HomeMy WebLinkAboutAlbertson, Stephen %StfFOL,.
co
ELIZABETH A. NEVILLE y ; Town Hall, 53095 Main Road
TOWN CLERK y - P.O. Box 1179
REGISTRAR OF VITAL STATISTICS v' Southold, New York 11971
MARRIAGE OFFICER : s �4���, Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �1 iaO'i� Telephone (631) 765 1800
"7
FREEDOM OF INFORMATION OFFICER - .9"
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2266 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : STEPHEN & SHERYL ALBERTSON
Address 1 : PO BOX 1208
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 #R10-00-0032
Name Of Owner ALBERTSON, STEPHEN & SHERYL
Mailing Address 1 PO BOX 1208
City St Zip SOUTHOLD NY 11971
Property Address 1 1295 CUSTER AVENUE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 70.00 block 9 lot 15.000
Cross Street BREIDSTADT COURT
Building Permit Number Cross Reference:
Issue Date: 3/21/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
•
4
9366
111,�\0Suf FOi,�CO
ELIZABETH A.NEVILLE $h`1`" �,; Town Hall, 53095 Main Road
t -� P.O. Box 1179
TOWN CLERK o
N Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax(516) 765-6145
MARRIAGE OFFICER ` hone (516) 765 1800
Tele
RECORDS MANAGEMENT OFFICER ``T,f�Ol �.0�111 P
FREEDOM OF INFORMATION OFFICER iig
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: March 7, 2000
Transmitted herewith is a copy of application No. 2354 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Sheryl and Stephen Albertson
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 this office.
Thank you.
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE -
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
1
I .
ature W
3 yao
Date
OFFICE OF THE TOWN CLERK ..,' �FFR/i
TOWN OF SOt°
��' �Q = Application No.o� 851
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 !�= Construction
SOUTHOLD,NEW YORK 11971
Alteration l
Telephone 0,� �etr $10.00 - Residential
(516) 765-1801 ' Ol at,
�,,o'� $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 3\-ADD
APPLICANT NAME: � \` e e k
APPLICANT ADDRESS: Sc,,
\ c
•SEPTIC ✓CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
Stcr
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 4;„c„,„
OWNER MAILING ADDRESS: '-V)p- r,,,� `-ws sr
OWNER PROPERTY ADDRESS: \DQS Cs�cr A,,,Q
`\q-1
TELEPHONE NUMBER OF CONTACT PERSON: 1 j - 38aL(
TAX MAP NO. : Section_ Block " �� Lot \
CROSS STREET: s L4_ C-
BUILDING PERMIT NUMBER CROSS REFERENCE:
ast �rL
Signature of Applicant
RECEIVED BY:
Town Cler s Office
DATE: 3/7/401
TEST OLE DATA oCOSTING °L
(TEST HOLE AS SHOWN ON PREVIOUS SURVEY BY ( \H ,; I
RODERICK VAN TUYL DATED OCTOBER 21, 1987 7/
%/
= =k:Eaw
SURVEY OF PROPERTY
\ °";SAF SITUATED AT
WagSAry•
SVAI
T, SOUTHOLD ,'
VACANT DWELLING
TOWN OF SOUTHOLD
AK,MA SVA°
R --- - - ____ SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-70-09-15
G , reo AY,0/p SCALE 1"=30' -
ALYC if C/pRC�P S3ANANT
I ° 1 io c°uRsVIANC ro S 84.47.00•• E DWELLING APRIL 23, 1999
DECEMBER 22, 1999 ADDED PLOT PLAN WITH H.O.H. DATA
n I
j 134178' i AREA = 22,017.38 sq. It.
L ,, to
N
co 'l.�" 0.505 ac.
f.
,
I X
> 51 .
r,, N
I+ � ;p CERTIFIED TO:
_ m.°
mlPon I / STEPHEN FIDELITY NM.ATIONALALBERTSON TITLE INSURANCE COMPANY OF NEW YORK
f
(
SHERYL-LEE ALBERTSON I
.../..„ 8 / \I .
I
EXISTING ERAYE WILDING ] .
I
\ j .
y NOTES: "
J c� -- .. 1. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM
, / ..
‘,3.$_, '- EXISTING ELEVATIONS ARE SHOWN THUS: I5.0 t
W \� \y`" W 1 • 2. REFER TO FILED MAP FOR TEST HOLE DATA.
N. 2�� o • z! I�r.�, q, �, v Co 3. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1,000 GALLONS.
Z N �o = 4oN 1 TANK: 8' LONG, 4'-3" WIDE, 6'-7' DEEP
\\ , ,Ai.,- W \o 4 4. MINIMUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 sq It SIDEWALL AREA.
IIF _ _ l 03 , ,. 1 POOL: 12' DEEP. 8' dia.
ai
1 (T.. PROPOSED EXPANSION POOL
/ r
H 1 _
W / .
''\PROPOSED LEACHING
1
POOL
-
W C N.
N' \ PROPOSED SEPTIC TANK t:
.• w I.
5. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD i.
LL OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS.
s 60•l9•20.E j _ n1� -c). .e
MISTIRL KLL�
__ ° N PREPARED M ACCORpY,CE BIM TME YWAI •
ST
O , ,. FOR TI�IIF
SURVEYS AS f1TNNHIED
�yy/+�7.�7./�E� .7 7r N SUBY CHALS s.�ilE MD AAOOPIfD
).K OPIDI A f DW :nELE�i OF HEA Z -
__A jn Tbt
_ E7 ••
�/
4' EXISTING WEu / E(.
In // N I T !
tMITFf�tA""P& Y.i3.tsF '3r'�IrFiPCFA j J�`'oy�e I GFCy°�''`
kilt LE:?AMz'LY Es► J2. 3 ONLY ► """ ;� N '0.^ WPPE AYR --- ' al's, -
.NO. 0 29.
.EW "
L 3a s8 ,o W
a8 i• 2
3
S
S
. - •
ama� -,'/" N.Y.S.lic.No. 19668
For,MAXIMUM of BEDROOMS C I' 1 Ma11M111WfD ALTERATION ON YXXIION
U A T�EN
r TO MS aKrLY S A wAroN OF
a
V l�f U E EDUCATION or TE MEW YORK STATE
TIRES THREE YEARS:'AOM DA ov,U. R oseph A. Ingegno
COPES OF MS SURVEY IMP NOT BMW
TIC va°"' "MED SEAL°"TLand Surveyor
TO SE ADSEAL T51WO1101raaNum
TO O A wD 4,GORY.
1.
WIWOVTI61 IMAM W
NEMA TO W
DOTING WELL 1 JI BE MT YI N�11 w� 10 11EIE
.._ MV
MOW AA IIID 1711.SuTYys—SubBr4i.Rs — SW.MOM - assbst.8w/goof
Uwe DWELLINGLoom nominal uno Mem pie
n10i aE 6slnMnaft ZNa ws1oTrr.
p�p1� PHONE(5107(510727-2090— o Fos(516)722-5093(s19) —soar
( ) VACANT 22/OR�pj��R�6Fp 1�1N, OFFICES LOCATED AT MYNA/MESS
/ Z .NOT MOWN A9E IIBI 61MRIKIRB. Ono Union
Anon,"Now York Square1931 RAwIMs4 Now York 11901
91—ZE6A i .