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HomeMy WebLinkAboutZurawski, John #1/ F , ; -1011 ` G1�� iii^ /1 /I 10 t\ c ,% 0? J/ �� ELIZABETH A. NEVILLE �� ; Town Hall, 53095 Main Road TOWN CLERK % O r'2 % P.O. Box 1179 REGISTRAR OF VITAL STATISTICS % Southold, New York 11971 MARRIAGE OFFICER $ Fax (631) 765 6145 RECORDS MANAGEMENT OFFICER `\4"s-1JilI �a0'�� / Telephone (631) 765-1800 1 T fFREFDOUFIN fOf{�Gi2 TIOTQ"�FFICER ���,1� southoldtown.northfork.net i 8 2G02 3 OFFICE OF THE TOWN CLERK i TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: May 7, 2002 Transmitted herewith is a copy of application No. 2918 for a Cesspool/Septic Tank Construction Permit submitted by: John & Patricia Zurawski 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 DISAPPROVE Comments: W----(;---,0Z7? ),,Le_) /?.,.."64.c4Q.,„.._ erpt,. ...4?443. Signature D.f07 oL Dated r OFFICE OF THE TOWN CLERK t.''%IFWIKC _ ;e,/ c- TOWN OF SOUTHOLD %t pGyIt Application No. ELIZABETH A.NEVI!.TY,TOWN CLERK i O e ; P.O.BOX 1179 < Construction ✓ SOUTHOLD,NEW YORK 11971 .1 =v T s Vs ii Alteration Telephone O,f' �Ori/ $10.00 - Residential (516) 765-1801 - 1 ',' , $25.00 -Non-Residential �,/,0/,// TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION RECEIVED for MAY `:ow:2miCONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Southold Permit No. Fee $ DATE i l eJ ( 1 ;add? J APPLICANT NAME: Lit/4/ ai)71)4/ 3 IC, vc 4 ./4z.se' i. APPLICANT ADDRESS: I Adz4t4 j24 / /t 3 6414,,, �J SEPTIC /CESSPOOL i/ DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION ORALTERATION:- OWNER OF PROPERTY: �S�Gl _,),„ sr,A...,z OWNER MAILING ADDRESS: f JPa 4 p'x 7, OWNER PROPERTY ADDRESS: ,_ TELEPHONE NUMBER OF CONTACT PERSON: 7341 - 7 ,?f TAX MAP NO. : Section ,'‘) Block 3 Lot CROSS STREET: ,9- BUILDING PERMIT NUMBER CROSS REFERENCE: 72ignat a of Applicant RECEIVED BY: Town Clerk's Office DATE: • / t--. LAND NOW OR FORM /L gND SURVEQ o JUNE CROON g ERLY OF A, Y LY O PROPERTY �—__ rKD \o D�ELLINRIS LEPONE / gc,229kv OR SDR // SITU T :: CIU'TJ,G/H�OG —.— N61 1 4ptt�, • r, • l CULT/ N,9CR SFRG/OF TOWN: SOOT OLP el, 22' �/ I ,/�TE LC `/� SUFFOLK GOUNTY, NY - __- j0 VELD' ��� ,' i nolneptic 5ytefns SURVEYED 04-15-02 \/ / \ i this area I I�,' P SUFFOLK COUNTY TAX # I SND r , . `\ 1 011 1000-108-3-8.2 �` 2s3 , _ i �T To, w 1Q I I building —env,,. elope —\+-i _ /��l 6/ ' / N I I ape — '• /f Aik.>It' PATRICIA C.ZURAWSKI ___ J®Ylfl�l ,_'.. . • 4 I•. �...- ,.�,..,.-e�s,,,.yw... __ _ b I�I , , II \ \� �� , .6, SUFFOLK COUNTY Y �3 .�r [t"`!'P�^��°�9 O HEALTH SERVICES en I i ` \ \ CO ��/,/ir'',4 (' ' /J l \�I. n� /� PERMIT FOR APPROVAL O CONSTRUCTION t=oftA 01 y p��oUJ \ r �// (n , o if/0'd _ I ,_!Ii; I;y_j/existin U' U I ,� SINGLE FAMILY RESIDENCE ONLY Z II w '!' 