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Higgins, Patrick
o~gtlfFO(,pco ELIZABETH A. NEVILLE, MMC Town Hall, 53095 Main Road TOWN CLERK p P.O. Box 1179 H Z Southold, New York 11971 REGISTRAR OF VITAL STATISTICS p Fax (631) 765-6145 MARRIAGE OFFICER Telephone (631) 765-1800 RECORDS MANAGEMENT OFFICER 0( `~.a www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD - - ; r? TO: Southold Town Building Department D FROM: Carol Hydell, Southold Town Clerk's Office u OCT 1 5 2013 DATED: October 11, 2013 - BwcDEPT TOUi'V Or SOUNOW I RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4165 for a Cesspool/Septic Tank Construction Permit submitted by: Samuels & Steelman Architects for L & J Hieeins 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. * * ~ s * : * . s s * s 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 r Signature 2013 Dated J~ OCT 1 uG feT. TO',ti1, 6F'ZIHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK II Residential @ $10 or ? Non-Residential @ $25 Septic Tank ? or Cesspool ? Application No. Permit No. q l 6 Applicant Name: Samuels and Steelman Architects Applicant Mailing Address: 25235 Main Road, Cutchogue, NY 11935 Brief description of Propsed Construction or Alteration: Construction of a new Pool House and Pool, with new driveway additions Location of Proposed Construction/Alteration: 484 Jackson Street, New Suffolk, NY Owner of Property: L. PATRICK HIGGINS, JENNIFER T. HIGGINS Owner Mailing Address: 2 KENILWORTH DRIVE, SHORT HILLS NJ 07078 Property Address: 484 JACKSON STREET, New Suffolk NY Name and Telephone No. of Contact Person: Tom Samuels, 631 734 6405 Tax Map No.: Section: 117 Block: 10 Lot: 3.5 Nearest Cross Street: Kimogener Point Road NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY ` ITH HEALTH DEPARTMENT APPROVAL. 1© 3 Sigant re of Applicant ate Received by T PROPOSED DRYWELLS PROPOSED POOL HOUSE SSDS - SEASONAL USE ER6pID oTMUO TEST raa Z MAr 2008 omm ' , POOL NOM NOW AIWA, tu5 9F TYIRC4 METALS Or CONSTWLYgN ECLAVE"T 0N tow a AOM GGlp4 LMO yPIKWR pO0. PATIO PAtW AARM 7.616 9 I. A 1r1MM OF • FIOCS •TPn01(0 MEKORKO PRECAST COM,rtt OOIlg1 NO OO SOOTNOLQ we YOat Rpf1 STV TO wWMENp ~'r TI 6 EA61 YAF1 SIREET AI r RAN FNL VOLVA ENIALS. 607 WT. S ARM WALLS mx , FONT nNO im/ amrxnar Np[14KI 1601 2. w APPIIp1EM REWO KM PFAVW CONMCTE 6 FfM TIRDI MAR TOP N LAWN 0/~ 3/15/2013 Nm aK 50.70a TOR ARCS EMO SC l.' DEPARTMENT OF SIE[. GW 3r OW. CALCULATE COMPLETE PNP 00" CL OROP •TS VA6T A PATrO OR OMRr6E F1nLY ATTAMO HEALTH CONSTRUCTION wO K Fr. N. LIM OEM VAST K AIR00rS IENCE \ s tY PO, nor rrru M DROP 1•krAMEM SUE. S0'••r. eLpW.R ST P1RP OOW6 • VA %04Y 6 M TIC" o MOM, am CL FT. METALS OF CONSOMO110N /I . AND PROPO CtlICOPrb ET6TRM ML OROIRI F6R SMO F ITIOI•OMEO or TIC 016 