HomeMy WebLinkAboutEliodromytis Q
ELIZABETH A.NEVILLE,MMC Town Hall,53095 Main Road
P.O.Box 1179
TOWN CLERK
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS r Fax(631)765-6145
MARRIAGE OFFICER Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER wwwsoutholdtownny.gov
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: April 23,2019
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 4751 for a Cesspool/Septic Tank
Construction Permit submitted by:
Eliodromytis Residence(AMP Architecture)
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
0
ELIZABETH A.NEVILLE Town Hall,53095 Main Road
TOWN CLERK P.O.Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS %t5
MARRIAGE OFFICER ip Fax(631)765-6145
RECORDS MANAGEMENT OFFICER Telephone(631)765-1800
FREEDOM OF INFORMATION OFFICER soutboldtown.northfork.net
OFFICE OF THE TOWN CLERK
. TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$10 or Non-Residential @$25 Application No. ��
Permit NO.
Applicant Nam
Applicant Mailing Address
Septic Tanker-or Cesspool
Brief Description of Proposed Construction or Alteration—L.�
Location of Proposed Construction/Alteration:
Owner of Property:
Owner Mailing Address:---
01
Owner Property AddressjD- c.
Name and phone number of contact person
Tax Map No: )Coo Section Block Lot
Cross Street
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
Z'
�S' a1u e of Applicant Dite
Received by:
U1 nwx va uroa xmna+ro rxa vxscv s.x ar:Ecmx> ros xex vcwe snrc mucx:rox uw()ourw¢s s.w.r resw rxn,rxermrr,xcs ro cxrsrwa smue,uxrs wxE rarz n vnor,c .wo wx xa:m aE vsea ro csr vaem,,xcs eu-as tat cxc: ws amrcv wv«ar xnxxo su ors Exams.,
�w rea,¢xrax wxu pxr m rxE twaax sox wwx:x xr�exmurc a ws ew.0 m�xE cmc cwrxxr,eow�wExru_. xxa,rraxe smm�ox us,En xwEax,,wo m nrt..sve,er,r.e a me tnxxxa wsamrwx.sescxnps iwc«o .rkc ro•onnax.x warm. sexga�.sur axv xs(3)me r.ocxnox ce xvu(x9 ane T.rxcs lsz) -
,�r
9
CERTAIN AREAS
V
/ TOTAL AkP� 400-troder A ae,P.1—€ 4 d,NN.,,,eYaorl k 1a19«0
1
,v g tabs1.T27-2503�b31.72�144
4
2UILb4€S;:E(LAN1w4RD OF Gci1AI 1.461 SF
ey° FIRST FLOOR(: r PRINT) .922 s=
r'1arr' l�v �B �f UOQ- BECK:POOL 8 2ND STY.OVERHANG (FOOT PRINT) = STO SF
_6
Th.—C"I re, �+tess€erni 5+
Gf3VERA6E
Dovgfa3 E A.dcsfe5,Profeab€anal fitgiM®r
w b
\ y*4 Sgt ;ogJ CSA f Hfi / ti /1P 'IleA awABLE cav E �o of T<bl S =l.egr Robert G.Toet,Arehlteet
f
x
PROPOS^=P aoVZRAIE =€,4w2 5F OR 20,
SITE DATA
AREA: 1"7,38'1 So.FT.
ii
VERTICAL DATUM =NA.V.PANM(1996)
--------------
s � 1
COLPM DEPAF`I'Tv RVICES
FUN,AP VAj Cam L €2 I a4
r _
SNGLE FAMILY RMIDENCE ONLY
/ _ IDATE 2p
Zoi HSP^ N
S
rf may/ Z ,� - ��,�" 0 �Y> ng � �`•`8 _' :,'ti _ �q,sc �1 9 STP ¢c FOR MAX1 OF BEDROOMS
r K A s
THREE "FROM DATE OF APPROVAL
.x. 4c9,1�' " �a ",
10
i/ �T{t' x WE EREBY CERTIFY TO RDB ELIDDROM
dSURVEY H —PREPARED IN ACCORDANCEw [.[3PE.OF
PRACTICE FOR LAND SURVEYS ADOPTED - t�N', YORK SFR
ASSOCIATION OF PROFESSIONAL LAND
P q V 4 go ff�oo ? _ 5� u't d 4
, 9xoa" \_
�`*CJ> 4c Qh
n�gJa �y"� -,t � fi oo r .�<�. s�'�f g` - +�� 2 •' � Is-y",�g:' N''' '� '�1`�'
, r ,fy9 Q�i��- Gff`fJ�Az, O. %f °
? 04 7`,cti9 U'` , `$
� � y L l N0 /' �' � SURVEY POR,e 7ed
_ ..
° v <,.� y ,-j r' , ROB ELIODROMYTI5
her ofl at Southold,Town of 50vthold
CERTAIN QUANTITIES ? � ri.4 5vffolk County,Now York
ePUFTeFNr- R=>c+;A�MouR 4Gi1r p ��
0d0 t PRMIT
AREA=609 6F ARF-A=957s -
SURVEY
VOLUME 230 C'r VOLUME-69 eY 5�0 't / '*- � I# ,. { �„�,�` ,r„ e�g County Tax Map Davin 1000-,,o 5-1 siou,OI Lor '7
�+lA(j � ,(� rr/ -- _ 1/r' L,ppy�` a'weC, - Mg MAP PREPARED SEP.09:2016
-L f 1 1 /` `�h` x�y` 1
AREA I,9T9 SF \
VOLUME•432 CY NOTE: '�`
THE E%GAVATIPN �. �' � 79�� '�fir p� Q"�
bAw�BAlek_`FILL t FILL VOLUMES31 Record of Revisions
9 AREA.9'2 SP ARE INTENDED TO (p` ' +,'a� f x 0 RECORD OF REVISIONS DATE
YOLU.I =19?CY BE BALANCED .,� A t N"SPEC LETiE'R APR 29 2014
AND No EXCE55 rc;' ff 6 ENGINEERS CERTIFICATION REouIRED. �FvE ANT-TilIN
l M0 1.�a
SAND P MATERIAL WILL t AMENP OUANi:TLA
i; AREA=1254 5F LEAVE THE SITE. 'i, -1 t xh^ �f'J' <� SUBMIT P.E.OR R.R.CERTIFICATION S�cT7Ou -c.a Laura. APE PLA, 2-3
VOLUME=233 CY LOCAT.PN
FOREN�TAI.LATION N000NSTRUCTION Ps usE °o's
r s�:�. aNE�IVEruI �- OFe.. Sa o Is mea bo -_.
AREA=T23' - _-VOL =13 aye 4 FoR FINAL SPF vAI,. USE FORMVVUUM-073. -
`9a Scale: I"= 30'
.108 NO.2016-0115
DNLS.201616_01150113_bP I OF 10 '.