOT NO.19, "HIGHPOINT MEADOWS, SECTION TWO"
FOR APPROVAL OF CONSTRUCTION ONLY AT SOUTHOLD
DATE .
EP 101
990 ✓' TOWN OF SOUTHOLD ' SCALE
E i', HS/111- NO, 90 7 SUFFOLK COUNTY, NEW YORK NO
( J'/ �//���2' M UNAuniopizED ALTERATION OR ADDITION TO THIS GUARANTE A• OF
'ROVED j1 ( �� SURVEY IS A VIOLATION OF SECTION 7209 OF THE RICHAR IPA
NEW YORK STATE EDUCATION LAW
2 03/a p 6/a *COPIES OF THIS SURVEY NOT BEARING THE LAND JENNIF Q 4 D i
iJ SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL. SUFFO K nAf
NOT BE CONSIDERED TO BE A VALID TRUE COPY TICD 1T t'G tit
NT I
*GUARANTEES INDICATED HEREON SMALL RUN ONLY TO � r
ALTH DEPARTMENT-DATA FOR APPRO • TO CONSTRUCT ' THE PERSON FOR WHOM THE SURVEY IS PREPARED (TIT ISE .812
AND ON HIS BEHALF TO.THE TITLE COMPANY, GOVERN-
4EAREST WATER MAIN_MI ± *SOURCE OF WATER MATE_pUBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED
LWF CO TAX MAP DIST 1000 SECTION 55 BLOCK_..B_LOT p/n I5I HEREON, AND TO THE ASSIGNEES OF THE LENDING ir
IERE ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION GUARANTEES ARE NOT TRANSFERABLE
IER THAN THOSE SHOWN HEREON TO AOOITIONAL INSTITUTIONS OR SUBSEQUENT �� � 452
NE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE OWNERS CES
A.CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT *DISTANCES SHOWN HEREON FROM PROPERTY UNES `rlr0
HEALTH SERVICES. __ "" TO EXISTING STRUCTLREf ARK FON • e•••.-it., I I LAMA