HomeMy WebLinkAboutZilz, William 1
,I���O�OSUFFO( co
ELIZABETH A. NEVILLE 0 Town Hall, 53095 Main Road
TOWN CLERK y ; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS r Southold, New York 11971
MARRIAGE OFFICER .f� �� 1� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER � �1 *Do"� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ��
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2415 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : SCHEMBRI HOMES INC
Address 1 : 2042 NORTH WADING RIVER ROAD
City St Zip WADING RIVER NY 11792
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 #R10-0112
Name Of Owner ZILZ, WILLIAM & LINDA
Mailing Address 1 63 BRIGHTSIDE AVENUE
City St Zip EAST NORTHPORT NY 11731
Property Address 1 PECONIC BAY BLVD
City St Zip LAUREL NY 11948
Tax Map No. section 129.00 block 1 lot 5.000
Cross Street LAURELWOOD DRIVE
Building Permit Number Cross Reference:
Issue Date: 9/28/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
11 11 a i''CtFFO(4 ;: pt S
ELIZABETIi. ',NE` FULg 7 ��sQ ,�!,10 ee
yet: Town Hall, 53095 Main Road
TOWN 1CLERK '4 Z P.O. Box 1179
REGISTRAR OF VITAL STATISTICS 11/
1$ Southold, New York 11971
MARRIAG OFFICER `4. 4� iNg �1 Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �; Of .4 ,,�� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER 0��
... -0
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: September 26, 2000
Transmitted herewith is a copy of application No. 2503 for a Cesspool/Septic Tank Construction
Permit submitted by:
Shrembri Home for William Zitz
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 1,7
DISAPPROVE
Comments:
Signature
ivo
Dated
r
4
Q F F I C E OF Ttl E TOWN CLERK ,,,,,,,,,,"'',,
Town of Southold s''l. �FFO(K�/+ • �b 3
Judith T. Terry, Town Clerk ��'�,�� �l/y'� Application No
Town Hall, 53095 Main Road ;� Construction t/1
P. O. Box 1179 % v r�T,
Southold, New York 11971 al'I -n Alteration
Southold,
,,t'� ��0-i $10.00 - Residential - L�
(516) 765-1801 Ol ,, '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 96d°v
APPLICANT NAME: ..�JrI_'5/2./- _- ,4,1S __.., C - - -- - -
APPLICANT ADDRESS:__ y. "../__444,6//tic _._/6/ar. CC 4,._.
SEPTIC________CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION : Ze [,-`
OWNER OF PROPERTY : l / jn l../iC/ j4- ./1-Z --_------- ----- .__
OWNER MAILING ADDRESS: c,3 64,Q,<'r v5/b �� /9'(4
OWNER PROPERTY ADDRESS: IP ___A//C, y 4I-1/Z
TELEPHONE NUMBER OF CONTACT PERSON : "2,:;)-> -- 961 Y/
TAX MAP NO. : Section 1000 Block 0/.41-9 -01 Lot 0
CROSS STREET : .44o/LL=G._._ /Q-ab.___._-DAt1�L _.__ -----
BUILDING PERMIT NUMBER CROSS REFERENC- - - _
..-4 7„4 r ......iir x#,,,,
Signalte of-ACpplicant —
RECEIVED BY : / /
Town Clerk's Offic .
DATE:. - _— —9/t—_6/.0e --
tj ..
\ �, SURVEY OF
\ "-; LOT 1
\ 'P. ® a� :. MAP OF
kr • ti " 4 tig�. Nib s� LAURELWOOD ESTATES
3
, ii,f000,4"4°f (la -3,cr. FILE N°• 5595 FILED MAY SITUATED AT17, 1971
\ O
` �ti5 'o' LAUREL
>ts� '43.: ,� ^ TOWN OF SOUTHOLD
ey SUFFOLK COUNTY, NEW YORK
�`` -/,,-\
`�,, S.C. TAX No. .1000-129-01-05
ry° a "rJ SCALE 1"=50'
fi \a /, t.
