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HomeMy WebLinkAboutManos, Irene (2) r ' SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3479 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : PATRICIA MOORE Address 1: 51020 MAIN ROAD City St Zip SOUTHOLD NY 11971 Descripton of Proposed Construction or Alteration -REPLACEMENT OF EXISTING POOL, NEW DWELLING -FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT Name Of Owner IRENE MANOS Mailing Address 1 City St Zip 0000 Property Address 1 2000 SOUNDVIEW DRIVE City St Zip SOUTHOLD NY 11971 Tax Map No. section 33.00 block 1 lot 1.800 Cross Street Building Permit Number Cross Reference: Issue Date: 10/25/06 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) •�,�%pF SOU pz, ELIZABETH A. NEVILLE I ,�O l0 Town Hall, 53095 Main Road TOWN CLERK 4 *; P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER G ,t:c Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER �` , 60 I•I Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER i1I COU southoldtown.northfork.net ���( OFFICE OF THE TOWN CLERK I- I 0 ? `16 TOWN OF SOUTHOLD 44:---- Southold 1 own Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: Transmitted herewith is a copy of application No. 3634 for a Cesspool/Septic Tank Construction or Alteration Permit submitted by: Patricia Moore 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: tr c Signature ` A /� SCC Dated ., ,,,,o�osuFFo�, �o ELIZABETH A.NEVILLE %O.0 4`` Town Hall, 53095 Main Road TOWN CLERK . I P.O. Box 1179 cil Z i Southold, New York 11971 REGISTRAR OF VITAL STATISTICS ".°64,,_ v. Af MARRIAGE OFFICER : O Fax Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER -1 0 ���� Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER -?O'� ���'� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK 11 Residential @$10X or Non-Residential @ $25 Applicat.. • : atreo Permi o., L-� Applicant Name Pct. GLI G C / /or Applicant Mailing Address Stat(2 glQ in' A90 d S - M Cd A/ /(7-7/ Septic Tank or Cesspool ',C, Brief Dcription of Proposed Construction or Alteration eer Location of Proposed Construction/Alteration: -Lz.._ Owner of Property: frl.c-f-,N os Owner Mailing Address: Owner Property Address: 020©v SOunc/V/ i7/, L -P 561 ?/a' Name and phone number of contact person fG�' -/- Tax Map No: Section 3 Block ( Lot 4 Cross Street NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WI- ALTH DEPARTMENT APPROVAL gi/ ____ e___.,.._.------ Siure'of Applicant Date Received byding T TYPICAL RECTANGULAR SEPTIC TAN NISHtI. , APIC-AL LLAUHINL, VOUL G4 ! 1 RADE — �} -- -- I -- i , V.�. 45. 5 ' a 1' MIN.. 2' MAX. r_ ^�I - CNCRETE COVER --- I 1-- 4 MAX. --r -: ,__. t / 1 I \s / `\ CONCRETE - c.._ 4) 1 1 1 W ..` a CHIMNEY - 4 1 1 /I—L�_.-i.L J ..». .• aA rrhfl I 1 2W to sW 3/871' E..�. 4t.4n \. _ ,— .. _ ss'\i• , �_ // _ _ U/ ,ti 0 ❑ 4- L f Lw� lJ '1 ,' t;; fl 11 El El El Slim owe \ ., MAA 1— . I V _ t wIN 2' MAX ( rr: '.. k } 4 MAX I •--a« 'I ! j ly/ 4 _ 1 LA..... 4,-*. 1'b '^., hl _ iJ l` It 1., 1 aMx ,. �l f yr 1 aMtn •••,-- ."";x�;�r � ' .. IE rif.s.2.s• �� R __I N--.4.E.J.,.. r....,. ...I.. 00, , I • - I ikk fatiolfrArr >rr `r" n. � { A---=+- oma* --1r 1 u JI. ;. { k k > :.‘ . .. t: 4' !,. se-,,,.1 e/ 3 MIN: LEACHING , - i/r COLLAR SECTIONS 1' 0.A...... a oi.I...? be _ . _ , , , I , , ,I 3, M '--k 1 I 1, 49..2(24,‘,1... •t..rrt1G ( , ►�u" tic Soo hest) GIVKL. - NIGH 9[1 GNAT. t ,, t`:I} 11 BACK FILL MATERIAL TO 8E CLEfr SMI ANO GRAVEL r �y -A N I �=r,a e- , 2 Y -t /A l t� 1 L. S:.- BUILDING AREA .c� _ EXISTING dwelling 1,954 SQ. FT. deckstn*1rs 1101002.,FT. PROPOSED I bu# cin 848 SQ. FT. garage eilidittort 518 Ea FT. 10.1-. .�. roofed w +t 3 :FT. rA =at pool addition ImoAim �t at.it. garage deletion - 1, '"°`' ,*`. T. TOTAL 4,342 SQ. FT. LOT COVERAGE TOTAL EXISTING 8.80% PikOPOSED 15.07% OWNER PETER & ARLENE MANOS 200 CENTRAL PARK SOUTH Apt. 50 '""""' NEW YORK. NY 10019 Abandonment of existing sanity system must be in comfonnance with deprequirement Submit compkted form WWM- D as proof. SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES PERMIT FOR APPROVAL OF CONSTRUCTION FOR A SINGLE FAMILY RESIDENCE ONLY Fri DATE / H.S. REF. •. I 0 _0I _0e)-- 1 APPROV r_) c ) FOR MAXI MOF BED-IMS Cil EXPIRES THREE YEARS FR•M DATE OF APPROVAL EXCAVATION INSPECTION REQUIRES FOR SANITARY SYSTEM BY HEALTH DEPARTMENT TITLE r ra„+i icy. E.- 1;10.4,11— . 11 .-.4,1 Cir ., itkw T R A I\I G I,._.c C' °' LOCATION .,10,1 `++s + -mac.•S_-_6,-., 's1"�`w. '.j r4 ; SCALE* REVISED DRAWING N? old N.Y. 11971 #= - 14 a 'i'4 • . DATE r'�, •.S f r DRAWN BY /�' i ,r MO s P