Loading...
HomeMy WebLinkAboutRoss, Pam & Nancy 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) 765-6145 Telephone (631) 765-1800 southoldtown.northfork.net I , OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD .._~._.__.-..._- [. (' .._-_.._._~ r;l -... \ . , !...' SF:P TQ:. 1_-FROM: ~., "6 5 ' ) Southold "]Cown Building Department Michellei Martocchia, Southold Town Clerk's Office DATED: September 14, 2006 RE: Cesspool Construction/Alteration Application Transmitted herewith is a copy of application No. 3628 for a Cesspool/Septic Tank Construction/Alteration Permit submitted by: Thomas C. Samuels 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 v-- Comments: DISAPPROVE ~' " ~~~r~~~~~ Sign~~ /t>ft,A~ Dated / ' Telephone (631) 765-1800 . omcx OF TBE TOWN CLERK TOWN OF SOtll'llOLI> EUZABBTII A. NBVII.J..E, TOWN ClJlRIC P,O, BOX 1179 sournow, NEW YORK 11971 Application No.~b 2-~ Construction .)(' Alteration $10.00 -Residential ..x. $25.00 - Non-Residential TOWN OF SOUTHO.LD " SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee '$ Cf//Lflot tlwft1tL.t (!, ~(jf1U.teh rR5J35 A1tl tAr. ~ari C<{tt"k.aqu-~,/ AIf{. DATE . APPLICANT NAME: APPLICANT ADDRESS: SEPTIC! CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION J{YM;UllJl1.P'JvMf of (;x~f4 ~t-UH" Cmr"hru.a-h.bu t) f ftuA) cfaA-VC wq cf '~ fU-f1 , LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSl>RUCTION OR foLTERATION: , OWNER OF PROPERTY: --.!:fut1 fj(J4.d t> Ai (),n(>A1 OWNER MAILING ADDRESS: ~ OWNER PROPERTY ADDRESS:~~JJl, Park AtN..t1I/( . ' tJJtdfi fueJe. ~ TELEPHONE NUMBER OF CONTACT PERSON: 131./ ~ (0. L/-oS T AX MAP NO.: Section I) 3 Block 08 Lot j:2, a. CROSS STREET: ffl(Tk' ~e. BUILDING PERMIT NUMBER CROSS REFERENCE: r ~rk ~ , Signature of Applicant RECEIVED BY~IIj:r;o9 q ~erk s Office DATE: 0 'i i '. ~ '\" ~. b. ~..D.f.\..l)\:;:r LA'.ro.-s l' / ... r .' <;'E:b ~'t. . " .~ N't 0 l;.c.. :$1r...~f . '4 <:) 'i /10 /03 J, f;!1 " l'j :X/ \ ~/ / / "i;? I il ,..Q/ ~/,~- 4' I ,,/10/1/, v, ~ , 1A,?1 .Iff.,' _ . .. '",..,n~ 6I&,QO..-- Iii / " . ~__~ ..'Vw.~li"' .. .... .' .' ./''I /[' ,_-__ . . i~4t=~~~~~~rf/> --.=., \.~,.,. Irc~_:lt.~~_~f;"'''''~' --........ SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICEi PEIlMIT foR AI'PROYAL OF CONSTRUCTJnif'tl1l A SINGLE FAMILVRESIDENCE QN.