HomeMy WebLinkAboutAkselrad, Evan %pF SO(/jyo
ELIZABETH A.NEVILLE �� �O l0 Town Hall, 53095 Main Road
TOWN CLERK S [ 411P.O. Box 1179
y y� Southold, New York 11971
REGISTRAR OF VITAL STATISTICS G Q ,�
MARRIAGE OFFICER �O Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER = l�'C �ry i��, Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER �UI11�+ ���� 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. 3358 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : EVAN AKSELRAD
Address 1: C/0 C. MESIANO
City St Zip EAST MORICHES NY 11940
Descripton of Proposed Construction or Alteration
-PROPOSED 2 STORY SINGLE FAMILY DWELLING
-FINAL APPROVAL REQUIRED FRCiM THE SUFFOLK COUNTY HEALTH DEPARTMENT
Name Of Owner EVAN AKSELRAD
Mailing Address 1 19 MURRAY STREET -- 4TH FLOOR
City St Zip NEW YORK NY 10007
Property Address 1 1355 SHORE ROAD
City St Zip GREENPORT NY 11944
Tax Map No. section 47.00 block 2 lot 27.000
Cross Street SILVERMERE ROAD
Building Permit Number Cross Reference:
Issue Date: 9/28/05 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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EL ��,�o4pF SO!/Tyol
IZABETH A. NEVILLE 1� Q i Town Hall, 53095 Main Road
TOWN CLERK ; IF % P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ik N Southold, New York 11971
MARRIAGE OFFICER % G Fax/,� Fax (631) 765-6145
•
RECORDS MANAGEMENT OFFICER `` �„� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER _ COUNT(
fl1 of , southoldtown.northfork.net
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F:.^ V? 1:0 . M' ' . OFFICE OF THE TOWN CLERK
`�t t i TOWN OF SOUTHOLD
�,j JU\_ \ 3 2t
TO:t -;:,SoutloTa,Town Building Department
FRO Linda J. Cooper, Southold Town Clerk's Office
DATED: July 13, 2005
Transmitted herewith is a copy of application No. 3489 for a Cesspool/Septic Tank Construction
Permit submitted by:
Evan Akselrod
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: y,, 'c.
Signature e"-;9)(4
D„444, /3 .2.v,-
OFFICE OF THE TOWN CLERK ,, ,COVlliK
TOWN OF SOUTHOLD %`'�O `QG`` Application Nom
ELIZABETH A.NEVILLE,TOWN CLERK Q 7�•
P.O.BOX 1179 _ .1\
Construction
SOUTHOLD,NEW YORK 11971cza Alteration i /'
Tele hone it $10.00 - Residential Y
p
(516) 765-1801 .� 41 ,,,��'� $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.3 5&
Fee $
DATE 1/IJ/z5
APPLICANT NAME: EVA ,' A KSE4aAD
APPLICANT ADDRESS:16 C .1t4 6.51,4 N I c%) f4i / P0Akb L..A hir
. Mo,e r cNcxs N'y i 1 4a
SEPTIC ✓CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION Pro_po.Sed
4 5 in5l a 4a.rn t ly r
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: EVA xi A KS - Coedrac - Vend if e oo ..S. Thos,•
OWNER MAILING ADDRESS: / 9 /?11A.A4 r ST 1 4 Pi.
Ai ATV_ I oao i - z24-0
OWNER PROPERTY ADDRESS: 13 5S .5NO,26 L .
G Ae aRr , V
TELEPHONE NUMBER OF CONTACT PERSON: Ak5Et €44 a�a�t.y93a�.5~
TAX MAP NO. : Section 4. 7 Block 2, Lot_21
CROSS STREET: 5 t I '/e.✓ mer c 12.0 .
BUILDING PERMIT NUMBER CROSS REFERENCE:
jottUAL. PA.44
Signature of Applican
a 4,(" 64%, k55G i i9I)
RECEIVED BY: %. {
Town Clerk's Office CATHERINE MESIANO, INC.
DATE: 1 1-2_ Ie--) 12 MILL POND LANE
E. MORICHES, NY 11940-1222
I,
Survey for: Q, ,
•
W EVAN AKSELRAD &.
, (216.58. ce YASMINE D. ANA VI
`;)� o Lot 18 & 19
,��$z° 0 "Greenport Shores, Section 1 "
R' TEST HOLE DATA At
hi 0 McDONALD GEOSCIENCE
� > it FEB. 6, 2004 Greenport
i.� ) J
.. \` EL=13.0 0.0 Town of
1%..p, 0 DARK BROWN
N �/� CLAYEY LOAM Southold
1.0 Suffolk County, New York
/ 9 0 S.C.T.M.: 1000-047.00-02.00-027.000
%• BROWN CLAY
:n.1 Il / 'Of30 0 30 I.
Lli CI 2�'f Geral /'/ ��GJU. a EL=3.4 9.6
urs► ��° ,k O WATER IN NOTES: •
SCALE:1"=30`
J 06
S o•S
} / .\ �� ay o~ '�v.,y� BROWN CLAY 1. AREA = 13,262 S.F.
