HomeMy WebLinkAboutGinas, James 1,'•,�o��SUf FOZico,
ELIZABETH A. NEVILLE � _# A: Town Hall, 53095 Main Road
TOWN CLERK ; ti% Z P.O. Box 1179
REGISTRAR OF VITAL STATISTICS $ Southold, New York 11971
MARRIAGE OFFICER y* !`'0 Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER '/Ol Ali .���st. Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ii"
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2453 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : JAMES A GINAS
Address 1 : PO BOX 316
City St Zip SOUTHOLD NY 11971
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 # R10-00-0212
Name Of Owner GINAS, JAMES & TINA
Mailing Address 1 PO BOX 3169
City St Zip SOUTHOLD NY 11971
Property Address 1 1880 HENRY'S LANE
City St Zip PECONIC NY 11958
Tax Map No. section 74.00 block 2 lot 3.000
Cross Street ROUTE 48
Building Permit Number Cross Reference:
Issue Date: 11/20/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
0000
at12
`'ELIZABETH A.NEVILLE �� , VI 3 17000 'Gown Hall, 53095 Main Road
TOWN CLERK y Z =m P.O. Box 1179
REGISTRAR OF VITAL STATISTICS •• • T Southold, New York 11971
MARRIAGE OFFICER OFA', Fax (631) 765-6145
y �� OF SOI.14 L n
RECORDS MANAGEMENT OFFICER ;�O! .j. l,i m Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER � ''��r��
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: October 31, 2000
Transmitted herewith is a copy of application No. 2541 for a Cesspool/Septic Tank Construction
Permit submitted by:
Jamie & Tina Ginas
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:
gnature
di /0 0
Dated
OFF10EIt)F THE TOWN CLERK '1 lei OIL ...TOWN OF SOUTHOLD ,�� O Application N`•.. ��
ELIZABETH A.NEVILLE,TOWN CLERK `I
1 �%
P.O.BOX 1179 a� Construction
SOUTHOLD,NEW YORK 11971
*' ; Alteration
Telephone
%---10Q �, $10.00 - Residential
(516) 765-1801 Ilit$ 's $25.00 -Non-Residential
,
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for eo
1 Darin
CONSTRUCTION or ALTERATION PERMITao OCT.3wuu
Arno town
SEPTIC TANK or CESSPOOL CJ er4
Permit No.
Fee $
DATE 0 3 II00
APPLICANT NAME: J4$Ik3 ff 61'74S
APPLICANT ADDRESS: (OLX 314
c5ateld / A/Y 119')) •
SEPTIC ESSPOOL
DESCRIPTION CT ROPOSED CONSTRUCTION OR ALTERATION
li ..D
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTR ION OR ALTS' . TION:
OWNER OF PROPERTY: "_-_-- 1
IQj� �
i
OWNER MG ADDRESS: .J _ .� ��`. , .
OWNER PRtPf'eR�Y ADDRESS: IC, � c� I
4-x() 1j-
TELEPHONE NUMBER OF CONTACT PERSON: '9 ( C) — /\ S
TAX MAP NO. : Section 07y60 Block 0.2•00 Lot 3
TCROSS STREE3-
BUILDING PERMIT NUMBER CROSS REFERENCE:
d
Signature of pplicant
RECEIVED BY : .. �1
il
�. ow Clerk's Office
DATE: I, 6 )
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i
T • •
•
WELL
CESSPOOL71/ . .
SURVEY OF
O LOT 42
TEST HOLE DATA MAP OF PECONIC HOMES
WELLPERFO4Mm BY: MCDLO CWACEOSC1EN1.E SECTION TWO
9p• LOT 41 •• 7/31/00 SITUATE
'So% T c EX STING GRADE
roI. Ce
1_ ''NoX7v '',4", SILTY LOAN a PECONIC,
�� UTE N 44. 5� 3' 30" E _ 214.66' r "°""ate TOWN OF SOUTHOLD
POLE. SUFFOLK COUNTY, N. Y. i
Z /!'ROPOSED l •
b r
ASPHALT DRIVEWAY "i LOT GENERL Y LEVEL
(71 50' 26, PITCH TO REAR I "'° CLAY Of
o, SURVEYED FOR: JAMES A. GINAS i
• O W mow— t': TINA M. GINAS
O —cWi� 02 i 41 w
CI) O Ct W ' W RRA N LOW Cur Of
�,� ® SSE N o m a n N/F DeTORRES Jr
RP OOPO �! * N BMW AVE m COARSE sun SO
O PROPOSE
WI i ' 11 WELL .- --- -=---- a t S PT1C I r11 - Jr
100' TO WELL TANK!_ 1 v
�J,,``// _- .` PROPOSED � '� O
v '- CESSPOOLS I A
90' TO CESSPOOL 00 50'
SURVEYED
150'_-__.......7
WELL O SST 1 SCALE 1"=40'
- au� 130 TO CESSPOOL FOR S.C.D.H.S. USE ONLY 0.48 OR ACRES 21,208.45AREA= SF
86' TO CESSPOOL POLE „ LL
S 44 53' 30 W ••' • 209.5' cm
f NSoX
TO
to WELL
sei LOT 42
CESSPOOL CESSPOOL 0 ill 1
fro CO 0 >4
6 `, a' ZONED R-40
SOU ¢ .� 0 I lir o '
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�� u h
Iv , mdQP
VSE q 1 4 r-a ` y (4 ¢ �1 CD� -r;=
VE d c ^ Q v-.- —i CDrn
ow Pi
X c.• ' 0 IL' Is.:2: Mg. cD rn
0 s rs cG m' CD
> n * -iv)rnrn = DC7
TM 1000-074-02-03 GUARANTEES INDICATED HERE ON SHALL RUN A per.a m �" -<
ONLY 70 THE PERSON FOR WHOM THE SURVEY W W �cn
FM i 5001 IS PREPARED, AND ON HIS BEHALF 70 THE �
FILED NOV. 28, 1967 TITLE COMPANY, GOVERNMENTAL AGENCY, 1:41.11,1
,ti x
LENDING
INSTITUTION,
of F LENDING INSTITUTION.USTED w t M Q w vn SURVEYED BY
GUADDITIONINSTITUTIONS ARE �aR TRANSFERABLE
ONNERS ,
STANLEY J. ISAKSEN, JR.
i
w pts P.O. 80X 294
UNAUTHORIZED ALTERATION OR ADDITION 7O THIS i NEW FFOLK NY 119 6
SURVEY IS A VIOLATION OF SECTION 7209 OF p Q a 631- 34-58.15
THE NEW YORK STATE EDUCATION LAW U, Q Q
GUARANTEED TO _ m/ Al/ ✓
JAMES A. GINAS COPIES OF THIS SURVEY MAP NOT BEARING 1� %, � -K/,
TINA M. GINAS THE LAND SURVEYORS EMBOSSED SEAL SHALL Ll E -- LAN, � VEYOR
ISLAND EAST SERVICING CORP. NOT BE CONSIDERED TO BE A VAUD TRUE
COMMONWEALTH LAND TI TLE INS. CO.
COPY. NYS • N U. 4�' '3
NOTE 1. 01 OCTOBER, 2000 RENIS SANITARY. 00C927
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