HomeMy WebLinkAboutSmith, Dennis •
I/I'I,o,, .90#A0 SO(/45:
ELIZABETH A.NEVILLE h O . Town Hall, 53095 Main Road
TOWN CLERK l l ; P.O. Box 1179
vs Southold, New York 11971
REGISTRAR OF VITAL STATISTICS G Q
MARRIAGE OFFICER Fax�O �1 Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER ( '�i Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER `=�C�V111�,����� 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. 3352 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : DENNIS & SUZANNE HEFFERNAN
Address 1: P 0 BOX 464
City St Zip CUTCHCGUE NY 11935
Descripton of Proposed Construction or Alteration
NEW CONSTRUCTION
FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT
Name Of Owner DENNIS SMITH
Mailing Address 1 836 SOUTH COUNTRY ROAD
City St Zip EAST PATCHOGUE NY 11772
Property Address 1 1200 SKUNK LANE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 97.00 block 3 lot 11.700
Cross Street MAIN ROAD
Building Permit Ntunber Cross Reference:
Issue Date: 9/13/05 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
••••°0 SOUry-
ELIZABETH A. NEVILLE FIs '`'� O4 : Town Hall, 53095 Main Road
,
TOWN CLERK 41 41 , P.O. Box 1179
REGISTRAR OF VITAL STATISTICS G �` Southold, New York 11971
MARRIAGE OFFICER .`�0 ����� Fax (631) 765-6145
RECC �GEMEAiT QFkICER ly ��• Telephone (631) 765-1800
FREE M OI?JNPORMATIOR4 QFFICER, ..COUN1�,���"1 southoldtown.northfork.net
.,_ ••
1 4 AUG 2 5 2 ,!OFFICE OF THE TOWN CLERK
k I___- 4 TOWN OF SOUTHOLD
��T7tA' i
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: August 24, 2005
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 3502 for a Cesspool/Septic Tank
Construction Permit submitted by:
Dennis & Suzanne Heffernan
Please review the application and location map and advise if this office may issue the permit.
Please complete the form below and return it to me. Thank you.
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
r
Comments: _ AO,
igor,�
1
97r-f-'<qi__
Signature
02..6— ?vas—
Dated
,��,�1AFFO( ,co
ELIZABETH A.NEVILLE ,I 01` `; Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS " ! Southold, New York 11971
MARRIAGE OFFICER
t Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER VS* aO..° Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER = * 1 ,,I, 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 7or Non-Residential @$25 Application No. 3
Permit No.
Applicant Name D.cfl n t.S t SU&n vie -1" e g✓V t Q f
Applicant Mailing Address Pel q to if
Cu-I ha4u1' wy jq 3S
Septic Tank or Cesspool
Brief Description of Proposed Construction or Alteration
)f w C o ±r7rtCfi
Location of Proposed Construction/Alteration:
Owner of Property: )200 tCll k LLMC Calc,r,,I agar
Owner Mailing Address: fJ I n i, f Sin h
p3fr ;fid Clog pd E pa±h44UC 11172
Owner Property Address: , a) SiguitiL Lane r iL* lid kL
Name and phone number of contaggiSjailne, kkaJkz,2 7 34-g/X
Tax Map No: Section (.(300 Block q 70 3 Lot I I • -
Cross Street rnn in eOctd .
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
OUCAL 54/Coiktit-kadO 563/0
Signa of Applicant Date
Received by:
I
11
,
SUFFOLK COUNTY DE2AR L of HEAL�'sx SEW/ICES • SURVEY 0 F PROPERTY
Zr°k �5��, SITUATED AT
PERNJ�'b�FOR APP.�Ro ,PAg 9 0, COliC CTIO a.FOR i
r� 1 . r . o �l �� �9 CUTCHOGUE
DA .- TOWN OF SOUTHOLD
ib,APPRo o 4,..±- ,._l: _
�FORooA/�� SUFFOLK COUNTY, NEW YORK
r.
FOR X71A TNI OF 1
EXPIRES
�� A RS oIviDATEOF
APPROVAL S.C. TAX No. 1000-97-03- 11 7
Yhr
SCALE ' 1 " 60'
DWELLING MARCH 8, 2005
(WAtER SUPPLY
UNKNOWN)
AREA = 87,664.55 sq. ft.
\\t‘)19... 1,.1La.� 2.012 ac.
