HomeMy WebLinkAboutMCM Homes Inc (2) .�,•%OF SOUj'f'o
ELIZABETH A. NEVILLE ,to 'lam l0 Town Hall, 53095 Main Road
TOWN CLERK l 41 , P.O. Box 1179
REGISTRAR.OF VITAL STATISTICS G Q ,%
Southold, New York 11971
MARRIAGE OFFICER Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER I Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER = COUp11(,�•II',•, southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3452 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : MCM HOMES INC.
Address 1: 6 CHERRY LANE
City St Zip MT. SINAI NY 11766
Descripton of Proposed Construction or Alteration
-NEW HOME
-FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT
Name Of Owner MCM HOMES INC.
Mailing Address 1 6 CHERRY LANE
City St Zip MT. SINAI NY 11766
Property Address 1 150 RED FAWN ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 79.00 block 2 lot 7.100
Cross Street NORTH BAYVIEW ROAD
Building Permit Number Cross Reference:
Issue Date: 7/19/06 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
39c-32_Z #0-
•,4 sot/4,
. ELIZABETH A.NEVILLE t. 1% l0 1 Town Hall, 53095 Main Road
TOWN CLERK J * P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS � G Q ,�
MARRIAGE OFFICER- 0�O �O��� Fax(631) 765-6145
RECORDS MANAGEMENT OECER _lee ,mI ,,� Telephone(631) 765-1800
F DOM OF INFORMATION OI ICER �U�1,+ ���� southoldtown.northfork.net
iii
JUN 2 0OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: June 19, 2006
Transmitted herewith is a copy of application No. 3607 for a Cesspool/Septic Tank Construction
Permit submitted by:
McM Homes Inc.
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.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: � �
_ - I- Ir. i
Signature
Dated
,,,iii..
ELIZABETH A.NEVILLE .w. t 0 - Town Hall, 53095 Main Road
TOWN CLERKz I.
d 1 - P.O. Box 1179
REGISTRAR,OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER : 6 '1 1 Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER Veit Ot •1 Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER _e'� * it, southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential Cr.),$10 I or Non-Residential @$25 Application N. ''`ti
Permit No. `u
Applicant Name Me'tA '\', A5 .
Applicant Mailing Address Sp e � i`4 M�. S1...k
\\,1, tn 6 6
Septic Tank _or Cesspool ��� ���
Brief Description of Proposed Construction or Alteration
Location of Proposed Construction/Alteration:
Owner of Property: N\c 'M �o lI $ le -- lG
Owner Mailing Address: to Gly l
vA`N. 5 ate', A .q. `« 66
Owner Property Address: 1 .) "A ''iz .,
Name and phone number of contact personNY...4AE.. Mik-T ' Sak 516-64-cnoe
Tax Map No: Section -74\ Block_ off. Lot 1, t
Cross Street \-\oQc V Exvv gli> >21-4
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURViv....4_,L7
Y WITH A TH DEPARTMENT APPROVAL
4 irt,(-0 6
Signature of Applicant Date
Received by : aw
1 Young & Young X41
/ 400 Ostrander Avenue, Riverhead, New York 11901 S
Lot 2 / 631-727-2303
N Howard W. Young, Land Surveyor
s
Subdivision - "ForCStbrook At / /
m Bayview - � Thomas C. TYodpert, Professional Eng%neer Ig4;
'(Vac.antl / / RobertC. Tact. Architect
Ronald E. Pfuh+, Landscape Architect
586°07'�O°E / i Douglas E. Adams, Profesawnal Engineer
x 1-.1 in 41
�° 1 / O
W E 300.14' 352.4Q
IAISIEtr— ------------------ lig
---------- 52.35' - 40 HEALTH DEPARTMENT USE
s •
s �� EXCAVATION f NSPECTION R; QUIRED •/ 's F p4` SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES %I
■
S z -iv 1 FOR SANITARY / al`c�� PERMIT FOR APPROVAL O CONSTRUCTION 11 E M �� eT� CTION FOR A s
' ° �0-�Q
SINGLE FAMILY RESIDENCE ONLY
BY HEALTH DEPARTMENT1
N 0�
Y
m ssi,�5' F� [UQ' • �.�0 pL Q' 'u/ �r DATE IL LI 0 .i HS • F.NO 0-U`�-D/�
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APPROVED19
6HIIVr.S Poo L.
a 97,67 ^� ti • md0 Cp b- ---:•-•
v *� Q% t •C. ' / N 0 Ii/ w OR MAXIMUM OF 6 BEDROOMS 55
`� es.�. ,gra;�,< N / - - _ _ _ EXPIRES THREE YEARS FROM DATE OF APPROVAL Pc§
0
r 199 9 •►S / w� C L�a
I
/ ¢�; �► o / ). m U Q
' 440,
/ 4 C� SURVEYOR'S CERTIFICATION
IL/111 e .9 -z- u
r Try / /!' n 976j. n° !h° 0��� , • WE HEREBY CERTIFY TO BAYVIEW CLU '•" �=.,\` o
ry' / (1.1 CHICAGO TITLE INSURANCE CO �tek /T
r / ' ° 0� C� SURVEY WAS PREPARED IN ACCORDANCE 1 4' +a
q C9 o
' �r�y PRACTICE FOR LAND SURVEYS ADOPTE '�� W i'+ '�
- ' /2` 0 STATE ASSOCIATION OF PROFESSIONAL `�` ' =`�+'
iti f� Rim 0 Qi i r :: * Qyl
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64 ni p O
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S 2 ` \ ,mo \ \ HOWARD W. YOUNG, N.Y.S. L.S. NO. 45893 • 'LANDS 41 455395��
''15 x 0° o" NON'DlS °0
�, ���D �N m - SURVEY FOR
0 41` vt7Grq r, I/I BAYVIE CLU , INC.N � c .�' � LOT I "FORESTBROOK AT BAYVIEW" to
ER 4 .Q 4�m At Bayview, Town of Southold aWa
N-730_ c� 0 -• ." - Suffolk County, Nev York
7,
No i L'qR c-9 Q
NOWT 40'{.y gCC�ss Q County Tax Map District IOOO Section 7q Block 02 Lot �.I ill 1
8,4 - .265.15
BUILDING PERMIT SURVEY
NOTESYi o
AZO 2q�k W
x �L, AMENDED SANITARY SYSTEM MAR. 14, 2005 „`b
AREA = I0 ,Oqb 5Q. FT. ” SURVEY MAP COMPLETED NOV. 8, 2004 1
m O
c SUBDIVISION MAP - "FORESTBROOK AT BAYVIEW" FILED FIELD SURVEY COMPLETED NOV. 4, 2004
•IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON 1 4,e
Id
a JUNE 15, 2004 AS FILE NO. 11119. SCALE: I"=5O' le b
JOB NO. 2004-0668 �P ill
0.MONUMENT SET 111 a MOWMENT FOUND A.STAKE SET A.STAKE FOUND
DWG. 2001_0145_0001_2004_0668_b p