HomeMy WebLinkAboutSouthold Medical Arts Building SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3483 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : SCOTT B. SHEREN
Address 1: 19 TANNERS NECK LANE
City St Zip WESTHAMPTON NY 11977
Descripton of Proposed Construction or Alteration
-NEW 2900 SQ. FT. MEDICAL BUILDING
-FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT
Name Of Owner SOUTHOLD MEDICAL ARTS BUILDING
Mailing Address 1 19 TANNERS NECK LANE
City St Zip WESTHAMPTON NY 11977
Property Address 1 46850 C.R. 48
City St Zip SOUTHOLD NY 11971
Tax Map No. section 55.00 block 5 lot 1.000
Cross Street BOISSEAU
Building Permit Number Cross Reference:
Issue Date: 10/25/06 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE ,`O 4 Town Hall, 53095 Main Road
TOWN CLERK + 4 *; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS N Southold, New York 11971
MARRIAGE OFFICER G •��, Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER ��q . `` I�1 Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER COUp,PI,.,1 southoldtown.northfork.net
QFFICE OF THE TOWN CLERK
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. 3638 for a Cesspool/Septic Tank Construction or
Alteration Permit submitted by:
Scott B, Sheren
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: - �—ased
-.110/ Y
Signature
/0/s
Dated
i OF F04
ELIZABETH A.NEVILLE �'�`0 ` " . Town Hall,58095 Main Roar
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS �yy ; Southold, New York 11971
MARRIAGE OFFICER v �1� Fax(631)765-6145
RECORDS MANAGEMENT OFFICER %.% �� Telephone(631)765-1800
FREEDOM OF INFORMATION OFFICER =?�' * I'/l 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 or Non-Residential @$25 l/. Application No.cALOS
Com- Permit No,—4.6o
S
Applicant Name t -1/4.41°
Applicant Mailing Address /9 �GJ/U�t1��C C /t ` 2 (40-t---
Septic Tank /or Cesspool
Nu.)Brief Description of 1 cop sey�jC�� on or Alteration
Location of Proposed.Construction/Alteration:
Owner of Property: Je0.,1e(.ia /V(ftAftrS at ("iy
Owner Mailing Address: / eq'tiAi f(2-s Ut a.< (4/
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Owner Property Address: /VD/L724
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Name and phone number of contact person Sem5sl 4 f
Tax Map No: Section S Block ) T Lot / 0
Cross Street X70/5 dna
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITS:!' • TH DEPARTMENT APPROVAL
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Signature of Applicant Date
Received
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2 6/I5/O6 separation between water/sanItary lines
I 5/8/06 ?+5 PER Q.R.B. COMMENTS 5/4/06
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NO. DATE DESCRIPTION -
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JOSEPH SANTORA
4 JOANN RIZZO SANTORA
BUILDING A/C
USES PUBLIC MATER UNIT
ZONING: GENERAL BUSINESS wp _
;ALGULATIONS:
A: 2' RAINFALL STORAGE(.161 FT)
ICIENTS: 100 PAVED/ROOFED AREAS
0.15 LANDSCAPED AREAS
DRYYELI 5 USED(CAPACITY = 65.42 GFNF) TEST HOLE DATA
EA 1: N.T.S.
300 SF.X 10 x 161 = 56116 G.F. NOTE:
14I0 SF.x 10 x .161 = 235.41 GF. INFORMATION REGARDING TEST HOLE DATA
AREA: 1,016 SF.x 0.15 x .161 = 25.45.GF. WAS OBTAINED ON FEBRUARY 10,2006 FROM
TOTAL: 842.06 CF. MCDONALD 6EOSCIENCE,SOUTHOLD,
1'1EW YORK(631)165-3671
6&.42 GFNF. = 1231 V.F.
0 EACH WITH(I)5'-0'VF OF RING WITH SOLID NOTE:
k TOTAL OF 15 FOOT EFFECTIVE DEPTH. TO THE BEST OF OUR KNO tED6E,THERE ARE NO
NEIGHBORING WELL5 OR SEWAGE SYSTEMS WITHIN
EA 2: • ISO OF PROPERTY.
3,236 S.F.x 1.0 x .161 = 540.41 G.F.
AREA: 3,251 SF.x 0.15 x .161 = 65.11 G.F.
121 5F.x ID x .161 = 121.14 G.F. p,,,413 ,
LKHAY 435 SF.x 10 x .161 : . 12.64 G.F. _0 DARK BROWN SILTY LOAM-OL
TOTAL: 611.16 G.F.
- I,
BROWN SILTY SAND - SM
5.42 CFN.F. = 11.16 V.F.
EACH WITH(2)4'-0'VF OF RINGS
COVER WITH A TOTAL OF 16 FOOT 111 ,35 BROWN FINE TO
Pm COARSE SAND - SW
EA 3:
3,4615.F.x 1.0 x .161 = 56232 G.F.
ARI=A: 2,126 5F.x 0.15 x .161 = 13.29 G.F.
164 5.F.x 1.0 x .161 : 12156 G.F.
LKHAY 101 5F.x 1.0 x .161 = 111.06 G.F.
TOTAL: 100.25 G.F.
56.42 GFNF. = 13.15 V.F.
EACH WITH(2)4'-O"VP OF RINGS
COVER WITH A TOTAL OF 16 FOOT
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JOHN J. QUINN
4 7ERESA E. QUINN
BUILDING '� 2
USES PUBLIG WATER?