HomeMy WebLinkAboutMcKiernan, Matthew JUDITH T. TERRY : Town Hall, 53095 Main Road
TOWN CLERK : c T P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS = Vv �� Fax (516) 765-1823
MARRIAGE OFFICER �/,1 ,i' Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER '��(/ + /0's
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1282 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : MATTHEW MCKIERNAN
Address 1 : P. O. BOX 1637
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. #R10-94-0111
Name Of Owner MCKIERNAN, MATTHEW & JOSEPHINE
Mailing Address 1 P. O. BOX 1637
City St Zip SOUTHOLD NY 11971
Property Address 1 COUNTY ROAD 48
City St Zip GREENPORT NY 11944
Tax Map No. section 40.00 block 1 lot 2.000
Cross Street ALBERTSON LANE
Building Permit Number Cross Reference:
Issue Date: 2/06/95 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
• O Gy .
/C)
„S ICOMititbA
JUDITH T. TERRY Town Hall, 53095 Main Road
TOWN CLERK : o T P.O. Box 1179
its �� Southold, New York 11971
REGISTRAR OF VITAL STATISTICS t Fax� Fax (516) 765-1823
MARRIAGE OFFICER �� Telephone (516) 765 1801
RECORDS MANAGEMENT OFFICER . 1 '�
FREEDOM OF INFORMATION OFFICER ,,/lll��
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
f
TO: Southold Town Building Department O 1995 I '
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: January 27, 1995
Transmitted herewith is a copy of application No. 1329 for a Cesspool/
Septic Tank Construction Permit submitted by:
Matthew McKiernan -
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
Comments: / 2 S�fjv ep . 15� - 0///
Signatur-
Dated
•
OFFICE OF .THE TOWN CLERK c:, --
rt OcL,r�(�^
Town of Southold ‘•62..-----•
2
Judith cam. Gi --
T j Terry, Town Clerk i-
�•- '-/-____% A Application No/300(y
Town Hall, 5;095 Main Road ~ � pf' N
P. O. Box 1179 tcrI i; ..; � .�_
Southold, New Y '� ?' '''z'
^ on,truction
York 1 1971 U.' '�'�' Alteration
Telephone �%Ol i rbft •
4
(516) 765- 1001 •
Non-Residential
TOWN OF SOUTHOLD
•
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
•
APPLICATION
•
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
•
Permit No. ,
•
Fee $
. DATE • ..• b--
APPLICANT NAME: c
• � -ice. / � je 4,*k_) • .
APPLICANT ADDRESS: Po 8 . K •i 6 ? •
o.c.} , L � ,
SEPTIC X CESSPOOL
DESCRIPTION� S OF PROPOSED CONSTRUCTION OR ALTERATION
e w �-ooJ r o �
C //D,c) ,•'V G4. E r
. ;
LOCATION MAP: Must be attached hereto before
permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION. OR ALTERATION:
OWNER OF PROPERTY: / '
e Lt.) a s i /fie �e
• OWNER MAILING ADDRESS: e 6�
e. x. /... _3
.14 v a d 7(
OWNER. PROPERTY ADDRESS: 7/
TELEPHONE NUMBER OF CONTACT PERSON:
• 7,65- 9� 5�
TAX MAP NO. : Section Bfock
Lot
•
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:.
•
•
/ / ,z",,_
/
• .. ,. • signature o
•
rplicant
RECEIVED
i
BY: ib
Or own Clerk's Office
DATE: c•
....1-r,..,....rs '....4. rar....-‘,-t rt Jr 4.Am-rrtta v Hi-
H.S. NO.
Ii
Nt""--
. °I
,
,
.4':-'/„.-.^-,:...:.•. 1..k!I...`eii,e7s7-1) . MINGLE FAMILY DWELLNG ONLY
I 4' RES 11111EE YEARS FROM DATE OF APPROVAL
r ,
.1 (
1
Lo r
• .5-. 4 A . ac.z.e.s lie.. Af.„.-_, . I., ,.. I I STATEMENT OF INTENT
-.1 •41 .
' cfrubbc 1 40,7471-) 1___ _ .5
! - 4t z-N .‘: .
I 1.4 ' ; THE WATER SUPPLY AND SEWAGE DISPOSAL,
SYSTEMS FOR THIS RESIDENCE 0 WILL
it. ..
`,.
, 1 i ......
