HomeMy WebLinkAboutMcCarthy, Charles Jr OFFICE OF THE TOWN CLERK (JO OLA-ex"
Town of Southold
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road
P. O. Box 1179 � � •
Southold, New York 11971 �`
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Telephone Ol •*i ��
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 002 Residential X
Fee $ 10 . 00 Non-Residential
Septic CesspoolX
PERMIT ISSUED TO:
NAME: Charles and Anne McCarthy, Jr .
ADDRESS: 2000 Cox Neck Rd.
Mattituck, NY 11952
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
. Construction of cesspool system for new house construction .
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Charles and Anne McCarthy, Jr.
OWNER MAILING ADDRESS: 2000 Cox Neck Road
Mattituck, NY 11952
OWNER PROPERTY ADDRESS : Saltaire Way
Mattituck, NY 11952
TAX MAP NO. : Section 100 Block 01 Lot 16
CROSS STREET: Wavecrest Lane
BUILDING PERMIT NUMBER CROSS REFERENCE:
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Judith T. Terr
Southold Town Clerk
DATE : July 24 , 1986
(TOWN SEAL)
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% Town Hall, 53095 Main Road
y1�� , P.O. Box 728
•• Southold, New York 11971
JUDITH T.TERRY "'�� " TELEPHONE
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(516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
July 21 ; 1986
To: Victor Lessard, Building Department
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 2 for a
CONSTRUCTION Permit for a cesspool or septic system submitted
by Charles and Anne McCarthy, Jr.
Please advise if we may issue the permit.
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Judith T. Terry
Southold Town Clerk
Attachtnts
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CONSTRUCTION
ALTERATION um -
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RESIDENTIAL V *el * Ne0
NON-RESIDENTIAL
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Application No. 002
Permit No.
Fee $ /6
DATE < <J/y / l a
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APPLICANT NAME: YJ Cc..!'�-e5 �- l'► �'1-� C ( 1y( Tr.
APPLICANT ADDRESS: , -OOD Co X AJAG& p.
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SEPT
(SEPT IC CESSPOOL/
DESCRIPTION OF
PROPOSED CONSTRUCTION or ALTERATION:
7-1, e-A-e- fre J-°
All) A v5-e_ 6(c/57 -v4-71io .
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER NAME: (-eS D�- "IA- -- 7v, La-{ rt �C '
U-e 6 7J c k /U- y ((9F'Z
OWNER ADDRESS: �OIJU (OK � � l�Gc r7"i T �/ /
TAX MAP NO. : Section /00 Block I Lot 1/
CROSS STREET: G� e V4//vgCRST 24 .
BUILDING PERMIT NO. CROSS REFERENCE:
/. 7_'
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Signature of Appl
RECEIVED BY:
Town C rk's O ice Ok
DATE: ad. /�� Y�
7/4V
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c•,o C.A Weis Fr out CUUN�Y
( dw e l Ing) S. liEM-I" f
1 dwelling ) L 0 T1 20 d P -Q� ;�.Y. lig SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
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RE FOR APPROVAL OF CCNSTRUCTICN ONLYWe LOT 12 IN. 73 °00130" 1 �lV i '
fen. E.
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w 4 __ 1525W fen. f wood G s NI. 'Y DATE HS REF. NO.
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/17°17 85.24 .seg`*� _L' Vef 50.00 '..�/i i I / �/ �,_. -
f i� stk I 34.00 ,j7 I Cr) 74.98 A��Ig6�b) , '
o./.e. 78.24
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z o 0.,C., c� SINGLE FAMILY DWELLING ._Y 1. �1u
LOT 13 0 N I `' w EXPIi S TWO YEARS FROM DATE ", .PPfOVAL
0v, O
( vacant ) • CD LOT 19 �O I
W hse W Lg:1Prepared in accordance with the minimum
_o O _ j___.---. s. p Ir /C standards for title surveys as established by
/�'-- ��' the L.I.A.L.S. and approved and adopted
rD for such use by The New York State Land
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29.8' - aTitle Association.
29.8'(-----„,7----2.
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/70��The water� supply & sewage dpi Pq�al
83. 64V reals for yINS residence will cont& to the
° mondi 34.00.-,‘,-- • 50.001 -.Ake q. ( dwelling ) ! standards of the Suffolk Count De I
f��• ` S. 7300 � 30 W. xi j'nd 1 I . -
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225.00' 773; �t� 75.45 lZ3�j meat of Health Services, p
' ,44° t ! We" SURVEY OF
LOT 16 LOT 17
' N LOT 18
(
d welling ) I (dwelling ) ( vacant) LOT 19
ti well b MAP OF. SALTAIRE ESTATES
we/I �•, �• FILED AUG. 3, 1966 FILE NO. 4682
y�vLA 'n\ `'P `�9 ?s AT MATTITUCK
���, �9` � F • TOWN OF SOUTHOLD
.� A WAVECREST LANE SUFFOLK COUNTY, N . Y.
* �� 1000 - 100 - 01 - 16
"r �► CERTIFIED TO : N 1
/�i s N.Y. S. LIC. NO. 49668 SCALE I tt: 40
CHICAGO TITLE INSURANCE COMPANY
.PECON\. _is"
ORS a ENGINEERS , P. C. CHARLES Mc CARTHY JUNE 13 , 1986
( 516 ) 765 - 5020 ANNE McCAR THY JUNE 30,1986
P 0 . BOX 909 C hA r/.a s s- Ann-g• /ii .r t4, J'r.
MAIN ROAD - 2000. 40X Nize c Rd• ELEVATIONS ARE REFERENCED
SOUTHOLD , N.Y. II971 Mgrrtruck ,N-Y• 105%5-2- TO AN ASSUMED DATUM
rri.. , i y e- s8s-9
86 - 311
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