HomeMy WebLinkAboutMastro, ElizabethELIZABETH 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.north fork. net
TO:
FROM:
DATED:
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Southold Town Building Department
Carol Hydell, Southold Town Clerk's Office
June 8, 2011
JUN - 9 2011
BLDG DEPI.
TOWN OF SOUTHOLD
RE:
Cesspool Construction Application
Transmitted herewith is a copy of application No.
Permit submitted by:
Elizabeth & Louis Mastro
4020 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 return it to me. Thank you.
Carol Hydell
I have reviewed the application and location map of the project cited above and make the following
recommendations: ~
APPROVE
DISAPPROVE
Comments: Final approval required from the Suffolk County Health Department
Dated
ELIZABETH A. NEVILLE
TOWN CLERK
}~.EGISII'ILIklt OF VITAL STATISTICS
MARRIAGE OFFICER
IiECORDS MANAGEMENT OFI~'ICER
}.'REEDOM OF INFOPJvlArl'ION OFFICER
Town Hall, 53095 Mare Road
P.O. Box 1179
Southold, New York 11971
Fax/631) 765-6145
Telephone 1631i 765-1800
southoldtown.~ort hlork nut
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
sOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOl. or SEPTIC TANK
l<csidcutial Oc $10 ~ or Non-Residential ~ $25 Application
-' Permit No.
.\pl>licant Mailing Add,ess ,~'~ ((~J't'~(Tt.':~'h ~.~i. 1~4
Septic Tank ~ or Ccskpoo ~
Brief Description off Proposcd Construction or Alteration
Location off Proposed ('onstructi0n/Alteration:
Owner Properly Addrcss: 1-5 iS ~:i~'C~
Namcandphoncn~)crofcontactperson ~llZ~b~'q~ ~-~ ~t_~ Tax Map No: Section ~ :~& Block ~ Lot
Cross Street ( O~L~ ~' q '
[
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION.
CONSTRUCTION ~;QUI~S SURVEY WITH HEALTH DEPARTMENT APPROVAl,
Signature of Applicant
[)ate
AREA 51.P, P4Y,,t~IND .5~F'TIC, TANK HOUND AND
LEACHING POOL HOUJ~ TO BE BAGKFILL~D
AND RE~R.ADDD. 5E~ LEAF.~INO POOL AND
5~PTI¢ TANK D~TAIL5 F~ FINISI-~D ~,~E
ELEVATIONS
{~) ,~' ~' x ~'-O' LE~.HING poo4.~
~. ~i~ L~ATI~ IN FIELD
ALL ADJACENT PAR/-~L5 I~ITHIN 150 ~ AE~ IHH~OVED 5~N~LE FAHILY REsIDenCES.
NO ..~F=PL¥ J~IELL5 I~ITHIN 150 FEET. ALL PI,~LIC, I,~LATER (,ONNEGTION5.
EXPANSION POOL~ EV_.~i
IO.'~I'
ADJA~,ENT PROFERTC:51NE~LE FA. HILT
~YA~ ~IC T~E~HI~
P~L ~G 5Y5~
PLOT PLAN
51~ INFORHATION OBTAINED FROH ~RVEY P~PA~D BY
IDLAND HIDE LAND ~URVEYO~D - FEB IT, 2OIO
II HARC, H 2010
26 PlAy 2010 -
c°z.
LOT AP4~A : ~1,500 Sd;~UAP. E FEET (0.2l ACRES)
51T~ PLAN DRLS°~ t~¢: RICHARD BOYD AR.d, HITEGT - (516)
206 RI(.,HMOND AVENUE, MA~APEd~UA, N.Y. 11'15,D
RECEIVED j
SUFF. CO. HEALTH SERVICES
OFFICE OF WAs'rE~I/ATER MGT.
Nit. onc~ IMr~. MASTP-.,O
15~5 tESAYVIEI,,N AVE
~OUTHOLI:~, N'r' Ill-'ti
(...~, I ~:,)
TITLE
HOUSE RENOVATION HITH SECOND 5TORY
~ICHAt~,D DOYD - Archif.~c~.
DE~I~NER.~ - PLANN~ - HOME INSPt--~TOI~
20~/I~IC. HHOND AVE NOR~ MA~APE~A, NY 1115~
~~C~X ~1~ ~
~A~: ~ ~ 2010
1~4