HomeMy WebLinkAboutBurns, Joseph 0 ,0 O '
ELIZABETH A.NEVILLE I hGy �� Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
y Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS k V'
� O Fax (516) 765-1823
MARRIAGE OFFICER :` #
RECORDS MANAGEMENT OFFICER ��l % Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER ^ ost����
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1844 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ROBERT STROMSKI
Address 1 : P. O. BOX 93
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-98-0046
Name Of Owner BURNS, JOSEPH AND MARIE
Mailing Address 1 288 EAGLES LANDING
City St Zip HUNTINGTON CT 6484
Property Address 1 450 FAIRWAY DRIVE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 109.00 block 5 lot 14.036
Cross Street TEE LANE
Building Permit Number Cross Reference:
Issue Date: 4/16/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE I�`Z` Gy • Town Hall, 53095 Main Road
TOWN CLERK p 1 P.O. Box 1179
ti 2 • Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Pr/
o '� Fax (516) 765-1823
MARRIAGE OFFICER ��0��''1 Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
.01
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: April 7, 1998
jI
I
Transmitted herewith is a copy of application No. 14 for a Cesspool/
Septic Tank Construction Permit submitted by:
Robert Stromski •
Please review the application and location map and advise if the project
has received Suffolk County Health Department approval and if this office
may issue the permit.
Please complete the form below and return it to me.
Thank you.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE
DISAPPROVE
Comments:
1998
✓ natur`�
BLDG. DEPT. Dated
T WN F S UTHOLD
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OFFICE OF THE TOWN CLERK C FJtA-
Town of Southold Z�. T
Judith T. Terry, Town Clerk ; Application No. r��/�
Town Hall, 53095 Main Road o Construction
P. O. Box 1179 :
Southold, New York 11971 O Alteration
Telephone '40/µi [ NP� Residential
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE Ar--;:k z
APPLICANT NAME: ice '=./ �t %j: i % ���i j t- 4`�yvl,� k;
APPLICANT ADDRESS: t=tjzC.11-ITEC° t-6 (.c� 1T�-ate '? & VeDK
Ci4-TTt T tAc . rile 1 ti 2 _
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: ti,t0 en AriC -SucVy
OWNER MAILING ADDRESS: 2...g8 Eel ). , 1-61,,d;
1-11/h Visl nr. , 7 (96
OWNER PROPERTY ADDRESS: Cot �•or 1„-es-1-
A ri*c
-es"''-Ar't Fay1zJk( 1:71ZAVE C>JTC-4041 }V-
TELEPHONE NUMBER OF CONTACT PERSON: Z '7 I j lei Cl� �� ;� he 10 jrs)
TAX MAP NO. : Section /01 Block 6)5- Lot i q - 3�
CROSS STREET: Lat- ' ,q% 17 4VIZIaAT' ,c
f
BUILDING PERMIT NUMBER CROSS REFERENCE:..
Signature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
1
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6613.10110;a419)8134,1 I-
SURVEY OF C wEL� H In .
LOT 2 8661
•
8bw
FAIRWAY FARMS °x'�0'1' E bti,� 41,)00'+io „s
FILE No. 6066 FILED FEBRUARY 15, 1974 pr dA �O/I f 1ti o d. �ieoeZl
II
SITUATED AT ` �P u�
CUTCHOGUE
TOWN OF SOUTHOLD �� Wise•
Iii-
SUFFOLK COUNTY, NEW YORK , -
1.
S.C. TAX No. 1000-109-05-14.36 -1. . ..F
SCALE 1"=40' °�0C&
FEBRUARY 20, 1998ob+ +T).-1-6-1
MARCH 13, 1998 ADDED B.O.H. DATA 06' moa
Ic
AREA = 45,879.64 sq. ft. '1° ` $, 'b'
1.053 ac. VO ,-
14-
O
NOTES: d ; /0 dr° /
1. REFER TO FILED MAP FOR TEST HOLE DATA. 5Tt9►,, fir °•' /so. qz
2. EXISTING ELEVATIONS SHOWN THUS:.ARE REFERENCED TO AN ASSUMED DATUM. 0 ,7� / vp"'
3. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1,000 GALLONS. 7. VO !A,
I TANK; 8',LONG.4'-3" WIDE, 6'-7' DEEP FENCE I.VN.
4. MINIMUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 sq ft SIDEWALL AREA. ot ' , ( ,.
1 POOL; 12' DEEP, 8' dia. o;
.,. : PROPOSED EXPANSION POOL
QPROPOSED LEACHING POOL
•• � � O•d.,45' -
Q PROPOSED SEPTIC TANK Htt O ' ,� /
CERTIFIED TQ: g
CHICAGO TITLE INSURANCE COMPANY 0; . �� �r , /
TITLE No. 9808-00293 80x
JOSEPH R. BURNS
MARIE S. BURNS .m '44
I .
ID o
THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD o1' do
OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. P ;�. p �•c�3r
5' EASZMAWD FOR LAINTA/NIN CONTINUOUS ��
:`=1 PREPARED N�• SUINErS AS ESTABLISHED =
-
-__ R6'CXARCL SAND ALt SYSTdY , ---- Q - �' O�� d assvoa
Er ', , AND APPROVED AND ADOPTED 26.3 4 ---'-Tc015 -�/ -
�IO a,. l . THE NEW PERK STATE LAND ••.,• , M/�� FVC
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SECTION 7200 OF THE NEW YORK.STATE +
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COPIES OF THIS SURVEY UAP NOT RARING DWELLING " CI 1
Lad Surveyor '"E LAND
SURVEYOR'S LIKED DR (WELL INDETERMINABLE IN THE ,
TO OE AD SEAL SHALL NOT YE COISGERED I v FIELD ON DATE OF SURVEY) .
1OBEAMIWTRUECOPY• I
OItY �p1f A te d
OIIIY'1111 PF�BON�fCR 1TO RVEY .0� a a� 1
K PIEPA10)..AND ON _BEHALF TO THE ,
4, .110.,E COINA�y,.NYERAAE:RAL AOENCY ANO a ..
TO,SuHga Subdivlrions - Site.Pion, - CarMuction Layout LJ:NO�p IHSTI GTIOn LISTED HEREON;ATO
10110N.CEMNICATONS IME ASSICIAEA tS OF 1}E LENDING T,
PHONE (515)727-2090 Fos (516)722-5093 M[NOT OO , k
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OFFICES LOCATED AT MAILN4G AOORESS THE EIOSTDICE Of RIGHTS of WAY �`
- - - .-•. .un/no V* WENT OF RECORD. IF /'�
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