HomeMy WebLinkAboutMcGrail, Robert ,' ,///Cl//,Ilii
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JUDITH T. TERRY • ; Town Hall, 53095 Main Road
TOWN CLERK : o T : P.O. Box 1179
U'' Southold, New York 11971
REGISTRAR OF VITAL STATISTICS "-VA. /� Fax (516) 765-1823
MARRIAGE OFFICER //���� ���.,/ Fax
(516) 765-1801
RECORDS MANAGEMENT OFFICER —7'K/ * e.
FREEDOM OF INFORMATION OFFICER = iiiii���
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1130 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ROBERT MCGRAIL
Address 1 : P. O. BOX 510
City St Zip ISLIP TERRACE NY 11752
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR A NEW SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. SCHD REF.# 93-SO-83
Name Of Owner MCGRAIL, ROBERT AND GINA
Mailing Address 1 P. O. BOX 510
City St Zip ISLIP TERRACE NY 11752
Property Address 1 2815 CEDR BEACH ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 89.00 block 1 lot 10.002
Cross Street PARADISE POINT ROAD
Building Permit Number Cross Reference:
Issue Date: 5/11/94 Judith T. Terry
Southold Town Clerk
'TOWN SEAL)
,,,,,,,,.„,,, // -36)
ielt‘C) 4"ed.:--
JUDITH T. TERRY L ; Town Hall, 53095 Main Road
TOWN CLERK : =v ITP.O. Box 1179
VS W �� Southold, New York 11971
REGISTRAR OF VITAL STATISTICS V0 �. ��� Fax (516) 765-1823
MARRIAGE OFFICER _ ��//�� .aO �. Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER �"�f(/1 ��
FREEDOM OF INFORMATION OFFICER „�/,///s��
OFFICE OF THE TOWN CLERK ..) /1
TOWN OF SOUTHOLD VY
MAY _ 6 1994
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office rol y OFG•DEFT
DATED: May 6, 1994 SDDLa
Transmitted herewith is a copy of application No. 1169 for a Cesspool/
Septic Tank Construction Permit submitted by:
Robert McGrail
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 /_ (..e:erz/egez,e,--,
DISAPPROVE
Comments: 6-0/7/27 1 .(. 7:7.1// 9.3— SU fl3 25-99 ,/
t,'.r
1
ROVED - -0011111r di
MAY 1 1 1994 Signatur ' /
Tom Clerk Southold Dated
F
OFFICE OF THE TOWN CLERKTown cjVFFDC/�'��.
of Southold
Town Clerk ly : Application No. 1/ 61
Judith T. Terry,
Town Hall, 53095 Main Road Construction
cn >:
P. O. Box 1179 � � Alteration
Southold, New York 11971 .y` �N-*;
Tele hone �_*1 4 ' ; Residential 1,,/
p
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTI '1CT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE - S- - 11
APPLICANT NAME: I`Oi3eaf N� [y ALL
APPLICANT ADDRESS: 1'?.o. TX S-(0
ISciP TElzieAhcE NY 1175 2—
SEPTIC 1( CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
1VeLLY CoW Sr&UCflo/4 •- 2 frtscr)rtc STV
LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 1ko T 4106 GtKo., ,_-
OWNER MAILING ADDRESS: P.0 . Bt.))(
SiO
15c-4c' TeRAACE } rU� (11S-2-
OWNER
11SZOWNER PROPERTY ADDRESS: C.Ebt.P\ 13ERctk ib
int -
TELEPHONE NUMBER OF CONTACT PERSON: 211-Zi7$(EvE.) Voq-3700X3o$01w)
TAX MAP NO. : Section ay Block 1 Lot 10, z
CROSS STREET: PfkR Di se To i NJ i k .
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY: / , _/ar
Town lerk's Office
/Z DATE: 7°7
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NOTES:
L.C N TQ'..i QEFE . MEAN, �•EA LEVEL,N G V D,
r:wT t.i3'S.QEFE 7"; 'MAP OF CraAt-JBE<:.Y AC;'ES
.
7.—____
Bla:seV1 EW1 Mlwoa. 5f..3BY{'v S -tC;.i MAP TC BE
FILED IN TE-1.E SUFFOLK C,p.c3.Eru`5 OFFI.CE'.
3.PM(SES,1N BUtLDtt�&ZONE -A-C L \, -
fj ; ,
,-*IID1RE POST Neal. I ,
?i' 4'-*Tk,4+G.A..h.'t. .:,tG'W. 4,.#,,P, 3,:lr.. vA,.tf,t,.. 7 -_ :.,i.....'' ' ,1 . '"I`-,r:*:' .�}'.i ri. -tt._. .
^
a,, , SUFFOLK CO. HEALTH DEPT.APPROVA
( )°�
�RH.S. X10.
Iv
lA o
fY.
,A
W 0::-.:4-- STATEMENT OF INTENT
THE WATER SUPPLY AND SEWAGE DISPOf
•V. SYSTEMS FOR THIS RESIDENCE W
ill
t,t. 0/ CONFORM TO .THE STANDARDS OF T
•
..
A` / t: SUFFOLK CO. DEPT.'OF HEALTH SERVIC
(S)
' ` • APPLICANT
0.' `_ . ' . E• t'i' t SUFFOLK COUNTY. DEPT. OF HEAL
. • -
SERVICESFOR ?. APPROVAL F
r.
• tr ,s " «' - CONSTRUCTION ONLY .
i 01 �.r' DATE:
lc ' _ H. S. REF. NO.: ,,
3; 3 , f ', APPROVED: _ .
--- ,..-,;,_,..‘ ic. ---,- --.4..,„..: :gm S -4,J
�1 vtEk.L e %) ;-•:‘ ul y,: SUFFOLK CO. TAX MAP DESIGNATION:
_ :a .. ` ' - DIST. SECT. • BLOCK . PCL
r, f, LGA 89 1
?ii' ., 1T6I. - _.3 (� OWNERS ADDRESS:
a -PO.eQX-510 .
, .. ..
t. TEL ?-,2 78.
( DEED: L. P... . .
TEST HOLEaI - STAMP
Unauthorized altomtion or addition
�j'�{{���� �r�i a to this survey I n'," on of
r a Section 72.03 c,L:-f...0 York Sial
f • a� DALZiLBROti+VN Cdu�ii�n L.w. '
' e t r1 ENT 6a. LOW C_pies of t' . . .;moo not bearing
6 L.a:cad 6::r.•: _ i.-...ad seal«
BRthWbi.. c..tosscd•c�1 Lt..--i not be considered
. n r to to a valid true copy.
Latilke4c4Z tAv r .5�►1S1D c.r:`.Wntres Indicated hereon stall run
a 2.5 only to the person for whom the survey
b prepared.and on his behalf to the
tine company.governmental agency and
�L EZ1MJg manbs the n tK n;fisted hereon and
2had-
•
AMEByr.42 'T., i t7CT� .1 3•:- Luton. 6'af the
not ttransf able
*-1993;
2"T 10 E 541 b additional instituuxts or subsequent
`_ c> zsg siwQS
owners.
C T1ANTE£D 10 SEAL
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RODfilC1C VAN,3UYL .C. CO E Z* ,ivy 1 *
nF 626 No.
. LS 25 c-f f
• LICENSED LAND SURVEYORS I7 tis c;% i
GREENPORT NEW YORK Fp LAND SJ ii,