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HomeMy WebLinkAboutJavarone, Joseph ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION O~FI~ER ~: OFFICE OF THE TOWN CLERK ', ,'~P ~ 2~U~ t TOWN OF SOUTHOLD : ', L~s{;---,:~ ?L~.~ ~.~--J TO: ....... S'outhold Town Braiding Department Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork.net FROM: Lynda M. Rudder, Southold Town Clerk's Office DATED: September 5, 2008 Transmitted herewith is a copy of application No. 3821 Permit submitted by: for a Cesspool/Septic Tank Construction Joseph Javarone 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 tbrm below and return it to me. LyndaM. Bohn I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE J DISAPPROVE Comments: Signature ]~LIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER OF INFO ? OF I0 R CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork.net Residential ~ $10 )~, or Non-Residential @ $25 __ Application No. Permit No. Applicant Name Applicant Mailing Address Septic Tank/~ or Cesspool X Brief Description of Proposed Construction or Alteration Location of Proposed Owner of Property: Owner Mailing Address: Owner Property Address: Name and phone number of contact person Tax Map No: Section ~'-(o Block ~ Lot ~/ Cross Street NOTE: LOCATION MAP MUST BE SUB.~MIY~D WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY~.~TH DEPARTMENT APPROVAL Sign~e of Applicant Da~/ Received by: / LOT A~, ~ ' ~ --. - = HEALTH SERVICE~I i / i o' [fiN[ SUFFOLK COUNTY DEPAF~;¢,=[ PERM~ FOR AP, ROVA~ oo 4 NOTE: I. CONSULT ~ 1Till HIC~iWAY DEFOP, E DESIGNING, INST~, O~ MODI~NG ~ N~ ~ ~ISTI~ ~. W~ ~ ~A~ tN THE ~T~ ~ ~E~ON. 2, ~U~U~ INflATION ~D~ ~VA~ ~1~ ~P~I~. THE 5U~ ~Ur~ ~ICU I~ EQU~ TO THE U.9. CO~T AND GEOD~C ~R~ M~N ~ ~EL DA~M AT UNADTIIOPJZED ALTEP, ATION OR ADDITION TO THIS 5UP~VEY 15 A VIOLATION OF 51~CTION 7209 OF THE NEW YOPJr~ STATE EDUCATION LAW. COPIP_~ OF TYtl5 SUP.VEY MAP NOT DE~a~JNG TiE LAND 5UP.VI~)I~ INF~D SEAL OP. EMBOSSED SEAL SIflALL NOT DE CONSIDEP~-D TO IN~ A VALID TPJJE COPY. GUAP~NNr[~ OP, CEf~TIFICATIONS INDICATI--D HEP, EON 51't~l. PJJN ONLY TO THE FEP~ON FOR. WHOM THE SUP, VEY IS PP~pAI~D. AND ON Ills B[~IflALP TO THE TITLE COMPANY, GOVF_~NMENTAL AC~NCY AND LENDING IN- STITLITION EST~D HEP~q~N. AND TO THE ASSIGNEE5 THE LENDING IN~TrrUTION. GUAP, ANTE~ Of~ CATIONS AY~ NOT TEANSFEP, AB[I[ TO ADDITIONAL STITUTIONS OP, SUDSEQUENT OWNEt~5. W~LL OF (~ DAUMAN P-~SlDENCE 'INDUSTP.IAL CODI~ P4JLE 53" P~QUII~E5 NOTIFICATION AT LEAST 72 HOUP..5 PP-JOf~ TO CONSTP, UCTION. NOTIFICATION 5tiOULD DE MADE TO LONG 15LAND ONE CALL CENTER. AT I -~00-272-44,~0 FLOOD INSUPJkNCE PATE MAP 3(; 103 C 01 G2 G ~ 01 G4 G EfiPECTIVE DATE:- MAY 4, 199/) TOPOGP-.APHIC 5UP-.VEY OF PROPERTY PECONIC TOWN OF 50UTHOLD SUFFOLK COUNTY, N.Y. UTIL ~ M,'D(~NALD (Box 1(~2o- ~3ou13~o~:), NL'W~¢~, I HAYNES LAND SURVEYORS , ~ LAI=A'dSTT~ DPJVI~, ~YO~SEI', N.Y. I I 7D I ~tflONl~: I 6~G-4~- I 7~0 [=AX: ~ I G-4~ I 7~)2 I~.ICHMC TWIN LOCUST i~ . I 1.03 I0 TAX LOT 2~) LENT-ZEP-~5 PAMILY HOUSE CONNECTED TO PUBLIC WATEP-. TO DE 4-6~-, OEMOLISI-IED 12 16" FRAM[ GAP, AG TAX LOT 3 1 51MON I=AMILY BP-JCK PATIO 0.32 ~L=8.57 LOOO 24'-4½' ~ No. 405 I ? 5TOP-.Y FRAME I ~ __ ~.~°1 DWELLING I~ -I F~-.EL-,~.HOI--- 24,~. ~ ~ [SEDP-.OO; ~OPO~ ~,~1 DI==NC~ :.EL.EL= 15.50 I G' OAK ~. I-' OAr.. I NOTE:- HIGH WATER LINE AT BULKHEAD 0 ~'~OVlOE i o' NON-rU~ ~urr~ ~LO~G ~U~EAD I I DIVISION LINE 'T" ~ ,- - TO BE ' DEMOLISHED D(t~,TING W[U. OF 2 / DOUGIJ~.5 HOME 25' HOU,SE NOT CONNECTED ZO EIL. POLE 50'± d 4' OAr~ L, POI~ 14' ON~ 9 kl~ 0t= 500 ~ Of ~ OO Y~. fLOOD AND ~ ff~OM t ~ ~' r~- 0 TAX LOT G LANG FAMILY HOUSE CONNECTED TO PUBLIC WATEP~ NOTE:- ALL ROOF DR.,AIN,.~, TO DI~,CHARGE INTO DRYIA/EI l ~ CALC_ U~TION.5:- 3324 ~.F. x 2" ~INFALL x I COEFFICIENT: 5~5 cu.~. ~' DIA. DR~ = 5~5/42.2 = 1~.4 V.P. U~E (7) O' DIA. x 2' DEEP DR~I I ~ NEW HOME BUILT (200G) CONNECi'ED TO PUBLIC WATER