HomeMy WebLinkAboutMcHugh, Ross •
OFFICE OF THE TOWN CLERK c5IFRA-
Town of Southold � �lj
Judith T. Terry, Town Clerk = �'
Town Hall, 53095 Main Road a -
P. O. Box 1179 . ' ��:
Southold, New York 11971 O �•`
Telephone 0/ It-o- 0
(516) 765-1801 '
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCT ION OR ALTERAT ION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 187 Residential X
Fee $ 10.00 Non-Residential
Septic Cesspool X
PERMIT ISSUED TO:
NAME: J. C. Kiffer
ADDRESS: P.O. Box 655
Shelter Island Hts., New York 11965
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New Single Family Dwelling
APPROVED as submitted.
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Ross and Jeanne McHugh
OWNER MAILING ADDRESS: 16 Twisting Lane
Wantagh, New York 11793
OWNER PROPERTY ADDRESS: Minnehaha Blvd.
Southold, New York 11971
TAX MAP NO. : Section 87 Block 2 Lot 43.1
CROSS STREET: Osseo Avenue
BUILDING PERMIT NUMBER CROSS REFERENCE:
Judith T. Terry
Southold Town Clerk
DATE : June 23, 1987
(TOWN SEAL)
' . " Y
OFFICE OF THE TOWN CLERK COFU(,r " _
Town of Southold � CtG
Judith T. Terry, Town Clerk
y Application No. /%2
ret
Town Hall, 53095 Main Road Construction
P. 0. Box 1179w *.�� Alteration
Southold, New York 11971 �.401 0�-
Telephone t � •� �� Residential
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. /17
Fee $/'c0 _ ‘1,p'DATE Az
APPLICANT NAME: -� G1'
C , j' l r �� '�
APPLICANT ADDRESS: po n c�S'
ovo lam', 11 g 6 ,r
SEPTIC CESSPOOL
DESCRIPTION PROPOSED CONSTRUCTION OR ALTERATION
l /1:a
LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CON CTIO► OR ALTERATION:
OWNER OF PROPERTY: T/ ':. (,,-i i' i '
OWNER MAILING ADDRESS: ,4 aw=-c..-4-
02-ca---det -) V17, z(itt P5
OWNER PROPERTY ADDRESS: y(„<_.-)tryz_ h4/, df_Ai.
TELEPHONE NUMBER OF gQINITACT PERSON: 7 ('I O z 7`�
7<dd O ,, v0
TAX MAP NO. : Section Block s Lot 63.da
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
J
//
I .- -
Lel ,
'!rf•nature of Applicant
/
RECEIVED BY: 1. �
Wen/Mown Jerk' Office
DATE: JUN 231987
' Town Cletk Southold
SURVEYED FOR:- "FOSS ee.. / 4A/ /I.-)e"fv' X / V ( D•q c-
LOCATED AT L,QI/G //A/G /•t/'4TE.e .,5c7-,estiffettrAutarr DEPART Ids QFHQq j4•Eif Z7 , SUFFOLK COUNTY N.Y.
LOT ` r _ 1 ��
FOR Af�'R!;�' i OF CO�t':'' 1'a .'�i1 r;C
MAP OF ,OESC.e/8E1) �, .E'T}� �il�eie F,.Rt!!y R��i�+F; ;jrtr , CO. CLK. NO. FILED
1" K
= JO. _
SCALE DME �"S-�
• SUFFOLK CO. TAX MAP DATA: •
-
DIST./GeV , SEC. oB74o APPROVED 11L/,.e
BLK.OclQd LOT O49.5.00/ EXPIRES TWO YEARS FRO?* i .TE OF 'PROVAL Ex.ova.
c r ,
.� .v/ MEAL v Ex iST..vG �,p�oo,E
t " n tc�r+ii iCr is � l
xj
j. i. j }t��99. z✓ i1f S h r �'{r A� 1: ...:h....nrn, ,Ek.7i
ec Lir:•/e,•c,,L. t o—ns seJ tarts ',iLie'�j..�d ond:77 permit to �1;. . __ 1k h Q
c ,struct. �p i I
0 0 -
C v
A.
S .nature `,
�yrtii '() i al\ *
4 , KO
../ tb - 04 fiel\e 1 . ; 1
1 .al,, ,.,.i.,,,_co.,,„„,i, /,, - . k, !iv " 11.,) • 7-. ,-, /, ,c,/0,.. '7 . . \i , ,.,,, ,
t/y/
rn
G�/rl,P.4,v TEEL, 7-a. f 3 O ; •w kO 96 �G... - „..vp w�
7ClY (fir+ Zj �, fi / -T TE.L3
.SSS 0 �E.4.v Mc//e/ / 0.!
, �5 ��. C s� �� E
a (012 a' a4-
t..
¢
Sour,4ix� s,4v GS �N� 3 °
0 r
ALL ,41,857:e4G7 C0 i ✓�/]
PLEASE NOTE
amIet
O !t is the appllca^t' •,rr.r
nFibillty to
GG ) _ //_G ^
,-;a'-,:sin i c,;:f1.r.I_°,-, ^i : •. --) &-t nce
,,,,.,if 840 rJr` 0etVJeen all v:;‘;-ir .,,y ..k. wage
/4/. --c,,e4A4ct- �.‘"A/EW�ietct3 l ci sei faci(rt,:z.
r
j/ G.E X47. Cj.�L-�-`S-0599 S /'' Q40 E r,50p '�� /G �—
1 /• SURVEYED ✓�Y 9 1 9 B� BY
(V WILLIAM R. SIMMONS JR.
P/O BOX 377
JAMESPORT, L. I., N. Y. 11947
l7 , !17—j / FILE NO ,/,!...), .5--._. PAGE 0-3 GRID �'- G7
/_; --" /• /,,_ 'r ' ELE!/�J7-/ONS cATiI/E
DRAWN BY]yiC