HomeMy WebLinkAboutMcNab, Glenn •
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ELIZABETH A. NEVILLE Town Hall, 53095 Main Road
TOWN CLERK , h - • P.O. Box 1179
REGISTRAR OF VITAL STATISTICS �',�
Southold, New York 11971
MARRIAGE OFFICER Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER ,;y�Jpl�a � ��,, Telephone (631) 765 1800
FREEDOM OF INFORMATION OFFICER ���� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2796 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : GLENN 8 YVONNE MCNAB
Address 1 : 16 GREENWAY TERRACE
City St Zip BABYLON NY 11702
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 #R10-00-0211
Name Of Owner MCNAB, GLENN & YVONNE
Mailing Address 1 16 GRENWAY TERRACE
City St Zip BABYLON NY 11702
Property Address 1 665 ARROWHEAD LANE
City St Zip PECONIC NY 11958
Tax Map No. section 98.00 block 3 lot 4.001
Cross Street INDIAN NECK LANE
Building Permit Number Cross Reference:
Issue Date: 5/17/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE tt 10% Gyp; Town Hall, 53095 Main Road
TOWN CLERK ; H • ; P.O. Box 1179
v, Southold, New York 11971
REGISTRAR.OF VITAL STATISTICS I�
MARRIAGE y�oFax
x(631) 765-6145
Telephone RECORDS 6 MANAGEMENT l #00'
FREEDOM ORMAON OFFICER southodtownnorthfork
net
..
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department 4108 9 2002
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: April 8, 2002
Transmitted herewith is a copy of application No. 2900 for a Cesspool/Septic Tank Construction
Permit submitted by:
Glenn &Yvonne McNab
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.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE t/
DISAPPROVE
Comments: „s,4-
"/".6*-
Signature
Dated
OFFICE OF THE TOWN CLERK O'! COOUre 0
TOWN OF SOUTHOLD k`'O QGy Application No. L
ELIZABETH A.NEVILLE,TOWN CLERK i O ;
P.O.BOX 1179 Aft. .G Construction
SOUTHOLD,NEW YORK 11971 ; �O T ;
Alteration
Telephone •�+p,�� OQ�';' $10.00 - Residential >/
(516) 765-1801 : 1 N ,.0' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE
APPLICANT NAME: 4j4.1//17Aryl) CI A' s 0,
APPLICANT ADDRESS: /� � L .- A
/<-4466447 ie./It-67,401-2V / y // 0 ,a -,-✓:
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
C'N�TR (C 770x/ 6,Ks S,r✓y'C� Fi�u/[y / ,�Tf1C/71-6b
LOCATION MAP: Must tt. attached hereto before permit may be issued.
LOCATION OF PROPOSLA CONSTRUCTION OR ALTERATION:
OWNER OF PROPER ; 'r : '12-6/01.7 (151eb //�''6 /164 a5
OWNER MAILING ALL KESS: /(,, cV,,vi4-c,
/5/�ri X..am✓ //70
OWNER PROPERTY ADDRESS: L $
TELEPHONE NUMBEROF CONTACT PERSON: 753 -
�"/3� �. ��� -5/(v� 8753 -69-y.5-
TAX
53 ._�,`�`/5
TAX MAP NO. : St�Ltton Block . Lot A//
CROSS STREET: t23.4 /' A/eCeiaifiZo
BUILDING PERMIT NUMBER CROSS REFE NCE:
)1/
Signature of Applicant
RECEIVED BY:?)"(/' (
Town Clerk's Office
DATE: I B 1C7Z.
1
I
I an familiar with the STANDARDS FOR APPROVAL
AND CONSTRUCTION OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCESSUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES 0
and wl. a*de by the conditions set forth therein and on the PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
permit to cons/nod.
SINGLE FAMILY RESIDENCE ONLY
' p ,yp DATE 1 /é(() HSF (V/61-(i -61,'?//
nO� APPROVED
NEG
0140. - FOR MAXIMUM OF BEDROOMS
EXPIRES THREE YEARS FROM DATE OF APPROVAL
b
LOT 2 \ _
ro
< 4 VACANT L t
A 117.80 _'�--
4 N. 84'09'50' E.
a � SURVEY OF PROPERTY
a AT PECOfC
Dow Z T4 WN OF SOUTHOLD
R SUFFOLK COUNTYlli , N Y.
• S 0 - 98 - 03 - 03 & 04
ao Z 4 k----___ ,s0.1. . ,. SCALE 1" = 40'
.. z c.. _ '-- ..
- 71
1
0 N "•410- -____________--k-4 " ,
I.
) 1-;,
LOT 3
c
sal
D
it; /-51"
j 46 440- • Six m
prop
C:1"3 ill , (r;-'
.
NiCI
t pfbe ` 10 __
O r
-w p self► The /ocalions of wells and cesspools
O s y s f�^^ shown hereon are from field obser valions :'
o r i cp and orafrom data obtained from others.
•
r.D
P9 NOTE'
LOT N ASERS REFER TO - MAP OF
Cc0 L Z ARROAD COVE " FLED /N THF
rThcr SUFFOLK COL.PITY CLERK'S OFFICE
'-' ON JUNE 20, /963 AS MAP NO. 38/0
Ut
01 N • rEtr
PI-4:1
I„o at,l'i VC 49 U r-
o
IN)
W ELEVATIONS ARE REFERENCED
TO AN ASSLAI D DATUM.
M
EL. zaa i.e
CERTFIED TO,
r t �...rs 135.86' GLENN Mc NAB
q ; a
4 ' S. 84 '09'50" IK. EVON Mc NAB
TEST HOLE DATA I CONGRESSIONAL ABSTRACT CO., INC.
Dpi brown MST AMERICAN TITLE INSURANCE
i VACANT say 'rOO1" /.5' CO**ANY OF NEW YORK
LOT 0117 sm
3'
0
wANY ALT ATIf7N OR ADDITION TO SURVEY /S A VIOLATION Pale Mown ca.‘ J._O� �£Y
OF SECTION p9 OF THE NEW YORK STATE EDUCATION LAM. S
exce TAS SECTION 7209 - SUE(VISION 2. ALL CERTFICATIANS coarse N <4-1J,r12 3 c D; s' o�N ;•Aran..p
HEREON ARE VALD THIS MAP AND COPIES THEREOF Oar F ' ¢
SAD COPIES I�R me APiRES SEAL OF THE SURVEYOR tt ► . LIC. NO. 496/8
M Tt HEREON. Sw . ' t s , ^ ,R, /a tir. � '
ATIN .LY To commr MMT? SAV LAW THE f ALTERI�ED or- -I ' r a LI ci �1. F ' C'-- 4';''''''.*-4i., YOR., c.
PANT ME USW BY ANY AND ALL SURVEYORS U A COPY 0 X f63/1 765 - l797
OF ANOTHER SERVEYOR'S TERMS SUCH AS INErECTEIY AAD jj:/ r
s,a( .:�'',IMIfIOUSNT - TO - DATE'AJIE MOT N CaVLMANCE M THE LAM: yi .
, „OUi 1 \iv 4,2 `1 ` /1971 T
AR 1 : 45,201 ft. or 10377 acres
On _ r9