HomeMy WebLinkAboutLeung ELIZABETH A. NEVILLE MMC � ,�� Town Hall,53095 Main Road
AV
TOWN CLERK P.O.Box 1179
Southold New York 11971
4
REGISTRAR OF VITAL STATISTICS m Fax(631)765-6145
x uIIIVO
MARRIAGE OFFICER k� � - � � Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER V ` www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Southold Town Clerk's Office
DATED: August 6, 2019
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 4774 for a Cesspool/Septic Tank Construction
Permit submitted by:
Meryl Kramer Architect for Johnson Leung Family Trust
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 Fax(631) 765-6145
MARRIAGE OFFICER Telephone (631) 765-1800
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10 I or Non-Residential @ $25 Application No.
Pemi:.it No.
"
Applicant Name
Applicant Mailing Address t
Septic Tank or Cesspool
Brief Description of Proposed Construction or Alteration
Location of Proposed Construction/Alteration:
Owner of Property: , TVA&
Owner Mailing Address:
Owner Property.Address:
)eecn�c. 0 VS55
Name and phone number of contact person
Tax Map No: Section 6140 —Block 0 Lot q•
Cross Street ke
NOTE: Of
LOCATION MAP MUST BE SUBMITTEDAPPLICATION. NEW
CONSTRUCTION REQUIRESAPPROVAL
Signature of App cant Date
Received by:
4.00 Ostrander Avenue,Riverhead,New York I190I
tel,651.,721.2505 fox,651.121.0144
odmIm"younqcnqIne0rinq.com
Howard K Young,Lord Surveyor
Thomas G.r4olpart,Professional Engineer
Dawqjos E Adoms,FroI`essloriol Engineer
Robert C.Tost,ArrhltcGt
HEALTH DEPARTMENT U5E
..........
S U 0 U ly
Dl:,IAFT"4ENT,'ov HEALT!,j SLr,,rjC:rs
�PPRf,)VALOF CONISTRUCTION F011 A
0 110
E PIRES
0
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DUE of--
APPROVAL
f"if,'.)o swsl
SILT
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SURVE'rORS CERTIFICATION
3TIM SAN111RIr SYSTFW. CII U
Re RNEDE.:N�?t OVFK AND/OR WE HEREBY CERTIFY TO E R LI NDA LIE U t4 r.THAT TH15 5I)IRVEY
INDOJN
�QRDANWITH SCD14S WAS PREPAREDIN ACCORDANCE WITH THE:CODE OF PRACTICE
ACTIC'r
NDARkISFOR LAND SURVEYS ADOPTED51'THE NEW YORK STATE
D" A550CIATION OF PROFF551014AL LAND S0RVEYOR5
t74
�/ 17
HOWARD w.YCUI,T&, .s.Ls.
411
13 5uR\/Ellr FOR
LIMIT CiF ERLINDA LEUN&
LOT 1, "RICHMOND CREEK FARM5, SErTiON 2"
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C,
at Feconir, Town Of 5OUthOld
5uFfolk County, New York
...........
BUILDIN& PERMIT SURVEY
County Tax MOP Di,t,it 1000 S-U-bb Blo k 01 Lot 9.4
FIELD SURVEY COMPLETED SEPT.05,2014
MAP PREPARED SEPT.09,2014
Record of Ravlsion5
RECORD OF REVISIONS DATE
yFPT IS 2018
ADJACENT LOT COVERA&E
ADJACENT AREA =56,420 50.FT
.......................
FRAME HOUSE 4 GARAGE =5,025 50,FT =5.5%
ROOF OVER Y40or?PORCH =454 50.FT. =0.5% ........
5CREENEIJ kqOO12 PORCH =350 SO.FT =0.4%
FRAME SHED = 166 50.FT, =0.2% —- -----------
POOL =190 50,FT. = O.q% 50 0 25 50 Ica 150
SLATE AROUND POOL =496 SO,FT, -0.696
SLATE WALK$ SLATE PATIO=465 50,FT, =0
....... J013 NO.2015-0166 OF
TOTAL 5,754 50.FT. = 6,6% DWG.-iq0555-2O14-0I75-bp
51TE DATA
.............................
AREA -- Z,g557 ACRE5
•SUBDII/15ION-"RICHMOND CREEK FARMS,5ECTION 2"FILED IN
THE OFFICE OF THE CLERK OF 5UFFOLK COUNTY ON MAY 15,lqqq
A5 FILE NO.10282.
VERTICAL DATUM = KAY,DATUM(Iqab)
TOTAL NUMBER OF BEDROOM5
NO WELL5 WITHIN 150'OF 5U5JECT PARCEL.
Of
10, Uor\o
PROPOSED EXISTING PUBLIC WATER
SANITARY 5(57rM SERACE LINE TO REMAIN—\ 55.35
P,j 2000 rAL 5EFTIC TANK--\
400 9F5Y1A LrAGHIIN6 GALLF'(5
(APPROX.FILL=526 CY)
NEEL—
PINE INE 2-
TH
PROPOSED
INTERIOR
RENO,/ATION5
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91,lu qw,
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10
Lot I
Subdivision -
"Rlrhrnond Crack
Forms,Section 2"
N
EE LINE ALONG
HIGH WR 44R'
RICHMOND CREEK