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HomeMy WebLinkAboutBarrows, Mary • '0QV SO!/i oii°,iy� yo ELIZABETH A. NEVILLE •0 �W 4 Town Hall, 53095 Main Road TOWN CLERK l l , P.O. Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS 2 Q ,� MARRIAGE OFFICER 'P► `\1, I1 Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER O Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER =�COLIN1 itV-01°,i, 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. 3417 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : FUTURE SURROUNDINGS MOD. HOMES Address 1: 150 WATERVIEW DRIVE City St Zip SOUTHOLD NY 11971 Descripton of Proposed Construction or Alteration - NEW MODULAR HOME, SINGLE FAMLIY, NEW GARAGE - FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT Name Of Owner MARY & DAN BARROWS Mailing Address 1 10719 S.W. HARTWICK DRIVE City St Zip PORT ST. LUCIE FL 34987 Property Address 1 290 TOWN HARBOR LANE City St Zip MATTITUCK NY 11952 Tax Map No. section 64.00 block 5 lot 26.000 Cross Street MAIN ROAD Building Permit Number Cross Reference: Issue Date: 4/05/06 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ,�•/¶pF SOUjyol - ELIZABETH A.NEVILLE Town Hall, 53095 Main Road TOWN CLERK ; * J�[ P.O. Box 1179 A Southold, New York 11971 REGISTRAR,OF VITAL STATISTICS co Q ,1 MARRIAGE OFFICER ; �O �� Fax(631) 765-6145 l RECORDS MANAGEMENT OFFICER : �I• Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER _�COU111 .,�IIe , southoldtown.northfork.net OFFICE OF THE TOWN CLERK MAR 6 TOWN OF SOUTHOLD TO:- -. S©uthld "wn Building Department FROM: Michelle L. Martocchia, Southold Town Clerk's Office DATED: March 6, 2006 RE: Cesspool Construction/Alteration Application Transmitted herewith is a copy of application No. 3571 for a Cesspool/Septic Tank Construction/Alteration Permit submitted by: Stacey Bishop- Future Surroundings Modular Homes. 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: � ��,.� � .i VAgliP _ - �;s,Lfx t7Or . i % 7/(e. .4 ei4 / Si gnature 7 „Zoo Dated ELIZABETH A.NEVILLE �,'�`t` 4�� Town Hall, 53095 Main Road TOWN CLERK , p � ; P.O. Box 1179 ti r $ Southold, New York 11971 REGISTRAR OF VITAL STATISTICS v. h� MARRIAGE OFFICER '� 1� Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER =y�Q �O)''I° Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER =:'�"ow '���•'� 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 X or Non-Residential @ $25 Application N%. Permit No. LI Applicant Name S:;c c/ e is Ai 6 N"- 7u;v,,L- SJ2(1u�-Joi-.)