HomeMy WebLinkAboutMeyran, DanaELIZABETH A. NEVILLE, RMC, CMC
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
TO:
FROM:
DATED:
Southold Town Building Department
Carol Hydell, Southold Town Clerk's Office
April 1, 2009
OFFICE OF THE TOWN CLERK
BLDG. DEPT.
TOWN OF $OUTHO[D
Cesspool Construction Application
Transmitted herewith is a copy of application No.
Permit submitted by:
Dana Meyran
3864 . for a Cesspool/Septic Tank Construction
Please review the application and location map and advise if this office may issue the permit.
Please complete the form below and remm it to me. Thank you.
I have reviewed the application and location map of the project cited above and make the following
recommendations: J
APPROVE
DISAPPROVE
Comments:
Signature
Dated
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANA .GEMENT 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
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
PERMIT
Residential ~ $10
Owner Property Address
CESSPOOL or SEPTIC TANK
Jor Non-Residential ~ $25 __
ApplicatiOn No. q 3(~ /
Permit No.
Owner Telephonc No. ,'~[O (D(-~[ /?,::~-7 ~/17~.
Tax Map No:
Cross Street~g,&
Please check each that applies:
Section [ q I Block (25 1 Lot ~ I
New Construction ~/
Alteration to E~ting System
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 copy of survey with SCHD approval.)
Received by: C-~
S~aatute ofApplicaq{' - ~' t Date
SURVEY OF PROPERTY
SITUATE
MATTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK'.
S.C. TAX No. 1000-141-01-31
SCALE 1"=20'
AUGUST 27, 200.3
NOVEMBER 12, 2008 ADDED PROPOSED ADDITIONS
FEBRUARY 25, 2009 RELOCATED PROPOSED ADDITIONS
MARCH 25, 2009 ADDED EXISTING SEPTIC SYSTEM &: PROPOSED
AREA = 15,960 sq. ff.
0.566 ac.
CERTIFIED TO:
JP MORGAN CHASE BANK
DANA M. DeSTEFANO
BLACKSTONE LAND TITLE AGENCY, L.L.C.
FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW
EXISTING LOT COVERAGE DATA
DESCRIPTION AREA ~ LOT COVERAGE
EXIST. HOUSE 6t5 ~q. ft. 5.8~
EXIST. GARAGE 544 sq. ff. 2.2~
EXIST. SHED 117 wq. fl, 0.7~
EX[ST. DECKS 290 sq. ff. 1.8~ ~
TOTAL 1,364 #q, ff. 8.5X
PROPOSED LOT COVERAGE DATA
DESCRIPTION AREA · LOT COVERAGE
EXIST. HOUSE 613 sq. ff.
EXIST. GARAGE 544 sq. fl. 2.2~
EXIST. SHED 117 sq. fl. 0,7~
PROP. ADDffION 501 aq. ft.
PROP. PORCH 82 aq, ft. O.S~
TOTAL 1,6ST sq, ft. 10.5~
PREPARED IN ACCORDANCE WITH THE MINIMUM
STANDARDS FOR TITLE SURV~ A~ ESTABUSHED
BY THE LLA. LS. AN PPROVED AND ADOPTED
TEST HOLE DA TA
(TEST HOLE DUC BY McDONALD GEOSCI£NCF ON MARCH 12, 2009)
17'
UNAUTHORIZED ALTERATION OR ADDmON
TO T~IS SURV~' IS A VIOLATION OF
SECTION 7209 OF THE NEW YORK STATE
EDUDA~]ON LAW.
COPIES OF THIS SURV[~ MAP NOT B~ARII
THE LAND SURVEYOR'S INKED SEAL OR
ESdBOSSED SEN. SHALL NOT BE CONSIDE
TO BE A VALID I~UE COPY.
CER~FICATIONS INDICATED HEREON SHALL
ONLY TO THE PERSON FOR WHOM THE S
IS PREPARED, AND ON HIS BES~LF TO TI
TITLE COMPANY, OOVERNM/NTAL AGENCY
LENDING INSTITI~ON LISTED HEREON, ANI
TO THE ASSIGNEES OF THE LENDING IN~
TLfflON. CERTIFICATIONS ARE NOT TRANSFI
THE EXISTENCE OF RIGHTS OF WAY
AND/OR EASEMENTS OF RECORD, IF
ANY, NOT SHOWN ARE NOT GUARAN
Nathan Taft Corwi
Land Surveyor
Ntle Surveys -- Subdivisions -- Site Plons -- Constrffetlon
PHONE (651)727-2090 Fox (631)727-
OFFICE5 LOCATED AT MAIUNG ADDR,
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