HomeMy WebLinkAboutRoensch, Melissa Estate SCUTHCLD VfISTEVIATER d SPCSAL PERM T
OCNSTRLJCTI CN CR ALTERATI CN PERM T
SEPTI C TANC or CESSPOOL
Per m t Nb. 4224 R Fbsi dent i al X Nbn-Resi dent i al
Fee $ 10. 00 Septic X Cesspool
PERM T I SSLED TO
Nan e : PATRI CK M ELI
Address 1: 47 I-I LL STREET EAST
a t y St Zi p MAOI NG R VER NIY 11792
Cescr i pt on of Proposed Const r uct i on or Al t er at i on
AID TI CN TO EXI STI NG SYSTEM
APPRIED AS SLUM TIED NAI NTAJ N FEW FED SETBACKS FRICNI ADJACENT
VELLLS, EU LCI NGS, PROPERTY LI NES AN) VATER BCD ES.
EXCAVATI CN I NSPECTI CN REQ.' FED
Nona Cf Onner ERSTE CF NEU SSA B. FrENSCI-I
Nllai I i ng Address 1 195 D03/CCD LANE
0 t y St Zi p EAST WAR CN NY 11939
Property Address 1 195 D0OIt1XD LANE
a t y St zi p EAST IVARI ON NY 11939
Tax Map Nb. section 31. 00 bl ock 15 I of 1. 000
Cross Street CLD CRCJ-I4RD LANE
Bui I di ng Per m t Nunber Cr oss Fef er ence:
Issue Dat e: 3/31/ 14 Elizabeth A Nevi I I e
Sout hold Town a er k
W,
,�o,,o��gUFFO�,�eo
ELIZABETH A.NEVILLE,MMC 4• Town Hall,53095 Main Road
���
TOWN CLERK O= di P.O.Box 1179
en Southold,New York 11971
REGISTRAR OF VITAL STATISTICS
Fax(631)765-6145
MARRIAGE OFFICER =y,* 0,*/ Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER : el #1„0 www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Carol Hydell, Southold Town Clerk's Office
DATED: March 5, 2014
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 4424 for a Cesspool/Septic Tank Construction
Permit submitted by:
Patrick Miceli for Est. of Melissa Roensch
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:
`i
Signature
7/4444,c. �$ 44'
Dated
. s -:
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
[esidential @ $10 or ❑ Non-Residential @$25 Septic Tank ❑or Cesspool /
Application No. Permit No. 1-0-a-4
Applicant Name: 1Q/oil At?/
Applicant Mailing Address: V/ '� f es/-
Gi' ,� '�., //1 //7').
Brief description of Propsed Construction or Alteration: ' ///, L✓ P/,,. /of
2 ;ris' /..- S-
. e T/
J
Location of Proposed Construction/Alteration: , /
Owner of Property: es-1,t lc' c. f /;i /05-Sa. e iC l-^'Sc.
Owner Mailing Address: /9.s Des L...
4,„o c/
•."2..1/4 j' "/0L, //.
Property Address: /' //
Name and Telephone No. of Contact Person: Ire c- / /l� , e i
2 (.'/,off 6.;>/''
Tax Map No.: Section: /31 Block: Lot: 0 1
Nearest Cross Street: ad ' 4"ct
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DE NT APPROVAL.
,...;.,_:______ L. . _
Siganture f Applicant Date
Received by:
1
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P•
SURVEY OF
° ° TIOT 79 AND P/O 78
`� `P oa MAP OF
•° ho` `' / `i GARDINERS BAY ESTATES
O
CYP °, j SECTION TWO
• • ° e�// ��.� / FILE No. 275 FILED SEPTEMBER 23, 1927
y�' •
.i ,„COs �/ SITUATE
\ .4 % `� / T� EAST MARION
'9 ° et "'� �J�/ i �, TOWN OF SOUTHOLD
° �' / • 0 SUFFOLK COUNTY, NEW YORK
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S.C. TAX No. 1000-31 -15-01
° '' SCALE 1 "=20'
0 00• FEBRUARY 28, 2014
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V.
AREA = 11,474 sq. ft.
� \ / (TO TIE LINES) 0.263 ac.
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a !'oma &
r- �/ / ?eJ• �C �' PREPARED IN ACCORDANCE iu. THE MINIMUM
4 • d, I = k1' ,y s8. ' ` � '5� STANDARDS FOR • SHED
/ O• , - BY THE LIAL.S. I --+ a 0 ,r- a'
It)• N W C / O FOR SUCH •
TITLE ASSOC$'. 11 .-,... sf . D
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v. 01 F ��` Y I° L , N°�S� a N.Y.S. Lic. No. 50467
! °Q 0 UNAUTHORIZED ALTERATION OR ADDITION
TO THIS SURVEY IS A VIOLATION OF
•
SECTION 7209 OF THE NEW YORK STATE
GJ�O 7 Y�° ti °���E'`�E°�
EDUCATION LAW. Nathan Taft Corwin III
°< . ,, v` y iC�QL't'� �+ COPIES OF THIS SURVEY MAP NOT BEARINGTHE LAND SEAL OR Land Surveyor
St.*PI V. ° S G pK 1O °l� 1` EMBOSSED SF SURVEYOR'S
INOT KEDBE CONSIDERED
• ° g ow"'
J J 11� TO BE A VALID 1RUE COPY.
• O Ji J iit�lr
° ° •� 4ON�G Q�e p� 1 CERTIFICATIONS INDICATED HEREON SHALL RUN
v .°•. 0, 0 G '° J� CP ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF TO THE
• •°sem S TITLE COMPANY, GOVERNMENTAL AGENCY AND Title Surveys — Subdivisions Site Plans — Construction Layout
LENDING INSTITUTION USTED HEREON, AND
4 ' TO THE ASSIGNEES OF THE LENDING INSTI-
O • ct, TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. PHONE (631)727-2090 Fax (631)727-1727 .'
7 , < •4 °•.. OFFICES LOCATED AT MAILING ADDRESS
9 THE EXISTENCE OF RIGHTS OF WAY 1586 Main Road P.O. Box 16
° -vs,
AND/OR EASEMENTS OF RECORD, IF Jamesport, New York 11947 Jamesport, New York 11947
ANY, NOT SHOWN ARE NOT GUARANTEED.
34—tYif
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