\.Y DATE ~i'I).6 ttS. ~F. No. ,flcJ-/J:3 -00 C) . ApPROVED . 1 Fo AXIMUM OF 2 BEDROIIIIS EXPIReS THREE YVrRS FROM eATE OF APPROfAL ApPROVED IN ACCORDANCE WITH ~~ REVIEW DETERMINATION DATED 5 ~s; 05 SP.lJI'1F><>l'l s,/S7f:;"., NO t<;...'1!{ Of \-tou~E . EN(i.~NEER'sCCKllfC\llONREa\JlRB). SUBMITP.E. ORRA. CERTIFICATION FOR INSTALlATION AND CoNsTRUCTION " OF .5Y/'/7/1<Y,lfYJyst'c/J? )'~'o/ FOR FINALmRovAL. USE FORM WWM413. SUBJECT To COVENANTS & RESTRICTIONS LtBERbpO<'IO? SIn;> PAGE cJ30 {,~ h' ,,/~ .......,,....,, ;..>-: ;} ;:: oJ \) :::: .:;:" ;f:' rtJ '4 ,) ,', ''" '.J ~ :J .;; 1. >- -.;<r ldP:> .:>>.t: l/j -...,J... V -.. ~-... Jii jf-.j' , ",,",' ",,'" , U., .:.:: 11.' ;U" .;.. '" -J .. ~\115J ~. 2,./ , j~ at '.fJ-, (}...: .Y. b \: /!j\ _8 Yl " N (\.l ~ <t.... 8 d 0' ..~ \:,~ , ,,,-, . r.; ,:~ 1f: tJ/ /-,,.., ..s \.~_ 'V~ '-<('. ~. ~f (; ~ ',,, \.:&..... ~ ,>, ~ (> .~ >/ '''' ~~. ~ f ~<'~ ~ ~) /-v ','. f ""'. .s<? "1~.~'0, '<;;,., ~'\~ '<> "" "'" '.y " . 'It- <\ - .~ .. \ , " '- ! :' 'It '" _i. I c;..'-;e ~I , "'""~ ~ I , ,-,.....\ ... \9 '.J ~ i 5)' ul"10ER Nf",LiL '{ Ro~ k~ CJ ~350 ?P-~\(. F\V€J,.Jut:; , (Y\ M IT 11 I.LIL, ,OWN Q f :: .:5OffDL.I<. COU/07'i, NEt sa M 1000' l. 'C. ~ - a E'r ~ ", c;. ::;"Qf-.i10'.)~ W I>l1:;S I'-RE RE:'f"-~~J (CL'\: ..rtru/l. WIVE. VJ.,(,' E;.L.EIJ t: e 'l'~NtE;~ lQ'f "P1f\1JE; r\.E.~""b \ , "Cox e6'-i, WE:;;;,H (G,3) LEe, .50'1\\. \:?ATE ;St;'P1~~ l5, '-OO'Z. 517€::- liVFof~YI\.k1!Oj.} Pr'-DW ,k ~:?' "'1::00/..),<: SUP-V'ii'Yoll-S, P..:. i-:::"C . ~\J7HOL't:::j ~)a.v You"II tl i. \;'':'11 ~~. \<;E.\J(~t.'b -rOS~E:.nll6to~ : l.ci7~.8\..f.\.6c:- P;Lc.':;' f,. c..2,1~' ,,,. .. I..aT A~'" 9, ,': "'; Ilo,CJLc < Ho.u:s~ . 'OOIl\r ~," 'C'''' ('..K.;;; 101 J7pL,.-7 \1' \T~ "/00 I . 8.. 1,e ~ ..J:;~~:":c,~~;c < ~ ~- ir/1 ;\'- '1'--L~__. ~sr.~"_"_" '" .<)(r~ '.~ II '~~ 1'~--_ 1:,OOlso-~nS 1-4l ~: ~' r-11 J:'~J,. ri';? ~ ~/ / ~. ( ~.:. ... ,... r~ Aj// ~ ;I~};. >~~J. ."'~~ ~ #. j.~....!~ .,.~\,~J/ ^~...>,. ,~ ]'1' - ;; I:< / '2 ;::I'l :1:4.. , v :~, k~; .fr. >...... i 'o')l': rx. . ..... ,)I,,:q' "~r.; .;" . ~~mU "t . fiO,.; t~ , : t,S,)' E .'l:g "jl;l~ ....;;4!! I 4').11; ~ .;';;'o~r l~ '-I Cl.,J)<!.NliI.._. F , "v' t-:~ :. r ~ ';1<11 ~ P.l? .~. Q i{i Ib~ I .,~' ~;/!:/ ~ it I 1,1 .5..~ I ~'" >.\IJ1:. ....