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HomeMy WebLinkAboutSakarellos, Elizabeth (2) SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3309 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : DANNY ISLA Address 1: 12 CENTRALWOODS LANE City St Zip BROOKHAVEN NY 11719 Descripton of Proposed Construction or Alteration SANITARY SYSTEM FOR SINGTE FAMILY DWELLING. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. REF #R10-04-0097 Name Of Owner SAKARELLOS, ELIZABETH Mailing Address 1 PO BOX 408 City St Zip GREENPORT NY 11944 Property Address 1 1375 WESTWOOD LANE City St Zip GREENPORT NY 11944 Tax Map No. section 33.00 block 2 lot 3.000 Cross Street SOUND DRIVE Building Permit Number Cross Reference: Issue Date: 5/18/05 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) . f • 'I,,///I. . ,,,,,00SUFF04:eo- .3 3 0 y, G ELIZABETH A.NEVILLE i y1 Town Hall, 53095 Main Road TOWN CLERK I y Z P.O. Box 1179 Southold, New York 11971 MARRIAGE OFFICER REGISTRAR,OF VITAL STATISTICS \ y 0. I. $��� Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER s! * #�1.1 Telephone (631) 765-1800 FREEDOM OF INFORMATION-OFFICER —.,,, ,••��� southoldtown.northfork.net r, >> OFFICE OF THE TOWN CLERK 4,4 0 , , 0 ` ! TOWN OF SOUTHOLD i 1.'�' --,,.----- 1\0: -- r Southtil3 Sown Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: April 7, 2005 Transmitted herewith is a copy of application No. 3453 for a Cesspool/Septic Tank Construction Permit submitted by: Danny Isla, P. E. Please review the application and location map and advise if the project has received Suffolk County Health Department approval and if this office may issue the permit. Please complete the form below and return it to me. Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: o•- / _ _ - .ate _ � /t_ I .41 ..., Signature l �os— Date /3 ELIZABETH A. NEVILLE 11 ot \ Town Hall,53095 Main Road TOWN CLERK p % P.O.Box 1179 REGISTRAR OF VITAL STATISTICS � Southold, New York 11971 MARRIAGE OFFICER O 411$ Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER %.y0* toN. 0 Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER - el 4. -0,„.. 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 No3(40 Permit No. Applicant Name I)A--/4 Al V z f L a- , P 4 Applicant Mailing Address 1 1, C e/%/rc/000.4--5bi.J (, /'oo k l' L1k'I 1 II y l/7/1 Septic Tank t/' or Cesspool i- n Brief Description of Proposed Construction or Alteration 144 ' woo) -'a'1' ed Srnj f t 4r,.117 ettutt(fi\,� AffraX .400o c .cT Location of Proposed Construction/Alteration: Owner of Property: ILA Z ft-s I7"F/ 5A"k4-12�L LO,5 Owner Mailing Address: 12 4 7 oX Ye)V 6geigP,Rr ,Ji 111W-0P5 Owner Property Address: 137c( r 75) we 51"Al 064 1-4n.e- 6-texAfo r-4- 14 y Name and phone number of contact person Da/1 n y = 14 S'"/4,-3.)t'6.10D Tax Map No: I CSO 6 Section 3 3 Block / 2 Lot 3 Cross Street 5 c,tit Aa b r i ve., NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY TH HEAL DEPARTMENT APPROVAL , 4 7i 510 Signature of Applic., Date - (1)1,0 t I Received by: • THE OFFSETS (OR DIMENSIONS) SHOWN HEREON FROM THE STRUCTURES TO THE S.C.T.M.