HomeMy WebLinkAboutMcGunnigle ELIZABETH A. NEVILLE /_4 # ; Town Hall, 53095 Main Road
TOWN CLERK y P.O. Box 1179
Southold
REGISTRAR,OF VITAL STATISTICS r
New York 11971
0 Fax(631) 765-6145
MARRIAGE OFFICER ?i `. �1
RECORDS MANAGEMENT OFFICER '/Q! �a��i� Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER _ r�'� 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. 3021 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : JENNIFER MC GUNNIGLE
Address 1: 30255 COUNTY ROAD 48
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 #R10-03-0028
Name of Owner MCGUNNIGLE, THOMAS & JENNNIFER
Mailing Address 1 30255 COUNTY ROAD 48
City St Zip PECONIC NY 11958
Property Address 1 MILL ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 106.00 block 6 lot 20.001
Cross Street BAYVIEW AVENUE
Building Permit Number cross Reference:
Issue Date: 5/14/03 Elizabeth A. Neville
southold Town clerk
(TOWN SEAL)
'OFFot,•0-;_ 3 oa
'ELIZABETH A.NEVILLE sir AZTV`� Town Hall, 53095 Main Road
TOWN CLERK 1 p • 1 P.O. Box 1179
REGISTRAR OF VITAL STATISTICS `may. $ Southold, New York 11971
MARRIAGE OFFICER ® �` 11 Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER "y�f® �O�'ei1 Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER =_'`" �� ,��� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK r-
TOWN OF SOUTHOLD , , - '
' . APR 9 2003 .
TO: Southold Town Building Department .
L.,-.2--(i, -'--- --' rI 1
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: April 9, 2003
Transmitted herewith is a copy of application No. 3144 for a Cesspool/Septic Tank Construction
Permit submitted by:
Thomas P. McGunnigle Jr & Jennifer McGunnigle
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: - / - /
/
Id4e :a--- e- " ` _ / r
Signature -
0 2/ .2-goo 3
Dated
.
,,,,,,,,,,,,,,,,,
OFFICE OF THE TOWN CLERK .'t. 3 Li4
� RILK ,
TOWN OF SOUTHOLD ,,�0�� CQGZ Application No.
ELIZABETH A NEVIT.T.F,TOWN CLERK • , y
/
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971 v C n+
Alteration
Telephone �,j,�, Q��', $10.00 - Residential
(516) 765-1801 .� ��'�
�' $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 /priI 8) a 0_3
nl /`
APPLICANT NAME: -{y��1 JMJ1i)
i$
APPLICANT ADDRESS: VC, .c 611-kiPa_
CCThIL 1iqu • .
_ SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
AAA) //1Ve Cis/rd64- '
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:•
OWNER OF PROPERTY: /h j f 1 14(64)iii Jf• Y-je-nn) J/
OWNER MAILING ADDRESS: 30c ( q 'v/v !qd_ I2I &
TorEY1I'C F1i I
OWNER PROPERTY ADDRESS: I c �� I
��G✓74l AC ) I/
TELEPHONE NUMBER 'OF CONTACT PERSON: 63/ 763 31Q7
TAX MAP NO. : Section Ib c Block (i-01 Lot Zd ,f
CROSS STREET: 6w Vim/ fJ ,L.p
BUILDING PERMIT NUMBER ROSS REFERENCE:
•
ignIure of ' 13 licant .
t
RECEIVED BY: $ 4-
Town CJ'erk's O fice
DATE: '4//r/e 3
'11,r , F^
•
_, lM'S.rF ','vY�_A
SURVEY OF LOT I ;;a ` ,.^^,fibs= ,r
AS SHOIA1N ON MAP OF SET—OFF TO: N
PREPARED FOR A&NE5 MGOUNNI CELETOJENNM� OLIS
McOUNNICLIS *i____ e
APPROVED BY THE TOVNN OF SOUTHOLD Fromury NATIONAL Trrua NSvRANCE W
COMPANY NEW SITU,�cTE: MATTITUG�G
OF SM ThPOWN 5
TOYNN: SOUTHOLD
SUFFOLK GOUNTY, NY
SURVEYED 02 — 13 — 03 Test Hole
SUFFOLK COUNTY TAX # 01/13/01
el. 54'
1000 - 106 - 6 - 20.1
BROWN
SILTY OL
LOAM
Land now or formerly of: z
James D Staurines
formerly Chudiak •
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DATE_ HS .... <�*' _moo - o -ooh$
APPROVED.y� ,� , t
FOR rti.11`�, aiT''sl i P.4/"._,BED', .1ti 1 01
J
LEi�nns TriRET,YEARS FROM DATE 0 r PP OVAL C/!
20'
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400.00 PNO hz. EI= •
Minima ----------z-- --
z and cesspooi is to be 150 feet.
vacant
tr LOT2
(°
NEW}
fR,»` Vn0Moriled alteretlan or vvey-to a survey
\V]�s� mop bearvg a licensee land surveyoro seal is a
1' A'.s violatnn eF secllon 1209 I l E cion 2,of lino
, 74
11 R A Nan York 5tote Etlu<atlon Lae'� `.n
cSA• from the ori hal this survni•
NOTES: �'t'� v marked hewn o lghol of ghe Ia tl s eyo§
fi %.,,,.., , staved seal shall be considered to be valid true
I "I ,,rst`:1' spies
• MONUMENT FOUND �/P�,SfY.�c�44, .,artiFinetiene Indicated hereon signify that this
�'�� S 31d 1315 b6 .1314.10 \ '0 V•' survey nns prepared in oacnrea<.ce with the a.-
1.+� fY[ �l ii 37,i Isthg Gotle of Practice lar ca 5urvoys edaptetl
S3CtI11H qS H flVCyty1./, LAND
b Ne NenYark5toaAssocia on ofPrnfesswwl
VV.a jl.i 1(Jain* ��w W Y�� Lona 5urvars rg lo�iv�hom�y�p'os ra, poll run anli
A STAKE SET 1f CC • and on his behooif to the title company governmen-
tal
tal agency and lending Institution listed hereon,and
S Z :0110 13 033 EQQZ to the assIgneos of the lending Institution Certifma-
tion,ore not transferable to ociationol Institutions
AREA = 131,373 SF OR 3 02 ACRES A.INI100 )410.4.411S if• f C. ELILE ''S L �'I� .° it SU'' .VEY�' "
a J M i D T] 6 EAST MAIN STREET N.Y.S.LIC.NO. 50202
GRAPHIC' SCALE 1"=50' RIVERHEAD,N.Y. 11901
:369-8288 Fax 369-8287 REF.\\Hp server\d\PROS\02-254.pro
• 001/2003 10.11.W1Wle sonn'sMg209b2-094 pro —4