HomeMy WebLinkAboutRaggozine, K (2) 0," iiii
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ELIZABETH A. NEVILLE �$1 h� y� Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS : ,i Southold, New York 11971
MARRIAGE OFFICER Fax�� Fax (631) 765 6145
RECORDS MANAGEMENT OFFICER �y"'/�1 �a��ii� 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. 2223 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ACE BUILDERS INC
Address 1 : PO BOX 426
City St Zip SHIRLEY NY 11967
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 #R09-99-0236
Name Of Owner RAGGOZ I N E, K.
Mailing Address 1 28 HAPPY ACRES DRIVE
City St Zip SHIRLEY NY 11967
Property Address 1 445 WHITE EAGLE DRIVE
City St Zip LAUREL NY 11948
Tax Map No. section 127.00 block 9 lot 26.000
Cross Street WOODSIDE LANE
Building Permit Number Cross Reference:
Issue Date: 1/14/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
ow
ELIZABETH A.NEVILLE • `1O t‘ Town Hall, 53095 Main Road
TOWN CLERK o - P.O. Box 1179
ti Southold, New York 11971
REGISTRAR OF VITAL STATISTICS O ��, Fax(516) 765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER \! . �sf\-//
„ Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER
a"
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: December 28, 1999
Transmitted herewith is a copy of application No. 2311 for a Cesspool/
Septic Tank Construction Permit submitted by:
Ace Builders for K. Raggozine
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 recommendations:
APPROVE
DISAPPROVE
Comments:
ignature
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Dated
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OFFICE OF THE TOWN CLERK Ole
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TOWN OF SOUTHOLD �`� Application No. 31
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 Construction
•
SOUTHOLD,NEW YORK 11971
v ^' ; Alteration
Telephone v0,� 4,zr $10.00 - Residential
(516) 765-1801 Ol � $25.00 -Non-Residential
•
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. a a3
Fee $
DATE /a/a? A5'
APPLICANT NAME: AcE 'Bv/LDP4s
APPLICANT ADDRESS: �v 7S� lio3 6
,S—h /ii)/ // 967
SEPTIC V CESSPOOL /
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
NC LI} ,v weLLI /V 7
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: , . / a D>//li a,
OWNER MAILING ADDRESS: ag
NY
( 1 %7
OWNER PROPERTY ADDRESS: 14q , /,Ut//TE C4c e o,€/
//1 o/ N
TELEPHONE NUMBER OF CONTACT PERSON:._/6/A Iee/J Uag•/-55 7-
TAX MAP NO. : Section / Block 07 Lot a t!o
CROSS STREET: (,upDt S l/Je,. ti,/311/ I
BUILDING PERMIT NUMBER CROSS REFERENCE:
AIL,A.,Z1 _vim/. , AWAY# OF
Signature of Appli ant
RECEIVED BY: `ak
n own Clerk's Office
DATE: A of A w
a3 l 1
DWELLING UNDER CONSTRUCTIONJ IMPROVED CERTIFIED TO:
NO WELL OR SANITARY PRESENTLY WELL OVER rso' O 0 SANITARY
FROM PROP. SYSTEMS. ACE BUILDERS 1
Jt w�iY�' 'ia ♦ y
WHITE EAGLE DR ,rye?
CONCRETE CURB l �� I?.33 :_�. 7 fid" 9. EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED
) r• 7 ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT
0 1.524,432'33'42'E R=1 900.00' E 1 THE TIME OF THE SURVEY.
- GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON(S) FOR
4C' 15 .4 ' BC 100 '4 '10°E
100 ' BC '61
6'
TC 100 24 80.00 1 —� 106.00'6 9.ea , • I ,, WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COM-
TC 100.01 -`a PA . GOVERNMENTAL AGENCY AND LENDING INSTITUTIONS LISTED HEREON,
"' ' +��, � I AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. GUARANTEES ARE
1 CONC MOIY. �O� __ NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS.
FENCE �— THE OFFSETS (OR DIMENSIONS) SHOWN HEREON FROM THE STRUCTURES TO
1.0' N. --- \` THE PROPERTY ONES ARE FOR A SPECIFIC PURPOSE AND USE AND THERE-
0.4' W. FORE ARE NOT INTENDED TO GUIDE THE ERECTION OF FENCES, RETAINING
39�96' AWALLS, POOLS, PATIOS,NY OTHER CONSTRUCTION.PLANTING AREAS, ADDITIONS TO BUILDINGS AND
W 1 Op I . ' JOB NO. F2418
p \ 5 W MAP NO. 7770 (plis,
ormewa PANSSION o /2 6y.\ \ 6• FILED:AUG. 30, 1984E.
\ o ) • R Lri �� REVISIONS:
N o ��a 4
O \ a �I1000 GAL. N S.C.D.H.S. ENDORSEMENTS REV. PER SCDHS 12/17/99 ._f.,
JiT • Er� .
SANITARY R WELL t �f!'f
a \ ( 7 64' i O SANITARY 0 fi
W GAR.9,,PROPOSED I O i r. •r
W `O W \\ G4' 37.
8' x 53'
IS
' sits.„-,
(-- GI DWELLING '� 14.1
, 1 ` .
o �' ^,
M
5 I 1 1 > license no. 050149
N rn
ap \' \ s o er U › Qc r 4 cn a v 1 SURVEY OF
p __ i ► Q LOT 26
MAINTAIN 100'WELL.PROPOSED N. _" ^ H (� ® MAP OF
cV SEPARATION FROM �, N 3 '�� GOLDEN VIEW ESTATES
WELL o EXISTING dIt PROP. O • (c�
IN SANITARY SYSTEMS. LOT 26 N. Ci w 0 SITUATE AT
\ } `� LAUREL
�� 1A cr) 1'� i
p TOWN OF SOUTHOLD
200'± i \ 1�i♦ +.♦ ♦ ,1+
„a C u, SUFFOLK COUNTY, NEW YORK
O.i' N. l
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SFENOW r E �\ \ el
__ \ 7 SCALE: 1"=50' DATE: NOVEMBER 6, 1999
CONC. MON.N32'33'42"W 185.95' C 4� v X 14S.C.T.M. DIST. 1000 SEC. 127 BLK.09 LOT26
y
04.4 P N._
Mir
TAR
LAND NOW OR FORMERLY CALVIN RASWEILER TEST HOLE g Rn w a
, ' :
NO DWELLING, SAN. OR WELLS WITHIN 150 FEET 0 til - "'` INGmf• hwa
TOPSOIL O 3 132 .. • , y
Sc HEAVY
-6' LOAM a Hay,= on Ba -i, N.Y. °I,‘, 46
AREA: '0,432 Sq.Ft. = 0.928 Ac. CLAY Q gt a (516) "8-5330
ELEVATIONS ARE IN ASSUMED DATUM. -8" — Q 'l Marc E. Charest, L.S.
NO SURFACE WATER EVIDENT WITHIN 300 FEET. SAND Successors to
ADJACENT WELL & SANITARY LOCATIONS PER OWNERS Poul T. Canolizo, LS. Robert A Kort, LS
AND/OR OCCUPANTS AND ARE NOT GUARANTEED. -17' Good Ground Surveyors, P.C.