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HomeMy WebLinkAboutJett, Joseph (2) � %pF SO(jjyo ELIZABETH A.NEVILLE t° '` l4 Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 N �r Southold, New York 11971 REGISTRAR OF VITAL STATISTICS ; G MARRIAGE OFFICER Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER `__li�'C 11mm11 ���� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER U(J I I 08 southoldtown.northfork.net ��... ‘l 41 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3435 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : JOSEPH JETT Address 1: 43-07 39TH PLACE City St Zip SUNNYSIDE NY 11104 Descripton of Proposed Construction or Alteration -FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT Name Of Owner JOSEPH JETT Mailing Address 1 SAME AS ABOVE City St Zip 0000 Property Address 1 55 PLUM ISLAND LANE City St Zip ORIENT NY 11957 Tax Map No. section 15.00 block 5 lot 24.300 Cross Street MAIN ROAD Building Permit Number Cross Reference: Issue Date: 5/25/06 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) 1,000 iii_ '���,�O��OF SO�r�ol ELIZABETH A.NEVILLE '` O . Town Hall,53095 Main Road TOWN CLERK l sig ; P.O. Box 1179 vs N Southold, New York 11971 REGISTRAR OF VITAL STATISTICS G MARRIAGE OFFICER . r Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER %�4t NA ••• Telephone (631) 765-1800 FREEDOM OF INFORMATION OTTICER OU , + � southoldtown.northfork.net OFFICE OF THE TOWN CLERK Ay 8 TOWN OF SOUTHOLD TOLa ., r Southold ___:,, 2_ Building Department FROM: Michelle L. Martocchia, Southold Town Clerk's Office DATED: May 5, 2006 RE: Cesspool Construction/Alteration Application Transmitted herewith is a copy of application No. 3590 for a Cesspool/Septic Tank Construction/Alteration Permit submitted by: Joseph Jett 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: l %. /,,* Signature DS/ 08 D�o Dated �, #01 OfF04 ; •ELIZABETH A.NEVILLE �� y` �4\` Town Hall, 53095 Main Road TOWN CLERK ' P.O. Box 1179 REGISTRAR OF VITAL STATISTICS to �� Southold, New York 11971 MARRIAGE OFFICER :may ill Telephone Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER = 0 i� Telephone (631) 7654800 FREEDOM OF INFORMATION OFFICER 0 4 0. south oldtown,northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @$10 /or Non-Residential @$25 Application NoJ5q Permit N. yr'_ ...!--" \ Applicant Name J 0-Se, ,:71,122 Applicant Mailing Address q3— C 1 3 Pl(tI c dL t Ilk 1/4-1 \ \\O4 Septic Tank or Cesspool ' Brief Description of Proposed Construction or Alteration Location of Proposed Construction/Alteration: _ {{ ` Owner of Property: 1 .a- l 1 Owner Mailing Address: S Owner Property Address: t ).-LA T-C-4O,,l(1C1., Lf-" Name and phone number of contact person elVt_ \ I(V\D I Tax Map No: Section ( S' Block 0 c Lot a (4. 3-0 Cross Street .P�. '\ S\O- C\ Jou / nArtrn& le---c NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES S ','YH HEALTH DEPARTMENT APPROVAL li c-c-o(9Siii aturf Applicant Date ,l Received by: I `f_ ' _ A .'i_` SUFFOLKCOUNTY DEPARTMENT OF HEALTH SERVICES D5 O UR VEY OF PROPERTY PERMITFOIA APPROVAL OF'C NSTRUCT'ION FOR A LP AT ORIENT r;'- SINGLE FAMILY RESIDENCE ONLY TOWN OF SOUTHOLD DATE '4I(K (16 r, . , SREF. O. Rle-o5-0zz� \ APPROVED /� ,/ N SUFFOLK COUNTY, N. Y. 1000-15-05-24.30 FO' MAXIMUM OF it BE ROOMS SCALE: 1'=40' EXPIRES THREE YEARS FROM DATE OF APPROVAL LOT 180 AUGUST 30, 2005 (DWELLING) Pl n��. 1•I >,:, l'1 I +-+OL.r) Picks-. Ion 2004(revi„o�) I ss.. EXCAVATION iNSPECTION REQUIRED, a = EL. 9.1, t \ Z FORM ` ' u� z 0 E 224.97' EL. • 10.4' MAN V i '` E qq gFE PIMET FENCE FE 1 ■ ll t` Z m 0k 0.5'S 0.6 \ TH. 0.6IJ LT iMtih O TEST HoLE LE Y H EA L ti H D Ei s a 0,1 6M ENT o p. k PROPOSEN EL. 9.9• 10/ LL 5/ (31.4311-X-1 0 rx-1 a. tao' EL. tat' BY McDONA CP. FE fE ZO,IE X ` O^ EL.)oa r o.a's S87 09 40 W � o.4•s ?.�S t .0 (Ni BROWN SAVOY LOAM OL r� 38.95' o.J'w LOT 181 prop/ N W } — — — — 2. < �, Z ... BROWN SILTY SAND WITH HEAVY GRAVEL SM Z I.-ifF `, _ r N of` ppp Z OA • PALE BROWN FINE TO MEDIUM SAND SP -n A .�- --‘0,4EAF(GIl0) 9. BROWN FINE TO COARSE SAND SW ^ Z ;^`� / < WATER IN BROWN FIVE TO COARSE SAND SW / 0 , l N OA� `/ 9) ? I PROPOSED DRIVEWAY ti ..'' D '' I�i a 0 Q. °2-- 51• ..� N '17a I p O �‘ Z V JO' / 36- (p Ej ' ia5 1.4 � t IV U ,L_'OD 20n18s GLOM F/QM S 1 o3 CO<f) 8 E G 5/4.19 : . . � "/ am familiar with the STANDARDS FOR APPROVAL 13 '© �` AND CONSTRUCTION OF SUBSURFACE SEWAGE 0.6'w L. a } a. 9.J' f DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES �"—' 5'40"W /74.95' -- .x� and will abide by the conditions set forth therein and on the permit to construct. / The location of wells and cesspools shown hereon are r.N ROAD (SR. 25) from field observations and or from data obtained from others. EL °'s • EL. 7.4' .�EOF NEyyr co ,�C.MET 0 ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION O� %) OF SECTION 7209 OF THE NEW YORK STA TE EDUCATION LAW. 15 EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS ( rh,n 4,alt,.j ,* HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF / �,- 11,014bQ+� , O. 49618 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR (VACANT) (VACANT) ;4. WHOSE SIGNATURE APPEARS HEREON. P CONICS i/aY�•"''•-!�. : � (631) 765— '5.7i ?C, ,=ig1 r :—1797 Elevations referenced to N.G. V.D LOT NUMBERS REFER T- "MAP OF ORIENT BY THE SEA, P.O. BOX. 909 o _ ` ■ =MONMENT y,t .1,,.cl3ne,.• e SECTION THREE" FILED THE SUFFOLK COUNTY CLERK'S 1230 TRAVELER -iskze � 1 AREA-40,000 SO. �. OFFICE ON OCTOBER 1 i, 974 AS FILE NO. 6160. SOUTHOLD, N. Y. 11971 05-21 6