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HomeMy WebLinkAboutKubetz, Jacot SC UTHCLD VSSTEVWTER D SPOEAL PERM T CONSTRUCT! CN CR ALTERATI CN PERM T SEPTI C TAN< or CESSPOOL Per rri t Nb. 4377 R Desi dent i al X Non-Resi dent i al Fee $ 10. 00 Septic X Cesspool PERM T ISSUED TO Nane : JACXB T. KUBETZ Addr ess 1: 1600 NORTH O J<W CD ERI VE O ty St Zi p LAUREL NY 11948 Eescr i pt on of Proposed Const r uct i on or Al t er at i on SAN TARTY SYSTEM FCR SI NCLE FAM LY ELLI NG APPRCNED AS SWM TIED AND AS APPROVED BY TI-E SUFFC LK CCUV'TY DEPARTIVENT CF I-EALTH SERA CES. Fl NAL APPROVAL WWI RED FROM TI-E SUFFC LK CCUN Y I- ALTH EEPARTNENT. FEF #R10- 15-0068 Nam a Owner JAB T. KI8ETZ Mai I i ng Addr ess 1 1600 NORTH (MECO D EPo VE O t y St Zi p LAUREL NW 11948 Pr oper t y Addr ess 1 1600 NORTH O4KV'CCD CRI VE Ca t y St Zi p LAUREL NY 11948 Tax Map Nb. sect i on 127. 00 bI ock 6 I of 10. 000 Cross St r eet CREAT PECCN C BAY BLVD Bui I di ng Per nit Nunber Q-oss Ref er ence: I ssue lit e: 3/30/ 16 D i zabet h A Nevi I I e Sout hold Town a er k (TOM SEAL) Ig° Of HU ELIZABETH A.NEVILLE,MMC d���� : �— -®�$ Town Hall,53095 Main Road TOWN CLERK ® f. 32 ; P.O.Box 1179 c4ky r, ". t Southold,New York 11971 REGISTRAR OF VITAL STATISTICS � $.. .' d=: 4 * �� Fax(631)765-6145 MARRIAGE OFFICER i�' ,° , ®.0° Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER = �.1. �+�,J www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER -,.,,_,,,,4 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department artmentR EcENE D FROM: Carol Hydell, Southold Town Clerk's Office MAR 28 2016 DATED: March 28,2016 BUILDING DEFT. TOWN OF SOUTHOLD RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4377 for a Cesspool/Septic Tank Construction Permit submitted by: Jacob T.Kubetz 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 V DISAPPROVE Comments: Final approval reQuired from the Suffolk County Health Department Signature 03 6 Dated og ELIZABETH A. NEVILLE e$2 gr _Town Hall, 53096 Main Roa, TOWN CLERK p P.O. Box 1179 REGISTRAR OF VITAL STATISTICS �� Southold, New York 11971 MARRIAGE OFFICER : ®�, .., ,b Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER *0.0Oi Telephone (631) 765-1800 Q FREEDOM OF INFORMATION OFFICER - ./ * southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD - SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @$10 / or Non-Residential @$25 Application No. 37 7 Permit No. Applicant Name -SAto 15 I. 13 Applicant Mailing Address 1(0190 /Jaf N OA(��..o.p Lc,yre(f Septic Tank ✓ or Cesspool Brief Description of Proposed Construction or Alteration /N«- Location of Proposed Construction/Alteration: Owner of Property: iAco✓' ►. 14,/Eq- Owner Mailing Address: Vo 00 A03,44, O0,.(A,so4 • Owner Property Address: R - • Name and phone number of contact person <414C 1,4t),)67-& 6 1- q-4.1.