t USE O16 In 1000 O 0(A FT MRG6r CIR1CMEfE 9MM TMIR ER6Tg0 M M M vosstom a M TOTAL VOLLWR.I.N1 CV.IT. S' MIT M to OFT WKI I I PRECAST Pm f fIIR0040111:11C 0040111:11C LEAbr6 ac MOVEWAY \ , vews R T 11C M 0 fi v o UIR[R MO S. A MI IRII SOP E SW E R PPE 0Y 11106 be M• Sp Fl M 9C IMP, SnpRA C1111192 92 p TK LEAOWIM Rp AS E AID w NT- Ottlillg. SOP. NO R OF 14E STORM WA O. POOLS A. be M WASf[1rR raw CR A Aa / • \ ~j~ AIMS SUM REPnTS1 I ASSUME CT RE nr TO TO CURT PROPOSES no ROMP MO Dow & NR10ir, Li COWME Or TIC r M . IO ME COMM 2 SAM) Mo pw0. / \ . !1` AXION p M TPOOL At MOT MID i n 116 W Or IRRP OorP6 LMD CS w NO ow SMAVI M Mo MARC TOTAL vOLwE lOOO 0 7 D CM~1 uTTCC MECOMOP LL NO SSE KIWR TIIAfYAr T AM) W KIM MUM M /X LrSi. AT t M1 CONDITIONS Pe'r' ARb tw a a soirpl K P00. SwLL Y A I OF t rUr ABOVE M01 St S AT PAN" r RAN L. VOIA COMMI PIRIRIpAip OYp.• aIE • T L 3.SC' . rAuMM EOIIALLh COT. / Tr NO rAlp [KaNhMEO .INS 1P6 LOT; v. m IRP6FF CQIFCE a MvS[S. TIT WT. raLN COUNTY 11" a ORTWpI. SIRE. ro raw6rp rrMl STOW 001101 w 600.1o•aJ.D TO CONTAIN P16POtt0 PMM M AMA gP10fF / I 2 SOIL. JEST HOLE tJ tJ SC4.E~ Nbi fa SCAL[ w J / I Ma+WEiL •1 / pEvSIR6 RFEMEIIME nEro NOW I / / FLOOD IY1R f4wcFAx= RW F6W LINE OF / , ' E STn' Y•P MIRm, l6WL%05010 VEG R4E Imill, AT nrm ;1'~.. a,n • / I M6ArM•Tq ~ti° EXISTING FIRST FLOOR I N' TAILEXISTING i4 D" 24--V I gill 1 w CORE of PA / / 4 p qq i j 2-STY i ~w I POOL PATIO jQy^N 1[ / • FjRAIND WIN I JI~LEl N •A__ dlYMill _ cn0 - I[•T WIP ~ : r4~°, v ~ ILI /j e Wawa I I J - - 6rn r•Mr rl "AT I s1¢ 1MIR &"ITT. O O C= Euv. ev= E= o o ' P~ o E~ I I % 9~ 5' 6EV. Wrr- I D C= 1 "i / uuTlrT FaE I t= o o POOL bI I= I % , I / , . * Lrr V • rca• SL.T. too / i . --~N-s anrn ro ~v O~ PATRICK Sr•0- •C EXISTING I / I \ /,41 BRENNAN IRAILDING; tA00 OALLOII NrCALI C01KREtt O•IOOi YAMEIOR. N•/MOT TALL •f \ / / : % \ ttST HOLE ~Q AR CR'IITE CT S71R I" PRECAST COIICMETO LCACIW1M POOL PL LC SS DS DETAIL °a` y r - ' , J ! WAR 3 SGLEI NOT TO SCML ~'N .r,. I ii , ~ ! E Jib : °L C7 Water Line(s) MUST Be Inspected By The Suffolk County Dept. Of Health Services. v n Call 852-5700, 48 Hours in Advance, To Schedule Inspection(s). L's ' m WDm TEAL 1* j • A, FOIR »~Pw~.~ •t m ra •s SUFFOLK COUNTY DEPARTMENT OF HEALTH 1( _ n/ NEW 11935 SUFFOLK, NY SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES RECE a VE D • t % /4• ; 090501 PERMIT F APPROVAL OF CONSTRUCTION FORA ED AIL BLLDNG MAR 22'C SITE QPLAN 2 0 AND oET145 t viI F. CO. HEALTH Sl T R f VICES DATE yL'' ! ? o 0MCE OF eA TF!'F l' a' AS NOTED H.S E NO.!' - ® . R.... f. APPAL j % ° ~ aQo AY Pe SW I 9 MM Slit a, J• ~ ` ~P' b'Raa 1. PB TOTAL !MUM13EDROOMS q C \ \ / `6f~ PROPOSED SITE PLAN SCALEI • EXPIRF ES TtfREt YEA:P. rR01~3 a DATE E OF APPAL F \ S AL O A-01 h 0 510 20 50 100