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Home My WebLink AboutLaFauci, Joseph ELIZABETH A. NEVILLE,MMC Town Hall,53095 Main Road TOWN CLERK P.O. Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631)765-6145 MARRIAGE OFFICER Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL -PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 4288 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : STEVE GRABOSKI • Address 1: 1601 COUNTRY RD 39 SUITE 6 City St Zip SOUTHAMPTION NY 11968 • Descripton of Proposed Construction or Alteration SANITARYASYSTEM FOR SINGLE FAMILY DWELLING APPROVED AS SUBMTrrr.J AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT. REF NO. R10-14-0061 Name Of Owner JOSEPH & ROSALIE LAFAUCI Mailing Ares 1 440 EAST 79TH ST. APT. 15 E City St Zip NEW YORK NY 10075 Property Address 1 225 WINDWARD RD City St Zip ORIENT NY 11957 Tax Map No. section 19.00 block 1 lot 1.204 Cross Street ROUTE 25 Building Permit Number Cross Reference: Issue Date: 1/14/15 Elizabeth A. Neville Southold Town Clerk 0• ". fFOL '�; ELIZABETH A.NEVILLE,MMC Town Hall,53095 Main Road TOWN CLERK A 1 P.O. Box 1179 t CI Z Southold,New York 11971 REGISTRAR OF VITAL STATISTICS t p 4414„ �, Fax(631)765-6145 MARRIAGE OFFICER �� Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER �l * *;00 www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD JAN 5 2f» TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: January 5, 2015 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4288 for a Cesspool/Septic Tank Construction Permit submitted by: Steve Graboski of Custom Modular Homes of L.I. for Joseph & Rosalie Lafauci. 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: Final approval required from the Suffolk County Health Department RECEIVED " 1 3 2015 Signature `' old Town Clerk O02--/S— Dated Z /S Dated 1' ELIZABETH A. NEVILLE,MMC 5 Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS e. Fax(631)765-6145 MARRIAGE OFFICER r Telephone(631) 765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD January 14, 2015 Steve Graboski Custom Modular Homes of L.I. 1601 County Rd. 39, Ste 6 Southampton, NY 11968 RE: 1000-19.-1-12.4 (LaFaui) Dear Sir/1Vladam: Enclosed herewith is the Construction, Alteration or Modification Permit for a Septic Tank/Cesspool System for which you applied. AFTER the system is installed but prior to being used, an OPERATION PERMIT IS REQUIRED. The operation Permit is issued by the Southold Town Clerk's Office. The fee is Ten Dollars ($10.00) for a residential system and twenty-five dollars ($25.00) for a non- residential system. Your check should be made payable to the "Southold Town Clerk". An application form is enclosed. Please complete the requested information and return the application, proper fee, and LOCATION MAP (map must indicate the location of the cesspool(s)/septic tank(s), giving approximate distances in feet from any buildings to the pools and distances between the pools. Should you have any questions concerning this matter, please do not hesitate to contact this office. Very truly yours, GJQr (-�Q ZJOZn Clerk Typist Enclosures ELIZABETH A. NEVILLE , `1� ; Town Hall, 58096 Main Roa „'TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICSF ' Southold, New York 11971 MARRIAGE OFFICERFax (631) 765-6145 RECORDS MANAGEMENT OFFICER % �•%\ 0,iII►�1, Telephone (631)785-1800 FREEDOM OF INFORMATION OFFICER I Alt `t`,I' southoldtown.northfork.net ,.....