HomeMy WebLinkAboutNiedoroda, Kathryn
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Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.northfork.net
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ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INF?RMATlOJlH'jFFICER
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Southold Town Building Department
FROM:
Linda J. Cooper, Southold Town Clerk's Office
DATED:
September 14,2007
Transmitted herewith is a copy of application No. 3741
Permit submitted by:
for a Cesspool/Septic Tank Construction
Prestan Homes for Kathvrn Niedoroda
Please review the application and location map and advise if the project has received Suffolk County
Health Department approval and if this office may issue the permit.
Please complete the form below and return it to me.
Linda J. Cooper
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I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
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Comments:
DISAPPROVE
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Dat~0/h
,
,
ELIZABETH A. NEVILLE "
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
...,"
:., T.own Hall, 53095 Main Ro
P.O. Box 1179
Southord, New York 1197
Fax (631) 765-6145
Telephone (631) 765-180C
sou thold town. northfork. n,.
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10 ~r Non-Resi~ential @ $25 _
Application No.
Permit No
2>7L{(
Applicant Name 17 (( ES.T A ~ H-lJiM.9v \ N. C-
Applicant Mailing Address rR 1). r> d 7 If :5
;F 1M I \.-LEJl f"L 1'-\ _ 'I. ll"'1~ 'r
Septic Tank I./" Cesspool ~. .
Brief Description of Proposed Construction or Alteration I \.vV' S ,q 'l Y ~ tHe L-<..
F~ \:)vt'-'-LU~v
Location of Proposed Construction! Alteration:
Owner of Property: \.Z 1.1\ r ~ y n N N \ E.. b 0 I? rib .t-
OwneI' Mailing Address: I ~ - Lf &- ;} 0 "I """ S ')"
l:3 r:Jy-s. ;\)-< l'-\ H. t1:r (,0
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Owner Property Address:
""'..4 .., T \ \' v c V''-
Name and phone number of contact person
Tax Map No: I m Section If J- Block /~
Cross Street ~~W S vrFolv~ V\.J<.
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
/J 01./'\ 2- 6t ~A :/0 ";)
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Received bY:~
Lot (u
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Survey of Property
Surveyed: June 22,2007
Amended: July 26, 2007
SCT# 1000-115-12-10
Situate: Mattituck
Town: Southold
Suffolk County, NY
Datum: MSL - NGVD'29
Tide Range: 2.5'+/-
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5C-ALE 1"= BO'
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SUFFOLK COUNTY DEPARTMENT OF HEALm SERVICES
Revised PIan Approved _ ?
Expires 4/12- If 0
PERMIT FOR APPROVAL OFCONSTRUcnON FOR A
.;"lNGLE FAMILY RESIDENCE ONLY
,
DATIl Lj 1'- 07 REF. O. (2.J .Oy()J? 2_
APPROVED .d-
F MAXIMUM OF L BEDROOMS
EXPIRES TIIREE YEARS FROM DATIl OF APPROVAL
C.ertlfled to,
Affirmative Land Services Inc
La....yer5 Title Insurance U;mp'
Preston Homes, Inc.
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stake set
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stake set
7-11-06
to' to oppOStIt8 shore
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Float
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SEPTIC DETAIL
PROPOSED not to sGale
DWELLING
Test Hole
re-o:l-05
hlah tide
M"C>onald
6eo5Glen"e
~El""
inv,-. ~in' ~~---------
9.4 1~v2- co,jer in.....=- m~)(. 2
mi;~~;t__1500 f;31.l ~__:' i~v;-" m~~~e;'
j/4" P..tc.., 3<>'Jt:C r---- .".:o,______~.)
perf: t "," i .,,;', c~, c,"- , -l
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( -' ,. .'1'....". :' ' ~-
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, separation
5-leaching
pools -
3' deep
8' dia.
seasonal hi~~ grOund water
EL= 2.5+/-
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Proposed
Lo.... Profile Dock
fiberglass q'ld
120' ....Ide ....aternay 4' x 65' ....Ith 4' x 12'
'11' to opposIte shore "T" (25' ct:N. q')
MSL-:':,::.::,:':, ~:. ':~:::,: :::,:,::: '::.::-- ,
DOCK
Section
1"= 20'
Soundlnqs
01-15-05
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-'(~dqe of
l'Ief1ands
R. Fox
Feb.'OS
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41x41
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exist. bttm.
