HomeMy WebLinkAboutMarston, Robert /I'oe„
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ELIZABETH A. NEVILLE d '` 4 Town Hall, 53095 Main Road
TOWN CLERK 4 4gP.O. Box 1179
vs Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER �O �) Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER ., l '�� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER COU +� � , southoldtown.northfork.net
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3437 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : THOMAS C. SAMUELS
Address 1: 25235 MAIN ROAD
City St Zip CUTCHOGUE NY 11935
Descripton of Proposed Construction or Alteration
-ABANDON EXISTING SANITARY & CONSTRUCT NEW SANITARY SYSTEM PER SCHD
-FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT
Name Of Owner ROBERT S. MARSTON & JOHN D.
Mailing Address 1 1717 SOLANO WAY - UNIT 34
City St Zip CONCORD CA 94520
Property Address 1 7065 NEW SUFFOLK ROAD
City St Zip NEW SUFFOLK NY 11956
Tax Map No. section 117.00 block 5 lot 30.000
Cross Street FANNING ROAD
Building Permit Number Cross Reference:
Issue Date: 5/25/06 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
4 SO!/ry-
ELIZABETH A. NEVILLE � '` Ol0 Town Hall, 53095 Main Road
TOWN CLERKlig , P.O. Box 1179
N Southold, New York 11971
REGISTRAR OF VITAL STATISTICS G • ,�
MARRIAGE OFFICER Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER : (C 'rN i�•' Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER - "U�1"+ 0�� southoldtown.northfork.net
01.
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
22
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 18, 2006
Transmitted herewith is a copy of application No. 3598 for a Cesspool/Septic Tank Construction
Permit submitted by:
Thomas C. Samuels (for Marston & Gardiner)
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
DISAPPROVE
Comments:
G�
Signature
itV.S:AA,4
Dated
OFFICE OF THB TOWN CLERK ,,,',
,,,�.....�..,.
RLi7pBETHANNE TOOFSOUTHLLE, OWNCLERK ,oe�C��FFD�J��+OI/ Application No.
P.O.BOX 1179 ; Construction
SOUTHOLD,NEW YORK 11971 : a Z
t 471Alteration
Telephone ,j- $10.00 - Residential S 1B
(631) 765-1800 =401 * sil,.0° " $25.00 —Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Perm' No. A
Fee .$
DATE 51g ,
APPLICANT NAME: 71-149414-i% C. zoitubZS
APPLICANT ADDRESS: 0235"Z35" IVI4M) kD
Ct 7ZJ(106 E .
SEPTIC / CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
/k3d7VDON AtitYPitr& & D� CcenTle ,cJ t17 -LA
4i,m1/7r r • n ySrti f i2 SVZsekS
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Albert tS08I/4i .eCSeibte.
OWNER MAILING ADDRESS: 6717 &Pdlaha " "'`1 , U,ylt- act
o4�o t, c.484$2.0 TT
OWNER PROPERTY ADDRESS: ')C1615- A/40 Si/1%1<A .
TELEPHONE NUMBER OF CONTACT PERSON: - 734 -674 OS
TAX MAP NO. : Section 117 Block .S Lot 30
CROSS STREET: Dann)Ni .
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY:
-f\lg -
Town Clerk's Office
DATE: -3 (( l�l'7b
•
.
,
N/0/10
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BOAT MARINA
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W I-OFT PIA X 2FT PEEP FOR IRWATi°14 •
FUTURE EXPANSiON
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VACANT s(
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PIPE
ORCHARD STREET
BUILOINe WALL
FF.EL. 4-51
7 GRAVE LINE ELEVATION 5.0 FT.
\ &RADE LINE ELEVATION ± 1b-' FT.
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, aFrr/q. SITE DATA •
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`1�� a 10- << pc `•, SCTM it 1000-117-05-30
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�,s N : ii 4ii3' q i. PROPERTY: 7065 NEW SUFFOLK ROAD
�..- iiv h 51 f ,,.:+4.t.'. .i Z ADRESS NEW SUFFOLK, NY. 11956
20 X4111"1,0
' r^� '.h, OWNER: THOMAS AND BEV CHRISTIANSON A 4
"i i : Ol i 953 NEW SUFFOLK ROAD`i NEW SUFFOLK, NY. 11956
NP SITE 20,263.30 SQ- FT. =0.465 ACRES u) 0
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FLOOD: "AE"(EL.8) :CI
p PPLATWOOFORM / ZONE i I
• JOSEPH A.INGEGNO
o •andonmenf of existingsan4ta #:,....:-..-ry P.O. BOX 1931 Z W
to be witnessed by Health Department. RIVERHEAD, NY. 11901 Q =
50T15
� \ ..• ATIONS ARE REFERENCED TO 14.O.V.D. I.2• DATUY. F-
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EXISTNNO ELEVATORS ARE %HOWt4 THUS 'c._ > 41
( r ENGINEER'S CERTIFICATION REQUIRE, , now ASC AND/ORSTA MAIMiltIWN 0
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o rq SUBMIT P.E. OR R.A. CERTIFICATION OTHERS
FOR ....1,s1_ -2 a
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TEST HOLE DATA aIe, --
3UFFOLK COUNTY DBPAR • OF HEALTH SERVWC�sT • E DL ON MARCH 21, 2001) 2207
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PERMIT FOR APPROVAL OF CONSTRUCTION FORA E 8 O 7 .(./ o, DARK BROWN SANDY LOAM OL --
NS
SINGLE FAMILY RESIDENCE ONLY `- - _� BROWN LOAMY SAND SM ""F
3/19/2004
)A'TE 3 4 HS REF.NO./\/O -D V U 05 -,e•;t 2 .5' �CuF
►PPROVED
12 -L ''-- �1 ' PALE BROWN FINE 6rEt,IMF 30.-0"
•! TO MEDIUM SAND SP
- FOR MAXIMUM OF `3 BEDROOMS E . 1.7'
<-:- ,._ 6.3' SITE PLAN
EXPIRES THREE YEARS FROM DATE OF APPROVAL
`
Approved in accordance with Board of Review WATER IN PALE BROWN SHEET Mn
FINE TO MEDIUM SAND SP
determination dated c== - �O S--
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