HomeMy WebLinkAboutStufano, Mark (2) ELIZABETH A.NEVILLE ' Ay�; Town Hall,53095 Main Road
TOWN CLERK o P.O.Box 1179
y Southold,New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER = 'or -0,00to' � Fax
(631) 765-1800
FREEDOM OF INFORMATION OFFICER ," southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3202 R Residential x Non-Residential
Fee $ 10.00 Septic x Cesspool
PERMIT ISSUED TO:
Name : INLAND HOMES INC
Address 1: PO BOx 117
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR ONE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-04-0003
Name Of Owner STUFANO, MARK & PAULINE
Mailing Address 1 134 WICKHAM ROAD
City St Zip GARDEN CITY NY 11530
Property Address 1 3505 CAMP MINEOLA ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 123.00 block 6 lot 12.005
Cross Street TERRY PATH
Building Permit Number Cross Reference:
Issue Date: 9/02/04 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
.
ELIZABETH A.NEVILLE = t‘ Town Hall, 53095 Main Road
TOWN CLERK o P.O. Box 1179
V3 Z Southold,New York 11971
REGISTRAR.OF VITAL STATISTICS 0 $�
MARRIAGE OFFICERFax(631) 765-6145
RECORDS MANAGEMENT OFFICER8111 *a0li��, Fax
(631) 765-1800
FREEDOM OF INFORMATION OFFICER ,�'� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
w"
DATED: July 7, 2004
Transmitted herewith is a copy of application No. 3343 for a Cesspool/Septic Tank Construction
Permit submitted by:
Inland Homes for Stufano
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.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROcVEE
Comments: `� � a p•f, �.
Signature
�-� osoo
Dated
'. 4
.
, ,,///Iii, _
,/�,�O'�OgUFFO�,�e_o
ELIZABETH A.NEVILLE ���0 Gy‘` Town Hall, 53095 Main Road
TOWN CLERK . p - , P.O. Box 1179
ZG REGISTRAR OF VITAL STATISTICS �� Southold,New York 11971
MARRIAGE OFFICER G � 1i Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER =y4f� aO�/ Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER =.'� � * O.. 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 No33 13
Permit No.
Applicant Name,____I, lAG d01M er S
Applicant Mailing Address A /JO?e 1 ) 7 OA , Lk ,\_t\i 1 1 9 ��Z
Septic Tank or Cesspool
Brief Descriptionrof Proposed JnW� l struction/or Alteration
7e.AJ S�'v�� . - c9 0131 '111
Location of Proposed Construction/Alteration:
Owner of Property: VAG vt_ a,— P6.01 V--� 1 Q
Owner Mailing Address: 13 tx)C C tdto , 't&
Creo1/4,2-6_,,,,c; vit__ ioy , 1,c---3 0
%OS
Owner Property Address: CG.r..I) 1P/V 1P/Vv.e4;1.o. V_&_ 1/1/1 AAA'a-.►(At_
Name and phone number of contact person n
Tax Map No: Secti n_iii____2- Block 0 Q Lot 12.LhC1
Cross Street t e-a2U2 l r-
NOTE: LOCATION MAP MUST BE SUBMIT ED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEk .,',tj, DEPARTMEN PROVAL
, ( ir
/I
OkA
Signature of Applicant ` Da e
Received b A '
SURVEY OF
DESCRIBED PROPERTY:CEIf,° _
SITUATE SLii-1 L + LUt TY
MATTITUCK, TOWN OFgiQJ4: H�1 �,
SUFFOLK COUNTY; N'• .
SURVEYED FOR: MARK STUFANO
PAULINE STUFANO
I
GUARANTEED TO:
MARK !
cm
PAULINEUFANO STUFANO
4
TM# 1000-123-06-12.01 L
Z • L
ZONED R40
O
CO .
(.1 FLOOD ZONE DATA IS FROM THE FLOOD INSURANCE RATE MAP, PANEL 482
O OF 1026. MAP NUMBER 3610300482 G IS USED, EFFECTIVE DATE MAY 4, 1998.
ELEVATIONS SHOWN HEREON ARE IN 1929 NGVD. .
SANITARY DAT:
3 ST = SEPTIC TANK
N. Z LP = LEACHING POOL
• u ' EP = EXPANSION TANK
• t7 c
D
D =
-.mo z EL 9.0' +/- 7.5'
r
Z
m
3cn
/ FINISHED GRADE EL 7'
z
c)
m SEPTIC TANK
1/4"/FT MIN. r- 1 LEECHING POOL
INV INV Z 1/8"/FT MIN.
EL 6.4 EL 6.1 j INV
- INV EL 5.0
3
EL 5.5
2' MINUMUM ABOVE GROUND WATER
•
i GROUND WATER EL 1.0
3 I HEREBY CERTIFY THAT THE WATER SUPPLY(S) AND THE SEWAGE DISPOSAL SYSTEM(S)
\ ••• THIS PROJECT WERE DESIGNED BY ME, UNDER MY DIRECTION BASED ON CAREFUL
AND .OROUGH STUDY OF THE SOIL, SITE, AND GROUNDWATER CONDITIONS. ALL LOTS
AS PR.'.SED, CONFORM TO THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
CONSTRU 4ON STANDARDS IN EFFECT A - IS DATE..
lb
JOSEPH FISCH'-, P.E.
