HomeMy WebLinkAboutINS ContractingELIZABETH 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
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO:
FROM:
DATED:
RE:
Southold Town Building Department
Carol Hydell, Southold Town Clerk's Office
July 13, 2011
Cesspool Construction Application
JUL 1 4 2011
BLDG DEPI
IOV~N OF SOU! H~LB
Transmitted herewith is a copy of application No.
Permit submitted by:
Ins Contracting LLC
4025 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.
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 Depmtment
Signature
ELIZABETH A. NEVILLE "
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORD8 MANAGEMENT OFFICER
FREEDOM OF INFOR24ATION OFFICER
..~Town Hall, 53095 Main
P.O. Box 1179
Sou~hold, New York 11971
Fax (631) 765-6145
Telephone (681) 765-1800
southoldtown,northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential ~ $10 ~or Non-Residential~$25
App!icantName ~"1,3~ c~.X~^~_~
Applicant Mailing Address ~ o %~V.~ ~ ~'~ ~
Application No.
Permit
Septic Tank x,~or Cesspool
Brief Description of Proposed Construction or Alteration
\/x.o f,-x ~._
Location of Proposed Construction/Alteration:
of Propmy:.
Ovoaer Mailing Address: ~r> ~,~,
Owner Property Address: ~-~' [~
Name and phone nutnber of contact person
Tax Map No: \~oo Section o> '~ Block ~'~
Cross Street Xr~\<--q7 ~o~ ~ ~-~o~
NOTE: LOCATION MAP MUST BE SUBM1TrED WITH APPLICATION, NEW
R~ived
LOT AREA = 29,536 SQ. FT.
GAR E. LEV= 73.0
F FL ELEV = 75.0
~ DWELL
LOT NUMBER 10
ROCKCOYE LANI~ (72.s~ N 74'04'10"£
X~ fence Z
O.$'E cc
(72-5)
R=60.O0' ] x,
72.5)
32' 22'
o : ~ ~[xcavation Inspection F ~quimd
~ ~ For Sanita~ Sysb
~ ~ ~ By Health Depada ~nt
SUFI )LKCOU~WDEmRTMENT EALTH SERVIC~ c
PE IMIT FO~ APPROVAL OF C~TEU~ION FOR A
SINGLE FAMILY RESIDENCE ONLY
APPR~ )VED ~
S 74'04'~0"W ~ 04.48'
FOR M~MUM OF ~ ~ BEDROOMS
~Pi lES THR~E YEARS FROM DATE OF APP~ ~. ~EC~RGE
NOTE: LOCA~ON OF WATER MNNS /
~D ~OINERS WATER SUPPLY ~ /
OTHERS ~D ARE NOT GU~N~ED.
3-25-2011 R~SED ~OPO~D DWE~NG
~~~~~ JOB No. 03-288 FILE No. ROCKCOVE ESTATES
MAPPED FOR
Ue OF ROCKOOVE ESTAES
~m~.~m~m~.~ SI~ATED AT GREENPORT
~.~~m~~ TOWN OF SOUTHOLD - SUFFOLK COUN~ N.Y.
FILED MAP No. 10637 DATE 6-11-2001
CERTIFIED ONLY TO:
HAR()LD F. TRANCHON JR. P.C.
MAR 2 5 2011 LAND SURVEYOR
P.O. BOX 616
~~ 8UFF, CO, H~ 'TI'{ ~/~911 G RIVER-~R RD. WADING RIVER,
~ NEW YORK. 11792
N,Y. LIC, ~. 048992 631-929-4695
HAROLD F. T~NCHON JR. PENN. LIC, No, 21~-E