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HomeMy WebLinkAboutSpyer, Jim • ••,soli SOut4,- ELIZABETH A.NEVILLE ��� '`� 4 Town Hall, 53095 Main Road TOWN CLERK 4 Jill P.O. Box 1179 N �r Southold, New York 11971 REGISTRAR.OF VITAL STATISTICS G Q MARRIAGE OFFICER .�` �O � Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER ��� Telephone(631) 765-1800 , I FREEDOM OF INFORMATION OFFICER '/CV UJ(%' ,° southoldtown.northfork.net .6P.6urs 1I OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3434 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : SAMUELS & STEELMAN Address 1: 25235 MAIN ROAD City St Zip CUTCHOGUE NY 11935 Descripton of Proposed Construction or Alteration -REPLACE EXISTING SANITARTY SYSTEM W/ NEW SYSTEM -FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT Name Of Owner JIM & KAREN SPYER Mailing Address 1 450 WEST END AVE - APT 3A City St Zip NEW YORK NY 10024 Property Address 1 2100 JACKSON STREET City St Zip NEW SUFFOLK NY 11956 Tax Map No. section 117.00 block 10 lot 18.100 Cross Street FOURTH STREET Building Permit Number Cross Reference: Issue Date: 5/25/06 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ., ��„ .i. • ��,�• %OF SOUr�o ELIZABETH A.NEVILLE 1�� I. l0 : Town Hall, 53095 Main Road TOWN CLERK ; l iNg ; P.O. Box 1179 c y� Southold, New York 11971 REGISTRAR OF VITAL STATISTICS % G � MARRIAGE OFFICER 41. -OQ f�� Fax (631) 765 6145 RECORDS MANAGEMENT OFFICER ..iv. ,M NA��oof Telephone (631) 765-1800 FREEDOM OF INFOFICER OUR i,, southoldtown.northfork.net ' r' OFFICE OF THE TOWN CLERK \\140 TOWN OF SOUTHOLD TO: ,� Southold Town Building Department �. FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: Transmitted herewith is a copy of application No. at!or a Cesspool/Septic Tank Construction or Alteration Permit submitted by: Samuel & Steelman 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 V DISAPPROVE Comments:,/ ....41"#‘4- 44^11T Signature 05/0 0�' Dated R , • I,,•,...•...,,�'' OFFICE OF THE TOWN CLERIC ,' -_ TOWN OF SOUTHOLD �• ���` O�nCQApplication No.c5rO rt ELIZABETH A.NEVILLE,TOWN CLERK �/ P.O.BOX 1179 Pft. Construction SOUTHOLD,NEW YORK 11971 • Vs Alteration Telephone 0.% ��f- 1-) $10.00 - Residential (63- 765 1800 1 Jr st" 0- $25.00 -Non-Residen !al TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permi No. , Fee .$ DATE 5// O APPLICANT NAME: 4JLm. .Ie4 f a4, APPLICANT ADDRESS: 25235 /lQ-t-ot Rotel OftOlitOd44. , N.(f. /0735- SEPTIC 1935SEPTIC 7CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION &I/404 elei.siika so-iv/'f4 t- ‘'efttemi ty 4c,Afi scrsiupt LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALT RATION: OWNER OF PROPERTY: JJMI tifigetrem eberj OWNER MAILING ADDRESS: 1715r, Wed S I ( Rrouyei 4417. 13,4 gark, Ng. )eO aq OWNER PROPERTY ADDRESS: ZOO deteieSeil 649; 6V2$4/Etetriv6k TELEPHONE NUMBER OF CONTACT PERSON: TAX MAP NO. : Section 1(1 Block JO Lot /f: I CROSS STREET: Fc rest BUILDING PERMIT NUMBER CROSS REFERENCE: ignature of Applicant RECEIVED BY: . ` -� own Jerk's Office DATE: L�lU1c r • e - • ••• • - 11.x$ r : • • • 4 �-.__ • •r 12.4 i. • • ,�, _• •• •d • i ti '•'•' • X5'22'00" i"-9 -` • " • IN § . " ; -- 120.21 ' L. �,� • / • d • / 1 1 :• 1'.. - - "i STRUCTURE TO BE DEMOLISHED I" N 7I / Fl 10.0 '° IND & OMP __ • ' co / .' • •TH ,• . .• d` • ,, > / ......\...... d '/ ' 10.,r RELOCOED�_9 b is At 10 NI' our /,*I ••/ -. _ JOIST. S.G.W.A. WATER • • —�y , 4., �,,,. � M METER AND SERVICE •of• .• &41v. % n � �:►`� I�I ��P I loursmE • , S44......:4.411)1 "114 4.741 / : :SIN,.,.....1149A.t .. . BOUNDRY 11 -- ; _ _..AAP/, . .,• ii/ %% ,� .2____..� ▪ • ....• . --=-- - ;,IIIIIIIIIIIIIIIIIIIIIIIIIIIIII ir' _'IIP'ur in r r. r' r IIII I = _________\ i ='''��Il���;u��,��:114.11 1;��;;1�;�illl, lily ', PROPOSED SANITARY SYSTEM / 10.4 _- /,4. — • =_=' III / , —__ _____ . �P (I) 1,500 &AL. SEPTIC TANK _ IliiillllllllliillG -� �, �./..-' ►'_=,dIIIIII�������������u��IIIIIIIi6� OLP w/ 8" THICK R IORGD SLAB ,. TO RELOcAnzo Er41LP (8)- 8 T. DIA. x 2 T. PEEP �ooc of IIISEr B To BE Ramp LEACHING POOLS � /w °°' PaRp, (4)- T. DIA. x 2 FT. DEEP • i EXPANSION ON •. ■ LEArGf�I NG a �O � • 4.-9-z �* POOL (I=UTURE ) i EsAcK �1 'S �• • iC G'pUNTy DEPAR EXCAVA I+Q �I�'` PE TIO R QWRED— "OFHEALTHSERVICES • A. •:-.41A '• APPIB®v.� / 0R S N 1 t��' k �' :lisiT i� ucTzo�FOR A 14,No.ENeloCE.:00:72_0 6. 4. Y EALT $ EPAH IEI I L�+ Z Q� APPROVED • / �- °� / � '"444:;_67_14114'BEDI2®oIvIS W ! 1,..* ...: • / I IC4 • I Ali PP' r • �• / �p�d ' EXPO THEE YEARS FROM DATE OF APPROVAL / ... .._. • „ • •x :m,:t ee , •: ng sanitary system muse in / ,..,, h izi s ...... :4:.. e ith department re uirement ubm�t §i .Ace f nt WWM-o 8© as roof. 6 k E-1 i : .4 i z al I b I R+ . / / TEST HOLE DATA .• ..;. 9, . 4 / / (TEST HOLE DUG BY McDONALD GEOSCIENCE ON DI I! 0 I o i / — _ -.