HomeMy WebLinkAboutKonstantaras, Katy
ELIZABETH A. NEVILLE
TOWN CLERK
RE(;I~TRAR OF VITAL STATISTICS
MAHHIAGE OFFICER
RECORDS MANA(;EM r;NT On'ICEI{
FREEDOM OF INFORMATION OFFICER
---_...----,
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax 16:111 765-6145
Telephone (6311 765-1800
sou thold town. northfork. net
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO:
,
South61d T~ Building Department
FROM:
Michelle L. Martoechia, Southold Town Clerk's Ot1lce
DA TED:
Novcmber 16, 2006
RE:
Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 3647
Construction/Alteration Permit submitted by:
for a Cesspool/Septic Tank
Peter DeNicola
Please review the application and location map and advise if this office may issuc the permit.
Please complete thc form below and return it to mc. Thank you.
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I have revicwed the application and location map of the project cited above and make the following
recommcndations:
APPROVE
/
DISAPPROVE
Comments:
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Signaturc ~
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HOt.
Datcd
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 II 79
Southold, New York 11971
Fax (63]) 765-6145
Telephone (631) 765-1800
sou thold town. northfork. net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTH OLD W ASTEW A TER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
,
,
Residential @ $lO~ or Non-Residential @ $25_
Application No:'c,..,y J
Permit No.
Applicant Name 7e~e,~ \5-"('-/: (Co("'-
Applicant Mailing Address i Ie"! \ (~."., " I, ~ [\1 h.
. Secd ~010 ,1'/l(11 C1'71
Septic Tank~or Cesspool~ i
Brief Description of Proposed Construction or Alteration /'i,e ~ C J I' \'; f~c<( {, C"
Location of Proposed Construction! Alteration:
Owner of Property: lc'tJL) r.~('i"n"p.L'1';.5,
Owner Mailing Address: i (- q \ C l,. \ 1 ,~ ?, / L
~Cu{I'O(il{I'-lll /19'7/
Owner Property Address: 1_ G cJ,u" L c" ? L 1 ~
'J .
~{[,.{J,!I,) 1,~IV/iIC(!(
Name and phone number of contact person It' 1; ,: 0.,od; cd <- 7 U '\ - ~Y'J .!.
Tax Map No:
Section
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Block
's
Lot
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NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVE~ W,ITIf~EAL TH~EPARTMENT.APP.ROV AL
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. {lL/ - '---.-/ 11- I I.<7D (,
Signature of Applicant Date
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Received by: I r 1\;~Q'..x.."Q1r)lat5-\S.c ,
Cross Street
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S.C.T.M. NO, DISlRICT: 1000 SECTION: 51
BLOCK: 3
LOT(S): 3.5
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SUFFOLK COU1JT'f r.;:i;;?':"::;'C.:.:..~':~'~:',=~5":';~
~ APPRO\/A;._:_,;: ,~. ':'!'.";..lw~' ,~,.., i
OCT 0 SA zoot .. ,:tS);."; \i
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VACANT
DWELL
P A'fll
CL J7.55
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TC 34.28
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l~' 70.05'
R-72S.00
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EL 38.5
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ORNE'NAY 57.J'
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12. . LOT 4
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LOT 5 ...
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VACANT
(lEY. 41.0
TOP SOIL
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BROwN
lAYEY L L
COARSr
TO
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SAND
SOUESlLT
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COARSE
TO
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BROWN
SAND
It GRAVEL
NO WATER 17'
TP I 6 LOT 11
EL 42.5
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OPEN SPACE
VACANT
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NOTE: UNDERGROUND UTILITIES
THE WA TER SUPPL Y. IIE'LLS AND CESSPOOL
LDCA nONS SHOWN ARE FROM FIELD 08SERVA nONS
AND OR DATA OBTAINED FROM OTHERS
ELEVA TION DA TUM: _ASSllMEIL_________________
FINAL SURVEY 08-29-06
FOUNDATION lOCATION 03-14-06
AREA: 40,000 SF OR 0.92 ACRES
UNAUTHORIZED ALTERA TION OR ADDITION TO THIS SURVEY IS A VIOLA TION OF SEcnON 7209 OF THE NEW YORK STA TE EDUCA nON LA w. COPIES OF THIS SURVEY
MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
ONL Y TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY AND LENDING INSTITUTION
LISTED HEREON. AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE.
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES. AOOITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS
AND/OR SUBSURFACE STRUefURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
SURVEY OF: LOT 5
MAP OF: CHARDONNAY WOODS AT SOUTHOLD
CERTIFIED TO: PETE DENICOLA
FilED:
SITU A TEO AT: SOUTHOLD
TOWN OF: SOUTHOLD
SUFFOLK COUNTY, NEW YORK
FilE # 25-130 SCALE: 1"=40' DATE: OCT. 25, 2005
N. Y. s. Lie NO. 50227
KENNETH M. WOYCHUK L.S.
Land Surveying and Design
P.O. BOll: 3. Mattituck. New York. 11952
PHONE (831) 298-1588 PAX (831) 298-1588
mainLalniol the records 01 Robert J. Henne..,
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