HomeMy WebLinkAboutGaska, Robert i
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ELIZABETH A.NEVILLE �� G�
�� Town Hall, 53095 Main Road
TOWN CLERK t � P.O. Box 1179
N = i Southold, New York 11971
REGISTRAR OF VITAL STATISTICS rrr
MARRIAGE OFFICER Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER #4f 0� �?. Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER �,or 4, •.
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1951 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : ROBERT GASKA JR.
Address 1 : 2211 PINE STREET
City St Zip WANTAGH NY 11793
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 #R10-08-0140
Name Of Owner GASKA, ROBERT & PATRICIA
Mailing Address 1 2211 PINE STREET
City St Zip WANTAGH NY 11793
Property Address 1 GRANDVIEW DRIVE
City St Zip ORIENT NY 11957
Tax Map No. section 14.00 block 2 lot 3.033
Cross Street OLD MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 10/19/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
1441411011.'
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ELIZABETH A.NEVILLE 1)4.. oy`', Town Hall, 53095 Main Road
TOWN CLERK 1 L P.O. Box 1179
ti Southold, New York 11971
REGISTRAR OF VITAL STATISTICS r Fax (516) 765-1823
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER 4.4, �� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER Oj _,0� j1
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: October 9, 1998
Transmitted herewith is a copy of application No. 2027 for a Cesspool/
Septic Tank Construction Permit submitted by:
Robert Gaska, Jr.
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
DISAPRROVE
Comments:
jaturr-
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Dated
IIFTS
UI=I-ICE OF I'IIE MOWN CLERK jj •r,51F11Jk'
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own of Southold � CQG
Judith T . 1 err y, town Clerk Application No. a `l
Town Itall, 53095 Main Road
P. O. Box 1179 �_ Construction ✓
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Southold, New York 11971 ��J Alteration --
Telepiione1 0
Residential f✓
(516) 765-11101 ,i
Non-Residential
•
TOWN OF SOU f HOLD
SOUTIIOL.D WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT [own CierK SOl:inold
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
-
•
DATL--_..October----� /Of
APPLICANT NAME: ROBERT GASKA JR.
-`—V-------________
APPLICANT ADDRESS: 2211 PINE STREET '`--_--------
-- 11793 ---_—____---_
WANTAGH, NY ----
_ __
SEPTIC V CESSPOOL /
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION :
OWNER OF PROPERTY : ROBERT & PATRICIA GASKA
__
OWNER MAILING ADDRESS: 2211 PINE STREET
WANTAGH, NY 11793
OWNER PROPERTY ADDRESS: GRANDVIEW DRIVE_------._---`---_----_- --_-------
ORIENT POINT, NY 11957
TELEPHONE NUMBER OF CONTACT PERSON:_ 781-_2927(OWNER) --__ _.-__-___._`-
TAX MAP NO. : Section 014 Block 2 Lot 3.33
CROSS STREET : OLD MAIN ROAD ---- - ----------------_.__.___-_. _..
I3IJILDING PERMIT NUMBER CROSS REFERENCE :
•
rgnalure of Applicant'----�_.___.
RE=CEIVED BY :
Town-Clerk'-s Office --
DAT _l6 94�
V.- A ,
PR SURVEY OF
/ • �.o�, �s L P F9
� I�� GRAND VIEW ESTATES T
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$' FILE NO. 7083 FILED JUNE 8 1982
TION REQUIRED SITUATED AT
7 EXGAVAT14N 1NSP _TEM / ORIENT
FOR SANITARY , TOWN OF SOUTHOLD
8Y HEALTH DEPA"
LSUFFOLK COUNTY, NEW YORK
•
S.C. TAX No. 1000-14-02-3.33
OF L SER
`IICF3 $1 SCALE 1-=40'.
CC411
OEpARTMFNT SEPTEMBER 16, 1998
> 1'iO14 FORA 1
now FOR AP1L'AOV YQRIS�E ONLY • .
SMOLA Fpj1iQL AREA = 40,000.00 sq. ft.
IP
Y>r� •- •r"6 0.919 ac.
&L . • :i• NO. ,0- -4- \ 1-h wi 0.,....
DATE Atli•Ale v-'11
APPROVED --- : �. • ,1 •AppROVjy�S 1 CERTIFIED TO: _
FOR OF -'i ROBERT L GASKA
THREE ygpR$FROM DATE •F �►L PATRICIA A. GASKA •
wins266.67' O
LOT 0 . - ,
r < m VACANT
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1'3 > • � III 1 w E S* _ - z ELEVATIONS ARE REFERENCED 19 AM ASSUMED DATUM ,
O _ ac tJ 8r 10 iib ammo ELEVATIONS ARE 4110rRI THUS:XII
_-i—- 1 r+ z REFER 10 FRED NAP FOR TEST HOLE DATA.
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�- 1.4 m j 3. IDIOM SEPTIC TAMC CAPAdi1S FOR A 1 TO 4 BEDROOM HOUSE IS 1,000 OALtCMS.
e ' p.5 -' ` s N 'Z +moi 1 TAMC: B' LONG. 4'-3" WIDE. r-i' DEEP
v Z P ' C fr1 -.7.1 4. MNMIM LEACNBIO SYSTEM FOR A I Id 4 BEDROOM HOUSE IS 300 p M SDEMALL AREA.
>< $ ,.� I Pool: 12' DEEP.s• 4N
0 • • '�1►41% -, ' o L!1 a PROPOSED EXPANSION POOL
170 EE_� . '. „� , ' ` E 11 b / PROPOSED LEAewa POOL I
4 Ili
1 J 74.4• �' W A /��In
4 % 3. TILE LOCATION Of WELLS ASD sI101R1I HEREON ARE FROM f1ED
dioT
�{ • `i ' tN PREPARED M AOOOIONICE arm THE MOW
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• TO THIfuwH°"w��M. VIOLATIONVIOLATIONTERMION OR Aoom°"aP. ���"�1�I'''../! �/
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VACANT 10Et SE A DOD TRUE .NOT BE CONSIDEREDLand •
Surveyor -
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y PLEASE :Q! I 101E D��P► a_At 1Y0 TRb Sumo,/ - Sl for o — sSt Rya — Construction Layout ',
10 l'illw AD901!!S OO►►THE LENDING XI-)-
• Minimum m d i Sta lite i�ietwetim wax commons mot wwaFuvosz. PHONE 016027-:000 Fax (stc)>;2-so�3 s.
,w �y e� j { {�1 T11E o►N01T.CE MAYS q I ppL�y AT iatssi ADC ESS
and cesspool is to bb Il'V4 'I'C�'t. -' AND/OR YENTS Of 11KORD. A
ANY Mot SHOWN ARE Nor 01ASRanuo. 'Ono Won'Swore PA. Eke 931
kgooboquo, Ni.York. 111 M31 orhood. Ni,York 11901