` ''� N/0/F t
JERRY SIAM IA
Sc„,, ,.. ' & LORRY SCHULT l� CERTIFIED TO:
�� DWELLING
(usEs PUI3L1c WATER) I DENNIS HEFFERNAN
i 491.75' 267 SUZANNE HEFFERNAN
FENCE 0.4'N. 112.95'
W
248.01'
..., RANI FENCE W000 son • c
1 N 86'33'36" E 130.79' •,: 4
cn
WOOD STAKE '. •' ;°'®°'�"'f�"AY a hI TEST HOLE DATA r.,
'.. 31.4 .4. '-_PROPOS YATBt SEnYIcz , . 4
• (TEST HOLE DUG BY ON FEBRUARY f0. 2005) .__,i,,�
Z 0/L"N.S O.7'E 01 le _ .. I G A 0 u r i`Lz
I O a TEST
Nous c m IwiAI�iN oNI�eN u"u a. �, '�' r_,.
I1++) I z os' r--
0 al
r >4,
��)�I��11 25.9 IFL�-1'TT r I- INI eaaw�gur swo 4 {:v
pyr m✓\I c r r IV f
NJ Es:I
in
ZS
//20' _--_ /.60, tl > A C • pwxeee,wr,esw D I`
b:y� .4-104141
,...,y �/ ' �$, II Z
SO COURSE SAM -i 4'
ti '77 rri
OR'' .g p >' r /`;_;;: 3.05 A,: m �j'{ N C)-s
C � Q / i , • wow stAKE4=,444.,„„,.. L J Cr.
r '`Cv A Ll!Cr '
col N I IOW MI'O101110011
Z _ - , m �: 8.40- ,'' t MMIC . .
. co yam
4� _.-..- =_ l��-fRANE SHED ....,.y. 1101000111
Nv ``3 =.` a', o kat 27 N/O/AF• 20Q.0 2j . Z �r
C 0�x 4 0�: szYX D
^►: 0 0�'. C CessPOOL.� i Z
''.EPARED IN ACCORDANCE WITH 1}E MINIMUM
to 222 1 ' . 2.0'E. TA u m ,STMIDARDS FOR TITLE SURVEYS AS ESTABLISHED
�• 342.67' IOCb sr BY THE L.IALS.AND APPROVED AND ADOPTED
z r F' �: SUCH USE BY THE NEW YORK STATE LAND
it; 2 Z �� ,,N TION.
hJ
36.5 s 8249'28" 'N DWELLING
)
l (usEs Pueuc E
EUZABETHFWEISS
NOTES:' !� N.Y.S. Lic. No. 49668
1. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM UNAUTHORIZED OR AppmON
EXISTING ELEVATIONS ARE SHOWN THUS:244 TO Tws SURVEY IS A VIOLATION OF
2. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1,000 GALLONS. SECTION 7209 OF THE NEW YORK STATE
1 TANK; 8' LONG, 4'-3" WIDE. 6'-7" DEEP EDUCATION Law I!
oseph A. Irlgegno
3. MINIMUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 sq ft SIDEWALL AREA. COPIES OF THIS SURVEY MAP NOT BEARING
2 POOLS; 6' DEEP, 8' dia. THE LAND SURVEYOR'S INKED SEAL OR
EMBOSSED NOT Land Surveyor
TO BE A VAIq TRUE COPY. �a
PROPOSED EXPANSION POOL CERTIFICATIONS INDICATED HEREON SHALL RUN ,a
'��66 ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED.AND ON HIS BEHALF TO THE !!
PROPOSED LEACHING POOL TrILE COMPANY.GOVERNMENTAL AGENCY AND Idle Surveys - Subdivisions - Site Plans - Construction Layout I!
LENDING INS1TTUTION LISTED HEREON.AND Is
®PROPOSED SEPTIC TANK To THE ASSIGNEES OF THE LENDING INSTT- •,1
TUTION.CERTIFICATIONS ARE NOTTRANSFERABLE. PHONE (631)727-2090 Fox (631)727-1727
4. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. THE EXISTENCE OF RIGHT OF WAYS !O��ES LOCATED AT MAILHJG ADDRESS
AND/OR EASEMENTS OF RECORD. IF E
ANY, NOT SHOWN ARE NOT GUARANTEED. 322 ROANOKE AVENUE P.O. Box 1931
RIVERHEAD, New York 11901 Riverhead, New York 11901-0965
I
4