HomeMy WebLinkAboutSpringhill Custom Homes (2) • ,Io,iO,OSUfFO(�-co
ELIZABETH A. NEVILLEGy�t Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
Pr'REGISTRAR OF VITAL STATISTICS �1 Southold, New York 11971
MARRIAGE OFFICER � y ��,1� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER ;'*,( Sig .���ee�� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER „���r�,
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2430 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : SPRINGHILL CUSTOM HOMES
Address 1 : 78 GARDEN DRIVE
City St Zip ALBERTSON NY 11507
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-99-0231
Name Of Owner SPRINGHILL CUSTOM HOMES
Mailing Address 1 78 GARDEN DRIVE
City St Zip ALBERTSON NY 11507
Property Address 1 578 MARLENE LANE
City St Zip MATTITUCK NY 11952
Tax Map No. section 143.00 block 2 lot 22.002
Cross Street ROUTE 25
Building Permit Number Cross Reference:
Issue Date: 10/13/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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OFFOLt
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ELIZABETH A. NEVILLE ���h`Z` aTown Hall, 53095 Main Road
�
TOWN CLERK H P.O. Box 1179
REGISTRAR OF VITAL STATISTICS � Southold, New York 11971
MARRIAGE OFFICER Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER / Telephone (631) 765 1800
FREEDOM OF INFORMATION OFFICER 31(
....
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: October 10, 2000
Transmitted herewith is a copy of application No. 2520 for a Cesspool/
Septic Tank Construction Permit submitted by:
Springhill Custom Homes •
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.
Thank you.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE
DISAPPROVE
Comments:
gnature /
/( /€t
Dated
,i-
OFFICE OF THE TOWN CLERK 4'1�c�\\FFO[`�
'' TOWN OF SOUTHOLD �'s_� ` �l Q ' Application No.J2s2.O
,.- ELIZABETH A.NEVILLE,TOWN CLERK ;�oV �
P.O.BOX 1179 ; v. < Construction
SOUTHOLD,NEW YORK 11971 Z `
Alteration
Telephone �,� Q-;�, $10.00 -)Residential V-
(516) 765-1801 '��•� P�
.0 $25.00 - Non-Residential
-- _,..l,,'/
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE /040/0d
APPLICANT NAME: SeNAD Y.tlt C��a,,_ YMA.Q-j
APPLICANT ADDRESS: 7: 6.,
� dr U .
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued. .
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATIO :
�, �
OWNER OF PROPERTY: („A, 1)k ko�s C or1/4-E
OWNER MAILING ADDRESS: �'k.". pk LL.. I1-5
JY \
OWNER PROPERTY ADDRRES�S: (a IJ 4 - lc�.¢....
TELEPHONE NUMBER OF CONTACT PERSON:(./(0) 6z( - oizc
TAX MAP NO. : Section/6D-) Block /1/3 Lot 0 2 - 2_2, Z
CROSS STREET:__
BUILDING PERMIT NUMBER CROSS REFERENCE
7 Signature of Applicant
RECEIVED BY :
��
own lerk's Office
DATE: rQ i6 Q n
MUNICIPAL WATER SUPPLIED TO ALL RESIDENCES ON SIGSBEE ROAD TEST HOLE DATA
RESIDENCE0 PERFORMED BY: McDONALD GEOSCIENCE
RESIDENCE CESSPOOL SURVEY OF
RESIDENCE LOT 93 LOT 94Ews77Nc GRADE DESCRIBED PROPERTY
RESIDENCE
62' AMME • • MAP OF MATT7TUCK PA' -ROPERTIES, INC \, .<,/,> BRONN LOAMY SAND SM S TLIATE
TO CE POOLHOLD
F F AN. 1Z 1926 MATTI TUCK, TOWN OF SON.U Y
0
homy totees indicated here on shall run J• SUFFOLK COUNTY, N. Y.
pESSPOOL CESSPOOL only the person for wham the survey
CM N 20' 39' 10" W 75.0' Cl4is prepared, and en his behalf to the
ii
title compony, Gov_r:t.entot Acenc?, SURVEYED FOR : MICHAEL R. ZAHRA
lcnr:ing icstitvtion, ifii r.i,:i h too cnd
0 p In the cssi5nees dingy .i,f tion.Lri & SPRINGHILL CUSTOM HOMES, INC.
h Cucrantees are nct trcnt.:roh e to
!} �dditianal inslitCt crs c s_isdn.,tnt owners. PALE BRONN ANE SAND SP
R
O ZONIIrG R40
nczed aJL .. this
survey
is s c vielaticn a1 Section. ?2!:99 of
CESSPOOL Carte TAX MAP NO.
CYtlB 121' TO CESSPOOL the New York State Education Law. 15.2
ii .\
111117'
WATER W PALE BRONN FINE SAND SP 1000-143-02-22.2
1�
TEST SUFFOLK COUNTY DEPT. OF HEALTH SVC. SURVEYED 25 OCTOBER, 1999
0 HOLE
SCALE 1"=20'
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES AREA= 10.675.00 SF
CESSPOOL STK STK
OR
SET SET41 . PERI 1T FOR APPROVAL OF COP;:;i�2i UCTICN FOR A 0.2457 ACRES
SINGLE FAM L 1 Rush s-CE ONLY
p
DATE EP ®LJ LOBO HS RE" /0 ' T l•- �. /
NOTE ALL RESIDENCES SERVICED BY
51' C Q MUNICIPAL WATER EXCEPT OWNER TO
PROPOSED 14'
APPROVED rr ,'L.�i.....- .SOUTH OF LOT
WELL ��
FOR UM OF HEDROOMS GUARANTEED TO
3 BEDROOM WOOD LIN: EXPIRES THREE YEARS FROM DATE OF APPROVAL
N/F MICHA.L R. ZAHRA
N/F 14RES. h 4.1 NOLAN SPRINOHILL CUSTOM HOMES, INC.
DICKERSON VACANT (0PR£M,JM NATIONAL BANK
15' TOWN OF SOUTHOLD
0
'OO TO `t\ STK Lr) ( ( Copies a` this survey of bee,'-7
/0( the Lai ,d e., ="SET F\�•62•47,5'). Q•
,. SET N _�
t i
c:).>Let _ _______C)‘ 'i.'-;:. , / coy -' k i. -�• 7 i. T SURVEYED BY
nj T8 TYPE P/PE y PROPOSED CESSPOOLS W/ (�}O}.-
O i 3 E,; NDDRIVEWAY TRAFFIC BEAR/NG SLA3 /�/p D IrVY W� e STANCE. J. 1SAKSEN, JR.
N PROPOSED — q& CI COVER TO GRADE L e, N/l4 60 rG ✓O L1 P.O. BC.< 294
SEPTIC M
TANK PROP ED ...._. u NEW SL=FOLK, NY 11956
C 509. XPANSION M W 51.-734-5835 //
6,>r4 20' 39' 10" E 75.0 m o, Ti= 8.36' / 1 J
.) f., . 14/
n• u M W M '
x�° u° MA RL ENE
LANE N 1 F.% REV. 12/19/99 SHOW WATER/CESSPOOLS OF ADJACENT OWNERS, LICEN EC LANDS RVEYOR
ADD 509. EXPANSION TO SAN. SYSTEM.
y MUNICIPAL WATER SUPPLIED TO ALL RESI,ENa S O MARLENE LANE 04/11/00 RELOCATE SANITARY& WELL. NYS LIC. NO. 49273
0'$
,' 9 '' R 08/28/00 RELOCATE SANITARY 99C836