‘_c /1"1-0.0(4.- .c 64 o„ Applicant Mailing Address /S-6 (JA;-tee V/C.L<.) ,a,F So_A T)-soc o //9-2 Septic Tank or Cesspool ' Brief Description of Proposed Construction or Alteration Na.J Nil e;9t.t..,ry� N6,-,44= — J/AiGLG14isy IA-Ai 644.--,46c; Location of Proposed Construction/Alteration: Owner of Property: ////#1,y -r- 0 OA) ai.x..K.c),,.)s Owner Mailing Address: /O 7/ q .ls LJ /7,74 i"wic/c ,ac, "4-r- ST_ Lu(ra-- rL 3 (7 7 Owner Property Address: `I 0 '7tw„) 1-1Rx_ ,3 U2 `-nJ J t CTIA 0C- /l-t/ l/9-7/ Name and phone number of contact person S�14cy "3/s/7`07.a -7 6y,)--6 7i-7 Tax Map No: /-W-) Section 6`-7 Block OS— Lot ,2 6, Cross Street 4/41,,) fif 0. NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL . X./o( Signator of Applicant Date Received by: SURVEY OFLOTi2 • pill OF. FOUNDERS ESTATES '� 4. tr) a; t 0 2 FILE No. 934 FILED MAY 10, 1*27 . . a f a 4.0 SXT A?ETAT O Av LOTErb � , ,, SOUTHOLD 79'44'4Q� a� rEtt Wr �k --:".71.;::::; 1 limeLt TOWN OF SOUTHOLD o E ___ER) _tar., _� a SUFFOLK COUNTY, NEW YORK o ' N w `i, " , ,e't S.C. TAX No. t 000-64-OS-26 ' : �` tt) PALK .u.a a t . SCALE 1"=30' , ® f t ()32 :, ( Q150,6 . .4 t F 'k acTfEf 2z, semIV tL:. t , © L fF �^ 4 a M, n JSJ".GA{'sGT. 400PROPOSED HOUSE .....ri i ' -; ., � It - i1♦� •N SEPT• EAlE1ER 190,E F ASSE1! PROPOSED 2002 UPDATE � AY LOC+1T#E)N O W 3 ry �. x-3----,,......i. I. ....i. _ SIG' r � r 4d'� tW y T 1' /'� OCTOBER 29; 2003 /DEED PROPOSED SITE PLAN II Cts r .305 Q . •ad^ tk ., _ . 3 k- tl4 .. .,„7-` AREA = 11 i • O. . ‘ W oti �x, q' :"'? 2 7 b"li y,. =Q iq S " - tk 0.261 ac �. N. u� 4. r _+\II LOT • 1E-4 7 ►�'+-� ` _ . �'11. orb 4 .aw 65 = 11on Tlx: SURANCE COMP.6`0. -as t9 v E.. TM S ANY r 4IaI0.o f S p= MIS' 345a.... . 7 in 0 .._44 mg .1z - t. EtrisAtAir=rA sow 0.o N jj��/� b� 2. TO MED PM MR T�How OiATA. O / i d • _ z ! S.ILMI»TAF1( 71 A 1 :DROOP NOUS:ES 1,0011 SWAM. m 0 V i II e► 44 411'► 1�, ON 1 r+a�w. -:` ar-T over 3 n O 4 Y tE S3 10041,1%if MC WIM M n1k A l TO 4/E0N00M MOW 13 7111A N IS LLMin- 144 ' 1 LO `� 4 +4 - Tgzo , cs ; y g 41-410 e4► ,„„k••0 Z Z •PIIOFie�D esrMM111N POOL ooTt �n 76j Q EXCAVATION INSPECTION EC 4II�I:D PRINWEED MOONS POOL f' SUFFOLK COQ NTY DESA JMENT OF HEALTH SERVICES (Lue,l l w i L ' FOR SANITARY SYSTEM1 //��{ /}��) j v 10 k- ,►`" BY HEALTH DEPARTMENT •+�ararEo move sum Wt TITi1,,,77;Z-!