# 1000-33-2-3 PR OJ. # 0435 PROPERTY LINES ARE FOR A SPECIFIC PURPOSE AND USE AND THEREFORE ARE NOT INTENDED TO GUIDE THE ERECTION OF FENCES, RETAINING WALLS, POOLS, PATIOS, PLANTING AREAS, ADDITION TO BUILDINGS AND ANY OTHER CONSTRUCTION. Map of \� Eastern Shores Iv �� EXCAVATION Section 2 DR SANT' rS' y ENREQLot 75 j N yr �`` ,�, �\ I HEALTH Dammam Filed.- S O v sled: August 10, 1985 \ \\ Filed Map No.: 4426 >> \ \\ Od Situated at 10 \N \ a. T OF HEAL' SERVICES Greenport ,33 � ` 00 ate ` 34\a ` T Town of Southhold r./,A-# "'" \R-N SUFFOLIGC©ITi.yTSO PAR �0 p' Suffolk Count s•-•es,dev` o 50+ ; T Fc�� PR VAL oC. 7.51::jeri:4 O New Yorky00L \ pER1" Li FAQ'-aL - 0 /G. P rstr�ck`c� ` o , F0 itisa Surveyed >n \ deC c° DA" 11� May 11, 2004 v� O o `'� 1` 76 1 .02 50 / I I APPRO ��,2UM OF E BROOMS VAL THIS URVEEO ALTERATION VIOLATIONOF STATE EDUCATION N 7209 o '�0 ` I \P N 1 66 12 VIPER SUPPLY FOR /E YEARS FROM DAn OF APPRO �THEurO SURVEYOR'S NEW SURVEY sNOOTL OR � V....0 ;p6 r 40' l I l n� TO BE A VALET TRUE COPY. \ OA EMBOSSED SEAL SHALL NOT BE CONSIDERED I. 6 O -542- PROPOSED L 1" 1 U, -j , + (40 X 30) ,0/LP... O i CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY 1E 02 • ) J� 2 STORY 8' DA. I O I TO THE PERSON FOR WHOM TFC SURVEY IS O W WD. FR. DWELLING 12' DEEP I I PREPARED AND ON HIS/HER BEHALF TO THILITLE . F.F. E_LE_V_,35L A® / 0 I I COMPANY AND LENDING INSTITUTIONS LISTED BELOW p. AND TO THE ASSIGNEE OF THE LENDING MSTIMION. l cf7 1 GARAGE 1000 GAL • \ FUTURE (J) 1 1 ALL RIGHTS RESERVED.®2004 ROBERT W. OTT. r � 1 (22 X 20) ` 'EillXP. I 1 OUTSIDE OF THE TITLE TRANSFER CERTIFIED TO BELOW ,-- IG.F. ELEV. 2s' TEST O 1 D 1 TEST HOLE THIS DOCUMENT MAY NOT REPRODUCED OR TRANSMITTED (,I I —{ IN ANY FORM OR BY MY MEANS WITHOUT WRITTEN PERMISSION I I M 1 e�� Mc BY: OO�o CE FROM MUNICIPAL LAND SURVEY, P.C.ALL VIOLATIONS - W i I DATE:5-4-04 OF U.S. COPYRIGHT LAWS WILL BE PROSECUTED TA IT- C-7.) PROPOSED 0 cciI 3_•• I ELEV. 30.6' SUI RVEfOR LICENSED TO REBY CERTIFY THAT (PRACTICE IN AM A PROFESSIONAL OF * DRIVEWAY COT1C. TTI I 1, Dark brown silty loam SUPERVISION.ACTUAL FI FURTHER DECLARE,UNDER THE BIMMEDIATE 0.97 WIL NEW YORK, AND THAT THIS PLAN IS BASED ON AN O EST 73 I \ Pad I �I �� slit OF MYPROFESSIONAL KNOWLEDGE AND LIEF,THAT co L/� I THIS PLAN IS AN ACCURATE REPRESENTATION OF -4,N C'1 I - - 3° THE CONDITIONS EXISTING AS OF THE DATE HEREON. 0 CERTIFIED ONLY TO: 3 a' • O I Brown clayey sand with -p 0 1 }�� 10-207: gavel o N Ci in P� I �a} S = r "' �' EL 26.2 1 EL 26.:2 - 14' ELIZABETH SAKARELLOS co o 150.00 . - •.41 I 4 + I Brown fine to coarse sand €-, 5 1 * i z + B. 27.6 S 86°07'00" W I with 10-20% gravel C- 3: co 1 I 20' I I S.C.T.M.# 1000-33-2-4 �� of NEIw✓ y :::' 74 VACANT 0 30' 60' 90' ��P o�ERT W , o,f 1 1 * '.74 INK,tie * X411 fM UNI CIPA L LAND SURVEY P• C• ktscr ,, -,. .. 4962-o pyo - ..-a- .0 V CAND S�,� 1 0 SYLVIA LANE MIDDLE ISLAND, NEW YORK, > 1953 (631) 345-2658 i