(-
N.:-.}. MARCH 15, 2000
lit
`\ \, \Ngy�oa �O AREA = 40,426.40 sq. ft,S �i�.
[ - . •
\_e _ 0 0.928 ac. ca .
4- 0 -1:5i. `� •
-G int`
'\ '`tj CERTIFIED To: �1
\ ``' �� WIWAM ZILZ
\ UNDA ZILZ
7,1„,;:::-7.7'44
, ,s, :,. „-:,.. ...
Tp t4x
(0,e0' 1.011X.T.
t° cA A . ,
1. ELEVATIONS ARE
EXISTING ELEVATIONS ABED SHOWN THUS: 70O To AN ASSUMED TUY
iM 1 ,
�Ca ik` IS 2, ,,...1,6,
2. REFER TO MED MAP FOR UST HOLE DATA.
(it,.. 9 ♦Sis 3. MINIMUM SEPTIC TANK CAPACITIES FORA 1 TO 4 BEDROOM HOUSE IS 1.000 OAIIANS.
O \ `, �O . 1 TANK B''LONG. 4'-3" HIDE, 6'-7"DEEP
\\_1,.. 0 4. MINIMUM LEACHING SYSTEM FORA 1 TO 4 BEDROOM HOUSE 6 300 p N SIOEMALL AREA.
�= .A \ ^\ y� oac� 7, .pi7 ::
. y• � 1 POOH: ts• DEEP.a' dia.
.v, � / \ '-'5.014,. O b S MlOP65W EXPANSION POLL
%A
O �+ !' �� 1:',,,°40 ,,/ \ <<r �!✓ PROPOSED LEACHING SPOOL
e =°' ' by r «y
ta' ` \ \ / t• 4 ®PROPOSED SEPTIC TANK
.G S. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
>t\ 151/ i� OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS.
4140 ': 1 4 V ,
\ A1,0‘
NO:,
, . 1y PRLTNN£D N AODDRD{NOE WNW
ZSTANDARDS •;y uaa IMMUSNE°
a\` • OY TIE 17'Oil, ry. "77 MOP.TEO
FOR ,L SfAIE.IAID
Cts
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4. ` • `O *' it
SUFFOLK(X)UNICY EIBIPMEI'MENT°FERAL=SERVICES \ '' .:'11' es .%.\' 11.
c..
!lRMttt APPROVAL OF�MBZlt1E1CT'!Ort M A �r;� JO d+�'rds °'
0:yed,,,..5
Swim&FAMILY RESIDENCE ONLY . . , ; v I=
44 A NXS. Lk. No. 49688
. SYCIA ADbrt10N
DATE G V 'SCJ i. . big .: \ ' i. SECTION 00 FIFE IEV'KIK OF
�, g, THS suRa!IrwP Mine Joseph
Ingegno
APPROVED �,./.� ��N1 o P 1 I oageos'N ole N DDr k--°RSI s=
T ARM COPY. Lrtid 5urv+eo
'' S — f`
FOR MAXIMUM 01P.4., • J Pt - ONLY 10,£Y c;;
TME N70LtMNY oaa D1 Tale Surveys -Sub�K�Tons - Site Piens - a rstnsibn kiVost
EXPIRES TH1tEE YEARS FROM DATE OF APPROVAL • Trr 1Hr ist *a"-lunok (aa>) -so4o Fac C t)7z>>=s
27
THE EidSYnicE•dFipltL 1YAYS OFAp AT NIIUNc+YIORESS
--.....,•-• ,
AND OR EASEMENTS# IF
Mit NOT SHOWN IYIE NDT iRARTEED.' 1380 ROAMOKE'AWENUE P.0 BYo 1451
RIVERFIEAD:Newyork 11901 Warhead. Mow YorJc, 1401-048