Existing Dwelling
public. water
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JUL
N.Y.5D.E.C.. NOTES
Total Lot /'.rea = 10616 sf
I'letland /'.rea = 1651 sf
" 0' . ' Adlacent Nea = '1025 sf
" 011;17 Pr. ed tIouse . Deck =1525 sf
Of' I .'1ll> adjacent area coverage
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is ;, \.'...1 I=' 1'-"
LL. U 'i I_S; i"
Sanitarysys Ma to be
InIItaIIed 8)
.....anll1Pl ....,.
A)f. ~5' Hetland
_~_______.. " SetbaGk. .. \ .-(iQ:2;----
:~sel ..
: 71 : '.
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1.0) ~ (e.'lJ'; edge ~,lprln
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HetlGl'ld BotJnGia"Il t CIO
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LImit ,f c.leerlng.
9'001. q . 9'ovni:l
d1st- ...oanGe with
P1rr il'll1oybales
during ~nstru"tlon
exlS .
brOl^ln
sllt~
sarii:l
B'
pale
bro,,"
fIne to
medIum
sand
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In
pale
brown
fIne to
medIum
sand
14'
By
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. p.hll"...ater
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SG T" IOOO-IIS-12-~
Land of:
.John L. Braun
! Evelljn R Braun
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Pr~ Septl"
1500 qal. tail< .
is) B' aeep Pools
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Existing DHelllng
public. Io"later
Exlstlnq Dwelling
publiG Io"later
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(11.<:1)
Existing Dwelling
public. I'iQter
Proposed
4 Bdrm.
~ (IO.BJ\ Owe1llng
lll. _;_____.59:.
~ Lot kea=
... 025 At:.r8s
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(11.3)
208.69'
(11.2)
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Dwelling
publl"
water
SC.T~ 1000-115-12-\\
Lond of:
.James I^l, Eginton
! Mortj c.. Eg\nton
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Exlstlnq D~e\llnq
Public. Ha1:er Servlc.e
"I.nClJlhoo-lzedallsrat'C1laraddlllOnlaaSl.rY8lj
~1a~lon"9af ~~4~~~~~~l~
o Ne...YorkStd" Educ.aUarll.a>-<.
O'lly ~apI8~ Iram the original or this Sl.rYllIJ 1II(;r\:.eld
"'!lh '"' orlellnal '" lh8 lond ........."'~or's sl<ln'ced
seal wll be l.onr.k18or..d la be val" true ~aple!>.
OCNlIIlGal\oM Indlc.atBd herOOO'l sl<J'IF~ thal ~
,!!olIrv~I'f05P'"llpar8d"'OG~ardO';c."...lthlhB 8~-
~ nca COde a' Pfac.llG.. 'or LCI'd 5orv8lfS odapl..d
b\llhtI HlI.. York Sial.. As!>IX.lolian of FroFessIonoll
l.andSu'vllljOt"$_ Soid~srUflGOll~shallrl.O'l""kl
lolhl'lperSCl'lforl"l10mlhesvrve\jlspt"eparec(
and 00 his beholF 10tM Uti.. ~""".,....,,qov""m'..,n-
lol ~"'"~ and 1"""!rIg IMtllullon lI~l..1J n.:neon, ood
to t~ ;~:1'~lslr~~r~~~ ~t~1 ~~lt~t~
Existing Dwelling
public. water
ROBERT H. FOX
NYS PLS# 50197
PO BOX # 366
AQUEBOGUE
NY 11931
631-722-3390
1/7112001 <l,13,15AH
c., \SLH\nleroda-F'rest0'l2_Qro
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