#'' OFFICE OF THE TOWN CLERK N. TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT - APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK 09 Residential @$10 or Non-Residential @$25 Application No. �� Permit No. Applicant Name SieteC.�"// e604, . /c,677-y7 iffaileg ii -.1.' CV-I.:L...: Applicant Mailing Address it./ Govvt ( f 37 S'-1 fe 4 SCNIAleifVPZ/ AYV,Yer Septic Tank or Cesspool/ p �7� B 'ef escription of Proposed Construction or Altera 'on , / /9/,oj Sym /=z /9 / ,./ Location of Proposed Construction/Alteration: Owner of Property: •,.) 04,,9 Y- ,4 $9W 4045;c4' Owner Mailing Address: WO 44.71- 71°57; /Yr/re /yew Yew</ #y /ao 7S Owner Property Address: ,2.2„S 4(//;(04/04140 4,o AO� D(i "4 Name and phone number of contact person S74 ,",4 b 63/- (-9 Tax Map No:/400O Section /7 Block D/, Lot /& ' Cross Street Air pZ .5- NOTE: NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY HEAL EPARTME APPROVAL �.2 /6 ,y 2 Signature of Applicant Date Received by: SURVEY OF PROPERTY • SITUATE ORIENT p0'5� GESSP TOWN OF SOUTHOLD POO 0 SUFFOLK COUNTY, NEW YORK GF-55 S.C. TAX No. 1000-19-01-12.4 SCALE 1"=40' Water Line(s) {. �;^qBe i O AUGUST 26, 1991 '--"`-=8inspect„, �t6 The WELL JULY 24, 2006 UPDATE SURVEY Suffolk County dept. of 1 .1,1 3 286• 6° STAKEAUGUST 24, 2007 UPDATE SURVEY Call ry �1 _ f j •� DWELLING l' 111 MARCH 22, 2010 ADDED PROPOSED HOUSE Call 852- r ��F, 48Hours In �, 50.9 MAY 7, 2010 ADDED RELOCATED PROPOSED HOUSE To Schedule �#� y ii E N MARCH 25, 2014 REVISED PROPOSED HOUSE Ctton(5 ,6 Im \� 186^29'40„ �. APRIL 14, 2014 RELOCATED PROPOSED HOUSE FOUND \ __ ---- O O n ►�, ° I IS' AGGE`�50RY SETBACK ___--- JULY 31, 201 4 REVISED AS PER S.C.D.O.H.S. • r I —-— O AREA = 49,408 sq. ft. T/) Z I \ W 1.1343 acres O NOTES: r' ° I c e N O I 0 1. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM O W - 4 - 4-- S EXISTING ELEVATIONS ARE SHOWN THUS:50.0 W Id d A \ 2. MINIMUM SEPTIC TANK CAPACITIES FOR 5 BEDROOM HOUSE IS 1,500 GALLONS. Q °- - - -I ` m 1 TANK; 8' DIA. 5' LIQUID DEPTH ,. I -( • I 3. MINIMUM LEACHING SYSTEM FOR 5 BEDROOM HOUSE IS 400 sq ft SIDEWALL AREA. ° F OSCD S icy 2 POOLS; 8' DEEP, 8' dia. ce I I I 4.,::.: PROPOSED PROPOSED FUTURE EXPANSION POOL j • i o I �7 100.0' q '" �/�p, �y 'N C] !i PROPOSED 8' DIA. X 8' DEEP LEACHING POOL k'ppp SjVNO I _�, I � -9ti 0 Q- 1361 I O Oa..PROPOSED 1,500 GALLON SEPTIC TANK Kew,-i I 102.0' O D Z 4. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD TELEPHONE f A - I C OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. BOX aAO�. I d �'1 �-7 °G [TFOLKE' UNTV DEPARTMENT OF EALTI-AgERWES 5. LOT NUMBERS SHOWN THUS O REFER TO MAP OF MINOR O g* Io ° a y S0 ter, .0 A SUBDIVISION MADE FOR FRANK STILLO. 1 ?