HomeMy WebLinkAboutMcBurnie, James J
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Cr 1 Town Hall, 53095 Main Road
Ij ueili P.O. Box 1179
Istrt1 at Southold, New York 11971
JUDITH T.TERRY ��. r���O TELEPHONE
TOWN CLERK (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. 1589 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : JAMES AND MARILYN MCBURNIE
Address 1 : 800 WEST CREEK ROAD
City St Zip CUTCHOGUE NY 11935
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. SCHD REF. #R10-96-106
Name Of Owner MCBURNIE, JAMES AND MARILYN
Mailing Address 1 933 NEW SUFFOLK ROAD
City St Zip CUTCHOGUE NY 11935
Property Address 1 933 NEW SUFFOLK ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 102.00 block 6 lot 24.000
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 1/16/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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O� $4‘JUDITH T.TERRY ���_� Town Hall, 531395 Main Road
TOWN CLERK i ; P.O. Box 1179
0 41$
�$ Southold, New York 11971
MARRIAGE OFFICER
REGISTRAR OF VITAL STATISTICS _ ��,�� Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER 491
�►a01�� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER • ,01P�
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: Janaury 8, 1997
Transmitted herewith is a copy of application No. 1658 for a Cesspool/
Septic Tank Construction Permit submitted by:
James and Marilyn McBurnie
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.
RECEIVED
JAN 1 5 1997°
3 Linda J. Cooper
Southold Town Clerk
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE
DISAPPROVE
Comments: �77 y-, 4 ) c/ / /C-3/0 -4;r-/e
-,2/X
41,
Si.natur-
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JAN 8 Dated
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OFFICE OF THE TOWN CLERK OCOFO(i'`,-
Town of Southold 0�, &lj // r/
Judith T. Terry, Town Clerk �G Application Nq.``lp S--- -Z
Town Hall, 53095 Main Road '*c ; Construction
P. O. Box 1179 Or/
*. J Alteration
Southold, New York 11971
Telephone 40 Jit 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,-- Pi. g 1 17
APPLICANT NAME: 071ryi- g11 av-• 1 yNI ITICAtr7"1I '�.-.
J
APPLICANT ADDRESS: 8OCJ ( _) C Y e e-L k_TX____
C-I..t_4 OA(2j4 e-/ Alf
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
CV rn/er-Si /-, 4 .,.,) i. 4,1e s-,An g
LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONSTRUCTION/ OR ALTERATION:
OF PROPERTY: `.J W /, / a/77 V gCeari1 je.1
OWNER MAILING ADDRESS: 3_ /- — --
C -e j.v c., /V,y//5 3 i
1 ,
OWNER PROPERTY ADDRESS: a s a 4a a _
TELEPHONE NUMBER OF CONTACT PERSON: 7 3 `y 60,21/
TAX MAP NO. : Section I0) Block -_Lot • V
CROSS STREET : ,/)7a /2 _____
BUILDING PERMIT NUMBER CROSS REFERENCE :
) rp0,44,-..L.e__,
RECEIVED Signature Applicant
RECEIVED BY : JAN
Town C erll k's Office
DATE:
I Inlay 1k I(mug, Lund .�t.trueyurs I
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NOTES: it
I. •-MONUMENT FOUND IT
6'
31 `A2. o.MONUMENT SET
36Z' \ 3.A. STAKE FOUND i
4. AREA o 2.2840 ACRES
S.RE LOT NO. 2,'MINOR SUBOEOSION -HOWARD ROSENSTONE'
LASTI�
DATED JAN.2,1965 q!
A
6.ELEVATIONS SHOWN HEREON ARE FROM U.S.G.S.CHART, K'
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SIHOLD,N.Y.'
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SUFFOLK COUNTY DEPARIMENT OF IIEA1.144 SERVICES C.I RIII N:AIIOU
1 AM CAw l,.*1114 1110 STANDARDS FOR ADDRONA(AND CONSIRUCI OF SUBSIRl,AtL
`\ SERACK DaPOSAL S15RMS CLW 5,4501 CAMII R(SINNCCS AND*AlAMU RN DK C(NMw
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ILICPINIIE Nu1gCR: -
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_.---- - JAMES MC BURNIE & MARILYN MC BURNIE i;}
WATIR$UlPLYANDS1WAGEDEPOSALSYSTEMSMOST At: CUTCHOGUE Town of: SOUTHOLD
CONFORM WET$NEW STANDARDS DATED NOVEMBER U.1MS Suffolk County, New York
• Suff. Co. Tax Map: ,loon ,102 6 24 ,
0181,k1 S.D. ,BbN 40
*MOM COUNTY DQARTIAINTOFHEALTH SERVICES NEh/ CER IIF ED TO:
't� Y JAMES MC BURNIE
MOW FOE AFIROVAIAOfCONFERUCEION FOR A P H f MARKYN MC OURNIE
SSW1iTAR�.YBpONLY * COMMONWEAL 7H LAND TITLE INSURANCE COMPANY
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APP e1 , LAN)SEDROOM1 /'_ _C14 r.�p ur+'ef�� SDATE CALE :NOV 9, 1996 €�;
MpSWValli MAPS PROM DATE OFAPPROVAL JOS NO. :96-0949 ,
SHEET NO.:1 OF 1 �
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