HomeMy WebLinkAboutSalzberg, Fred ,, �o��S�FFOl,tee
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ELIZABETH A. NEVILLE 0= Gy1: Town Hall, 53095 Main Road
TOWN CLERK ;
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ELIZABETH A. NEVILLE e �: Town Hall, 53095 Main Road
TOWN CLERK ; y • P.O. Box 1179
REGISTRAR OF VITAL STATISTICS 1 Southold, New York 11971
MARRIAGE OFFICER � 4 �1 Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �_�OI ��0''�� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ,001�
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: November 16, 2000
Transmitted herewith is a copy of application No. 2556 for a Cesspool/Septic Tank Construction
Permit submitted by:
Posillico Construction
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:
Ignature
/t lvo
Dated
OFFICE OF THE TOWN CLERK
TOWN OFSOUTHOLD ,�' ��G Application No. 55c
ELIZABETH A.NEVILE,TOWN CLERK .G . Construction ✓
P.O.Box 1179
SOUTHOID,NEW YORK 11971 o rr+
Alteration
Telephone � . ,, $10.00 - Residential
(631-) 765-1800 Y �,���� $25.00 -Non-Residential
. -- ..,,'
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT NOV 1 6 avo
SEPTIC TANK or CESSPOOL urnota rowr� Clerk
Permit No.
Fee •$
DATE ////6/D-v
APPLICANT NAME: PP5/1/ 3 /Cu a.. �. T-y� c•
APPLICANT ADDRESS: 3 / /�
Wes �u� NY //s-90
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION New
/)5/•e li� /&5i4 ce c-4-'/ 3 /7 / S/v54
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
• OWNER OF PROPERTY: ,lr• #hc/ /ylvs . ,L (
OWNER MAILING ADDRESS: /4 -i-ow Lav, P
6ree..,/ate/ NY
OWNER PROPERTY ADDRESS: 2- 870 key14./'h 8//
6 reeniprrvTJ•
TELEPHONE NUMBER OF CONTACT PERSON: (6/6J 3 33 - 06 6G
TAX MAP NO. : Section S 3 Block q Lot 5/5//
CROSS STREET: 5a3e fL'V
BUILDING PERMIT NUMBER CROSS REFERENCE:
S1 natur /Applicant
9
RECEIVED BY:
Town Clerk's Office
DATE:
. k c:::>2.s 75_6
. •
•
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v
JOB No. AUG-9 SUFFOI 1c.GollKTy ZPARTMCNT OF II ILTS cESeA3 M
PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
SINGLE FAMILY RESIDENCE ONLY
-100
DATE --i.7. R = V0 1/4. � ! • OAD 3
�� APPROVED / r r . 0
FC,: ; •'XIM;Jf1 OF FO B•*-,.OMS
8.. EXE
YEARS FROM DATE OF APPROVAGc R S PW
•
11.5 KERWIN BLVD [ 50' ] 9.4
r.R=25.00'
S 43°09'40"E 160.00'
L=39.27 r
12.5 I 10.0
[r12.p] [11.0
TIE 617.00' Ex O
`2
it
m LP LP LP
D m 65'
CO CNV .1
Cl- ss< 112.0] INV 9.3 112.01
LOT 33
W LOT 8 m INV 9.8 SEPTIC VACANT
0 VACANT [12.2 INV 10.0 [12.2] <
82'
PROPOSED
SINGLE FAMILY
b 33
o 0
45' - 0
N [11.2] FF13.9 (11.2]
GAR 12.4 N
b
N p
o N
to O
° in
t
NOTES: vr Zo
1] ELEV IN USCGS DATUM Z
2] GROUNDWATER BASED ON TEST HOLEEXCAV4TION INSPECTION REOUtRED
DUG 5/13/98 LOT 19 TO ASCERTAIN CHANGES
IN WATER LEVEL SINCE APPROVAL OF FILE MAP. FOR SANITARY SYSTEM
3] GROUNDWATER ELEV 90.0 ASSUMED BY HEALTH DEPARIIVIENT
'E EVL25 USCGS DATUM
4] 3 POOL SYSTEM 4 IN DEPTH •
BOTTOM LP 5.5 2 EX POOLS 3'IN DEPTH
5] GRADE ABOVE 6"COVER LP 11.0 ..
6] TOP SEPTIC 10.5 GRADE ABOVE 6"COVER 12.0 FLOOD ZONE X
FIRM PANEL No.36103C0159 G
PROP ELEV[10.0] EXISTING 10.0
10.5 9.0 .--
N 43°09'40"W 160.00' +1.160'TO POND AREA
N/F SAG ESTATES
VACANT
FILE MAP No. 9107 6/3/91
Unauthorized alteration or addition to this document is a violation of Section 7209
of the New York State Education Law. SURVEY O F:
Certifications indicated hereon shall run only to the person for whom it is prepared LOT 9
and on his behalf to the Title Company,Governmental Agency and Lending
Institution listed hereon,and to the assignees of the lending institutions or M/O AUGUST ACRES SECTION 1
subsequent owners.
Copies of this document not bearing the professional's inked seal or embossed ARSHAMOMAQUE, TOWN OF SOUTHOLD
seal shall not be considered a valid true copy.
The offsets[or dimensions]shown hereon from structures to the property lines are
for a specific purpose and use and therefore are not intended to guide the erection of SUFFOLK C O U N hY; N EVV YORK;.
fences,retaining walls,pools,planting areas,addition to buildings or any other
construction.
The existence of right of ways and/or easements of record,if any,not shown are SURVEY DATE: 7/29/00 SCALE: 1"=50'
not guaranteed.
CERTIFIED ONLY TO: 1, '' -N °' YO
POSIttICO-CONSTRUCTION G TIN G.ORAF 44. DESTIN G.GRAF
,d LAND SURVEYOR
+ P, 73 Woodlawn Road
R.. E 1.1. ?� Rocky Point, N.Y. 11778
By DESTIN G. GRAF N.Y.S.LIC No.50067 r -Q 516-821-3442