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HomeMy WebLinkAboutBergen, Steven IS \OgOFFO�4-ELIZABETH A. NEVILLE 11'.S CoO* Town Hall, 53095 Main Road TOWN CLERK % o - P.O. Box 1179 %REGISTRAR OF VITAL STATISTICS .y �� Southold, New York 11971 MARRIAGE OFFICER `� 1/ Fax(516) 765-6145 RECORDS MANAGEMENT OFFICER `�'i's *Pr'1�1 Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER .'� D��� ,•0 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2137 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : EAST ISLE CUSTOM BUILDERS INC. Address 1 : 1706 NORTH HWY., SUITE 2 City St Zip SOUTHAMPTON NY 11968 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 #R10-99-0126 Name Of Owner BERGEN, STEVEN C. Mailing Address 1 4953 COMMONWEALTH AVENUE City St Zip LACANADA CA 91011 Property Address 1 710 WATERVIEW DRIVE City St Zip SOUTHOLD NY 11971 Tax Map No. section 78.00 block 7 lot 30.000 Cross Street WATERVIEW DRIVE Building Permit Number Cross Reference: Issue Date: 8/19/99 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) . 02 37 ELIZABETH A.NEVILLE 4V/2.�� . Town Hall, 53095 Main Road TOWN CLERK ;`� P.O. Box 1179 REGISTRAR OF VITAL STATISTICS N Southold, New York 11971 MARRIAGE OFFICER ‘‘0,, r Fax (516) 765-1823 RECORDS MANAGEMENT OFFICER nfr, Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: August 16, 1999 Transmitted herewith is a copy of application No. 2222 for a Cesspool/ Septic Tank Construction Permit submitted by: East Isle Custom Builders Inc. for Steven C. Bergen 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. Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following re mmendations: APPROVE DISAPPROVE Comments: ignature SkAttci Dated dFFICE OF THE TOWN CLERK ,,,,,„,,, ''-- Town of Southold � Judith T. Terry, Town Clerk ; l/ Application Town Hall, 53095 Main Road Construction ��• P. O. Box 1179 Southold, New York 11971 to / Alteration Telephone ,y� ,s0,/ $10.00 - Residential ✓j (516) 765-1801 = '1 ,0 $25.00 - Non-Residential �- ~pito- TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICAT ION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ DATE (// eS? APPLICANT NAME: East Isle Custom Builders, Inc. APPLICANT ADDRESS: 1706 North Hwy, Suite 2 , Southampton, NY 11968 (please mail permit to addres shove) SEPTIC x CESSPOOL x DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION construct a 1 family dwelling with 4 bedrooms and 2 baths LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: Steven C. Bergen OWNER MAILING ADDRESS: 4953 Commonwealth Ave. ,LaCanada, CA 91011 OWNER PROPERTY ADDRESS: 710 Waterview Drive, Southold TELEPHONE NUMBER OF CONTACT PERSON: Richard Oppedisano TAX MAP NO. : Section 078 Block 07 Lot 30 CROSS STREET : Waterview Drive BUILDING PERMIT NUMBER CROSS REFERENCE: Signat e • (pplican RECEIVED BY: . Town Clerk's Office DATE: V/Ca/9 • rnurtnm r ucJ uv rLuuu Lulvt At IMPROVED, WELLS IN DWELLINGS BASE'FI OD ELEVATION 8 SANITARY SYSTEMS IN FRONT YARDS TEST HOLE PER FIRM'MAP No. 36103C0166 G (N.TS.) C0VViMUNI7Y No. 360813 0 EL 5f EFFECTIVi- DATE: MAY 4, 1998 VVA 7-E- —s ViE SANDY LOAM �,� / -1 SAND WITH R.6 12' X73 46 Q,•� 6.3 V V R/ V C -4' LAYERS OF (WATER AT ♦9 6�6,; 40 '• P Ey SILT & CLAY EL -Of) L= , ( , 62 -12' 4. 