HomeMy WebLinkAboutCotrone ELIZABETH A.NEVILLE y'1 1 Town Hall, 53095 Main Road
TOWN CLERK ` $ P.O. Box 1179
REGISTRAR OF VITAL STATISTICS '� Southold, New York 11971
MARRIAGE OFFICER �� 4 �1 Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �,_ 1Jig v��®.1i� 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. 2513 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : DON COTRONE
Address 1 : 4 WHEELER COURT
City St Zip DEER PARK NY 11725
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 #R10-01-0002
Name Of Owner COTRONE, DON
Mailing Address 1 4 WHEELER COURT
City St Zip DEER PARK NY 11725
Property Address 1 555 PRIVATE ROAD
City St Zip EAST MARION NY 11939
Tax Map No. section 22.00 block 3 lot 7.000
Cross Street KAYLIEGH COURT
Building Permit Number Cross Reference:
Issue Date: 2/21/01 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
oi c‘o 025 13
ELIZABETH A.NEVILLE �0 4% G�A: Town Hall, 53095 Main Road
TOWN CLERK ; y - P.O. Box 1179
REGISTRAR OF VITAL STATISTICS � Southold, New York 11971
MARRIAGE OFFICER . #41, jig �1 Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER =_ ®1 le"," Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER 11
... .°°� -
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: February 14, 2001
Transmitted herewith is a copy of application No. 2602 for a Cesspool/Septic Tank Construction
Permit submitted by:
Don Cotrone
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:
Signature
tc0
Dated
OFFICE OF THE TOWN CLERK , ;1. COULKCG
TOWN OF SOUTHOLD Q -
s" Application No. ' °��e0�
ELIZABETH A.NEVILLE,TOWN CLERK � T
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971 o.vs .T
�i Alteration
Tele hone 0,� QT�,•� $10.00 - Residential
p
(G3 k) 765-1800 = �1', � ��
�� $25.00 -Non-Residential
• -- ,,,,,00°,
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
•
APPLICATION •
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE ,Z 11(�0e)i
APPLICANT NAME: 0O' - 6,7-re--0,--1 C
APPLICANT ADDRESS: r • k-�e�1-e 2 `
SEPTIC " CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
/ 161-,-pnr) /7‘,...e-c
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
. OWNER OF PROPERTY: vd/v ( 7-7-zi- -
OWNER MAILING ADDRESS: lG 4ce/ ' -- C-7
/) Cz P/ /t- Y � 7
OWNER PROPERTY ADDRESS: 3-S5- 0',V4,/c_ 2,• Ems- /1
TELEPHONE NUMBER OF CONTACT PERSON: oC 9°3 ` 7 7 I 'bait-,
TAX MAP NO. : Section Z Z- Block 3 Lot 7
CROSS STREET: /64 y/ei. -4te? C7
BUILDING PERMIT NUMBER CROSS REFERENCE:
,.( / . .
Signature of Applicant
•
RECEIVED BY: CD`-
Tow Clerk s Office
DATE: /.j. G7
•
9tl1>'rOtk GOuNrY UEPAR7`MENTCw[MgJ1,LTN:S£RVICES SEt'TIC TANK DETAIL 1
PERMIT FOR APPROVAL O :C.��M1JONSTIe UCT1ON.'FO t'A FINISHED GRADE
REINFORCED 1' MIN.
l
SINGLE FAMILY RESIDENCE ONLY �'-, >t CONC. COVERS 2' MAX.
l7ATE DI«f (ELS127. /j0-O-\-100 , INS /—y—+ �1, OU LET
APPROVEii i / a
1 S.C.T.M. FOR MAXIMUM OF '4 ; BEDROOMS (-6" e� 4.-0. 6'-2•
LOT EJQF ;S''CHREEYEARS FkiitSAIYi OF APPROVAL DRor•r
Vacant an f T f9.1 o
Now or Formerly Vacant- Land 1.. 3•_tA" h3. 7_ .Raoul Witteveen Now or Formerly -o-Web
I
Dororty Clark SANITARY LEACHING POOL
Traveled Mac; Roadway ; FINISHED GRADE
•
16' Wide Right-Of-Way M '' M'" PERCAST
Liber-7091 ('age-495 ri �--- ° R
II I 0 Lo 4:( N
5114610 }E w
"� 1800.0' ' m SOLID DOMEI
- - .......--......_ __I
_..,
...._.T ....7....
