HomeMy WebLinkAboutCappozzoli, Susan ,��• it SUFFOUrel
ELIZABETH A.NEVILLE Town Hall, 53095 Main Road
TOWN CLERK o - P.O. Box 1179
ti Z Southold,New York 11971
REGISTRAR.OF VITAL STATISTICS t
MARRIAGE OFFICER \�;4, � ,1�� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER ., ii• Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ���� Fax
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3225 R Residential x Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : LYNCH HOMES DEVELOPMENT
Address 1: 321 COUNTY ROAD 39A
City St Zip SOUTHAMPTON NY 11968
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 #R10-04-0027
Name Of Owner CAPOZZOLI, SUSAN & L WENK
Mailing Address 1 PO BOX 1887
City St Zip SOUTHOLD NY 11971
Property Address 1 655 WEST SHORE DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 80.00 block 1 lot 44.000
Cross Street OAK DRIVE
Building Permit Number Cross Reference:
Issue Date: 9/02/04 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE � y� ` Town Hall, 53095 Main Road
TOWN CLERK P.O.Z ; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS O Southold, New York 11971
MARRIAGE OFFICER = /fJ /
Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER 0l * 0.
`�►�,.el Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ., .�i" southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
AUG 19 2034 TOWN OF SOUTHOLD
RECEIVED
TO: Southold Town Building Department AUG L 1004
FROM: Linda J. Cooper, Southold Town Clerk's Office
SottOofr: Muir (-Ica
DATED: August 18, 2004
Transmitted herewith is a copy of application No. 3367 for a Cesspool/Septic Tank Construction
Permit submitted by:
Lynch Homes Development Corp
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: ► - Alwar _ - _ _ . _ _ /
Gj
Signature
efile.2- 3 pyo
Dated
OFFICE OF THE TOWN CLERK )$$$
Town of Southold ,l'I� f01./(C• .. -/
Judith T. Terry, Town Clerk ,1°4 Ol/ Application No.
Town Hail, 53095 Main Road Construction
P. O. Box 1179 o rZ*.
Southold, New York 11971 • ct� Alteration /
Telephone �---__749/A, 41- $10.00 - Residential 1/
(516) 765-1801 �; 'i $25.00 - Non-Residential
,• ,, , m --
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ ' d f
DATE ilULi ? 2Col-
APPLICANT NAME: t t fy /J �irO4 4J 1L 7r (1-__011P____L___-IAPPLICANT ADDRESS: 3aI 0,, e 3� A-
(±4144-la
- ++��"
Om a TNr If9
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION. rool L h c
C1 g 4ndwell ,n NeJ Ce() _-_-) ,r OA &-
It(30 9i,i 531.4t)d-/ /4 P40.rort neuJ ba_ot4r-Lat -(1 -4e-1-1L--
;'Jec (14-{ek(J1Pc9 .. r.-LA-e FA,6---0
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: J n
OWNER OF PROPERTY : SI�.3(t ,1 CapczoI iL. I Ki bA N eAlt_
OWNER MAILING ADDRESS: -Pc , i o
)(,,1,t 1-!?3 L.Q k) 'J t l fl 1
OWNER PROPERTY ADDRESS: (0 v '5T 3I-6 E I—
.3C-)o.. t-i Dt_C) tLi 1Iii 1
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section So Block c) 1 Lot 4.4
CROSS STREET: Qflw --,Del \)o
BUILDING PERMIT NUMBER CROSS REFERENCE:
(7
:ignature of A-.134111 :nt
1___--
RECEIVED BY :
Town Clerk's Office
DATE: S I IS(CN
.......
,,
{ SUR BEY OF 1 CERTIFIED T0:STEVEN CAPOZZOLI --
SUSAN CAPOZZOLI
LOT 2 & PART OF LOT 3
IN BLOCK C _ _ _
MAP OF JOB NO. 2003-528
MAP NO.631
REYDON SHORES FILED:JULY 2, 1931 �. ` NI k s ,
o SITUA TE A T
,�' REVISIONS:
,Y '.`'y --4 }t
BAYVIEW .. 'c 4 , ,
TOWN OF SOUTHOLD i :1
SUFFOLK COUNTY, NEW YORK .e 4,
S.C.T.M.. DIST. 1000 SEC. 80 BLK. 01 LOT 44 , el.,� `�
I15 8 0 '` 15 30 45 60 75 90 105 120 135LICENSE NO. 050363
,-
-
7 SCALE: 1"=40' DATE:DECEMBER 16, 2003
LOT AREA: 11,460 SQ.FT. =0.263 ACRE • HANDS ON SURVEYING •
ELEVATIONS REFER TO APPROX. MSL. DATUM 46 NORTH ROAD ■
AND ARE THE RESULT OF ACTUAL FIELD MEASUREMENTS HAMPTON BAYS, NEW YORK ,1�' E
SOUTHOLD BAY WITHIN 300'OF PROPERTY 11946 ,1
PROPERTY LOCATED IN FLOOD ZONE X TEL(631)-723-1954-FAX(631)-723-1329
AS SHOWN ON THE FLOOD INSURANCE RATE MAP • MARTIN D. HAND L.S
•
MAP NO.36103C0167 G
EFFECTIVE DATE:MAYA, 1998 TEST HOLE DATA
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TEST HOLE BORING BY McDONALD GEOSCIENCE
12/31/03
I NOTE:
POOR SOIL CONDITIONS TO BE REMOVED
s:c TO A MINIMUM OF 3'FROM THE PERIMETER OF_- _ _
�`� THE LEACHING PO IL5 AND TOA INIMU I DEPTH OF
�/ �a�A� 3'BEYOND WHERE SUITABLE LEACHING SOIL IS FOUND
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S.C.D.H.S. ENDORSEMENTS