The URL can be used to link to this page

Home My WebLink AboutSilansky, Paul �a SOUIy ELIZABETH A. NEVILLE �Q� Ol0 Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER Q Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER 0 �� Telephone (631) 765-1500 FREEDOM OF INFORMATION OFFICER li`COU0 southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD _ TO: Southold Town Building Department ETXNN 920 LJ FROM: Lynda M. Rudder, Southold Town Clerk's Office G DEPT F �iTHOL) DATED: September 8, 2008 Transmitted herewith is a copy of application No. 3814 for a Cesspool/Septic 'rank Construction Permit submitted by: Paul Silansky 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. Lynda M. Rudder I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: 1 Signature 0� dr o8 Dated guFFO(,(c ELIZABETH A.NEVILLE 'DOWN CLERK _,Town Hall, 53096 Main Roa REGIBTRAR OF VITAL STATISTICS P.O. Box 1179 w Southold, New York 11971 MARRIAGE OFFIOER RECORDS MANAGEMENT OFFICER Fax (631) 766-6145 yi��! � �ao� FREEDOM OF INFORMATION OFFICER Telephone (631) 765-1800 so u th oldtown.northfork,net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLI--- CATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @$10$10 or Non-Residential @$ZS_ Application No. Permit No. _ Applicant Name f p AUL SILeWSiLY Applicant Mailing Address LJ A,PI"g ba4Ve QU"%i j goal C-r O to e l,? Septic Tank x or Cesspool /_ Brief Description of Proposed Construction or Alteration 0&-, Sron.r Rexioer'c'. ? S�DRoom Location of Proposed Construction/Alteration: Owner of Property:_ f AUI S)LANSwy Owner Mailing Address: q AAP J6 0(Lvt (j ULLJNVn- GT OG 01 j Owner Property Address: 770 Pi,-+ff&„ooc) p oAb CUT LHaGvg t--Y 11915 Name and phone number of contact person ENvARp Tax Map No: Section—YO Block S Lot 2,1( Cross Street So,JTAOW C41,01S Romb NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL Signature of Afilrlicant Date Received by: __ ¢, SURVEY OF PROPERTY N SITUATE: FLEETS NECK TOWN: SOUTHOLD W s E SUFFOLK GOUNTY, NY 'F SURVEY: JAN. 30, 2008 S REVI5ED MAY 20, 200b JUNE 23, 2008 SUFFOLK COUNTY TAX # 1000 - 110 - 5 - 24 CERTUTED TO: O Paul Sllansky suPP®Lx COUNTY DF.Pa.®F HEALTH SERVICES REP.#R10-08-0028 McDonald Oeoscience Test Hole e1=51' c16 Aoc„ OL SARK BROWN LOAM / OQ SG BROWN GLAYEY SAND � k moose '1 TA NN / M PALE BROWNQ_ FINE TO COARSE SAND DRAINAGE GALGULATION5: / _ I, - -53- - - - ROOF (DWELLING) �So sz_ _ _ '\ _ DWELLING ROOF AREA 2630 5.F. J7 - - 2630 X 0.17 X 1.0 = 447 G.F. \� 447 / 4224 = I0S8 V.L.F. REQUIRED DE 22 '-6'-0" DIA. X 6-0" DEPTH DRAINAGE POOLS O �— \ -_ / ` �`� 1Ci"� r 0 NEIy 12 V.L.F. PROVIDED VIP. ' 8 PERCENT GRADE FROM CESSPOOLS TO PROPERTY LINE T -" 47'" dk' _ ViAP qp MONUMENT FOUND s �/��s �� e O `tea+' PROPERTY ZONE R 40 . .,, � l® BUILDING SETBACKS REF. NONCONFORMING LOTS Area = 14,000 5. F. Area = 03214 Acres HOU5E AREA 2630 5.F. OR 18.8 % LOT COVERAGE y JOHN C. EHLERS LAND SURVEYOR 6RAPHIG 56ALE 1"= 30' 6 EAST MAIN STREET N.Y.S.LIC.N0.50202 RIVERHEAD,N.Y. 11901 369-8288 Fax 369-8287 REF.-\\Compagserver\pros\08\08-109.pro "s OF SOUjyo 1 ELIZABETH A.NEVILLE,RMC,CMC h O Town Hall, 53095 Main Road TOWN CLERK l�[ P.O. Box 1179 REGISTRAR OF VITAL STATISTICS CA Southold, New York 11971 MARRIAGE OFFICER aOQ Fax(631) 765-6145 RECORDS MANAGEMENT OFFICERTelephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER �C�UIV 1►,� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL vo Operation Permit No. 4395-R Residential X Non-Re: Fee $ 10.00 New X Existiz Name Of Owner PAUL SILANSKY ------------------------------ Mailing Address 1 745 PINEWOOD ROAD ------------------------------ Mailing Address 2 ------------------------------ City St Zip CUTCHOGUE NY 11935-0000 -------------------- -- ---------- Property Address 1 770 PINEWOOD ROAD ------------------------------ Property Address 2 ------------------------------ City St Zip CUT CHOGUE NY 11935-0000 -------------------- -- ---------- Owner Telephone No. 860-305-7985 Tax Map No. section 110.00 block 5 lot 24.000 ------ --- ------ Cross Street SOUTHERN CROSS ROAD ------------------------------ ---------------------------------- Issue Date: 6/29/09 Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) C �k ELIZABETH A.NEVILLE SOUryOI Town Hall,53095 Main Road TOWN CLERK h P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold,New York 11971 MARRIAGE OFFICER G Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �0 Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER /ylrouffm c� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION OPERATION PERMIT CESSPOOL or SEPTIC TANK Residential @ $10 or ❑ Non-Residential @ $25 Application No. Permit No. �� Owner Name: PAaI— Z.A-rr'k y PL04 Yy'2 6f'- Owner Mailing Address: 7VT P/Nli Deo o /QdAp C TG�f o�a/f f /y Y Property Address: 77o Fl"X w000 Ro#4A Owner Telephone No. 06o 3 0.r 7 IT Tax Map No.: Section: Block: Lot: ,L ly Nearest Cross Street: S'o �y�,e,✓ G2 v Sf 9.0'0f'6 Please check all that apply: C-New Construction ❑ Alteration to existing system C'Residential ❑ Non-Residential NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. (Locate building and system; give north arrow and approximate distance in feet from system to building and closest road. New construction may submit a copx of survey with SCHD approval.) 6 zy Signature of Applicant Date Received by: s� /�/$t✓oo� �oA-D - u! 770 Pinewood i 12/11/2008 Rd Cutchogue,NY 99' Suffolk County 43' Measure 46' :7(43.2') (45.4) (99.9') Pauls check with 38' Laser (37.7' 59' 58.8')