HomeMy WebLinkAboutFoote, Nancy ..j• ','1 ,ilii��••
S�FFO(�ee
JUDITH T.TERRY �t y1 Town Hall, 53095 Main Road
TOWN CLERK y i P.O. Box 1179
$ Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER yijJ 01 Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER )l �►����� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER '—��,,, ,• �
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1496 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : NANCE L. FOOTE
Address 1 : 54 BAITING DRIVE
City St Zip BAITING HOLLOW NY 11933
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR A NEW SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. SCHD REF. #R10-06-0052
Name Of Owner FOOTE, NANCY L.
Mailing Address 1 54 BAITING DRIVE
City St Zip BAITING HOLLOW NY 11933
Property Address 1 790 WILLIS CREEK ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 115.00 block 17 lot 17.013
Cross Street MEADOW BEACH LANE
Building Permit Number Cross Reference:
Issue Date: 6/25/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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• ,,�,,O�OS�FFO(��oG Z
JUDITH T.TERRY �'�,=� .A • Town Hall, 53095 Main Road
TOWN CLERK % ti= ; P.O. Box 1179
W ill �
yt Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER =��1 r Fax(516) 765-1823
RECORDS MANAGEMENT OFFICER 1 �. i��� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER •.,,, ,•-�
OFFICE OF THE TOWN CLERK { '` g i
TOWN OF SOUTHOLD ----------,
7 1996 i
TO: Southold Town Building Department 4..,
BiDo .
FROM: Linda J. Cooper, Southold Town Clerk's Office.._, TowN OF s0EpT.
DATED: June 17, 1996
Transmitted herewith is a copy of application No. 1560 for a Cesspool/
Septic Tank Construction Permit submitted by:
Nancy L. Foote •
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.
(L:i-vXs'
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recoommmendations:
APPROVE v
DISAPPROVE
Comments: (746 , .0 li , /C? - 9'6 Dos- =2,
V."-e,(/-
9 "2
Signatur A__69----.72i-
svDa
OFFICE .OF THE TOWN CLERK i " -
,'Town of Southold ,1'"C41 101./("V=
Application No. 7-5-6, Q
Judith T. Terry, Town Clerk l , pp
Town Hall, 53095 Main Road ; Construction
P. 0'. Box 1179 �r+ Alteration
Southold, New York 11971 •In *$
~ Tele hone �yO r
611' $10.00 - Residential%pr �---
(516) 5--1801 _ ".j r
r, $25.00 - Non-Residential
Poi
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
----------- DATE � // 7/9 6
APPLICANT NAME: /i/ t') C. / L / 00
APPLICANT ADDRESS: /JGC/ 1 51 >1g Y
-Bal ./1(7, lo �lou% A/ Y /74'33 -- —
SEPT IC,��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: !V/a 4 L f--Q a /-
OWNER MAILING ADDRESS: 54/ ' 7)-41
3u 172'45 HD((o-a)/ lV V // 3,3
OWNER PROPERTY ADDRESS: -.2q0 1 i /// S £eek , d
ma / , lvV
TELEPHONE NUMBER OF CONTACT PERSON: 36,4‘-s-6-9?) e 7y�
(w2
TAX MAP NO. : Section
/000-1743'lock 1 Lot l / r 1_3
CROSS STREET: /11-toa_doix) -e a-ch Z-ez t�
BUILDING PERMIT NUMBER CROSS REFERENCE:
,/Sig ure of Applicant
RECEIVED BY: _ L,U,tL4
-
' Town Clerk's Office
DATE:-_— i 7 9Za _.,__----
4 NoV9!
R F,•'4.0 .
1 eLs11.& E41ILILOT COVERAGE:
/ II) .."'�.... •�. EL.10.4 EL.,9.4
UPLAND AREA =36500 S.F.
`'"! AREA OF HOUSE DECK PORCH,
Le.=4.1 ,' BRICK PAVERS a POOL = 5850 S.F.
'9srxT• • 10.MD& I%ern,1�,,,,,°K I A'_ninaf 19•'64 .6 _ _=o:nir.1_. ASPHALT DRIVEWAY = 1400 S.F.
