HomeMy WebLinkAboutBraverman, Steven
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFO~T"I?~R
- f' f'jl-~ w\
r"" "C \\~.\" :'_.\. \'~
' . "~."- . .--- \ \" FFICE OF THE TOWN CLERK
. .
\. ; J\JN 7.. 6? ~ .1-' \ TOWN OF SOUTHOLD
TO: \ '~~:,";SO~~l~lding Department
\.---~~--
FROM: Michelle L. Martocchia, Southold Town Clerk's Office
Town Hall, 53095 Main Road
P.O. Box II79
Southold, New York II971
Fax (631) 765-6145
Telephone (63!) 765-1800
southoldtown.northfork.net
DATED:
June 26, 2006
RE:
Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 3609 for a Cesspool/Septic Tank
Construction/Alteration Permit submitted by:
Steven Braverman
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: _7~~ 2~:: ~7~~-;~'~-
~~~~~
SIgnature
tJ~ft7 fl;?
Dated / /
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
.. Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 766-6145
Telephone (681) 765-1800
Boutholdtown.northfork.net
OFFICE OF THE TOWN CLERK.
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential@$101 or Non-Residential @$25_
Application No.S(cO<j
Permit No.
ApplicantName~+e"e" (3 n::.-w'cc((\c,'i\
Applicant Mailing Address 5700 A\V<-o,^" k..e
. C..\<- "-OJ'^' . N'i I \ '1?,~
Septic Tank / or Cesspool_
Brief Description of Proposed Construction or A1teration--t1clJ.~.().(\ ~v So.,~.
Location of Proposed Construction! Alteration:
Owner of Property: ShVeA - hA.\'. r!:)(r;...,IecMc...",
Owner Mailing Address: Sf 0 0 A \J"~I, (,..;,{le
Cv~""',;,~ (N~ \\q'.J~
Owner Property Address:
So., "",-e.
Name and phone nwnber of contact person
Tax Map No: lOGO Section....:~Oe-\6\ Block +M 01 Lot Ol'b.....~
Cross Street R ~ 44'
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
Sign~Of~ d;:~
Received ~ hx&'
"
GUARANTEED TO:
STEVEN BRAVERMAN
MCS MORTGAGE BANKERS
ADVANTAGE TITLE AGENCY, INC.
,
"
~
Vi
:>
0
ao "-
... ~
'"
u
a W
(l; ,
'" 0
w .N
...J Il)
a N
a "' <0
::i N
~ L{)
~:
&,!! Z
TlE~72.96'
rEST HOLE 8'1'
MeDONALD GEOSCIENCE
SOUTHOlD. N,Y. DATED APR 5, 2006
ORIGINAL GROUND
DARK BROWN lOAM Ol
"
BROWN SILTY SAND SM
"
PALE BROWN rlNE TO
COARSE SAND S
- 17' NO WATER ENCOUNTE EO
N/F LONG ISLAND VINEYARDS, INC.
" S 33"31'40"E
175'
~ PIPE
FOUND
.0'
~j ~
f'R. ..,
BlOG <0
10.3'
TWO-RAIL FENCE
flJ.5.8
FENC~
OFFSETS
SHOWN
;...
..
N
..s
'Cp
,()'O
'0'0
S
o
o
~
N
:30.2'
7.0'
.3'
S:
o
t')
N
L{)
to
L{)
U1
WOOD
FRAME
BLOG
...
<ci
...,
PO El36.J
N eM
<l:!
L{)
<D
~
LOT GENERALLY FLAT
PROPOSED
LEACHING
POOL
FRAME
GARAGE
'"
oj
'"
u
~
28.2
"-
"-
Z
TEST HOLE
LOCATION
... " 0
.,; c EJ
~ . '"
"' " 00
'Q.
...: 00
'"
Q.
" ,.,
m
CU
N 33'31 40 W
ALVAH'S LANE
I I 2.9'
I I
,j,' I
p (iJosw----
I I
- r.... I
I ~ I
it;; !
I W I
I ~ I
I I
I I
I I
I I
I I
"
C
flJ'.8
241.52
SURVEY OF
DESCRIBED PROPERTY
GUARANTEES INDICATED HERE ON SHALL RUN
ONL YTO THE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF 10 THE
TmE COMPANY. GOVERNMENTAL AGENCY,
LENDfNG INSTfTUTION, IF LISTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INSnTUnON.
GUARANTEES ARE NOT TRANSFERABLE TO
ADOITfONAL fNSnTUT/ONS OR SUBSEQUENT OWNERS.
SITUATE
CUTCHOGUE, TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
UNAUTHORfZED AL TERATION OR ADDmON TO THIS
SURVEY IS A WOLATION OF SECTION 7209 OF
THE NEW YORK STA TE EDUCA noN LAW.
COPIES OF THIS SURVEYMAP NOT BEARING
THE LAND SURVEYORS EMBOSSED SEAL SHALL
NOT BE CONSIDERED TO BE A VALID TRUE
""'"
SURVEYED FOR: STEVEN BRAVERMAN
TM# 1000-101-02-0184
SUFFOLK COUNTY DEPARTMENT OF HEAlTH SERVICES
PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
SINGLE FAMILY RESIDENCE AND
SURVEYED: 14 APRIL 2006
SCALE 1"~ 40'
AREA ~ 49,088 SF
OR
1. 127 ACRES
DATEb/]I..ooH.S. REF
APPROVED
TOTAL MAXIMUM BEOROOMS~
EXPI~S THREE YEA.:1S FRO" :;:\71:: OF A?PROVAL
JR.
11956
~'~-'-~'.'---"~'-"""'" ,,~ ,.,~, -~._~
20 JUNE 06 SHOW PROP, SANITARY, ELEVATIONS, TEST HOlE.