- 1031 2- Tax Map No: Section 17-1 Block Lot t D Cross Street NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL 1.14 . /titi.raL,114 Signature of Applicant . Date Received by: Y• i 1 I *4.14.% - REMILOLVIA5,OvMI WAI OG5/29/ZOIS • -1.4' ' LOWMIAOiEHEI A7 ( VE9 ARE REFERENCED TO Y PROPERTY INFORMATION PERCERLAGE OF LOT COVERAGE OVER NON-WETLANDS AREA, ' rl,�1 J ij IL� �1 LOT AREA+35,621 SQUARE FEET PATIO-325 S.F. i ' g;C.T1116 q00-127-0ERKK WALKWAY-IS S.F. i x A';, architecture,p.c. EamiG,REIDENCE RA-80 BARN-MR S.F. • =Id CREEK BOTTOM IS 2'TO 3' (147 BUILDING FOOTPRINT-1,940 S.F. , OF MUCK �� L D2,993 RIVEWAY/34,200 S.F.X 1005.0.765 `` J �• ---4`. (117X P.O.BOX 1254 JAMESPORT,NY 11947 DIPERVOUS PATIO S QN Ott) ' 3 _o,ix"' ' �,2 PHONE(631)779-2832 FAX(631)779-2833 FM t1AU54AY-III S.P. / LIS 4 WA ER, 191•61 0 ``` SO• �X , ,,=L2 x(1o7 TEST BORING ,`� ' O (6") BRUa FOOTPRINT-1,716 S.F. QD�' j PURL 6'0,16,.. `\ss `\'`',';;�,�� `9O'.. '% Proposed New DRIVEWAY-56, IZ I G "I ' •9,, �, . \\\ ``meq`• 6�� oor*°""°ia \ \ t�• ���• EXIST GRADE= 13.4' Construction: 4»sF./ EEDBElOo;.SsAN ,� 5� `s\ Mr. & Mrs. NA'�OF PROPOSED E\FDR00319,4 00°1' �`''• c`�`\ \ IF k ‘` �''.,`` T•-�i, ?� - eXto� SANITARY SYSTEM D FOR UP TO FOIUR BEDROOM '\, \�` 2'-0' BROWN SILTY SAND D0STRIG 9M1RH \ \ ` t \L- 5 ,\\ `,�l *�\ e� ,g, \\ \ \ \ ss.,0,‘ „ \\..\ \\......,,,,,—, . . NO HELLS WITNM 60 RADOS CF • �/ Y� \`` i. i I \ i���4• 4 2\\ t\ t\ a �' ." :. \;;fir`.,'... • \ PALE BROWN FINE NORTHWEST G01iN82 ' o,, in F/0,,µ %' . X *I,/ #, ;' ' `wig'''; '' t`, I\\\ ;t`` 't 1\ r ;, $2� c. i 15.8 i HOUSEITO BE \\B, ,,RA ;.�`t'iP�\ ``,, `\. \\\` Q` \`` \ j s `\ /1\ k k • N 61° \,i' x/i x 'DIAMETER 1lj00G ° �, LAI , WENN ` , --1X \� '' \ \ '� 1600 North Oakwood ...:,'.g•• a �,. \\ ' ;12'-4'� Drive, Laurel NY • :. .;•a• v\ \ O 5�T1C TANK -i � '� ` \` s• \ , \ tS V\ \ , \ - �., ' \\ '5 \ \`� `• `\ `\ i \`` '\ \ \ ,>�; ` • • • e. \X --�d"�' t\ t •ig \I \ �a\\ \\ \\ \;: \ cp• WATER IN PALE • • N" Ma rata:--'a;�. \ i\ `\ \ t`\ta. \\ �. \ \ B MT•,,,..1 .;•` /,,, Ms' 4BROWN FINE SAND SEAL 4 DW 1GIGR \ I �'� ,E...--" ,„....--[ 4 `\ \\ \\ `\ ` ` \ �. \ ; LE/W6N�pOOL lip / T : ] )\ \\ ` I \ \\ `\a \ x ♦ 17-0k �' :. x \ �f �� ` \s,ter \ \ x�.e`\. is .\ \\ ilk u, \ .. ,.� �‘, ,' 1zz /• f lis �tAt i; \\ \ \\\\\fit\\ WATER ENCOUNTERED AT 12'-4' (ECFV. !• \ mu• g " o`'oy\ ‘4.\\., LWj BELOW SURFACEp, f � ` ti• fin° 44/• ls �` .,. �'•.\.'.•' Rind" \ i \\ . \\ y�;�t \`, \\ \\\AL`\ ` ted'••••, BORING BY: McDONALD GEOSCIENCE i�R C •. \\ i ;' '.•,. ^ ; ym,,,, 1 \ '"�,`" `\\ : t d'� TAKEN ON: AUGUST 10, 2015 @ 12:15 PM �•j ' _ '( r i. (9. T1,\Its i \'AN3MC�1 POOL .+A' icii:'--- 1 .�,e' RahilSET ••. %'- ,11 N'�= ,' v` X\ `y< \` \ k. \\` t .y 'q�l�, `-�� T 1, • NN. S \ ,�-7 \\� t.-,;•-.•' .' PAT1D x-li i ``\ -1J\\\ t�z\\\ \\\ \\ SLI,3,`\ ('\ `\ x ..i`P 7�: a't s "��',,. a s , it ••`• Z \\\\\ •�• .moi 1S.L x1,L5 •. ' I\ ---------------------' `123 �x'.4,\.