11 cessvoe�-�
.4111, �i TOTAL
UPLANDPERCENT
COVERA E = 19.8%
_ _ M Z rs.y- eL.•t.4
PROPOSEp SANITP Y SYSTEM —\ ��
USE (3) POOL SYSTEM
WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM muff
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NOTE, [� CF,g, EL • 1.4
WATER lu 7.e, 6ROu,lO WATER
I.REFERENCED INGS TO MEAN LOWHOWN THUS: IWATERRE l�L�p•/i 0F SA""
2.ELEVATIONS SHOWN HEREON ARE FROM ACTUAL SU Y ----AA'
AND ARE REFERENCED TO N.G.V.D.I MSL 1929).
3.FIRM ZONE"A4 BASE EL.=8.0 CONTIGUOUS WITH 8 CONTOUR.
4.AREA. 45 744 S.F
5. •Ill.NUMBERED LATH SET
JUNE 10,1996 ,
SUFPOIX COUNTY DEPARTMENT OF HEALTH SERVICES SURVEY FOR MAY 29,1996
NANCY L. FOOTE FEB. 28,1995
JAN. 18,1995
PERM FOR AFTROVALOFC(REI RUCTION FORA LOT N0.13 "HARBOR VIEW AT MATTITUCK" NOV. 22,1994
SINGLE PAROLE RSIOUNI C2 ONLY OCT. II,1994
,JUN 13 AT MATTITUCK DATE. JUNE 10,1994
DA :I . ATO- J.0Oc9. . TOWN OF SOUTHOLD SCALE, I 50'
APPRO 4f• / • `_ i -' SUFFOLK COUNTY, NEW YORK NO. 94-0305
K UNAUTHORIZED ALTERATION OR ADDITION TO THIS
FOR MAXD4UMOP ISM1• SURVEY W A VIOLATION OF SECTION 7209 OF THE
NEW YORK STATE EDUCATION LAW
*COPIES OF THIS SURVEY NOT SEARING THE LAND „ Lg.`;=`�
EXPIRES 71DISE YBARII/11014 DATE OF APPROVAL SURVEroR'S INKED SEAL OR EMBOSSED SEAL SHALL C „W 1,
_ + NOABAONfDWRTO DBCHA RVALN HTRUERN” ,
ONLY TO F
HEALTH DEPARTMENT-DATA FOR APPRON4L TO CONSTRUCT THE PINSON FOR WNW/ THE SURVEY IS PREPARED N �Q,
ANO O*MIS BEHALF TO THE TITLE COMPANY,GOVERN- (iStil
,..• `1�'� 1
N NEAREST WATER RAIN MI.• *SOURCE OF WATER'PRIVATE PUBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED .• 7f
M W FF CO.TAX MAP ONTZ000 SECTION JNA_MOCK JZ_LOT 1.13 HEREON,AND TO THE ASSIGNEES OF THE LENDING W -..Ili Q
N THERE ARE NO OWELLNNS WITHIN 100 FEET Of THIS PROPERTY INSTITUTION. GUARANTEES ARE NOT TRANSfERAULE � �;F.
OTHER THAN THOSE SHOWN HEREON. TO ADOITIONAL INSTITUTIONS OR SUBSEQUENT 1 I,1..j);;,i,
N THE WATER SUPPLY AND SEWAGE DISPOSAL FOR THIS RESIDENCE OWNERS -- .-
*DISTANCES SNOW* HEREON FROM PROPERTY LINES Q
WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT TO EKISTING STRUCTURES ARE FOR A SPECIFIC ��
OF HEALTH SERVICES, PURPOSE AMD ANE NOT TO GE USED TO IFN :.'6, '1' .'
APPLICANT PROPERTY LINES OR FOR THE ERECTION OF FENCES t`A W.
*T -•
ADORE SS
TEL YOUNG a YOUNG �RRHEAD ENEWRAVE KKE
NOTE:•=STAKE FOUND A.STAKE SET ALDEN W.YOUNG,PROFESSIONAL ENGINEER
SUBDIVISION MAP FLED IN THE OFFICE OF THE CLERK OF AND LAND SURVEYOR N.Y.S.UCENSE NO.12845
SUFFOLK COUNTY ON AUGUST 21,1987 AS FILE NO.8377-
HOWARD W.YOUNG, LAND SURVEYOR
*THE LOCATXSI OF WELLIW),SEPTIC TANKIST1B CESSPOOLS(q)SHOWN MENEOM N.V.S.LICENSE NO.45893
ARE FROM FIELD OSSERiTIONS IMO OR DATA OSTAINED FROM OTHERS
SRANDIS & SONS INC. 2.9,.