O 1725 HOBART AV. E
O 3 SOUTHOLD, N.Y. •,71
N 631-765-2954
TEST HOLE DATA
TEST HOLE BY:
McDONALD GEOSCIENCE,
---1 SOUTHOLD, N.Y.
ER CM
DONE ON 10/26/00
FOR SCDHS USE ONLY Ar''+.
ORIGINAL GROUND EL 5.5 0"O} I\J
— — DARK 0.5 BROWN SANDY LOAM OL • ,�IAP'C� "'SSC yO
a
BROWN LOAMY SAND SM ; * 0' j •.,, 9 *
1r .
., it Lu 4
2.5' `'�� Lot
tii
0 Q\' 0 PE'SSi��--- �0
PALE BROWN FINE SAND SP ii t ` § ""
4.5' WATER (EL 1.0) g I t4
O
t gk''
SURVEYED: 26 OCTOBER 2000
O �! t SURVEY UPDATED 4 DEC 03
t CS Peri 2. \qt.) Et, SCALE 1"= 20'
•
a I.0 w
.1 r,c
. U. U) AREA = 14,112.750 S.F.
y � I o a OR
WATER IN PALE FINE SAND SP �� 3
�, '13 w
0.324 ACRES
I§ ,,r SURVEYED BY
, § 1 I �; STANLEY J. ISAKSEN, JR.
P.O. BOX 294
, i i
YJ NEW SUF OLK. N.Y. 11956
631-73 —5835 /
Qd
11' ITO lir- / ,
LI' NSED , r SURVEY'd"
YS Lic. .. 49273 00C947-1
?AN7EES INDICATED HERE ON SHALL RUN
' TO ?HE PERSON FOR WHOM THE SURVEY
2EPARED, AND ON HIS BEHALF 70 7HE
'COMPANY, GOVERNMENTAL AGENCY,
INC INS77711770N, IF LISTED HEREON, AND
HE‘,ASSIGNEES OF 7HE LENDING INS1771.17ION.
2ANIEES ARE NOT 7RANSFERABLE TO
TIONAL INS717U770NS OR SUBSEQUENT OWNERS. •
/7HORIZED ALTERATION OR ADDITION TO THIS RESIDENCE
CY IS A VIOLA 770N OF SEC77ON 7209 OF METER PIT INSTALLED
NEW YORK STATE EDUCA770N LAW. NO METER,
WATER LINE INSTALLED TERRY PATH (PRIVATE RD.)
ES OF THIS SURVEY MAP NOT BEARING
LAND SURVEYORS EMBOSSED SEAL SHALL F
BE CONSIDERED TO BE A VAUD TRUE t
r. C77_ S.C. WATER SVC.
FSSA10 __
1
II �� (./)o
O
c) RESIDENCE o 0
N/F HOMMEL
S.C. WATER SVC.
(RESIDENCE) CMS 87'27'00"W ' . 95.25' R,EL 5.8 EL 5.6 f
1 EL 5.7 ` EL 6.4
(.1) • c�
0 <p Z
<p\p0� O
-
tV
RESIDENCE 3
CrJ p
0
p .....
WATER SERVICE TO THIS ' C14
LOT `'p.. -- :
HOUSE SERVICED FROM GENERALLY -z- I-+ CO
R/W WEST OF HOUSE. LEVEL -
t.i
fn 9� O
22.0' - <
I -
- X i
-i
PROP. DRIVEWAY o GARAGE . ' 3
I-riz
II. 1
na ZQ 27,na STEPS 6.0'�-- p
W 4.0' _1
* O PROPOSED PUBLIC WATER
UNE SERVICE Z EL 9.0' +,
m PROPOSED r
o m
m 3 BEDROOM 3 m
c.1)
((1) RESIDENCE m
CA
WATER SERVICE O TEST PROPOSED FIRST FLOOR ----�-4.0'
D HOLE EL - s.o' +/-;�
Z Vr— 35.
O / 28.0'
RESIDENCE b PROPOSED WOOD DECK \ I
D '
48' TO CESSPOOL /
36.0S.
i 13
I ST
GIQ EP I
Z 3 I HEREEP
-0 rri
O I \ I AND THC
m AS PR
M 0 0 EP CONSTRI
),.....,,.„,Z
Z
.,2o.............„j —
....LCn JOSEPH
CriO \ b0 . 1725 H=
/ O SOUTHO
0 N TEST HOLE DATA 631-76
PROP EL 6 TEST HOLE BY:
EL 5.4 _' EL 5.0 McDONALD GEOSCIENCE,
EL 5.6 a 5,5 SOUTHOLD, N.Y.
�� 2FD 110 iii-RAIL FENCE ' FE. CORNER CM DONE ON 10/26/00
st.ND FENCE N 87'27'00E 92.92 W 1.0'
S60.3' s 0.6' ORIGINAL GROUND EL 5.5
RESIDENCE — DARK BROWN SAND)
if,
M NJ
N/F FICK 0.5'
sLQ BROWN LOAMY SAND
co
0p 2.5'
r
PALE BROWN FINE ::
4.5' WATER (`
WATER IN PALE Fl
11'
1. 8 MAR 04 ADD WATER UNE SERVICE, REV. GRADES AND RELCATE SANITARY.