Loading...
HomeMy WebLinkAboutCummings, Robert (2) _ow... 0g�f F04,., , ELIZABETH A.NEVILLE tI h`1` Ot Town Hall, 53095 Main Road TOWN CLERK ; p P.O. Box 1179 = Southold, New York 11971 REGISTRAR OF VITAL STATISTICS OFax (516) 765-6145 MARRIAGE OFFICER ` RECORDS MANAGEMENT OFFICER O Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER � �'�► ,�ig ,�11 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2115 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : SCHEMBRI HOMES INC Address 1 : 2042 NORTH COUNTRY 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 #R10-99-0090 Name Of Owner CUMMINGS, ROBERT Mailing Address 1 18 ARLEIGH ROAD City St Zip GREAT NECK NY 11021 Property Address 1 625 INDIAN NECK ROAD City St Zip PECONIC NY 11958 Tax Map No. section 86.00 block 1 lot 4.024 Cross Street ROUTE 25 Building Permit Number Cross Reference: Issue Date: 7/09/99 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ails .0 ,0 FO(,�co ELIZABETH A. NEVILLE %��O l/y� Town Hall, 53095 Main Road TOWN CLERK •� r� P.O. Box 1179 k7,3 2 q Southold, New York 11971 REGISTRAR OF VITAL STATISTICS � Fax (516) 765-1823 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER4%61./ 0,- Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER >,61./ 4 -� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FRONT: Linda J. Cooper, Southold Town Clerk's Office DATED: July 8, 1999 Transmitted herewith is a copy of application No. 2203 for a Cesspool/ Septic Tank Construction Permit submitted by: Schembri Homes for Robert Cummings • 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 N. * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE ✓ DISAPPROVE Comments: ign9atur 0.—....--..-- (6/2 a Dated OFFICE OF THE TOWN CLERK ''!'COULk TOWN OF SOUTHOLD '�'' �1 QG= Application No. aaO3 F.I.i7ABETH A.NEW.1.F,TOWN CLERK P.O.BOX 1179 t :1 Construction ' SOUTHOLD,NEW YORK 11971 = T Alteration Telephone °,y �iri $10.00 - Residential '' (516) 765-1801 - �l 4 �,,"' $25.00 -Non-Residential .iii0i, TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ DATE 1/S/2 APPLICANT NAME: .,5-'61---°I's--4•- - APP ADDRESS: ,)- 0 Yoe /G 74- (./(: 1-D ' /'l4 (( 7i� SEPTIC CESSPOOL L/ DESCRIPTIO N OO/y�OPOS !' CON,TRUCTION OR ALTERATION 0 LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONST; UCT ON OR • LT `ATI•N: OWNER OF PROPERTY: 4 4, Cobertr 2(6 r n OWNER MAILING ADDRESS: ,418 Avle; 11 I`d c' re d- Rleck NY 1IoaI OWNER PROPERTY ADDRESS: i / sr,g►-- Co� 5 IndiAy) Mec(c TELEPHONE NUMBER OF CONTACT PERSON: 900 S16 /!V� .(� MAP NO. : Section / Block ( Lot ` 04- K CROSS STREET: Alf r BUILDING PERMIT NUMBER CROSS REFERENCE: /741/4-/ 0 l Signature of Applicant RECEIVED BY:f.41 i o ' n Clerk's Office DATE: i • RECEIVED RSL C\-\ SURVEY OF SuF1 I K COIR; LOT 24 I999 APR 29 PM 4 MAP OF a_ RICHMOND SHORES AT PECO r°u HEALTH; TER c..,,39.:200, FILE No. 6873 FILED NOVEMBER 20, 1979 SITUATED AT PECONIC TOWN OF SOUTHOLD g- SUFFOLK COUNTY, NEW YORK S, S.C. TAX No. 1000-86-01—4.24 SCALE 1"=40, APRIL 23, 1999 AREA = 21,750.00 sq. ft. 0.499 ac. wcu , p0 s' 4i) `AS V, u. IP N:' 0- E `• G4pp pp •�� 1.ELEVATING ARE REFERENCED TO AN ASSWNEO DATUM 'a \ b 06 N EXISTING ELEVATIONS E 9108<H IMG:39D {,y „ '23 2.REFERTOTOMD MAP row TEST HOLE DATA. �cio ?4 \ I. c� E.1MWf TANK fiVWA 1E5•-PDLL wTO A MORONI HOUSE 6 ILM USE 1.aao oAIS. N• V.' 4.WWUN LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 w N SIEIVALL AREA 1 FO Z Tr1-•> OL;IN OEEP.B••a. c p - 1% O Y WORM ONNI90N POOL \O- © m %/MT=LEACHING 1m CiA.a MO PROPOSED SEPT.TANN I 5.THE LOCATION OF WELLS ANO CESSPOOLS SHOWN HEREON ARE FROM FELO OBSERVATIONS ANO/OR OATH°BEAMED FROM OTHERS. h " \ •, PREMED 4 AccDIIM,c,:IDH INE W..ST ORM FOR,RIE SURER AS ESTABLISHED 7't \ 4•M1;F,, 4'( ,, r . '!" m AND AADOPND i 0 'to EA O` L�:i/�' '/ c`~ S OAR `^-� ' a1.La.;71 s 1 ,rr 4 A. _F. 1-iiON EFORA R %�jB -- y f N.Y.S.Lx.Nw 49668 . off' bfi Op gram a,Alarm DR An r a.=TIM NT , 6.;1...14C1..17, A WI k'A.:••,:,-o-3-4. ONLY '�y S gramma, TIBS SU11EY B A WOLATIX OP F °�M`W KIRK "h Joseph A. Ingegno RSP.Sao,-. V,.....9.oo a °`;DAE..�D �"" Land Surveyor WELL IA ' TO SE ADA+RIND NUE cow RE cawmRn APPROVED - / ./ J H>oDR1rATANs"'""1 NIOSH tr-NRH OEY ro TIE POO ON POLI IAM TO TAwIEr B NVNm.MO ON IBI BEWMOW AN FOR hv' '.4U71,OF B.^R •MS oo MONO �BAL <D wM -saa.aa.- She Plans - n(5 Construction Layout O MINOR NO TO TIE MOONED OF LIE LOOT MSS- TVIIN.8TDIctu0c 6I Mor TRVY11fEETNABHE. PHONE(516)727-2090 Fax(516)722-5093 EXPIRES THREE YEARS FEO�I DATE OF APPROVAL TIE o mENee x wrwn a WAYS OH-Au LOCATED AT wRx1c Ia6s5 • 410/011 EASEMENTS OF MONA W 'b SMV,NOT SNOWAK NOT OIIAwANIEm. One union Swor Aquebog I< New York 11931 RrwMP P.O. NA YBox 931 1190 F 99-;• aao3