HomeMy WebLinkAboutMcGuire 01 �®�, FOL,-�;
ELIZABETH A.NEVILLE ��1,�� Town Hall, 53095 Main Road
TOWN CLERK % o P.O. Box 1179
REGISTRAR,OF VITAL STATISTICS r
Southold, New York 11971
MARRIAGE OFFICER ,f, � � Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER ? io®1 -4 • Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER
,ti�� 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. 2962 R Residential x Non-Residential
Fee $ 10.00 Septic x Cesspool
PERMIT ISSUED TO:
Name : GARRETT STRANG
Address 1: PO BOX 1912
City St Zip SOUTHOLD NY 11971
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 #R10-01-0181
Name of Owner MCGUIRE, EILEEN
Mailing Address 1 1641 THIRD AVENUE, APT 2]
City St Zip NEW YORK NY 10128
Property Address 1 2950 WELLS ROAD
City St Zip PECONIC NY 11958
Tax Map No. section 86.00 block 1 lot 10.008
Cross Street ROUTE 25
Building Permit Number Cross Reference:
Issue Date: 12/26/02 Elizabeth A. Neville
Southold Town clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE ���0® ®4� Town Hall, 53095 Main Road
TOWN CLERK y - ; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS % V' Al i Southold, New York 11971
MARRIAGE OFFICER �1
RECORDS MANAGEMENT OFFICER `- Wei Ira" Telephone (631) 765-1800
FREEDOM OF INFORMATIONQFICER ��. southoldtown.northfork.net
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' OFFICE OF THE TOWN CLERK
''' i UCl' i 2002 �1 U TOWN OF SOUTHOLD
TO: '-`:f},Southola.Ta Building Department
70niga -- - --
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: December 6, 2002
Transmitted herewith is a copy of application No. 3086 for a Cesspool/Septic Tank Construction
Permit submitted by:
Garrett A. Strang for John McLane& Eileen McGuire
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
�/
DISAPPROVE •
Comments:
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Signature
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Dated
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OFFICE OF THE TOWN CLERK ', ' �FFO[ ►•
TOWN OF SOUTHOLD ��' o� kCOG Application No..__
ELIZABETH A.NEVA I.F,TOWN CLERK . .4*('
'�► . �-
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971 v �T
Alteration
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Telephone �j' ®�e�
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$10.00 -Residential
(637-) 765-1800 -_®1, � ,1''' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
•
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE ��C
APPLICANT NAME: . -- '-57--e-4-,)<-
J�e� ��,aiv��f,IGC1 vly�
APPLICANT ADDRESS: / q ( Z
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SEPTIC X CESSPOOL /'
DESCRIPTIONOF PROPOSED CONSTRUCTION/ OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY:jot/V-0 af- ( `c-4-0/1-r(--
OWNER MAILING ADDRESS: / '9J 7-61/4-0 / Ql- Zj .
fr,iset) mew( ,y,
OWNER PROPERTY ADDRESS: Z 9'5-e /6--A
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TELEPHONE
NUMBER OF CONTACT PERSON: 7‘1----
TAX
‘ —TAX MAP NO. : Section T� Block a / Lot
CROSS STREET: / ,/ S j l T(- /r-, �
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY: •
Town C erk's Office
DATE: /470 Z •
SURVEY OF PROPERTY '
SITUATE: PEGONIC �,,�a;n R°°td
TOI*1: SOUTHOLDD ' W IV
SUFFOLK COUNTY, NY 9 I'�' /-
SURVEYED 04 - 101 - 2000, •
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H.D. 04 - 26 - 01 n'
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SUFFOLK COUNTY TAX # 0(.1 S
1000-86-I-10.8 • . 1--
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CERTIFIED TO: • w
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John T. McLane rmerly Of v+
Eileen T. McGuire d Now or 5 Mead �0
Bank of Smithtown Lon beth o
Commonwealth Land EIiZO
Title Insurance Company DWELLING
Title is RH80001257 n 1,,1Qter I ;1 I
Tow el cl' W Test Hole
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SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES a•c. NES'-
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,/,t. x ` `j, Ey ` v�beo- zea aterancn ar oddaloc to a>er,rey
PERMI 7 FOr: n 7 POVAL OF CONSTRUCTION FORA 4.� O\ map bearing a lbansed to d s rveyo s seal Is o
NOTES: I Idlonan ar eeanan�zaa,�,b-a�lslan a m the
(,�*qp�� r �� �O ,� .11 �; Mery York State Educodcn Lon'
S I N V.,_.. .•: f . 'Z J 7 D 1 •� r ONLY � V• \ •Cnly ccplas frau the cryuol of ws s.xve9
C� marked.uth on ro;'Ll of 11u land swveyor
r f * 1i N stomped seal shall be considered to be valid We
• MONUMENT 1 ��`' `� f' �erl,,bohans skated harea >I�fy of wl>
0 PIPE DATES ® � H. !Z 0. ��'0 �� ` � ®1�1 Land Now or Formerly ofs r; _t�` !.:. Syne>prepaedn�aadaKenlNNeex-
�� Ocr` IstIng Gods or Praclwe For Land Surveys adopted
_.. Jennie Lee Pierce ;M+ bYheNenYwkStaleAssoclollcndfPofessbnal
r t r Lob Survaycrs Sold::dint,- Shall rvn only
\ A/ �jO YO �`4 � tc the person rcr.J�orn W survey b prepaed
A STAKE tis -s•O• v ,/ Lai agency
hb 7entl,t[tutico Ilp!d,er;ono
APPROVED VACANT Fp gv�0r to the and of t e land g netltoted Ge�fnaa-
AREA = 80,1401 SF LA N Dtbn>are eat Ira referable additwnal uetlmdaro
FOR MAXIMUM OF ' I3'oDROOM&i '"-""f•e�'
�- .0 JOTHREE YEARS FROM DATE OFAPPROVAL JO C. EHLERS LAND SURVEY°1'�.
6 EAST MAIN STREET N.Y.S.LIC.NO. 50202'
AP=G =SCALE
S ALE - I"=50' , RIVERHEAD,N.Y. 11901 "�
369-8288 Fax 369-8287 \\Hp server\d\PROS\20-157b.F:o '
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