HomeMy WebLinkAboutCooper ,,.ice...,
• - ,II,oii OFF014.
®�
ELIZABETH A.NEVILLE ��� ��: Town Hall, 53095 Main Road
TOWN CLERK P.O.Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER %414' it •s Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER -_ 01 -0„.0� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER --see-m•••0°,s�
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2515 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : DOUGLAS RYAN
Address 1 : 70 JACKSON PLACE
City St Zip MASSAPEQUA NY 11758
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 #R10-00-0040
Name Of Owner COOPER, JOSEPH
Mailing Address 1 C/O CHASE
143 CENTRE ISLAND ROAD
City St Zip OYSTER BAY NY 11771
Property Address 1 3710 BEEBE DRIVE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 103.00 block 9 lot 3.000
Cross Street WILSON LANDING
Building Permit Number Cross Reference:
Issue Date: 2/21/01 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
oil
(93
m "`99{ABi \
ELIZABETH A. NEVILLE ����� �f'� •: Town Hall, 53095 Main Road
TOWN CLERK ; P.O. Box 1179
REGISTRAR,OF VITAL STATISTICS \
at. • �i Southold, New York 11971
MARRIAGE OFFICER � XX� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER � �®� *t®iii Telephone (631) 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: February 15, 2001
Transmitted herewith is a copy of application No. 2603 for a Cesspool/Septic Tank
CONSTRUCTION/ALTERATION Permit submitted by:
Douglas Ryan for Joseph Cooper
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: Maintain required setbacks from adjacent wells,buildings,property lines and water
Bodies. EXCAVATION INSPECTION REQUIRED.
Signature
of tY/01
Dated
-
r -
OFFICE THE TOWN CLERK .11`�
OF COOL/ref; - 0,960,3
TOWN OF SOUTHOLD ,` � l/ Application No.
F1.17ABETH A.NEVE.i.F,TOWN CLERK
•
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971 v •
Alteration
Telephone ,y� � , ' $10.00 - Residential //
(631) 765-1800 =�l , ''� $25.00 -Non-Residential
,,..,.,,
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
. CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE 2115/01
APPLICANT NAME: Douglas Ryan (Contract Vendee)
APPLICANT ADDRESS: 70 Jackson Place
Massapequa, NY 11758 •
SEPTIC X 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: Joseph D. Cooper
OWNER MAILING ADDRESS: c/o Chase 143 Centre Island Road
Oyster Bay, NY 11771
OWNER PROPERTY ADDRESS: 3710 Beebe Drive
Cutchogue, NY 11935
TELEPHONE -NUMBER OF CONTACT PERSON: (516) 795-1960 Ext 10
, = TAX MAP NO. : Section 203, - Block . .009 Lot Q03
CROSS STREET:- Wilson Landing _
BUILDING PERMIT NUMBER CROSS REFERENCE: -
_z)/
Si. 'at re-of .plic-n _
RECEIVED BY:
Town Clerk' Office
DATE: -
SURY E OF PROPERTY N SEPTIC DETAIL
SITUATE:�+//�/EAST
�J GUTG �7U ��( not to SGale pWEOSNG
///
TOM: SOU//��T//I�/�OL]7Y NY W E w
a�1t`�\y\®_^ +(�\ \\II ea�e ro osed •rades -
SU FOLK C UI ,T 1 , 1�p.Y '1JiS\11S �1i•7\yVlSFmax556EL-l5max 2'
�1S N max 2' existing gra.e min I
SURVEYED: OI-24-00 min I' it.:
a cover o-Nr ,I
slcpes cover yiy; 63 9Do tg7ol fi—
AMENDED: 02-4-00, emove leach ng 6D min staPnkc +j4"oeFt
03-15-00, 03-20-00, Impervcivs :1,2st:
milelt Lmaterialee06-13-00, 10-25-00, 3'horizontally diad b'vertical) 2EL=4001-I-1-01, 02-05-01 Area of ground water EL=IS
Ex+Sting dwellinq
SUFFOLK COUNTY TAX # septic w+thln ISgo of septi
1000 - 103 - ci - 2 ��`` prop well
scar
vacant
CERTIFIED TO: abc��,c 6�� eF,a� Test Hole