•i. � 1 1 1, , \\`\\ ``\\ \`\\ tit \``\ 5 ~4t '\ -x���S�;� �' .; S \ l ND t'�R�1/ATE WELLS i. BRICK PATIO T I y \\ ti \\ t\ ¢¢''`., •pp ]] ,"5. c O . .)'.• \\.\\ / Rarmas •.. ,,, ••'•••.• . • '•r ' ', ---- ®�� �,' i' , '` \�\ `\ \`tit \`\ `. tit } •atet`3.ine(S ' T Be Inspected By The "�� •ri yt ?-, •••••'•. ‘, , �/ t .9�SW'WMTa.GRATE.' < x % Z.t i, `\\\ \`\ `\ i \ \`\ \ oII�\ 'iy •1. Of Health{ S(�i1vICietJ. '-,,,,......"..r �.� / cQ4ER.'.'. •' \ �' x �\ \`` Call cv ,' ♦ t • �"�' ma \ ` \\ -tuu \ urs In Advance �,, •'.4..%.1.1k,,,„ : . . . . . . . . . . , x�, \ \. To Sche• spection(s). •i'• XS.• • •, '��'. •? j•i' \t \\\ • ' '_i_, ' Copyright 2011.STROMSKI architecture,p.c.All • I • '• h, •' - 5,: \ ,e.:-.. i netts reserved.The Architect reserves the right to O w y\•• •; {TOLE i /'Y /��•�• x \\\` \\\ '�,` J'n�1• reproduce this design In its alteratientirety n of or these dportion seats 1s a .t I'. a.] LOCATICR / / Y _ These New York State Educataon Law �5•••►A•,•� \``` �J.4 , '� / �� x� -______- P.4x \ \I \\\ \s • dralawings antton of dspedfl tions arae as imt>anent ofsetvice ' / \`\ x A r. '' �r `\ . and are the property of the Arclutect.These drawings • • `\ / \� i �' and specifications are not to be used on an other •, i j i project,except by written permission of the Architect. , _, t i , x 5. ' i \ '• // - - ' ' IPROJECT NO. 15-AR005 O ' • A finI s` i i i '1 \ �9 /x i DQHE DY,NATHAN TAFT CORWM III SURVEYOR �! a 1 / ;LO 1 I ! x- DAs, .ARAE E3 2015 SCALE 1"=30'-0" DATE 1/26/16 I ' 1 i THORNS WATER SUPPLY INFORMATION VERIFIED tem Q •by ` I ! - 1 % - SUFFOLK COUNTY WATER DEPARTMENT BY SURVEYOR DRAWN BY: TLD CHECKED BY: RS • 1••• ` i I, i I . i a. i t: 8 d • % ` $ ',,Abandon, leilt o dxastingfs Eta y-sys�ein.,05•••- • "-- : - , !:y 1i• 1, oorlifer* edi e„1.t-4 4p_r .� txeq, :_7.4.11-9-1- 6 ubthitt SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES TITLE ..•,i ;:;, on'1 a {TEE It' /10,11:_. a', oma" TooT LOT O �g� PERMIT FOR APPROVAL OF CONSTRUCTION FOR A SITE Q .'.` ;o \` c • 1 111/0/01,$LIC WAT SINGLE FAMILY RESIDENCE ONLY PLAN o A G � ---7-::::777:-.4:1A7:"'--7-::7:77.'71 ,.. . • o• 'S.' �`�69.Oa�20 , BUlSED aN'x RAINFALL ca4ralrlaNr� (1)161'LEN DATE 3�Z 1�! (� H.S. REF.NO. ;� �^-.<�..,Y t v. p - 5 IPERVICOS SURFACE-2,433 S.F. • 2,48 S.F.XJ"FEET•1�CUBIC FEET SHEET _ \{-�k� y APPROVED /Z�--� >� 1�� {y CATTAQaI;fEif REWIRED. j� ��Eti6� � � ��i�� I. ° '�1"1 Iffi C.F.r12 C.F.(fER LINEAR FEET CF 5'DIA.RING)•12 FEET OF ao MED DEPTH 7 BEDROOMS 'I ° VA. CONTAINENTPROVIDED, FOR MAXIMUM OF O! E o i oo (VIP DIA x 5 FEET STORM RINGS EXP[E2ES TH REE YEARS FROM DATE Of APPROVAL ,,tea r } /?3 ;- °»_ `tI;3=gS _}} fir. A..,u " l T. a .� 'i'+,as;'—l iC <t \.rte Yt lr. ---�• FOR SUFFOLK COUNTY DEPAR1MB T OF MUM SERVICES APPROVAL STAMP A ii CAST I F.F,= 17.0C. COVER RTOON GRADE �11 - I USE 4' DIAMETER APPROVED r . NIGH PROPOSED z SEWER PIPE THOUGHOUT AT LOWEST PROPOSED GRADE = 15.0' GRADE = 15.4' \ IMP PER FOOT SI OPE PRECAST CONC.