/ 0. ' ,�ti .I 5 1\1 — - 47.0 2. s = MONUMENT FOUND, A = STAKE FOUND. _
�6 o•• s WATER 3. SUBDIVISION MAP "GREENPORT SHORES, SECTION 1"
9�P`�/ \ 0 a O IN BROWN FILED IN THE OFFICE OF THE CLERK OF SUFFOLK
- \ ,�Q ti \i FINE TO .
�P / O� \ \ o ��" `,c COARSE SAND COUNTY ON JUNE 29, 1950 AS FILE NO. 1759.
/ �`�� \ \ BF \ mos s4 o°�, 53.0 4. ZONING USE DISTRICT = R-40
/ P� \ O \ • ��` 5. 0 YARDS OF FILL REQUIRED
Q o\. `� \ s \ sA �QoO``° 6. THIS PARCEL IS WITHIN FIRM BOUNDARY ZONE
cI O� �►•\.,is ' \ % \ • �, AE(EL 8) & ZONE X AS SHOWN ON FIRM
..y Q $�4,.o,\\ Si_ y o� • 9��� PROPOSED LOT COVERAGE: BOUNDARY MAP NO. 36103C0159 G LAST DATED
,.5 "�� a a i �o • \ '�` /� �, ti°F MAY 04, 1998. MAY 10, 2005 AMENDED LABEL
O / \ \ �/ �x ( HOUSE & GARAGE = 1820 S.F.
h ' - ...`, .._ .•........>......\ ... °may = APR. 18, 2005 REVISED PROP.HOUSE k DECK
\os _ � i N................. .. F DECK 684 S.F.
1
'h'� d �-\ •o• 1 0 JAN. 11, 2005 REVISED PROPOSED SANITARY
it ��`,��/ F� 1 ' `� 1 ;.� /�y.�� ---� �' '.�; DEC. 29, 2004 REVISED PROPOSED SANITARY
+ N` O.`ti� � -��\ .� I`WFWN OF SEPT. 15, 2004 AMENDED PROP.DECK
HEAITiI�EAVICES
APR. 7, 2004 LATH SET FOR D.E.C.
Qo-� `g�� �//lea
��� ��/'�y\ �/r_ob:4c;9;Acf34c2:� / \ +z '`e�A ��CONSINUCTiON FOR MAR. 30, 2004 AMENDED PROP. STRUCTURE
,, ` $30-4.0.
A MAR. 19, 2004 ADDED TREES h STRUCTURE
U IU
ti �Z_ .. e ems �o��� �\� !�� tid EE FAMILY RESIDENCE .Y DATE: FEB. 19, 2004
�0, � \ � ..?„;\/
� •,9-
,
� • S, QATf.....17/20s— HB REEK../1/l1—6774-407e75-7 JOB N0:2004-053
,� 1�\p�p,Q�li\ .'�� `. \\` // APPPi01VEF1. f/.� r ! f CERTIFIED T0:
cy
�� o.~ 1°i �o i p ' jC� :�� \``, EVAN AKSELRAD & YASMINE D. ANAVI
\/ V /( / �'94, `fid / // �.:Wtl, ,, `iii, - BEDROOMS
o,'`is \/ .,� ;* • / �°��� 49 a v, �� EXPIRE$THi�E YE4RS FROM DATE OF APPROVAL
add 9' . '�I.
� d'GP`� Iiiiihi
J oe>i+
L,r) .' .\ / �PQe'l�� V I.
GRADE
P
\ �0 •
O FF HOUSE 0
\ , / FINISHED GRADE
�.0.....' / �� CJ DAVID H. FOX N.Y.S.L.S. #50234
Q / O�I� V OS), EL-111.0 ELa1J.e
O . . • 4' ,,A4-,.Q..aCRAW_SPACE +r--1 ;14,11,4,,
.o ff;,% 0,142 FOX LAND SURVEYING
/ �~j J?``��p �J E"z.° E_1�.a rI 64 SUNSET AVENUE
cr G�\� o E-++.3 E_,,., 7 WESTHAMPTON BEACH, N.Y. 11978
// F�� Q` - (631) 288-0022
/ J.O'Mel,
,14 0.8 ACT.1 UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY
/ \� ?Tit GROUND WATER 1EL=3,4 IS A VIOLATION OFSECTION 7209 OF THE NEW YORK STATE
` SEASONAL RICH EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL
•�(• •��� SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. k
shy • o.oa,. SEPTIC TANK CESSPOOL
• /� 1000 GAL. CERTIFICATION INDICATED HEREON SHALL RUN ONLY TO THE
J \ J PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS
�* BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY
UNSUITABLE MATERIALS AND LENDING INSTITUTION LISTED HEREON , AND TO THE
�'r\ CO BE BACK & GR EL}I ASSIGNEES A THE LENDING INSTITUTION. CERTIFICATIONS`
�/1 CLEAN SAND fl GRAVEL ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS
OR SUBSEQUENT OWNERS.
DWG: 2004-053
1