HomeMy WebLinkAboutMcCaffery, John (2) OG •
ELIZABETH A.NEVILLE ����� y Town Hall, 53095 Main Road
TOWN CLERK o P.O. Box 1179
Vs Z New York 11971
REGISTRAR OF VITAL STATISTICS V Southold,
MARRIAGE OFFICER Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER _y�Q! �a�og Telephone(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. 3209 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : JOHN MC CAFFERY
Address 1: 20 PARKVIEW CIRCLE
City St Zip BETHPAGE NY 11714
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 #R10-01-0158
Name of Owner MC CAFFERY, JOHN
mailing Address 1 20 PARKVIEW CIRCLE
City St Zip BETHPAGE NY 11714
Property Address 1 135 BOOTH ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 54.00 block 7 lot 11.000
Cross Street JENNINGS ROAD
Building Permit Number Cross Reference:
Issue Date: 9/02/04 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
,I o,�o��sUfFO��-O
•
ELIZABETH A. NEVILLE i, Gy •� •
Town Hall, 53095 Main Road
TOWN CLERK y Z P.O. Box 1179
•
REGISTRAR OF VITAL STATISTICSO Southold, New York 11971
` I
MARRIAGE OFFICER Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER _�O1 4, `�►a,,,� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ,,,,,,,,, southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
JUL 92D04TOWN OF SOUTHOLD
RECEIVED
TO: Southold Town Building Department A, G c04
FROM: Linda J. Cooper, Southold Town Clerk's Office
Southold Town Clerk
DATED: July 16, 2004
of application No. 3350 for a Cesspool/Septic
Transmitted herewith is a copy pp tic Tank Constructio
p p
Permit submitted by:
John McCaffery
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
DISAPPROVE _
Comments: / / -— `' i/
I `
M441'49
Signature
02� Ad
Dated
, `y ♦ t
,,,oeis UFFot,%01 ,o t
ELIZABETH A.NEVILLE ��h`1` Town Hall, 53095 Main Road
TOWN CLERK p P.O. Box 1179
y f Southold, New York 11971
REGISTRAR OF VITAL STATISTICS V4O _$ Fax (631) 765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER .......4•,_ 0�'d� Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER = 0'� +," southoldtown.northfork.net
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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. 335 0
�' Permit No.
Applicant Name :-T)1--iii U C A�"1`'
Applicant Mailing Address sD 3I7ek 1 ito C I c.l e f3e7ry M /U
/.7qSeptic Tank 1 or Cesspool
Brief Description of Propose ConstruCtioii or Alteration
S;A/' Pod- w14 5'e f l(C
Location of Proposed Construction/Alteration
n/ lteration: /''�
Owner of Property: J )/4n) P� //
Owner Mailing Address: a6 hq&PJPIV r/i6l e
�e e—ftf 672: 1(1/ / /7/'/f
Owner Property Address: r U� P014-n � C?t "t 'Z 0
Name and phone number of contact person
Tax Map No: /006) ,P ection Sy Block 07 Lot
Cross Street S' e)C/Xf t S C69-0
NOTE: LOCATION MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVE WITH HEALTH DEPARTMENT APPROVAL
�� ke)c I— "Ofz
: a
, a'ture of Applican Date
Received by:
SURVEY OF PROPERTY ;
SITUATED AT
°w, SOUTHOLD f
l�+0 TOWN OF SOUTHOLD `
TEST HOLE DATA SUFFOLK COUNTY, NEW YORK
1 (TEST HOLE DUG BY AkDONALD GEQSCIFt,r ON OCTOBER 16. 2000) S.C. TAX No. 1000-54-07-1 1
KI �. .�.� o' SCALE 1"=40' -
VAr 4Od DARK BROWN SANDY Lau a
Npi09_, SEPTEMBER 21, 2000
I..-I.. 1.5• AUGUST 1, 2001 ADDED ADDITIONAL SURROUNDING WELLS & CESSPOOLS & REVISED PROP. SEPTIC SYS. LOCATION
4. AREA = 19,715.56 sq. ft.
0.453 ac.
wow SANDY SILT AIL CERTIFIED TO:
JOHN M. McCAFFERY
1:� MARY A. McCAFFERY
`t' •4 L _ 1. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM
��Sy•� jV 'J (� 7 EXISTING ELEVATIONS ARE SHOWN THUS: Q
�G�S" 3�� b ��� �S , SILO ��yT - •
��� MORN FINE SPT 2. WNMEDIUM SAPID 1 L SEPTIC TANK C -FORD TO 4 BEDROOM HOUSE 15 1.000 CALIANS.
