HomeMy WebLinkAboutLuniewski, Thomas (2) 0,•%pF _
ELIZABETH A.NEVILLE �/ 4 Town Hall, 53095 Main Road
TOWN CLERK * * ; P.O. Box 1179
N Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER ,'ht �O �� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER •: l� i�1, Telephone (631) 765-1800
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FREEDOM OF INFORMATION OFFICER DVIU�, ,,,' 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. 3361 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : THOMAS LUNIEWSKI
Address 1: 19 EDWIN STREET
City St Zip BAYSHOBE NY 11706
Descripton of Proposed Construction or Alteration
-FINAL APPROVAL REQUIRED FRaA THE SUFFOLK COUNTY HEALTH DEPARTMENT
Name Of Owner THOMAS LUNIESWKI
Mailing Address 1 19 EDWIN STREET
City St Zip BAYSHORE NY 11706
Property Address 1 JOHN'S ROAD
City St Zip MATTIUCK NY 11952
Tax Map No. section 122.00 block 3 lot 25.200
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 9/28/05 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
•
Hi:: SO(j -ELIZABETH A. NEVILLE I \ Town Hall, 53095 Main Road
TOWN CLERK �; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS qk Southold, New York 11971
alli
MARRIAGE OFFICER L% �1�, Fax (631) 765-6145
RECORDS MANAGEMENT_OFFICEE � ��� Telephone (631) 765-1800
FREE ..� �FQTN QFIf"IGR U , ,�. southoldtown.northfork.net
441, 1
I'"li' AUG I 2005 `bFFICE OF THE TOWN CLERK
1 TOWN OF SOUTHOLD
L____ „ ...,
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: July 29, 2005
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 3493 for a Cesspool/Septic Tank Construction
Permit submitted by:
Manzi Homes for Thomas Luniewski
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
Comments: II 40��.,-
Signature Is.. :-..-.
.....4:4-&-.4-cam -2-3 42-00,5—
Dated
,
OFFZCK OF ME tOWN CLERK ll COf 0', II ,,. L/G
TUTIi
TOWN OF �� U hi�`/OG Application No. 37s3
ELIZABET11 A.NEVILLE,TOWN CLERK �� •
P.O.BOX 1179 • Construction
SOUTHOLD,NEW YORK 11971 •
Alteration
s
Telephone � • $10.00 - Residential ✓
(516) 765-1801 �O� •
•
�' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.c.7. 1
Fee $
DATE ii/ 5 /oJ
APPLICANT NAME: •1hos k(
APPLICANT ADDRESS: I l E \n
ioy 1/70 6 '
SEPTIC ' CESSPOOL/
DESCRIPTION OF PROPOSED .CONSTRUCTION OR?,ALTERAT;ION
•
LOCATION MAP: Must be attached hereto before 'permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: / 0 S Lu n;ews i
OWNER MAILING ADDRESS: 1Q e_ i)
(ckysi-7c e y /006
OWNER PROPERTY ADDRESS: • v/1,-1S 1200
Ct. r u
•
TELEPHONE NUMBER OF CONTACT PERSON: 71/61 — /03, VSS_ ?7a 1
TAX MAP NO. : Section la Block 3 Lot_
CROSS STREET: I
BUILDING PERMIT NUMBER CROSS REFERENCE:
0,7
ignature of App scant
RECEIVED BY :
Town Clerk' Office
DATE: •
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PROPOSED ,
HOUSE - 10.00' — 15t
FIRST FLOOR
EL.=11.50
FINISHED GRADE =.
•
• .
EL. 9.0
1' MIN. EL=9.0 EL=8.6
1 MIN.
I 4'DIA PVC MAX. IN O 2' MAX. 2' MIN.
PIPE 0 2,00% - I 4' DIA PVC + }
IE=6.82 IE=6.62 PIPE ®1.00X
0.50' I IE=6.12 IE=5.97 }
• FLOW_LINE •
FLOWLIN0 25 J
1.67' II II 8
0.67
r BAFFLE ( 8.00' 2.00' I t
8.00' 1
1',--..-- - 0.33' GROUND ;,
WATER
• 50••S.F.S.W.A. . cz
• -,-.DISTRIBUTION ,POOLS (2)
..--
I ...18.00'
50 S.F.S.W.A.
•
LEACHING POOLS (4)
1000 GAL.- SEPTIC TANK
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HYDRAULIC SECTION
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SLOCV 13'6 •
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A<11641.0,0"2.•_, pt to 1 744000
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Young & Young "
oil
400 Ostrander Avenue, Riverhead, New York 11901
631-727-2303 !inHoward W. Young, Land Surveyory1!
Thomas C. Wolpert, Professional Engineer g
Robert C. Tast, Architect 9g
Ronald E. Pfuhl, Landscape ArchitectXii
1
Douglas E. Adams, Professional Engineer
HEALTH DEPARTMENT USE
/...,,__,._...-
SUBJEC TO CONVE.ANTS&RESTRICTIONS USER,two/23 G 2-- o
PAGE
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
SINGLE FAMILY RESIDENCE ONLY
DATE •Z 0 S
HS REF.NO. 4/o — urs—otS'� $0
APPROVED A -� _ E
p
FOR MAXIMUM OF. BEDROOMS NIS
EXPIRES THREE YEARS FROM DATE OF APPROVAL
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NOTE 4
AREA = 1.4270 ACRES N
oi• s
• VERTICAL DATUM = N.G.V. DATUM (M.S.L. 1929) MI
• FILL REQUIRED = 800 C.Y. ± gli
e
NOME ClIANGE( t)
by Dept.of Health servers
0
ENGINEER'S CERTIFICATION
• I HEREBY CERTIFY THAT THE WATER SUPPLY AND SEWAGE
DISPOSAL SYSTEMS FOR THIS PROJECT WERE DESIGNED BY ME OR
I IAIf,rn \IV nlnrnT/1.I