1� 0� I7 —— _ 0<0 !+Z�I we41 \ tV/I/r j!/I A.� Test Hole J� I ; -----,4 I' '16' � �/ ‘� 4/26/02 - DATE j„,7 Ll ." •. K o_ (7 .-00a 8.8 Q 4 q,� � � ter, t / 0 . / wJ I w Ow o a /� APPROVED .r , /.z %�? 20)ti uI- Q 4y Jed 4V' Dark OL z gp^^ MAXIMUM ,,��y# F� �„�, w.ti Q 1 I m9]_�� fo 0 0\ v 14 iI 0549 sMEX IRES iHR Y A S OM R�. L'� f\ 'r a^�t�YAI.. � > I �pQ �o� z OM / / I4' °p \ O NOTES: zQ I/ ®+, 4,% Fp °�° i. • MONUMENT FOUND 1--- f) �v, ; itss Existing s, o /'OS �o I LL J - I l / ii,' opo I 7 >-L!_ erorw, AREA = 188,424 SF OR 433 ACRES Q ;I ,t.PI \. 0 - p-'Sro_ I / L Fine ' 1 _ iV' 10 }- f,O Goorse sW WATER e SEPTIC LOCATIONS PROVIDED BY OTHERS TEST o-- ��'�oposed / w L F 5°^° I �- I44_ rlo�e ,_ I Hovse n w w Q ; Garage • 25' c/ cZ i 1 I I I 1.2g, �� - bq' ,Z w ,/ ,/ tn / tk 1 (s O\ /1 Z O Vt, 11 I1 O I '\O 0/II I !T7 z v �,' ,�, '`+ _ — _ — — — i ' / , Wo(�o� / 1 _jai t"t' ,_L----)_,17' CJ'3 I I i�I/buildin ° ,lo I D 0:�,� O ms's O`/ I w I I P/ 9 envelo e E \ .� ..€ I 17 — /0 er. — — — — _ ' Or�J _ 1 "—CI WOODF I — — — — ,' . so i — — 1 ;;v� — — _ N c---; COURT N6 — — 0 - -I (N to , ��_____S.OQ' — — — _ 'ate. ° 0____ `2 o g a^ - el. 18' ,',' '/—i' _ _ — OHO O� WOOD p _ C °ill. r _ —I yr- cg 150' PRIVgrE ROAD _ �` — — — _ _ °_ Opo • I / t�/C �3` t ; mr. I d , — — — _ — _ _ _ I o,o_ \ / al t• '``� G. E/yN i-`+, -i to ZND — p I — 0 t (fl` 'L1nwtnwlsee alteration or add on to o w...ay iatio a licensedtio1 09,wry io seal If a ►.L I GONE AN R EORMERL Y OE — — — _ 563 0 R P UTED 5 ; — — • M• e. r':.. mop biearing section land s to sub-division s a ► M. GROSS — O * �� �� N5q° — — _ WIDE '''. m��a` e�`o m ol'waa a d s ' ' S1 30 tl _ no well -.. . ` stared seal shall onsidered to be valid IO_► O t E _ _ — 'n this area ; z�.. g} pbe• ^,�' �.O — - __ - V •©� • \• v�� .1Q 'Gertificotioos Indicated hereon signify that this , �.I. DWELL — — — _ ED) \,..4%1, �� /- skyey oleo preparee in accordance ys me to IT V W 1''11 n/ J survey Godo of spore for Lord accordance wIIt adopted LLIN6 •. S '•�4'• 9. by the New York State Association of Fofesskmol I/ —0 m LAND NOW D _ _ — — �� , , and person S hornold the survey shallre�only to the for whom mfi certifications ed. I NSTq CE frt. DE and an his behalf to the company,gover,..bn- ► GO R (� tal agency and tenting institution listed hereon,antl �,� /1/13, Z i N GRO Y me assignees tcf the lisle tg instaddiction Gaititba- s Lions t trof they end[c atltlitb.n institution, 0 0o JOHN . EHLERS LAND SURVEYOR • ®S'o� " 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 GRAPHIC SCALE I = 60 RIVERHEAD,N.Y. 11901 ��� 369-8288 Fax 369-8287 REF.—\\Hp server\d\PROS\02-144c.pro . +662002 1.05.3004 SI W. dWR0`JO2-Nevem •