I 1 9 at-.1 0% , %...1 'i I CONFORM TCD, THE STANDAR•- OF THE
cfr 1
2 4 6. -13-'-43"30-45, _ ___ _ 440.v - - 1 SUFFOLK -p/DEP OF d ERVICES.
It -3 1' , /f.'s's",i ,.4"---
N't , -4,
.F. - - - o *et (S)
1 .
I NJ
4? •124.117i-s
at : ow A_ '. Age _V,
APP !CANT
7
7rOrgitar--___ .0 _.-- ,
, '.. .9 ar4 . --- •---1 — ----
,‘1 Z. :
------;;"(16 kt 'O. tNi .kj 411 '.3 it fr ---—4-- -- — "jet
SUFFOLK COUNTY DEPT. OF HEALTH
.42 ;4 V,V744- -, " 0.4, 1_ _ .
,
1 NIL tk ''14 -1 , N. , q i. 0-„,4410,60 Q Lev
Ili SERVICES — FOR APPROVAL OR
1- I 1
/I e1fr- j---"Sr — _ 1 6° - ---(ii.k.' t, : CONSTRUCTION ONLY DEC 1 9 1994
1/4 ,3, 6. :, 4 -., , .o..• mie , -404r,dr. -
.
-: 'V
-4
C) 1. Alli, ,
H. NO.. /(I-
..4 .... )t.t
---• -- - - 241 ---) ' DATE-
, , • 5..., ,
• - -A ED: i A, -
t is ick
.,. , r A
1 --.---7----; ,v, 1--_—-i 7-6,. S', s* i 161
11 ---/v---. i ;";;;':-.4::::. "•,..,-;:' ' - -zcio.e) ', 61.46.c.", - ;T": . I ,11)?. 4S. 'hi
,
4 SUFFOLK CO.TAX-M-AP •*SIGNATION:
1 , ' DIST SECT. BLOCK PCL
:I
\\•••• ivit-..,:e 1,
4-,
6/ Patl-) \
OWNERS ADDRESS:
' -I.. • 024.1u' e
1 ,
P. 0. ,00,.)C 1637
4-..., .• , trt,
60,174/747/d) AZ 'Y'l 1;117;
EXCAVATION INSPfCTION R o 1
_....-- - , \
,, , Z
',..
,...
...
1 Ck.,1A:0-- PLEASE NOTE
Sanitary system is not to be
, DE.---E42Di;L.746.555-5 9 -2P.54817 se'Rit...Gt:
;
placed under driveway areaTEST HOLE
. - riattl"-ale VillakiA,
••••••••••••••••••..b 1 1_i,-,:.,.-1 2,4.
,....1 bac-bp
994-
.5 I it , ' .c1 nab.car.L.lored
0 C t. zia i,714e- ,. / .4,1 r,
..1 ...• : , .-.7- L-,r .:-'-,', . ,,'7.2`, '-'
••-:, '',.'NL- 1 _-;brt vitx,n1.),,.'xi
t
,<':;•‘....S4 -5.111L
r' .:9''
'' ',•:'''.`.,9 # - il 3
.,.“
!‘'V $ ' C/e/3ra 7'J
;;\
„,,,sll
, ., .eic,, 0 i•-/d
A'.i. Z. 13.3 Z3 'RN'A\" 41
``-c.,<<"' 1
- ,• : J.: : .... -7.--.: ‘4 't. 4747.riatv
• :- •
<&
1.\‘',4 T.,.,-•:,1',4 . , •,.., ,, , , ,..... , . 9(--. .
, 1- 3o
<Afeces1 L //at a,.,4:e r ;u T ec 0.fic, 4D;stracri i,carcr• i , ..„,<,,c,' „::iiiii),4,--1.„•,,,•‘
,•._ ,,y.
c, 0 htfe/
ie. a ,0 fife a"wires , -
i';'P'i -w--r -i- 1--
„.. .
'-
, ; ;' : 0 -t: Ts, 4 i T)
Co.1..-11.:ir.,” rterai elevaltirrri refer `4('''
-k 0 es RO2ER,19(VAN_IM„YL.P.C..4.
AI meet/ ,C Oa /eve/ N 6 V 0. ptl?•"\O--• i.e.. 4t- .......-- e-o„,,,,....c y._
LICENSED LAND SURVEYORS / oe.
GREENPORT NEW YORK
MOYNE 10S7 *4111329
41#