6 - v OLE / SAND 5' MINIMUM gill. ( *© / pIP -18' SEPERAIION FROM war PROPERTY Y LINE 8 �%e© / 0.5' E. 500.36' / / I, ' 1 0 �s ' / SEPTIC G v N SYSTEM I . J J O O 5 J �j� i (:) ••• \ O a O I5' MI d • C . 0.. m 3 cc / L1 "\ • O W� /�*P. POR _ __ tA.o �V O V j zJ 0 0 ^ - PROPOSED W Z 0 IST'MI 0 IL LI W•+. 25.1' I 26' x 36' ,� 26.1' W 2 1 �'-NoFFSET l DWELLING �' -. gar 0 m h "°e, (TYP.) zi 3 Ct U ')� �/ F.F. 10.0 / 3� - �`c3 W W Li IP'ANI 2 V) / (7) // �� 0 3 Q o4.1 Z' N �/ / J / :d' Z� BZW � a2 ZQ N o / 0) 0 3 a W U Lu� 6�i"Ni / / 0 E°, 3 NI' 1 3 0) ,o S'ti ANl A °� // v a 20 / // 3.1' E 2 LLC0R �1 VACANT ' 2.2. ES DWELL NER AEA: 14,84,E'Sq.Ft. 3 o ��}- x/0.341 Ac. 2.0:,E. I S i1NI 9 9 HE'D 'b O 5'57'4700W 100•QO' AT CORNER L _;VI l .,,-.,-<.--',4.-<___( CD J PROPOSED WF�LL. 1 Y l moi ^ c J 11C.) ARATION FROM 6 Y 1 Li , d VACA/VT EXISTING SANITARY Q S.C.D.H.S. ENDORSEMENTS k..kr vim" , SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES 'rJ ft PERMIT FOR APPROVAL OF CONSTRUCTION FOR A SINOLF V,"t(v;;LY RL>ID^NCE ONLY DATE 'GI 1l I,. HS ' NO. R IC}- ci---Cr)i Zi Z(t; A PP RovED ._.,�.._ rti PROVIDE. (1) 900 GALLON FOR MAXIMUM OF 4' ' D' 'OMS A SEPTIC TANK. (5) 8'0 X 2' DEEP EXPIRES THREE YEARS FROM DATE OF APPROVAL 'I LEACHING POOLS. J -7 ROOM FOR 50% EXPANSION. EXCAVATION INSPECTION REQUIRED S.C.D.H.S. REF. No. R10-99-0126 FOR SANITARY SYSTEM - 0 DENOTES STAKE SET. rY HEALTH D r AI i MEN ~ SURFACE WATER APPROX. 320' TO WEST. ELEVATIONS AND CONTOURS SHOWN HEREON REFER TO N.G.V.D. CERTIFIED TO: KEVIN MATTHAEI SURVEY OF MARYELLEN USDA - RURADEVELOPMENT DESCRIBED PROPERTY SCTIC, INC. SITUATE AT EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED BA WIEW GUARANTEEDARE NOT S PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OFSURVEY. TOWN OF SOUTHOLD GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON(S) FOR SUFFOLK COUNTY, NEW YORK WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COM- PANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTIONS LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. GUARANTEES ARE SCALE 1 "=40' DATE: MAY 8, 1999 NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. THE OFFSETS (OR DIMENSIONS) SHOWN HEREON FROM THE STRUCTURES TO THE PROPERTY LINES ARE FOR A SPECIFIC PURPOSE AND USE AND THERE- FORE ARE NOT INTENDED TO GUIDE THE ERECTION OF FENCES RETAINING S.C.T.M. DIST. 1000 SEC. 78 BLK. 7 LOT 30 WALLS, POOLS, PATIOS, PLANTING AREAS, ADDITIONS TO BUILDINGS AND ANY OTHER CONSTRUCTION. JOB NO. F1983 w [fJ] Q T 1--- I . 49. A a REVISIONS: S. ;, REV. PROP. STRUCTURES & (- : .. ::• °r:s ;;. ':..::: •::::- :.m�•... REV CERT'S 5/13/99 A ' 94 /:;;:>..;;..•:t :...:..K way ADD FLOOD ZONE, REVISE ° • , i J q SANITARY 7/14/99 (' „ „, r Hoed'= on Ba if, N.Y '_46 `" 516, "8-5330 CORRECT DATUM: 7/22/99 �_..u K. ) �,.- .© ,' Marc E. Charest, L.S. \j'4'''°. 8 ,,, Successors to Paul T. Canalizo, L.S. Robert A. Kart, L.S. license no. 050149 Good Ground Surveyors, P.C.