HomeMy WebLinkAboutKofinas, Alex o��g�FFO�,�►�o
ELIZABETH A.NEVILLE,MMC h� G,f, Town Hall,53095 Main Road
TOWN CLERKp P.O. Box 1179
ti = Southold,New York 11971
REGISTRAR OF VITAL STATISTICS p Fax(631)765-6145
MARRIAGE OFFICERy
RECORDS MANAGEMENT OFFICER ��,( •#`ate Telephone 765-1800
FREEDOM OF INFORMATION OFFICER www.southoldtldtownny.gov
OFFICE OF THE TOWN CLERK_
TOWN OF SOUTHOLD CLERK---.--
T, 111
TO: Southold Town Building Department '
NOV 1 0 2014
FROM: Sabrina Born, Southold Town Clerk's Office i:::—]
DATED: November 10,2014 --- T01 -
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4282 for a Cesspool/Septic Tank Construction
Permit submitted by:
Michael Kimack for Alex Kofinas
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 tion map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: Final approval required from the Suffolk County Health Department
r
Signatu7/7/Z/4
/
Dated
r „ _ ��g1�FFOZ,��
O
ELIZABETH A. NEVILLE �`ZO G _Town Hall, 63096 Main Roa.
TOWN CLERK q P.O. Box 1179
y x Southold, New York 11971
REGISTRAR OF VITAL STATISTICS W to
MARRIAGE OFFICER �* �`� Fax (631) 765-6146
RECORDS MANAGEMENT OFFICER �f�� �O Telephone (631)766-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
r I TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$10or Non-Residential @$25 Application No.
Permit No.
Applicant Name
Applicant Mailing Address 92,1
Septic Tank_)C or Cesspool
Brief Description of Proposed Construction or Alteration
Location of Proposed Construction/Alteration:
Owner of Property: jx ���
Owner Mailing Address: 1 Y z2fzv�\,
Owner Property Address: '1��
eyre/ vGj/z ,tr Y
Name and phone number of contact person Afl e 5!� /1'1t'1G F
Tax Map No: Section . Q Block Lot
Cross Streeter
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
Signature of Applicant Date
Received by: i
be 11 REVISIONS:
--Ty S nust HEALTH
Abandonment of ex it
NJ Qj F
onjfomapr C V , - - .i,-
c,l ca proot PAT LANE
L.ac v DWELLING.PUBLIC WATER)
completed foi=st
50'SETBACK
FROM B�LKHEAD
I I I
3
N 26 w 16 is, 20 22 24� 26 291 30, 03.3 32/
u
Abandonment a
OnIf
conll
L.4.1' -—-—-—-—-—-—-—-—-
f--—-—- ------ a
♦
PROPOSED RETAIN! U. TEST HOLE U ITS OF
I EP I
/E 1. E
-bRYWE
;71 j2 I cy-1
PROPOSED ......
PROPOSED
ON Dj' SEPTIC SYSTEM
rL .. /PROPOSED
00,
VJOUS 10
PROPOSED PLANTER • DRIVEWAY_ 3YW 4
9.2"
PR�0.4' 1.0'
;-7 LIJ POSED
137.
ee
P, EXISTIN SEPTICTOBE/ D ELL LIMITS OF z
RAISED tommili Irl
I., SCHDS RE
CLEARING
PATIO IANTER REM . .....
. -1 ...... 4 U
♦ f
P PRAIN .4 -
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z 0
j (I Ef'j 12 1, V
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r_ll -1 -J s STY PROPOSED
---- PROPOSED 2
'PROPOSED IMPERVIOUS
If FRAMED HOUSE* DRJVEWAY,,� 1 0
POOL
< z
P E C 0 N I C la,6deep =1 If EX.
i deep 11/1
62 ' " / RYWELL WM cz
5.2' E.
........... P�Q OSED 36 __j
B A Y ------ co
----------------- FA$KING
12.9' u
4. 20.1y ; TOPSOIL(;PURT / j :3
LOC,4TION
PROPOSED PRqp6sED rq
w z
1. RAISED SCWNED
New mupjf0 FRWANE j, LLJ
PATIO .... •I/PORCH ------ PROP6i'6 TANK AOCATION Tqp) I'!
LIMIT OF
0 CLEA
c NG I......
0 --------------- .. ......
0 116.6
0 0 1 665,
Z
PROPOM
RE t-n > X I . PR�SEO
CABANA AIMING Irdla.6deep Vic 6'd�p XXMING ARBOR EXISTING .4
CEI 00 z 68.2' WALL DRILVnil. Ln DRYWELL :TO BE REMOVED-/
• 0 1 sv.
GARAGE
tj C)
%
♦ j-%, 6.
N
I-- I I— 1 0
0 FROPOSEO IMPER01OUS DRIVEWAY C)
OCT 8 2014 % .1 % .1 d .•
Old GEN Di ; r-
dl.1-deep Irclia.2'cleftep P-4
OSUFF.CO.HEALTH SER CES I R I DR PROPOSED RETAINING WALL, 094'30� EL 36.T 0
FFICE OF r 28 PROVIDE SOUND ATTENUATION S ;906094'30" E
WASTEWATE MT. 50,SMACK SURROUND FOR POOL EQUIPMENT CLEARING
FROM BULKHEAD
((UNDEVELOPED) N
� ITS MYWAY/O/F
LLC
N/O/F
C.A.BRAUT150
SCTM # 1000-110-07-04
(CESSPOOL )�
;0 0
r�
SUFFOLK COUNn-DEPARTMENT OF 1-11EALTH SERVICES
NOTE: 0
PERMIT FOR APPROVAL OFF COCNI�TRUCTlojlq FOR A z
"EXISTING GARAGE".BULKHEAD(WITH DECK)
SINGLE FAl"Oly RE,'c,'iDENC.E AND IS ONLY STRUCTURES TO REMAIN. rA 0
cd
ALL OTHER WORK IS PROPOSED(HOUSE,POOL
CABANA.PATIOS,PORCH,PLANTERS,DRIVEWAY)
SITE PLAN 1 0 00
DATE:
APPR,0VED LE: 111 = 301-0' P E Q U A S H A V E N U E
TOTAL fAIMIN"I'Lls-,
DRAWN: MH I MS
EXPIRES THREE YEARS FROJM DATE
F APPROVAL SCALE: 1/a1'-()"
MEETS & BOUNDS 100#:
October 2g,2014
BY: PECONIC SURVEYORS SHEET NUMBER:
DATED: NOV. 20, 2013
JAN. 17, 2014 (B.O.H.) S-1