HomeMy WebLinkAboutJones, Alexandra ,o�S�F FO�,�00G
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' ELIZABETH A. NEVILLE �o el 0' Town Hall, 53095 Main Road
TOWN CLERK H Z P.O. Box 1179
REGISTRAR OF VITAL STATISTICS O $ Southold, New York 11971
Fax (631) 765-6145
MARRIAGE OFFICER ��y�f0 a���� Tele hone (631) 765-1800
RECORDS MANAGEMENT OFFICER = 1 * s,� P
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. 3261 R Residential x Non-Residential
=ee $ 100.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : JONES, ALEXANDRA
Address 1: 36 BLACKSMITH COURT
city St zip HUNTINGTON STATION NY 11746
Descripton of Proposed Construction or Alteration
4/D
FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT
Name of Owner JONES, ALEXANDRA
Mailing Address 1 36 BLACKSMITH COURT
City St Zip HUNTINGTON STATION NY 11952
Property Address 1 SUMMIT LANE
City St Zip EAST MARION NY 11939
Tax Map No. section 380.00 block 7 lot 1.004
cross Street SUMMIT LANE & GUS DRIVE
Building Permit Number Cross Reference:
Issue Date: 1/27/05 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE f yd ` Town Hall, 53095 Main Road
TOWN CLERK cc/, Z P.O. Box 1179
REGISTRAR OF VITAL STATISTICS :O 1i Southold, New York 11971
MARRIAGE OFFICER y 0-/ Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER =�,11 4 `t4s1°°.° Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER , ,•" southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department 6 2004
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: December 3, 2004
Transmitted herewith is a copy of application No. 3404 for a Cesspool/Septic Tank Construction
Permit submitted by:
Alexandra Jones
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: 4-++..-. -.
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Signature
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Dated
ELIZABETH A.NEVILLE ��0 O4%; Town Hall, 53095 Main Road
• TOWN CLERK c) • % P.O. Box 1179
Z $ Southold, New York 11971
REGISTRAR,OF VITAL STATISTICS : v. X11
MARRIAGE OFFICER : O $ Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER =_ �l��� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER \O'� 4 #01°°
01° 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 @$25Application No. �L'
Permit No.
Applicant Name I-CMAI.ira ._/(5/tieS
Applicant Mailing Address 310 B L BC-1(5 m 1 rh (lavt y
il'i9"fr!/Vo�-�1.1 _Cmi ionl , Aly CI? t
Septic Tank (or Cesspool /
Brief Description of Proposed Construction or Alteration
Location of Proposed Construction/Alterat• n:
Owner of Property: 0h2LQS CiLOVe
Owner MailingAddress: 3 I C K'S 11 I CT
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Owner Property Address: / C'Q O 3 g- ei7I C • i`/ t)vY)m (.7- La tv t'
Name and phone number of contact person 4tEic-AiNlIbrcrJ49,-)e---C
Tax Map No: /WO Section a g Block °7 Lot M. /it
Cross Street St) rry11 17 L-6ive d` 6 U s 3)l'i ve
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY ' o HEALTH DEP•.'TMENT APPROVAL
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___4:67.s, Signature of Applicant Date
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Received by : t
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, (.(, SURVEY OF
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MAP OF
SUMMIT ESTATES
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A...---1 ---• .• SECTION No. 3
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FILE No. 10769 FILED MAY 21, 2002
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SITUATED AT
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,.(,) EAST MARION
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'. TOWN OF SOUTHOLD
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1,o S.C. TAX No. 1000-38-07-10.14
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AREA = 30,117.20 sq. ft.
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d ,0 1? 4 ! .. 14 0.691 oc.
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_01: I. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM
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4/ ...) EXISTING ELEVATIONS ARE SHOWN THUS: 10.0
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6 'CV 6:k. c. :,.:„.•:..' , ..:,.....'..':..,:. ''iiii... 44.* F". . 0. L REFER TO FILED MAP FOR TEST HOLE DATA.
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3. MINIMUM SEPTIC TANK CAPACITWS FOR 4 BEDROOM HOUSE IS 1,000 GALLONS.
1 TANK; B' U2I1G, 4.--3" WIDE, W-7 DEEP
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*&i4-. ' ' •• 4. 4. MINIMUM LEACHING SYSTEM FOR 4 BEDROOM HOUSE IS 300 sq ft MEV/ALL AREA.
'e 47...V () ji" 'S'-': ' 4) • • 2 POOLS; S. DEEP. D. die.
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N (k. PROPOSED OWAHVON POOL
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01,0 PNOPOSED 1141X*1010 POOL
ED PROPOSED SEPTIC TAW
'C. - 5. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
0.. o . z• , OBSERVATIONS AND/OR DATA OBTAINED now OTHERS.
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4c. .--.) s„,i-- A r-, ,., -3- •• • . •• WITH,.; MINIMUM
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4Y •is.-'\/)._,,,' ' . ., •• HOWES ESTABLISHED
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FUFPOLIC COUNTY DEPARTNIENT OP HEALTELSERVICES •u_,,
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PERMIT FOR APPROVAL 01PCONSTRUCTION FOR A
: \., G 7 FAMILY RESIDENCE ONLY ...* e_45, „
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0/ 1, n 51/4.) N.Y.S. Li;. Na. 49668
-DATE .‘" •• ,)-.-\,C)4 140 6 1 5 9 os;:f' it :
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toucroN 40.0.
APPROVED . V'N'VN..144511trICV:CA1.- Jo-:. '. .• A. 0
tics orsuszegnaksPD 1„..11'acre mc,
Surveyor
P1*MAXIMUM OP 4...„BEDROOMS EMBOSSED SEAL SHALL.NCW SE CGOKNOERED
TO BE A VALI,TRUE COPY. L --- 0 4 veyor
6"
AN,
CEATIFICATOW MINCATED HEREON SKILL RUN
oe,surveys —.tfrommottec ''4‘' — Site ASIS%. — Colleroobbn LaYout
SPIRES TURES YEARS FROM DATE OF APPROVAL . rot TO THE.PmEion14 ToR**mooting try
TM COMPNIY, GOVERIODIM AGO&Y MEI
illOir AssaIRSITIV41310Nm_sta,r,
'MON. CiatlifICAVIONS NE MYr TRINIFETUENE. PHONE (631)727-26W Fax (631)727-1727
..„.
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THE EXISTENCE OF MOW OF WAYS OFFICE'S.LOCATED AT MAIJAC ADDRESS .
AND/OR EASEMENTS OF RECORD. W
AMY, NOT SHOWN ARE NOT GUARANTEED. 422'ROAM E AVENUE P.O. Box 1931
RNERHEAD, New York 11901 RIverttood„ Now York 11901-0965
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