HomeMy WebLinkAboutFitzgerald, Shawn PELIZ4M~ETH ,\. NEVILLE. RMC, CMC
T( ~W"N CLEI~K
RECORDS MANAGEMENT OFFICER
FREEDOM OF ~NFORMATION (~FI"ICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631t 765-6145
Telephone (631) 765-1800
sout holdtown, north fork.net
TO:
FROM:
DATED:
RE:
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Southold Town Building Deparlment
Carol I lydelh Soutbold Tow~, Clerk's ()ffice
Jariuary 6, 2009 ~ ~~
(?esspool Construction Application
JUN - 9 2009
BLDG. DEPT.
TOWN OF SOUTXOLO
Transmitted herewith ~s a copy of applicatkm No. 3848 for a Cesspool/Septic Tank Construction
Permil submitted by:
Young & Young for Shawn & Joylue Fitzgerald
Please review the application and location ilqap and advise if this office may issue the permit.
Please complete thc form below and return ii to me. Thank you.
I have reviewed the applicalton and i~}cation map of the project cited above and make the fullowing
recomnlendations:
APPROVE
DIS :;,PPROVF
Comments:
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFOKMATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.nor thfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Residential ~ $10
Applicant Name
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
x or Non-Residential~ $25__
Application No.--~ ~' ¢ (~2/
Permit No.
Shawn P. Fitzgerald & Jolyne C. Fitzgerald
Applicant Mailing Address c/o Fink & Platt Architects
347 W. 36thStreet 1202, New York, New York 10018
Septic Tank x -o~ Cesspool x
Brief Description of Proposed Construction or Alteration Renovate an existing single family
dwelling and upgrade the existing ~ewage disposal system~ construct a new pool house
and sanitary system.
Location of Proposed Construction/Alteration:
Owner of Property:. Shawn P. fZitzgerald & Jolyne C. Fitzgerald
Owner Mailing Address: c/o Fink & Platt Architects
347 W. 36th Street 1202, New York, New York
Owner Property Address: 495 Paddock Way (Wolf Pit Pond Estates)
Mattituck, New York 11952
Name and phone number of contact person Young & Young
Tax Map No: 1000 Section 107 Block 04
Cross Street Old Middle Road
10018
Attn: Thomas C. Wolpert, P.E.
Lot 2.10
631-727-2303
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
ol/05/09
· . Signature of Applicant Date
/~ ]/ / ~omas C. Wo~pert, P.E., Agent for Applicant
Received 6y: ( .~ , ,
LOT C. OYEf~.A¢IE
EXI~TtN~
2 5T0~¥ FRAME HOUSE
POOL
TENNIS OOU~T
= ~5 ~. FT. = 0.4%
= ~,4~4 5~.FT. =
TOTAL = i1,~04 .~42. FT. = 3.5%
f~.OPO~tED
f'4UD ~.OOt'd = IO~ ~GL FT. = 0.0%
POOL HOUSE = 234 5G. FT. =
TOTAL = 12,24~ ~. FT. = 5.~,%
N
~UFFOLK
,- , SERVICES
PERMIT FOR APPROVAL OF CONSTRUctIoN FOR A
Lof. ID
"~olf PIt. F'~nct
BEDROOMs
FROM
Lot. II
//
., /
~ r=mu~Pve~r/ /
/
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.4
~ITE DATA
A~EA ~ 5.0044- A~,~*,~S
dUN - 8 2009
BLDG. DEPT.
TOWN OF SOUTHOLD
5uf~vE-r' FOt~
~4,4A4~N P. FITZCE~LP
OOUn~ T~X Mop District I000 ~ti~ I01 8~o.~ 04 2 m 2.10
~r. ol¢: I" = I00'