HomeMy WebLinkAboutMcKiernan, Timothy ......_.
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Town Hall, 53095 Main Road
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P.O. Box 1179
1.-G;.4, NW
Southold,New York 11971
JUDITH T.TERRY =, l r TELEPHONE
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TOWN CLERK "���Aiti' (516)76$-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 413 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MCKIERNAN, TIMOTHY AND LORI
Address 1 : 665 OAKWOOD DRIVE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY HEALTH
DEPARTMENT 7/18/88.
Name Of Owner MCKIERNAN, TIMOTHY AND LORI
Mailing Address 1 665 OAKWOOD DRIVE
City St Zip SOUTHOLD NY 11971
Property Address 1 7720 NORTH BAYVIEW ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 79.00 block 7 lot 6.000
Cross Street JACOBS LANE
Building Permit Number Cross Reference:
Issue Date: 10/13/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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hTown Hall, 53095 Main Road
BLDG.DEPT. P.O. Box 1179
TOWN OF SOUTHOLD J/ !� Southold, New York 11971
JUDITH F.TERRY TELEPHONE
TOWN CLERK - (516) 765-1801
REGISTRAR Of VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Victor Lessard, Southold Town Building Department
From: Linda Cooper, Southold Town Clerk's Office
Dated: October 11, 1988
Transmitted herewith is a copy of application No. 419 for a Cesspool/
Septic Tank Construction Permit submitted by:
Timothy and Lori 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 �C
DISAPPROVE r�
Comments: a,o «c �--
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Signature
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Dated
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OFFICE OF THE TOWN CLERK (JO fO1tC
Town of Southold Application No.
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road Construction
P. O. Box 1179 • 0 *'$ Alteration
Southold, New York 11971 ,y` �c-
Telephone M_ 14t � 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.
Fee $ /0
DATE
APPLICANT NAME: , /�mdfky "r COG2c /1//4- epeiv,.✓
APPLICANT ADDRESS: 6- 0f9164)4)0,1
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION /Ikk. hOUSe
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: ri1oci--4.1 1-262, ince%,e,v,
OWNER MAILING ADDRESS: 666 Dr9KGuGod
S'Ovd o/d /V y //0*7
OWNER PROPERTY ADDRESS: 7 ? 20 N 44yweiA.
TELEPHONE NUMBER OF CONTACT PERSON: 76 2q65
-
TAX MAP NO. : Section 1579 Block 07 Lot QQ
CROSS STREET: `Seieb6.s IA .
BUILDING PERMIT NUMBER CROSS REFERENCE:
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Si nature of Applicant
RECEIVED BY( c.---x_ce,i
erk's ffice
DATE:
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OCT 11 1988
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3.o'Ect° The water supply & sewage disposal sys-
tams for this residence wiA conform to the 1
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a,... ,..,..„..,..." " MAP OF LEEWARD ACRES AT BAYVEW "
( DWELLING ) FILED JUNE 4.1971 FILE NO. 5599
( WELL 3 CESSPOOL OVER 100' ) AT
Esc N/L) , „\c,&_J<l BAYVIEW
/3e, x l CERTFIED TO' TOWN OF SOUTHOLD
f�`\ A` ,k 1--)'-' `I` SUFFOLK COUNTY FIRST AMERICAN TITLE , N. Y.
(/ ' " INSURANCE COMPANY 1000 - 079 - 07 - 06
• LAND S OF NEW YORK. SCALE f= X40 .
PA), N �9 �"`f �,l TIMOTHY W. MC KIERNAN1
5� -4., L40 - l /r LORE A. M KIERNAN -
o Z '4. TITLE NO. 131 S 0852 FEB. 26 ,1988 .:
`oo m JUNE (4 1988
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+' -: Y.'.* IC. NO 49668 r
P'If OoR' ,;..,. 4.7.GINEERS, P.C. S
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P O. I• • ' ' JUN 21
AIN ROAD • 1988
OUTHOLO N.Y. 11971
' ELEVATIONS ARE REFERENCED
TO AN ASSUMED DATUM. - % ;
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