o)�°°\vo\�\��°�F\ G°���°yE ��c o obtained
DOUGLAS RYAN 124-00
CAROL ANN RYAN pc \m of \� 25� 5F Exist & 2-0o PM
oPpcocd' co"' 00 '20A 5F Hell A`2 /► v rine
PEGONIG ABSTRACT pF y Pc - o° e . I. 3 9 ; �� v �^�
\c+p n� eye \, rC°g Ke - ?t 1l fj� I o'
Pr�\y °5e d)°odpoOG� G°�Wa \off; yt° El,g9 l °4691
/� X 77 silty
SUFFOLK COUNTY DEPT. OF HEALTH SERVICES tt� cOQ \ P °y� d d yid \5 a;' S7� 4 9 •.I. ��q�11 9oe�
REFERENCE NUMBER RIO-00-0040 �� Gpad�duj Pgo'cQt•oP°,0Q�ov 5F o� r° ' ation toprOQt`yed `r 0►►E �� u n
A l0 z4.,°,'9,-..o.,t a 1 - �"
�o� • 0 P ata\3 P ,l v o`; O' - 2 / J 4 z o'
\,aid c2_0'" \00,‘a N IN-� A- /_ ) ' a 2'
�a T 3Q _ ' Kr,�. oa 9 �n ° o v�v `
4y 'r o \ �'�,": I i LYS.- \n,n`� 9eeloPe `.-ARD` �L / v2o e't , e.‘--A\ coarse
00)rte , z0a33 - - \- l �` QQ�a� , sow
r` C�,y-. - -- / I r �'oposed °O`� _ in i 0 of--
`9 d�ae �1Q House ���� aro e N / 0656---
-
d9- \y\,
test �3 I'
-0-is,
\ -le
.� \9^:,4"n `�'t` 24 3' hole ``•..'�0 -i� ______ Ground (�p'
V hater
s Itkil OI
\ nbin ^ cA
'1"-ch_ — �''-�I--_-_�� c gar � 4. aOp k -moi i ,Ae ., .-s •
1Nt
0`` i_ A-)U ri�QpQc `, �t���EP 1"�2O o� • .. ._ —.� 2 3 O/
O I fiy d' 6, } %.''''',:&_. 'ftl _ ,.,..-,,,-"l fEP �" D` St `s'(''+..: 13 I'F.N DEPARTMENT OF HEALTH SERVICES - c�a se
to C4
1 delldnee of Tfdal •,. ; 0,'y9 \ 5 i'' P1::_.LY.4l'�'Vela APPROVAL OF CONSTRUCTION FOR A and
�,,, 1k. A oted aJ R 0,,.,4a0`�I n-, `„� `.Kt,�o-\ .VF • -- �' Frit-NG-LEiE`'��Ya�r Yl(ILES i&Jb+el`7 }.+,r ONLY
1 A �` \ pt - \a' t. �� 'W - .h �,,,.� ,. ' ”REF.NO.zea — c2 0 �b two s
�o ' _��
A `i pF �` - - 1�1.3.t'`b'Lr4`!ED:_4 �- _ L%-.. .. .—&,--------._ r'- _ _—` r l: --l`
A td��" O�. 6-'' 10'
3Ic \ 1 t�� FOR MAXIMUM OF S S�D kR OM C ' : •7
3c ^'�o� fit\ 1
ti
�� 01,
o'` A a��j oC `c tt(\ EXPIRES THREE YEARS FROM DATEOF AFP ROVA�L E :`- .-
A k&6$ Area of ��V� _AO •(-\ -:.--1 -
3k �k Existing d v� �O
•/&iii,
.�O
.1. .s A. \\ Septic �Qt�����Jp� -. r3 ={_
�� -, �,, N. �c aht" 3 A I "F .»
977°j2� ? y'��� °
def i
F
"Unauthorized alteration or oeanan to o survey
rte, 6 ��T I 4, �� -`tom mop bearing o licensed lona surveyors seal Is a
`,�\\J� (��j Y61 `W `�yr� violation of section 7209 sub-tlNlslcn 2 of the
New York State EWLatian Law•
�3 9 ® PROPOSED CONTOUR %� C, -only copies from the original 0•this survey
( ked with an original of the Fond allytrue surveyor's
8 A �.V+ -' d seal shoo he eensaerea to be vola we
EXISTING CONTOUR < ! t��a 4' (�; s�roa copies'
e 1; t,,AN�� r1J survey Indicated hereon signify that ms
,;r ue»mrtraiPm..cr_aeloesc:v� sv. refsse.e.wss "z'X�• .V 't{,�. m occardance pith the ex-
isting
rvey de f Procted
J ce +-"y ��•�F'R�:'J � � lsemg seas of araonoe for Lana Surveys adopted
NOTES: (� a,^ a.earr..�9."=t' =�h3==° h� C`i's, b he New York State Assouo[Icn of Frcfeszlvrol
n J��t� y �— r1,jy �A`y �v(�._____ ,42v,4
`_ F�. Land Surveyors Sold eerhe survey
shall run ed
J,///I/1�¢_� 3 a -F'�f\ ��\� to the spersvn for whom the survey prepared
�l �� n•ytr gv.'.?y �,a> n e}•��s°� 9 aM ghoul tehalf to the:,', ar1ci 99aa on
■ MONUMENT z � wA� �'1e ° ....,_/,1-/.... . o �W- al ag y of the Ling inn Istel he er ra-
La the assignees of the lending institution cerurlca-
/.•. —_"• _'fr tions are not trmsferabie to additional irstitutions
O PIPE - "`�
-- " JO N Ca E LEI' S I, A, ,Rj• SURVEYS P.
AREA = 36,146 5F OR O.GO ACRES 6 EAST MAIN STREET N.Y.S.LIC.NO.50202
GRAPH I G SCALE 1"-= 40' RIVERHEAD,N.Y. 11901
NM OM 369-8288 Fax 369-8287 REF.—TIGER\PROS\20-101G