\ t PRECAST CONC. \\GRADE = I3.75'\ r---.� (TYPICAL) (TYPICAL) S �_���� SI _ LE.= I \ \ 1 \ = I I architecture,p.c. z \_ �, IRONCASV.I.F. I.E.= '- ��141-01 � I I i .� \ �� ®®® I.E.= �) ® ®® \ E P.O.BOX 12,4 JAMESPOR,NY 11947 = PHONE 631 779-2832 FAX 631 779-2833 HOUSE 131-01 I E= I.E.= I I MI ® 12.0' I I M ® o TR 'P _ - - 12.6' 12.0' Proposed New \ o II ® -•l CROSSOVER PIPL I MI® 3'-0' MIN. ,� Construction: USE 4° DIAMETER .- Mr.. & Mrs APPROVED_SEWER_-_ PIPE THOUGHOUT AT T ' ®® — -ca ,' ®-� El I/4' PER FOO 1500 GALLON SEPTIC TANK �) ® •� �I MINIMUM SLOPE AT (ROUND TANK) • ® ® Kubetz ,-----, INLET. CONNECT TO EXISTING CAST IRON \ 11 OUTLET FROM HOUSE \ \ \ T • al fit ne f c z 111119* 'g ulz� \ 1600 North Oakwood ` `ri r 8 F- Drive, Laurel NY \ / \ c7 ,i / S.C.T.M# 8-0 DIA. 8'-0' DIA. 8'-O" MI 8'-0' DIA. > SEAL BACKFILL MATERIAL WATER TABLE TO BE CLEAN SAND REMOVE INADEQUATE SOILS \ GRADE = 1.0' ° BACKFILL MATERIAL AND REPLACE WITH CLEAN �; r ek AM SEPTIC SYSTEM SECTION Scale: 1/4 = l'-01 TO BE CLEAN SAND SAND AS REQUIRED. 47" t' 'i i ur ::491, �• �4i.Cr jj � 4 _' PROPOSED GRADE I.E. 12.2' ;,,',* ���\ PROPOSED GRADE I.E.= 12.9' \ PROPOSED GRADE I.E.= 13.6' \ „� ? ^:; .. f ►� Zs 9 t 1s ? •it:T.CO, `..-1. 4-' .l':,- n+. 7Copyrlght 2011 STROMSKI architecture,p.c.All _.,.,t- !,— -.. •rights reserved.The Architect reserves the nght to RAIN WATER CATCH BASIN - A RAIN WATER CATCH BASIN - B RAIN WATER CATCH BASIN - C ? - - w-,,,� --,-,_„a- 'reproduce this design in rta entirety or any porttoa '”' -'thereon Unauthorized alteration ofthree doc�mrThee a violation of the New York State Education Law.These \ _ \ \ \ \ _•`-"-.� \ drawings and spedlcations are an instrument of service / / / 8'—O' / / V-0" / and era the property of the Architect.These drawings 8' " 14 I end spedBcatloas ere sot to Ix aced oa uy other 14 project,except by written permission of the Architect CV I PROJECT NO. 15-AROOS I 'D tO SCALE 1"=30'-0" DATE 7/7/15 WATER IN PALE BROWN FINE SAND = 1.0' _ _ _ _ WATER IN PALE BROWN FINE SAND = 1.0' —_ _ _ WATER IN PALE BROWN FINE SAND = I.0' \ \ \ _ _ r _ DRAWN BY; TLD CHECKED BY: RS © CATCH BASIN SECTION Scale: 1/4" = 1'-0" TITLE ® SEPTIC TANK TYPICAL LEACHING POOL NO SCALE NO SCALE SITE ALL PRECAST CONCRETE TO MEET THE ALL PRECAST CONCRETE TO MEET THE PLAN FOLLOWING SPECIFICATIONS: FOLLOWING SPECIFICATIONS: CONCRETE: CONCRETE: STRENGTH = 40000. @ 28 DAYS STRENGTH = 4000psi. @ 28 DAYS CEMENT = ASTM C -150 CEMENT = ASTM C -150 SHEET - AGGREGATES = ASTM C-33 AGGREGATES = ASTM C-33 WATER = PURE, POTABLE WATER = PURE, POTABLE S REINFORCING STEEL= REINFORCING STEEL: _ 2REBARS: ASTM A-615, GRADE 40 REBARS: ASTM A-6I5, GRADE 40 WELDED WIRE FABRIC: ASTM A-185 WELDED WIRE FABRIC: ASTM A-I85