_11' ..CONSTRUCTION FOR A WO( v Q-1 > & THE=MON OF ply M16/11R s01�T11 0/11N11� FROM FROM MD 6-Dr-LT , .,rL ka�91 EN ONLY+Y ,/ tib1 e. r FLOPS MOE 1 v TEST MOLE DATA ` Fue11�► ` MAP aitco+a c 2=2-3-047 . ��►1 O - b I 3 (�sr++oma arc er�oewA oN octoeae ts, taa►) NO E AE: ME+ 011 SEV03 Maim m BATE�� _ E M flIP axe z•: w 9111-wont mom 1 tar,-muemso am Areca y ar r 1DEMI OF LOOS J AI FOOT IMI M�El i Ram //�� moi, - ,/�0///�/ j rwc.w�rn MO a GONE X: MPS OE1ED TO OE 81A"JItIO--16/Yt FlA/Ol'LMI• p~' '°` 7 '°3 PROPOSED SEPTIC SYSTEM DETAIL '"°"'�"°" E ?t ,f ;:1,R'qa '� ' t 3 `';'VAL (NOT TO SCALE) '.: isr r = .y 1. -yHOUK 1NOK. ,I4 AIM lax L . �I3Y"r. �...:.:_ t71tr..ii _ ^ q __. ._...._..-f+R--9s}�--^._�-___. •- .,_ FME11M�ORME ,wit N a •• �Co A �m IMO OM=OM 111111 IN '' I%711GEJE COVER WIT' IIMMINI ' CO 0 stl �` C; BURIED elk 2 DEEP mag / d FRIM cowl t INSECT PROOF +1' y 1 •-, -1.•`, �q.� At 'YMK!D IES.. ®i •_..,min. MIN. 4'As. ! ,..ROP E4 7dtY� 3 - T� 'MO 1 ' may. I',. 1 4 1• 70P = . �r�wmei PI!!E • IF-- _ Filiaiiii os�. a II , =TN/1 w WI o ,yi9lgotER - co.., N z ,D.tl —fir ., r - 1 a+. .f ■, ccp _ , .,,, ,, PIFFLE A- • r1 .• u�WIfMp1PED ALMEDNOION OR#0010w l OF R�ti1N V0RN SM/E d4 I --� I-C, --- 1 ,a '�' 'NM'� JO . 1 . ,cy4,� SEPTIC TANK (1) -� Ps2aiI rt CONSIDERED Lirtd Strveyor .1 1.WPM SEPTIC TMMC CAPACERRS pqt A 1 TO 4 BEDROOM HOUSE IS 1.000 GALLONS. POOLS1 TAMC E Los,4'-3'712E 6-T DEE! LEACHING 2.OONCEtTE SHALL&4 E A MINN COIMIIiSSIYE STRENGTH OF 3.000 INi AT 20 DAYS. 1. matt 4 $IB111r FOR A 1 CO 4 BFLI10OM FI0119[5 300•II ft SME11f&L AREA 01 4!' v M10 Tilts Surveys - S_F1Nl___ - SIFr.PAxr• - ampblxibr, tAotlRlt j•' S WILL a A MOM OF 3%A Tor GF r*TAN aF 4.- uur, r (/ ALL WAILS,110711111 Mp TDF'SIMLL 00NDW REIOOIr RE9ME Nr M M01lOE�PM• 2 POiLE ME TO EE OF RMikDINRe OONCIIL�IE(OW EOt11L) :O '�" :. ^` 11 4 ALL JOINTS 511ALL BE SEALED Sb IIYtT RE T1BNC M RAT171R611f. 9EIIRa A1F8J70R 11111011. '''••• ARE NOF noteFeMaE. PROW 030727-2090 Fax(831)727-1727 S TUE SEP11C 91N.1 E M1SDYlED AT F1 M;L tq. (NEEM A WX.TOLEWNk OF t1/4') 3.All *au.et OF MEOW RBMDR{;b CORM(0R NINS.} ON A WNI11 S 1r�K (8A OF C0Mr11O i0 OR 0M111EL 4.A 1A'min.000AWCE woo mesas oft*Aboo won FRE WILL BE MMNfMNED. vS 1.00i141)1.00i141)AT AMOS S.A 10 mY=. DISTANCE Knox mime IANC A10 MOUSE 31441 E tAtf 0M01O. 1.M1 O' AWL 0 f 1 ALL LR7NJY 11 ![MLL 110 I1MlMAMEA- TFC OF OT 01* � Qf B.AN B'min.DISTPICE WOO ALL 1.001010 2001.4 Mb WPM DW(WU.BE WatiV llED. AfR 1101 BY RAiAE[b. 372 IMOMOKE K.N1/t P.O. lox MI OMIX OD. NH/Yu/4i 11101 FIN•iimed"Ile.'Aft 11101-0986 7d--+4570