-<"1--< 1 • / ��j( 1 PERMIT FOR APPROVAL OF CIONST• UCTfO Q Fii A 6. LOT NUMBERS SHOWN THUS�. REFER TO MAP OF MINOR < I �� A, SiAtCLc FAMILY RESitENCE ONLY a SUBDIVISION MADE FOR PETER SLEDJESKI. TEST HOLE d -� U] 3 D 11 5p 3 �4�� i j a' AUG° G 2 5 2014 \ TiST HOLE DATA • ES HOL DUG BY McDONALD GEOSCIENCE a . ...- _. CO. a - 1 c ° �I. ? e ! ii:'`'.!E j"I. i ti 0. �l i y-�.a ON EL IS L3 13, 2006 AT 9:30 AM) 23 s ._ d ° ry - ° - • ♦♦ . BROWN SILTY LOAM OL 0' DARK I. o n I ° PROP.GRAVEL DRIVEWAY APPROVED �° 1' r ° , / BROWN SILT ML ; :x+cavation Ins �"� on6 �''[y �,1� .j f l// Inspection VP, 1 Ac�':: irir j,° fd /$ :: iilAri�1 t • * Dz. i�V0;'..5 3. Sanitary *�y �C+O§f'1C. MO JAUJ TL4lII .3 . / For Sy CO i>. [rr)3.N•E'..31'.' _ f r.'')C„ FflO p��l•TrFA�5t'J r��f,3.50� �� rp�� '3iS" t3".... t- ,...i'. DATE f rilyI./: BROWN CLAYEY SAND WITH 20%GRAVEL SC Departme qy'g 1.��V.J�] [�.rJ\ By Health De a m t FOUND G° GG ' Fen! _ _.. PROPOSED J 6, CONC. MON. ROW OF EVERGREEN TREES F 9NCE _-,.�.._..._� WELL Q] 4 N 86°41 '00„ W s. C., , 4.. _ , // DWELLING ) 192.18' '.-121 N 74`3''0 , FD. DM. 4° < 'Id BROWN FINE TO COARSE SAND PREPARED IN ACCORDANCER TITLESURVEYSAS ESTABUSHED C2. / (CESSPOOLS OVER 150' D 51•Q 0.2'N• U W 0.2.'N. - WITH 20%GRAVEL SW BY THE I_I.A.L.S. AND APPROVED AND ADOPTED f - 0 < ° FOR SUCH USE BY THE IFS YORK STATE LAND ry y �C Dw TITLE ASSOCI�ATIQNa°' )4 8)C° rn o ESSp CS FR 15p) 8, ,a° ' )# :+(` rn 0 ZOtp EL. 36.1 14.2' Cf ','i FD. / AIpISA 4 - f CM. 0 WATER IN BROWN FINE TO COARSE h SAND WITH 20%GRAVEL SW 1^c , �/� FD. / 17' r EXISTING (S ? •�� WELL �� r , • S) rq� 1,,E. E I V ED N.Y . Llc,No. 50467 !{'.• •. ♦jl'/ LINA IS ALTERATION OR ADDITION .4. ',C" • TO T IS SURVEY IS A VIOLATION OF ♦ $ . • SECT 7209 OF THE NEW YORK STATE 11Z EXISTING EDUC TION LAW. WELL Natha 4 °'4„ LJ'V resin III DRAINAGE SYSTEM CALCULATIONS: COPIe. OF THIS SURVEY MAP NOT BEARING AUG i �' THE •ND SURVEYOR'S INKED SEAL OR �an \eyor I LL77Y EMKO.SED SEAL SHALL NOT BE CONSIDERED • • ROOF AREA: 2,030 sq. ft. TO B: A VALID TRUE COPY. 2,030 sq. ft. X 0.17 = 345.1 Cu. ft. HEALTH SERVICE 573 Cu' ft. / 42.2 = 8.2 vertical ft. of 8' dia. leaching pool required i a+, .!'•O t- I CATIONS INDICATED HEREON SHALL RUN PROVIDE (2) 8' dia. X 5' high STORM DRAIN POOLS ,itIFF. • °:'Lv 0 THE PERSON FOR WHOM THE SURVEY 9 �� ' / . PR PARED, AND ON HIS BEHALF TO THE -.( CERTIFIED TO: , $ L : 4.. _ . " - OMPANY, GOVERNMENTAL AGENCY AND Title Surveys - Subdivisions - Site Plans - Construction Lays , PROPOSED 8' DIA. X 5' DEEP DRYWELLS FOR ROOF RUN-OFF ARE SHOWN THUS: 1,_,,, JOSEPH A. La FAUCI .-. --- . "- LENDING INSTITUTION LISTED HEREON, AND _� TO THE ASSIGNEES OF THE LENDING INSTI- ROSALIE La FAUCI TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. PHONE (631)727-2090 Fox (631)727-1727 LAND AMERICA COMMONWEALTH TITLE INSURANCE COMPANY THE EXISTENCE OF RIGHT OF WAYS OFFICES LOCATED AT MAILING ADDRESS TITLE No. RH07301004 AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. 1586 Main Rood P.O. Box 16 Jamesport, New York 11947 Jamesport, New York 11947 -- .4