/„_,
,,
O 300 SO. Fr.
`� tri 3 t Mon, i vi nIsiI MINIMUM
(-- \ el
Test Hol; < i
0.
\ j NI w _ '
r- pension
4L0the
I
� f---
� ' ; C.-s-.00l Septic 1
\ Tank 1
I o
tes.pool o ' Lathe I TEST HOLE
\ �27. o I E .= 31
S.C.T.M.
DATA
Dark brown
F a- N LOT 5.1 sandy loam
\ = \EIV. ' ' N/F Robert Garvey
1 qLathe I1. Brown loamy
` 6 Vacant Property sand
\ _ o I No , Well\Septic 3.s'
Oo P'OP ED f Pale brown fine
�o\,� OUSE Lathe t to coarse sand
S.C.T.M. ,o ` with 10% gravel
,` .\ \
' LOT 8.1 •
Now or Formerly , S. t . . . . �� �'' ' 11'
Ocean Point 2 \ -LO - - 1
N 1 Pale brown fine �-,
Development o 1
-to-coarse sand— I
G
essc° ,
, -c° I Pro••s:d i 1 I I 17
150 ` s wdi S.C.T.M.
'`fo\ ° i , LOT 5.2
; \� , N/F Marion Wood Assoc. .
63/ .. Vacant Property
(o We\\ i ,
265 '
o -,A `-/ •
% 1 L- \ - Fnd. _-._._. _
Fnd. N09°53'20"W C Mon. `
Mon. tri
71.78' N
II II '
w S.C.T.M. w
LOT 5.1 '
N/F Robert Garvey
Vacant Property
No Well\Septic
NOTES I Cf P7700 TO
1 ) Unauthorized alteration or addition to a survey map bearing I DON GOT'ONN
a licensed land surveyors seal Is a violation of section 7209 , sub-division 2
of the N.Y. STATE Education Low and Is Illegal .
2 ) Only copies from the original of this survey marked with an original of
the land surveyor's embossed seal or purple seal shall be valid copies .
3 ) Certifications Indicated hereon signify that this survey was
prepared In accordance with the existing Code of Practice for
Land Surveys adopted by the N.Y. State Association of Professional
Land Surveyors . Said certifications shall run only to the person
for whom the Survey is prepared , and on behalf to the Title ,
company, governmental agency and lending institution listed hereon
and to the assignees of the lending institution . Certifications
are not transferable to additional Institutions or subsequent owners •
4 ) Underground Improvements or encroachments , if any , are not shown hereon . SURVEY OF
5
) Test hole data was done by McDonald Geosclenee Dated Nov, 30, 2000 SUFFOLK COUNTY TAX MAP
_ „2.3 . ;�c�0 h`'=.1/),,,-.i..1,_:„„:„, DIST. 1000 , SECT. 022 , BLK. 3
' ROY D.HUNT ,, LOT 7
(e444........
= `Y ,J'? ,.r,a SITUATED IN
RO NT N,Y.S. LIC, #050220 ��, ;, ,' _,l`..,' EAST MARION , TOWN OF SOUTHOLD
2 o5o22o ;;;,
;_^ ROY D. HUNT L.S. s� -. .. SUFFOLK COUNTY , NEW YORK
SURVEYORS ASSISTANCE ��AND 'r'
',._ AST PATCHOGUE , NEV YORK c..:::,
SCALE 1"= 50' DATED DEC. 12 2000
._sI,sY DISC FILE # • JOB No. QUAD No, DWG, FILE No.
''R'll"??garid P.F. MF-GOVT ' Cotrone-Don 11405 GOVT
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