HomeMy WebLinkAboutMcDonald, Edward 1
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JUDITH T.TERRY t��= tkN Town Hall, 53095 Main Road
TOWN CLERK y i P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ‘10,6_ Southold, New York 11971
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MARRIAGE OFFICER �� i# Fax (516) 765-1823
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RECORDS MANAGEMENT OFFICER 0.( ��� Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER �����,,,• ��
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1443 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ZOUMAS CONTRACTING
Address 1 : 17 DEERFIELD DRIVE
City St Zip WADING RIVER NY 11792
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR NEW SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. SCHD REF. #R10-96-0004
Name Of Owner MCDONALD, EDWARD AND CAROLYN
Mailing Address 1
City St Zip 0000
Property Address 1 OLD JULE LANE
City St Zip MATTITUCK NY 11952
Tax Map No. section 114.00 block 12 lot 14.004
Cross Street NEW SUFFOLK AVENUE
Building Permit Number Cross Reference:
Issue Date: 3/01/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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���"1 OFFO���� /,,,/(_/' .�
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JUDITH T.TERRY ` C G % Town Hall,53095 Main Road
TOWN CLERK %
% ti Z P.O. Box 1179
REGISTRAR OF VITAL STATISTICS \ ),_ 0�' ' 0 Southold,New York 11971
MARRIAGE OFFICER Fax(516)765-1823
RECORDS MANAGEMENT OFFICER �.� * 4. 1°O Telephone(516)765-1800
FREEDOM OF INFORMATION OFFICER 's"
OFFICETOWN OF SOUTHOLD CLERK ` 1, 1 p
TO: Southold Town Building Department ;= - ' ^
FROM: Linda J. Cooper, Southold Town Clerk's Office _
DATED: February 21, 1996 -°
Transmitted herewith is a copy of application No. 1500 for a Cesspool/
Septic Tank Construction Permit submitted by:
Zoumas Contracting for Edward and Carolyn McDonald .
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
DISAPPROVE r /�
Comments: ��1�-J , S� U ,t'" / — 27`-- 0 c► UV
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Sig ature . c
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Dated
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OFFICE OF THE TOWN CLERK ,Igo' •
Town of Southold '"' Application=_
Judith T. Terry,
Town Clerk �'• O� �G Application No.
Town Hall, 53095 Main Road ,�• • 1
� � Construction
P. 0. Box 1179 ,�, .
Southold, New York 11971 �cQfl �•�' Alteration
Telephone �� • $10.00 - Residential
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(516) 765-1801 l t ' $25.00 - Non-Residential
•
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TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE 01/d-1/96
APPLICANT NAME: 2ov *Ike, n --irn.'H--
APPLICANT ADDRESS: /f Q QQ.itFtCL U rv6-
a/A0
-
a/A0 /A' reVO A. N. V. 71.
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
�l!Q.U� ?iv..co acrr m c-� 4A FA`1,47
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LOCATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: G w&i J &a/6 C AtiOcyA/ ,YIC Doo' 4L1)
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON : 516 - 5,d-42/ - 11C7
TAX MAP NO. : Section /J y Block i 2- Lot / cr, y
CROSS STREET: 001.0 — mut€- 1.AMC- W.> o 49,v0e...
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signatur- • ;t•licant
•� /�" w//
RECEIVED BY: '•. .:der*!►_
k's Office
DATE: FEB 2 1
1996
Tante
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410a
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vaung
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1 NEW SUFFOLK AVENUE
/egging ) , ,�
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?� 4 &100,
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`; v 'Cr h Lot 3
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h (v4GAN7) PL ASE NOTE
Minimum distance between well
• and cesspodl is to be 150 feet.
� P.'\ a1 ', E1e24,0 S.82027•2p "E -
\ i rel,`
I
Papp°.
300.o '
PO•mo . 1
r vJ 1(3111161#6"1-1
° T o / E�.19 5
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di % 7 �.r--r T_�-._o Lot q $
'•• 0 •1 r�f�PR°rose. o, "_� Areo : 45000 ci
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F1 DRIVeWAY 1 _ c.4 g
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IeTec.. e2�.27120" wet°sea_ ....... . 1.7..C)
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300.00'
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1-15- 5-0 I ILL
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THREE
FAMILY ' , t OILY��p�
K NOTE,
-• EXPIRES REEYEARS '. DATE Of APPROVAL
'
1. A=STAKE FOUND A;STAKE SET 2. SUBDIVISION MAP FILED IN THE OFFICE
(0-1:16OF THE CLERK OF SUFFOLK COUNTY ON •(N E SUFFOLK COUNTY
FEB. 16,1993 AS FILE NO. 9327. .,, DEPARTMENT
3. ELEVATIONS SHOWN HEREON WERE APPROXIMATEDu...'�' OF MEAEgH Stkv,
FROM TOPOGRAPHICAL MAPS PREPARED BY OTHERS "
AND ARE REFERENCED TO MEAN SEA LEVEL DATUM. - .,1 FOR APPROVAL
,lLy, r OF CONSTRUCTION ONE,
`f�_ DATE -1
�jL' 4 `_ HS REF.
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NO. '
LAND '"or,,,Cn
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SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES CERTIFICATION _
• • - `I AM FAMILIAR WITH THE STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SURVEY FOR:
SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES AND MALL ABIDE BY THE CONDITIONS EDWARD J. McDONALD 81 CAROLYN J. • DONALD
SET FORTH THEREIN AND ON THE PERMIT TO CONSTRUCT.'
LOT NO. 4, "HENRY APPEC
• APPLICANT'S SIGNATURE:
APPLICANT:
•z At: MATTITUCK Town of: SOUTHOLD
} STREET ADDRESS.
Suffolk County, New York
7 CITY: STATE: ZIP CODE:
,
TELEPHONE NUMBER. Suit. CO. Tax Map: , 1000 I 114 I 12 I 14.4
District Section Block Lot
CERTIFIED TO:
Young & Young, Land Surveyors EDWARD J. McDONALD
CAROLYN J. McDONALD
400 Ostrander Avenue, Riverhead, New York 11901 FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK
516-727-2303 (TITLE NO.636-S-0460)
Alden W. Young, P.E & L.S. (1908-1994) /Lle7,1 NOV.16,1995
Howard N. Young, Land Surveyor d'�� DATE :NOV. 7, 1995
Thomas C. Wolpert, Professional Engineer SCALE :1"=501
Kenneth F. Abruzzo, Land Surveyor JOB 200. :95-0947
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John Schnurr, Land Surveyor SHEET NO. :1 OF 1
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