�� h ! - "9� .� 3. MINIMUM LEACHING SYSTEL FORA 1 TO 4 BEDROOM HOUSE IS 300 aq ft SIDEWALL AREA.
yn G S. a -• (nom,! . 1 POOL: 12' DEEP. e' d o.
`C`
/50.
� lb 'o'. • 9� 26' PROPOSED MANSION POOL
F` ti
. CiZ %PROPOSED LEACHING POOL
4
O
•�� ®PROPOSED SEMIC TAM( if
0O 4. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
�• OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS.
0,�Oa ` 13O F • ��QG O .MR. �....�.
�� N. - E'. SUPPOI*COUNTY DEPARTMENT OF HEALTH SERVICES
4. . Iso PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
00
SINGLE FAMILY RESIDENCE ONLY
7.
43 Mb,--...A- '''' 440,
..,'t... ' 7,,, DATItri I 3/Q(H. 7794/ . (4' . -z 1 - 6(St
I
04,5 .0 P ,4, APPROVED '- ----
Pr?. VATICAN INSPECTION REQue ':t ,� .. FOR MAXIMUb1 Of, i , 13THDROOMS
`,. FOR SANITARY SY991'EM as EXPIRES THREE YEARS FROM A i • APpRDVAL
d,,.�. . 'L Y H TH DEPARTME , M '�°� ;moo ....... _ _
,q�' p,�
^y• N O., sQ\ ,•!T�� �'�-••ai THIE MNIUM
4.,:i:914,' . - ;.."`..,3, Ale ApopTED
1y?Oy�� 0 tn'p 'f��/ se
Oa r 90 45 ,," ..f., .4.
��r d 4' 4.1r ` '0 OF 0-E' a LSA , / �'
d� �r� "�•�� ' 4 Gj ° 1 . ?: 4S6
or �' t4 b �'S y o~; +yC
.yam h� O 111 0�?0. ��
ty�� w �� �1r�1��G�yS�� N.Y.S. 1k. No. 49668
'Sb �, G� Al{�4 6M1* '" uwrrHORIZED ALTERATION OR AnortaH
TO THIS SURVEY A VIOLATION OF 1
o(�,y .. �� ). j•16c 4 SECTION 7200 OF�THE NEW VOW STATE
A���`yyy�C,',`(� T ' LAW.
Joseph A. Ingegno
.. y �`O�Q`_d.3"�' COPIES OF TIS SURVEY MMP NOT BEARING
,�so� �� T Land Surveyor
1 `a —
�v �'° ONLY 100 TE PERSON FOR WHOM HE HSURVEY
IS PREPARED,AND ON IIS BELMLF TO THEI \
TIE COIIPM Y, GOVERNMENTAL AGENCY ANO
LENDING NSTIMION U51LD HEREON.MD Trt a Surveys - Subdivisions - Ste Pions - Construction Layout
,
TO THE ASSIGNEES OF THE LOONG NM-
I
i.
,(� CERTIFICATIONS ARE NOT TRANSFERABLE PHONE (631)727-2090 Fax (631)727-1727
�' C... THE EXISTENCE OF RIGHT OF WAYS OFFICES LOWED Al M4(/MG ADDRESS
- I
/ AHD/OR EASEMENTS OF RECORD. IF
ANY. NOT SHOWN ARE NOT GUARANTEED. 1380 ROANOKE AVENUE P.O. Box 1931 j
RIVERHEAD, New York 11901 Ryer head, New York 11901-0965
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