HomeMy WebLinkAboutMcCarthy, Robert (2) v � :
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JUDITH T. TERRY :, L ; Town Hall, 53095 Main Road
TOWN CLERK : P.O.=v T : Box 1179
to ‘ �� Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ;VO o// Fax (516) 765-1823
MARRIAGE OFFICER /�o .a) • Fax
(516) 765-1801
RECORDS MANAGEMENT OFFICER -- to 14 '1 0.
FREEDOM OF INFORMATION OFFICER -------,,,,,,,o'
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1243 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : ROBERT J. MCCARTHY
Address 1 : P. O. BOX 842
City St Zip SOUTHOLD NY 11971
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. #93-SO-73
Name Of Owner MCCARTHY, ROBERT J.
Mailing Address 1 P. O. BOX 842
City St Zip SOUTHOLD NY 11971
Property Address 1 NORTH BAYVIEW ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 79.00 block 7 lot 54.000
Cross Street TOPSAIL LANE
Building Permit Number Cross Reference:
Issue Date: 11/15/94 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T. TERRY : Z L ; Town Hall, 53095 Main Road
TOWN CLERK : = rZ I
v P.O. Box 1179
tri w � Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
‘‘I04,,% ,' Fax (516) 765-1823
MARRIAGE OFFICER ' �O r�' Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER =- 1 4 l ..
FREEDOM OF INFORMATION OFFICER = ---„ iiii1r�r
OFFICE OF THE TOWN CLERK ;I ' T a �� �f •
TOWN OF SOUTHOLD ��--_.a.
, 1994
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office 7 '1'`r"”'
DATED: November 4, 1994
Transmitted herewith is a copy of application No. 1289 for a Cesspool/
Septic Tank Construction Permit submitted by:
Robert J. McCarthy .
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
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Dated
OFFICE OF THE TOWN CLERK , c0FQUr "
Town of Southold C�; Application No. ;028-9
Judith T. Terry, Town Clerk �C
Town Hall, 53095 Main Road Construction
P. O. Box 1179 ` � � Alteration
Southold, New York 11971
�l t ' Residential
Telephone
(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 //`;3/q 9
APPLICANT NAME: > n6 i mcc,g3-71-1
APPLICANT ADDRESS: (p. E6V , J(, Q ' A/ - X14`( (Pau k0
Saute Li), NY- h Q-71
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
.S bu' 6 Lf gg .
LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: Q/*yV) -C-4-41166'°
OWNER OF PROPERTY: fa 44cCke-r
OWNER MAILING ADDRESS: fp 60‘4,
Sri 7146L.1 , AY-1/ Fz�
OWNER PROPERTY ADDRESS: f(1 EAki V!al 161).
Sb Vito t 9, l/? 7/
TELEPHONE NUMBER OF CONTACT PERSON: .76 3--4/ 6 / y
TAX MAP NO. : Section 7 f Block 7 Lot S
CROSS STREET: `To PS,41L Lisq
BUILDING PERMIT NUMBER CROSS REFERENCE:
a ure of Apsricant
RECEIVED BY: g l
Town Clerk's ice
DATE: / // /9/
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TEST HOLE DATA
- _ TEST HOLE DUO ON AUGUST 20. 1903
. 5 `.+ $ BY: McDONAID GEOSCIENCE - 1.
NO 2 1993 . s (NOT TO SCALE)
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NOTE:
ELEVATIONS SHOWN THUS:irp„ARE REFERENCED
'• .< .?y TO AN ASSUMED DATUM.Ar .r
-A .—,---.•. . -`. 4 a #x ,- =. „,..... - At78YNI0N OR invr,,:
. ..- �,:�."'�'�'.'x :.t0 H90 0Y01R7 r A NOIATOtI GF
SECTION 7209 OF THE NEW YORK STATE
EDUCATION LAW.
- COPIES OF THS SURVEY MAP NOT BEARING
THE LAND SURVEYOR'S INKED SEAL OR
EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BE A VALID TRUE COPY.
GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED,AND ON HIS BEHALF TO THE
TITLE COMPANY, GOVERNMENTAL AGENCY AND
LENDING INSTITUTION LISTED HEREON.AND
TO THE ASSIGNEES OF THE LENDING INSTI- j: '
TUTTON. GUARANTEES ARE NOT TRANSFERABLE • '
THE EXISTANCE OF RIGHT OF WAYS
AND/OR EASEMENTS OF RECORD. IF
ANY, NOT SHOWN ARE NOT GUARANTEED.
O
M
O PREPARED IN ACCORDANCE WITH THE MINIMUM
O BY THHEERDS FOR TITLE SURVEYS AS LIA.LS.AND APPROVED MIDADOPTED
D
FOR SUCH USE BY THE NEW YORK STATE LAND
4, TITLE ASSOCIATION.
43 = 'coma Mom of NEW 0',/
MON iiti
ilt • N.Y.S. Lic. No. 49668
OT ao7///////
CONC.FOUND MON Joseph A. Ingegno
Land Surveyor
• Title Surveys — Subdivisions — Site Plans — Construction Lovout
frqC4 -PHONE (516)727-2090 Fax (516}722 5093 .
' OFFICES LOCATED AT MAILING ADDRESS
One Union Square P.O. Box 1931
Aquebogue, New Yoh{ 11931 Riverheod, New York 11901 i
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