HomeMy WebLinkAboutMosher, Charles �°, %pF S0!/ro
y ELIZABETH A. NEVILLE e 4 ; Town Hall, 53095 Main Road
TOWN CLERK 4g * P.O. Box 1179
New York 11971
REGISTRAR OF VITAL STATISTICS y o b
Southold
MARRIAGE OFFICER Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER 'mI �O�
let Telephone (631) 765-1800
C
FREEDOM OF INFORMATION OFFICER OU�1,+ of 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. 3400 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : STACEY BISHOP- EAST END CONST.
Address 1: 150 WATERVIEW DRIVE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
-NEW SINGLE FAMILY HOME, MODULAR CONSTRUCTION
-FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT
Name Of Owner CHARLES MOSHER
Mailing Address 1 P 0 BOX 1798
City St Zip SOUTHOLD NY 11971
Property Address 1 BROWN STREET
City St Zip GREENPORT NY 11944
Tax Map No. section 48.00 block 3 lot 24.000
Cross Street NINTH STREET
Building Permit Number Cross Reference:
Issue Date: 1/05/06 Elizaheth A. Neville
Southold Town Clerk
(TOWN SEAL)
OF SO
04/
0�' yeap
ELIZABETH A. NEVILLE I �� l0 Town Hall, 53095 Main Road
TOWN CLERK 4I 4g t P.O. Box 1179
a�
REGISTRAR OF VITAL STATISTICS coik @; G �� Southold,New York 11971
MARRIAGE OFFICER . g Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER .cze ��� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER AUNTY�+ �►'10southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
I
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: December 14, 2005
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 3552 for a Cesspool/Septic Tank Construction
Permit submitted by:
East End Construction Services Inc. for Charles Mosher
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: .:42
Signature
/,2-072,o/P
Dated
„ moi....
,,o,,o�os�FFot�=�0G
ELIZABETH A.NEVILLE ����`t` y` Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
y Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS V. A,
MARRIAGE OFFICER 1� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER -:**n aO* / Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER '� �,.11 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 rf- or Non-Residential @ $25 Application No. -,• ,
Permit No.
Applicant Name ,c3rac.(1,( 73 sNd f' 'cz-A - ewa C4,0 5 R_Tic. taj C.--
Applicant Mailing Address /sem clavi v/ p- 6"a,.1-NN04-to , 1)97/
Septic Tank or Cesspool
Brief Description of Proposed Construction or Alteration N0 Sr N(c`,-, ,,,,,c.y 1-4,)114‘-'”
Location of Proposed Construction/Alteration:
Owner of Property: C t4A .s it
Owner Mailing Address: tod QAC 17 9 e'
cls ►04_0 0,77/
/
Owner Property Address: 72 c. u,J
Name and phone number of contact person £'n4 4,-1 ,, it a `?(v S--67/7
Tax Map No:/vim Section 4L8 Block 2 Lot Z 5
Cross Street our tv-n-1 cT
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WIT EALTH DEPARTMENT APPROVAL
Si: =ture of A$plicant Da e
Received by:
1
• r
A
•
SURVEY OF LOT IS
"PLAN OF PROPERTY AT
GREENPORT, SUFFOLK GO, N.Y. 7 ,, -�
KNOY1N AS w '` f,, .=
GREENPORT DRI V I N S' PARK" "`"
FILED DECEMBER I, IgOq FILE No. 36q
SITUATE: GREENPORT
TOWN: SOUT -IOLD
SUFFOLK COUNTY, NY
`I' Dwenrnq
SURVEYED 10-26-2004 DwellingPublic woEer
AMENDED II-2q-2004 1=1b11c 10`bEer
SUFFOLK COUNTY TAX # Lot 65 I I
1000-48-3-24 '
Lot 64 I I'
°P I Lot 65
8204 '20'� s.
S
0.6g • 9Q"°9° 50.i t 'deck
el.10' 1 6 ---..-w stt+r � 1=
sna __ +r_ __stc+tsr••4sr
I.I1.1.5he:9e SUFFOLK ---
COUNTY DEPARTMENT OF HEALTH SERVICES el. 12' °'E — — (.y
PERMIT r,: APPROVAL OF C)J RT CTON FOR A 11 E YAMILIf L:SID ONLY
t
w
DATE C 00 I
./2p In I
APPROVED ED - N
�I
FOR MAXIMUM OF V BEDROOMS O Lot Ig
1
EXPIRES THREE�2 EA4.tS FROM DATE OF APPROVAL -------
,
VI
N
m 1my k'
Lot I6 Proposed f`:
Test Hole Dwelling n 2 tory v I'
McDonald Geoscience Public I"IAEer 10' House o°• II
11/12/2004 IS' al
Lot 20
Dark Brown 1 -- Dwelling_ Dwelling i
Loam - OL • 2e'
14' Public 1^lafer
1' •
3
Brown silt - ML 0 Qg' I
I
Fin
1
31 h 1 1 S.T. P
2 'IStest A obv
O 13
hole Y
Brown fine to coarsec m M
sand with 20-30% a
gravel - SW -En 3 0 1 5'; mtn ro
_ 6' a t.
Q. i.
u
L ,_
Pale brown Fine to m LLI '
medium sand - SP ----------- 2 5
41
61. 10 *TQAD .I.
11.11 1r°4 44'30'S0.00, el. lo' 350.00`• [cam 1
Water in pale brown
fine to medium sand - SP edge OI paveme,t i'
el. to.
iie
b)IrCOMI 3eet e1.10'
V
171
putDwellr
TerI.
NOTES:
■ MONUMENT FOUND 4.Cf
SETBACKS ARE BASED UPON ZONING LAWS PERTAINING
TO NON-CONFORMING LOT SIZES
-Unauthorized alteration or addition to a survey
LOT EXISTS ENTIRELY IN FLOOD ZONE X PER * Y •1 a es sub- y.wl»a
I
violation a/licensed
lord subo-surveyor's
e l a
1 �_7 � Nen York State EdaaGae Lan.'
FIRM MAP NO.36103C0116 G MAY 4, Icicle. \ IP"i'._: , •ony copra rran the orgkal of tnle e1T ey
�,`'.�tll`. ,ed ea,shall
erg..al e w la a validytr e
�� \+ stamped foal.loll be cOn.ldred to be wile true
PUBLIC WATER IN STREET `
copies'
9`\ 17.-.1Z,‘-' 'Certifications ee prepared
Indicated corhereonnce nifylet that thex-ry de prepared a accordance nl the d Surveys ted
ELEVATIONS REFERENCE SUFFOLK COUNTY TOPO MAPS ' �. 7
etas Code
of"�"e``�
the NM'.York Skate bextatbr,u/Prolee.bAe
Lad 5mpeyare. Sold arhe rveytions ftnll p e 3
- ton h penal for.flan the awry b
and ae to behalf to the Gkb calpmy gavemnen-
tnl oael.ce and lending institution rated hereon,and