HomeMy WebLinkAboutBombara, Robert
~~5~?FFO(A ~,O
O r?/ Town Hall, 53095 Main Road
ELIZABETH A NEVILLE, MMC P.O. Box 1179
TOWN CLERK y : Southold, New York 11971
.r Fax(631)765-6145
REGISTRAR OF VITAL STATISTICS Oy
MARRIAGE OFFICER Telephone (631) 765-1800
RECORDS MANAGEMENT OFFICER www.southoldtownnygov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD _
hA , 7
TO: Southold Town Building Department
~II FEB 14 2014
FROM: Carol Hydell, Southold Town Clerk's Office I
DATED: February 14, 2014 !,i_o
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4421 for a Cesspool/Septic Tank Construction
Permit submitted by:
Be Desi n Architecture for Bombara
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:
Signature
®3 /
Dated
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK /
VResidential @ $10 or O Non-Residential Q $25 Septic Tank or Cesspool id
Application No. Permit No.
Applicant Name: ioatj Z '~L7Ll~ j%e „7aW4AJ .4~_oLm ry&~'AJ"
Applicant Mailing Address: 1'&( VArf" 5y r'L$ 41S
lG4s 6'-S
p NY
Brief description of Propsed Construction or Alteration: ~W(9 f,F F'ti MwY YXss r &Ze
~~~lHMWi~.+ PesL•
Location of Proposed Conshvction/Alteration: 1725 tJOe" SOL% 'DRaVE / *tn*+0L7), N Y.
Owner of Property: gafforaW Isom n A2 fA
Owner Mailing Address q ~ ~~o iro~ t nub"CP M92eA Y. 114
Property Address: ? Z N01~fH VMM :OUjjj v Al Y_
Name and Telephone No. of Contact Person:
Tax Map No.: Section:- Block: Lot:
Nearest Cross Street:
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL.
2 / Z at
Siganture of A icant Da e
Received by
NOTES Young & Young p
IV AREA = 24,8-I41 50. FT. 400 Ostrander Avenue, Riverhead, New York 11901
/ • VERTICAL DATUM N.A.V. DATUM (1988) 631-727-2303
ry • SEE FLOOD INSURANCE RATE PANEL NUMBER Howard W. Young, Land Surveyor b• ®
21y 0' 36103G0154 H LAST DATED SEPT. 25, 2009 Thomas C. Fotpert, Professional Engineer
•t"i p,'p.4 ~p~ id° • AMOUNT OF FILL REQUIRED = 500 G.Y. t Douglas E. Adams, Professional Engineer • FILL TO BE GLEAN BANK-RUN SAND AND GRAVEL s
Robert C. Tast, Arehiteot
W E FROM AN APPROVED UPLAND SITE.
• BUILDING FOOTPRINT FIRST FLOOR AREA = 1,11e, SQ. FT.
~~r/ ~'Q 3.02 SECOND FLOOR AREA = 1,554 SQ. FT. HEALTH DEPARTMENT USE
p~P 99 • ZONING USE D15TRIGT = 'R-40' Su ~ ry
• ' pc~a y. / • THE UNDISTURBED PORTION OF THE 51TE SHALL BE t d ('r ~-B~ p•~ ~'r~ l ~L~~
C
ov ~9' / /y" /x•561 MAINTAINED AS A NONDISTURBANGE BUFFER $UFFO
€ '~\"G\Oa
I
~ L COUNTY DEPARTMENT OF HEALTH SERV(I~CES f NI
Dole
7 sa ~3 7 sz PERMIT FOR APPROVAL OF CONSTRUCTION FORA
if
141 ..F
SINGLE FAMILY RESIDENCE ONLY
12
OQ- onJ \to ?g.,a" o
O / 4I to- Qf;75'- ^ sgi ~d DATES
r yy~r H.S. EF. No.
-12
~_aQ` Q"~QQO~ od° 56s /11), 2q°~ ~~07rpTry~~ APPRO E ~e
l ~Q` V. v /9.61 1 s-za„ . a FOR
//yJq~,~yj UM OF BEDROOMS Y~
/0 r EXPIRESTHREEYEARS FR MD TE OF
. ss
o'
t ~\~v r 3.07 •.e~/i y°/ / / / / / / ~f q`s
6.100. e.aJ f~NY / /y. / s.74 -9.5- / reJ V IS
J~°%~ f " SURVEYORSGERTIFt'.r4TIC3F `~C3~~
g0i.77 5.44~ / N~i` v
0
TEST HOLE 5.39 .55 d /t -7.50
1 e q
BY DOONALO AII0 GIENGE fs o C>~a /5.71 7.27 HONIARD K YOUNG, ,Y5. L.5. .45893
FL-6.45' OA• / /e <yT -~.so i?~ y~o /t j, .as / /,t~'%~ / r ~r M
PALE BROYBI .7.52 C~~6.62 s'. SURVEY
` ARSE v ~x 1 ~`36 a 6' r" 5.49 FOR
ON L i 2 0
SAND 7/ RIoB~RT 6. BOMBaRi4 b~
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/
All At Southold, Town of Southold ~
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GW / /
ti ~y('a ,.zs /a. Suffolk County, New York
Q 7 0
AATM y IN ,gq y- .7 i 1 ) , County Tax Map District OOO section 54 IBlock 04 Lot 19
L PALE BW N CY O i
Y 6.1 5.4
PIPE
/
COARSE ,td ~ G;'o^ ~2/9/ 9UILDIN6 PERMIT SURVEY -ALTERNATE 7
5AW
c /
O e / ADDRESSED SGDHS Not
v!: APR. 25, 2015
43 / sa AMENDED BUILDING PERMIT DATA APR. 01, 2015~e
ADDED NONDISTURBANGE BUFFER NOTE AUG. 25, 2012
~~pp s ` / v7 ' AMENDED BUILDINS PERMIT DATA JAN. 11 2012
7T77 W C~3 AMENDED BUILDING PERMIT DATA MAR. 10, 2011
7 y/ . S- AMENDED BUILDING PERMIT DATA FW 08, 2011
PERCENT ADJACENT AREA COVERAGE If, Wut AMENDED BUILDING PERMIT DATA FEB. OI, 2011
1y 7 U3 a AMENDED BUILDING PERMIT DATA SEPT. 50, 2010 jell
PROPOSED AO AMENDED BUILDING PERMIT DATA SEPT. 21, 2010
~V N / 0 v tj NY5DE0 AMENDMENTS AW. Ib, 2010 0
` FRAME HOUSE = 1,354 SQ. FT. = 5.4% 7 ,11/ ,T. SGDHS AMENDMENTS NOV.
DECK = 1295 50. FT. = 0.5% \I / 4/ .56 G3 AMENDED BUILDING PERMIT DATA 25, 2004 Y
PERMIT NOV. 24, 2004 s` 3
7.31 nb
POOL = 251 SQ. FT. = I.O% / AMENDED BUILDINS
BUILDING PERMIT DATA SEPT., 200q
0
11
3
AUG. 17, 2004 41
TOTAL = 1,"133 50. FT. = 6.9% MAP PREPARED
$19
3
now,t•~ar sEr rrowl•>Er+r Foum srAicE SET STAKE FglI1D w SCALE: I"sq -0520
o. p. JOB NO. 2006-0520
3~
O . GHIMHEY RO . ROOF OVER 5 • STOOP CE. CELLAR EHIRMY.E QQ DPW 2006-0182-by-bom15 I OF 2 fill