HomeMy WebLinkAboutSiani, Gerard ,o�:gtfFOL,�0O
ELIZABETH A. NEVILLE �• Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
y Z
v. r*, Southold, New York 11971
REGISTRAR,OF VITAL STATISTICS G � Fax(631) 765-6145
MARRIAGE OFFICER :� ?i �1
RECORDS MANAGEMENT OFFICER ____Ql 4a0/ii Telephone (631) 765 1800
FREEDOM OF INFORMATION OFFICER 4. ���
OFFICTTEooOFF TTHEppTOTTWHppNLLppCLERK
SOUTHOLD WAS��EWA RUDISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2402 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : GERARD & LORRY SIANI
Address 1 : 1114 OCEAN AVENUE
City St Zip BAY SHORE NY 11706
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 #R10-00-0148
Name Of Owner SIANI, GERARD & LORRY
Mailing Address 1 1114 OCEAN AVENUE
City St Zip BAY SHORE NY 11706
Property Address 1 1100 SKUNK LANE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 97.00 block 3 lot 11 .005
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 9/13/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
-1111111,
/�,,i/ilii
,I01FFO�,�ee
o°,&, S1
.
ELIZABETH A. NEVILLE /_ *„\ Town Hall, 53095 Main Road
i
TOWN CLERK C - ‘ P.O. Box 1179
H ZSouthold, New York 11971
REGISTRAR OF VITAL STATISTICS % i .
`F 0
MARRIAGE OFFICER 1i iFax (631) 765-6145
RECORDS MANAGEMENT OFFICER "'/Q! jig *A, lei Fax
(631) 765-1800
FREEDOM OF INFORMATION OFFICER _ of° i
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: September 8, 2000
Transmitted herewith is a copy of application No. 2491 for a Cesspool/
Septic Tank Construction Permit submitted by:
Gerard & Lorry Siani
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.
ck)...4.--s,e-c---
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE ,/
DISAPPROVE
Comments:
igna9tusci.re
i181°0
Dated
A
OFFICE OF THE TOWN CLERK ���..0 % C��1 niK/Q 7 /Application No.
TOWN OF SOUTHOLD
ELIZABETH A.NEVILLE,TOWN CLERK
.BOX 1179 ; Construction
P.O
SOUTHOLD,NEW YORK 11971 ` j Alteration
Telephone
‘v),.
ire: $10.00 - Residential e.....---'(51 6) 765-1801 f0 iiii 0,,,' $25.00 -Non-Residential
.,...,•••
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE 8/23/00
APPLICANT NAME: Gerard & Lorry Siani
APPLICANT ADDRESS: 1114 Ocean Ave Bay Shore NY 11706
SEPTIC 1 CESSPOOL 2
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
residential
LOCATION MAP: Must be attached hereto before permit may be issued. .
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY : Cerard & LQrry c;ani
OWNER MAILING ADDRESS: 1114 Ocean Av
Bay Shore NY 11706
OWNER PROPERTY ADDRESS: 1104 Sk»nk T.ane
CutchsO.ua DIY 11935
TELEPHONE NUMBER OF CONTACT PERSON: ( 631 ) 243 5478
TAX MAP NO. : Section 97 Block 3 Lot 11 . 5
CROSS STREET : Main Rd (Route 25)
BUILDING PERMIT NUMBER CROSS REFERENCE:
7. M i '
Signature f Ap licant
RECEIVED BY : OlAj . Cl4(..(;
Town Clerk's Office
DATE:
{
I -
•
I I 1
5��*6.DARefit?
F SUFFOLK DEPARTMENT OF HEALTH SERVICES
�4..‘.f_. slE C,
�
�
PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
* INGLE FAMILY RESIDENCE ONLY
RO\ Y DATE '7-17-0 0 HS REF.NO ' v. —00 a,A► ; ►
APPROVED dLgA A-.0.44 ��
FOR MAXI UM OF BED •
sitcS
{ EXPIRES THREE YEARS FROM DATE OF APPROVAL
PLEASE NOTE
Minimum distance between well
and cesspool is to be 150 feet.
Test Hole Data: -
Test Hole,Lot#6
October, 1999-
completed March 29,2000
SCBH reference
#R 10990118
Well Certificate Issued
March 30,2000 Health Department Approval Stamp
SIANI RESIDENCE
SCALE: 1" = 40' 1100 Skunk Lane Cutchogue, NY 11735
•
SITE DATA:
IS.C.T.M. # 1(X)0-97-03-11.5
SITE AREA: 2.002 acres , j
TOTAL BUILDING AREA: Existing: 0 .,
Proposed: 4800 sq. ft.
SEWAGE DISPOSAL SYSTEM DESIGN CALCULATIONS:
STRUCTURE USE AREA SANITARY(GPD)
RESIDENTIAL/7 BEDROOM SF RESIDENCE 4800 SF 1750 GPD
SEWAGE DISPOSAL SYSTEM DESIGN: ^ �•�.t
CONVENTIONAL SUBSURFACE SEWAGE DISPOSAL SYSTEM ` ' ` , � `�rJ`��
CONSISTING OF: by kpt. •1 Health Settces
REQUIRE: 1750 GPD H
PROVIDE: (1)SEPTIC TANKX"'DIA X 6' EFF. DEPTH = I9 4 GPD
to'¢` ? EFF.,
3, S 8p ,
REQUIRE: 475 S.F. OF LEACHING POOL ,
PROVIDE: EACHING POOLS 8' IIA X 7' EFF.,DE
C0791 al, Gc. IL. _
y
I y
N '
je t lr li II
SEPTIC TANK I
AM)T STIR Gil TANK
1 LE ACi—iIN3 POOL
SE',JER SYSTEM
�crty z
A
LETA, m CAR',, ✓R.
� tiMACAR/
N_ 7009-10, E
ri-__.:,_
� 181.87, o ,�
.. .
,,,
,.
.,
,, ,,
ss _ ,5/
M �
, 7. ,/
/\''
Z
co
i
oz
f'‘,/1 ',..i t_ m
Afk
//1ti
i
Lc)
O
/ ,.
.J
i
i
GR0Pr7S!' , .)tom. ,:., tP, ,L ) n
4; < Z
OjG ci< DLE. anC
Jaz ♦.__ s�• n
Cdr
—4 PR.oPo .-cL, sr -<
i ¢ Q �__ _. �
V ¢ " PRCP75cUL.P. bnbC0
y b
Orri
U ,,�, r
I' / -,C
�* ,,�
,N
v \‘,/ . ,
\ i
A
~I
' 1
t TAA
T
n 4 t�
01
,
t • {
•
T ,l I tti POLE . 186.53' UTILITY �".. OIE _�•
S 04'23'00" E F
L. .
_---� -T-� � -�-
SKUNK LANE (OR BAY AVENUE) _ '
_� .._.. . }.