~ j'4W) < . [..K4 0/ f -! . t '11 ~ ':l. ~ ~~ C;;....~ fl 4l ~r I JJ f~ ' ~~ ,h '--..) :1Jd d ,a' ". .....:>,..4: '? j ," . . )~ "" O' iil Fl ~ IY) I . "f\ '~Bf IoJ '\ .!:' "} b ~ / . _.' () " !, '.~ ' z '-'l!'Zi,.... T' ., ' ~ ~- '" ~~.~~~ : ~ ~B ~f .,~' ~ P j/ A~ ~~/I., 'f'Y... .....' (t ~ '''' -'<--', !i!!- / . , "'"?,, 't . .~:r '" /, li'l' ".., V' ' ~~, ~ 3' . ~~ ). ( " I ..... j' \ "'t1 /. j>. ~.,\ / /' \ IJ'\~;\ .,~.\\\ . ,dY~ y, ~~o-? :~ . k" ~,~ ~ ~ .~~~ " ~a~~~ "I ": ,'() ,'.' v.., ") ~ W i,.\.; -1. _: ,"I. '/')..... () .. ,- ~. ~ fi... ~ 'r- ",.-' i \] 'J 'I ~ 8 ....l ',) :; j Q r~ V) .. ..r,. 1"'1 P .0 d ,. t:~ J. ~ ~ .;; \.I. J \1,. _ \.i1 0 ~ ..... It";" r- :..if ., ~, (( '~... c:. ~.;' . I ' :::~ ,) i..) '" q .-, .r ~ .~ '" ., :i. ::: . (\ ~v ","" , : \.' ':;.. ..' ~<: .J ;~.; ~' '.... t1! Ii .~ ... t.i! ':' ilJ ~) ~ :1'0 ,,- \....... I, 'n ..... \" ill ,,' n '-'-' ~} ~ ''Ill I I , II1\. {, " ~.' i~..~d... ~ ~ ':rj;! ~ ~j i iUd ... ~\>. .._~ ,~....'-~,.<- " ....---- \' ,/ "Y:J~:~ if~ ....'! ..~ ::t"""1r, a,,/., ~fh'; c _...... '-"). "", ' d, iy,;.,,'<'! i) ,;:'; {i't ':') '11gtj c! .~ . ,::i..~'......f)<;::. , ~O'~ Cllt\~ .. ,! ~'N . "., ~~~~ :;' in r; -! , 'j ,. q Ii f) '" u ti lU .2' ~2 l!}' \) i. If. -:J ~ l'i ., ",. ", ~U"- 3/;.: "d ~ (9' {J t" g.2~ Oc..1/l , , .,...' .i I iI'1' :i 1-' - ..., .. a:: vi .",<> ~ I-....,.Jl ~ A,,~ ........~ ,.... "(1 \).l ,.'. ";1 A ~, ,-. \"'0 " :r or-----r- ~ ~ , .~ ll' , . ~~ ; ~. 0..; ! ~. ..... {l - ~: \ f> ":::r- 8 I {'(l o I o - ct lj- ~ .:1/ '~ ! ~ I 0 ( H fj . !;tJf~ , ~ ~ .oe ~~5~ "n-, .LIlL . , , III ~ '9 tV i :tlR g~ :1 '~~.. , : ~ : ; ~ j j ~... ::3 . ~ ~,! ~,' ~ ~, i ~ ~'l P cri a , ~ ~i i g~ 1 ~ > I s9 :z.g 41 H tI! Qi ~ 'i~ .~.~ ~\1' ~~ ~ . .~ ~ i; '1 ~ ~, J s ?f'~i~~:~ ,( ~_cr::- -~t'i'1 ;l--?J" 3 '"-"fl--mcr- "C2 , , , i "I i ~ ~ .," ~I" Ui . 1]\ . 'I rfI <9 ~ 1- (Ii ~ \'J ~ 4ltv~ iO ,:>i _ NI' ,(I, !:!,' ...J ~ - " f ':l! , ~ '. , ~,~ ~ '" :;ar- q i',;, ... J' Q .J j 0 , ~..... A -J :7: . ).. r ,.' ! .-,i 'I ~' " r^ ~ P 2 ~ tf it .~" ..::: ') ~, ~ () <l! ~, . 0: t" l.U ~ u: .~ -~.""" ,-, tV. '1. w .... (..J v?~ i,,(l . ~ ~ I : ..I \ .j l'+ A' ~. It ~.......I.....-. .....,. .. ~... .rr ~ .. . 'Ii , _. l~ ~_1 T! QM~ ~I:~ ~~ ~ ...~\ .... t .~.i: ~I~...!~ ~.. j'~ .~ ......i 31"P4\ i ~. Jl\."". ~ -..:....;:"...