HomeMy WebLinkAboutMcElroy, Gerard /�,�o�,g11
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ELIZABETH A. NEVILLE ��_ y� Town Hall, 53095 Main Road
TOWN CLERK o P.O. Box 1179
REGISTRAR OF VITAL STATISTICS v' �$ Southold, New York 11971
MARRIAGE OFFICER :W446 . �i Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER Ql �aOw Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER _ ����
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OFFICE OF THE TOWN CLERK
SOUTHOLD WASTEWATERUDISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2407 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : GERARD MCELROY
Address 1 : 1170 HENRY'S LANE
City St Zip PECONIC NY 11958
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-00-0171
Name Of Owner MCELROY, GERARD & SHARON
Mailing Address 1 1170 HENRY'S LANE
City St Zip PECONIC NY 11958
Property Address 1 2190 LONG CREEK DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 55.00 block 7 lot 6.000
Cross Street LAUREL AVENUE
Building Permit Number Cross Reference:
Issue Date: 9/20/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE ",
EVILLE � Town Hall, 53095 Main Road
TOWN CLERK ` O - P.O. Box 1179
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Ptyt Southold, New York 11971
REGISTRAR OF VITAL STATISTICS .F �� Fax (631) 765-6145
MARRIAGE OFFICER ,L
RECORDS MANAGEMENT OFFICER `mayQ! jlig s0,./
a��1��, Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER �1��
9.-,
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: September 18, 2000
Transmitted herewith is a copy of application No. 2496 for a Cesspool/
Septic Tank Construction Permit submitted by:
Gerard McElroy •
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 reco mendations:
APPROVE
DISAPPROVE
Comments:
'gnature
Dated
OFFIOE OF THE TOWN CLERK , �l{ DK
�
TOWN OF SOUTHOLD t'; .� !1`QGy Application No. 4 /
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971
Alteration
Telephone O,l' �� $10.00 - Residential
(516) 765-1801 .�l I *,►es $25.00 -Non-Residential
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TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
r A
DATE S 7/4/09
APPLICANT NAME: ',%,,,rtnf! C /6.Z. y'
APPLICANT ADDRESS: /1 7Q ife,A, v y s /
/-zA4,16, Pt. Y l i q .'e0 .
SEPTIC CESSPOOL 1/
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
r--c S rici Sy SA-,^ ks i i,a/i &,,Q1
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: c, ( SX 04,2 mc EZ? oy
OWNER MAILING ADDRESS: // 7G /�e.,,I,'1 y j Ln 'C,
4 y 1/9 (9
OWNER PROPERTY ADDRESS: L /90 66y c.4..,64 , Z
.5,47W rt y i1 '7i
TELEPHONE NUMBER OF C %ACT PERSON: 9351Uc"3
TAX MAP NO. : Section 410156 Block of Lot 0b
CROSS STREET: 6a5 C4eei1 f C,yfkiiip/ ,14
BUILDING PERMIT NUMBER CROSS REFERENCE:
Lf$Y Sigea,nat r
g u e Applicant
RECEIVED BY: A (L""
go own Clerk's Office
DATE: ( f 6
N SURVEY OF
LOT 11
c; L WT � r0 ,o1 MAP OF •
o ` "'°° �� LONG POND `ESTATES
` J` ' %AOa SECTION ONE
Z-t p �j r+_ t/l W � FIE No. 6037 FILED DECEMBER 27, 1965
L:_=-= O1� °A . `'� SITUATED AT
`0457 . ,•n► SOUTHOLD
ray '� TOWN OF SOUTHOLD
a`+�85°• '"' ,n +`�'` SUFFOLK COUNTY, NEW. YORK
& N 1 0 S.C. TAX No. 1000-55-07-06
i X13 SCALE 1"=50*
i p c. JUNE'27 2000
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i Jl1LY 5.2000 P1,!Elr PAW
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z AREA 42;570.88-sq. f!.
i V/ 0.977 ac.
tltltl CERTIFIED TO:
T + FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK
TITLE No, 28435 g' , os+ GERARD McELROY
Ii, y' t SHARON McELROY
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