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HomeMy WebLinkAboutSilberstein ELIZABETH A.NEVILLE,MMC Moon Hall,53095 Main Road TOWN CLERK P.O.B-1179 Southold,Now York 11971 REGISTRAR OF VITAL STATISTICS F.(631)765-6145 MARRIAGE OFFICER Tot.phone(631)765-1800 RECORDS MANAGEMENT OFFICER --tatholdt—nnyg- FREEDOM OF INFORMATION OFFICER * OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born,Southold Town Clerk's Office DATED: February 7,2019 RE: Cesspool Construction/Alteration Application Transmitted herewith is a copy of application No. 4697 for a Cesspool/Septic Tank Construction Permit submitted by: Robert I.Brown for Silberstein Please review the application and location map and advise if this office may issue the permit. Please complete the to=below and return it to me. Thank you. I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: Signature Dated �olvfoj'e1,s ELIZABETH A.NEVILLE Town Hall,53095 Main Road F.O. TOWN CLERK ca Box 1179 Southold,Now York 11971 REGISTRAR OF VITAL STATISTICS Fax(631)765-6145 MARRIAGE OFFICER RECORDSMANAGEMENT OFFICER Telephone(631)765-1800 FREEDOM OF INFORMATION OFFICERaouthaldV­n.nortbfa,k­t OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @$10A_or Non-Residential @$25 Application No.W-7 Permit No. Applicant Namelu A/21) Applicant Mailing Address Septic Tank_)I_or Cesspool Brief Description ol'Proposed Construction or Alto ation Location of Proposed Construction/Afteration: Owner cff'roperty:_JLI�,U1 ,4 4,_iro' Owner Mailing Address:��rD -XY Owner Properly Address: Name and phone number of contact person 1A �- '01_9­ Tax Map No: Section q1t Block Lot Cross Street NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL Date Received by: .......-----— - : I� 1A(5-D 5ON L0LIWNEOY BY RNOOD -,ND 51111LIOR .11roz c,0c(OBER.2013 A zONf--Q Rzo AREA 67239 5OFf on 2 0 1 ACRE —----- EXIST NG BUILDLNG FOOTPRINT 2 52 5DFI NEW AMMON: �29-501'r NEW TOTAL BUILDING rOOTP-1 2,98 1 EQFT NO NEIGHBORLY 5EPTIC 5�TEM5 LDCATEDWITHIN 50-OfU5TNr-W PATIOS,PONCIr,',,511r[).FTC 3, 9 5DFr TOTAL COVERAGE: G.GO 50FT NO, —NE T ZKY MCY-T Oc.,Q-- ------------ LOT OCTVf�f 9,100 67,23S -Ro'EN 7% A11ROAMITE IF- OT I NOTE fLEVATQN5 NE.NfOL,f rFffk TO NAVD 988 ,Nl WELL 5 FTIC Y,*TEM CROSS-SECTION "15TING—ER /A SER ICE TIRE 0, A r W51 HOLE A2//2Di7 -NE-IGH-b-ORFfit LC CATJ A ' 'IlTIll.1511 Of FROP0,51L, -1 ............----- LC t'rm"It FL) L7r (5 FL DATM s63 SILBERSTEIN RESIDENCE FoC(ALOT 2 "96 SKUNK LANE.CUTCHOGUE,NY 11935 . oir cl LOT Mt ROVED EPFDA S;��MLAY oT8 ILL, p E 40-0 E F L RN 0 1- qo Robert I. Brown Architect,P.C. BiAve. G, ipon NY LL SEPTICS STEM JOI lilect.com NO LOCATED ---I , i.ogy'b�N IITT� 150 VE -477-9751 LIA'tC ART LIT -TN'.1 .1 --� �,;T'�'Trl 63T AT `R RU'L� ................... ELIZABETH A.NEVILLE,NIMCT—Hall,53095 Main Road TOWN CLERK P.O.13-1179 SSouthold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax 1 (631)765-6145 MARRIAGE OFFICERIliToluph—(631)765-1800 RECORDS MANAGEMENT OFFICER —uthldt—ygov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born,Southold Town Clerk's Office DATED: February 7,2019 RE: Cesspool Construction/Alteration Application Transmitted herewith is a copy of application No. 4698 for a CesspooliSeptic Tank Construction Permit submitted by: Robert I.Brown for Frolmhofer Please review the application and location map and advise if this office may issue the permit. Please complete the form below and return it to me. Thank you. I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: ................ Signature Dated ELIZABETH A.NEVILLE Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fez (631)765-6146 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER Telephone(631)765-1800 FREEDOM OF INFORMATION OFFICER south.Idt—...,thf.vk..rt OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residendal @$10A or Non-Residential @$25— Application No. Permit No. ApplicamNarne Applicant Mailing Address., ............ Septic Tank, Cesspool B of Docqnionoffln dC Proposed Loc,,it('()i3/i'/'2o(f'P/r'oIp4''61sedConstiuction/Atteratioii� Owneroffioperty: Owner Mailing Address: ...... L\j"y ILI"- Owner Property Name and phone number ofcontact person Tax Map No: Section Block,, Lot J!Z Cross Street NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY W),I'"HEALTH DEPARTMENT APPROVAL gignat.re opt Applicaat Received by: .. ....... --- Ain Qz eElc V, z E IL IL I �Al E E In 6 5,t 60"T iju EI LU ul ,69-SIF, .. . . ............ AVIVgAl�a 3N015 o NMN Fi R3' i. 9 M—SO.bD N —---------