HomeMy WebLinkAboutCleary 6
0004
ELIZABETH A. NEVILLE /eg
az Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
� Phi �, �� . �.•�4�', �
REGISTRAR OF VITAL STATISTICS
4�, � �• ��, � ,� Southold, New York 11971
P ���� Fax(631) 765-6145
MARRIAGE OFFICER , ,;� , � e
RECORDS MANAGEMENT OFFICER "�/ ,r , itt` Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER
���
OFFICE OF THE-TOWN CLERK
SOUTHOLD WASIFEWASITERT :. wir'I SAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2594 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : JOHN CLEARY
Address 1 : 183 ICELAND DRIVE
City St Zip S. HUNTINGTON NY 11746
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 #R10-01-0079
Name Of Owner CLEARY, JOHN
Mailing Address 1 183 ICELAND DRIVE
City St Zip S. HUNTINGTON NY 11746
Property Address 1 1350 CENTRAL DRIVE
City St Zip MATTITUCK NY 11952
Tax Map No. section 106.00 block 2 lot 13.000
Cross Street SUMMIT DRIVE
Building Permit Number Cross Reference:
Issue Date: 5/30/01 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
.
,o1 ASVFOLt "'-.... C) 59
ELIZABETH A. NEVILLE i k. dI Town Hall, 5309 Main Road
TOWN CLERK ; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS % % Pry �t Southold, New York 11971
MARRIAGE OFFICER `� o!v .`--' f1� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER ®� ��®���� 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: May 23, 2001
Transmitted herewith is a copy of application No. 2682 for a Cesspool/Septic Tank
CONSTRUCTION/ALTERATION Permit submitted by:
John Cleary
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 V
DISAPPROVE
Comments: Maintain required setbacks from adjacent wells,buildings, property lines and water .
Bodies. EXCAVATION INSPECTION REQUIRED. .
jignaturee
C)- -S—Ln
Dated
Y O
,,,,,,,,,III,,,''
OFFICE OF THE TOWN CLERK ' '� �FFOtKI'
TOWN OF SOUTHOLD e'
Q
, • Application No.2�
Ri 77ABETH A.NEVII IF,TOWN CLERK r. .
P.O.BOX 1179 ( �; Construction
SOUTHOLD,NEW YORK 11971 Z ;
VsAlteration
Telephone � O,f �Q�,,� •
$10.00 -Residential \
(631) 765-1800
-_ V $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 /¢/06414 020, aZoG.
APPLICANT NAME: f,
APPLICANT ADDRESS: / �3 ,�/ �-N6 �c- _L..
lc
' l -tN;r N 6,7r3i./ � AI 7 l l 7%
SEPT I CX CESSPOO6>
DESCRIPTION OF PROPOSE C RUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: J()L„s- Qke��7
OWNER MAILING ADDRESS: / 73 )r •
S. /-17.2,‘,73 a6-7-0 , N 7 1174
OWNER PROPERTY ADDRESS: /3s-0 0:e,,,-a_A-L. c•
M /a--Ft , N y
TELEPHONE NUMBER OFCQ,NTACT PERSON: Li ail -a 7 9
TAX MAP NO. : Section O Block Lot
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
/d
Signature of • - ' '-nt
RECEIVED BY: E
Town CI rk's 0 fice
DATE: ''
t
t.l
• - _. s.
. . C
LOT AREA= 22,999 sq. ft.
F.FL. ELEV.= 66'° ' .
TEST HOLE
by McDonald Geoselence X 3-15-2001
0'
3' brown loamy sand SM
• E
brown silty sand SM
44' •brown loamy sand SM DWELLING _ PUB38' S-IC WATER
PART LOT NUMBER SO
OF WALL 0.8;N
� WALL-
181 .92
ALL
1.0 W.
' 1 81 .92 S. RR.1 WAu o.3'M N
FD MON N 86.22 10 Eto 32.
4,7'8- 1✓cement b k 4
1.8'E / 56`
74 - 1�
1 n tuts. Wall
Z o=.' V , /c.............,.."--1._---___ ,/ -
O ` \ . ,,k, t: / � �
'3 Z I - 0m a-
.4''. l b �� — /
::./yi , w m
C R-0. :____ y
—_� IDG
-o m Dwe11. O ' /h � O
.4 C AL3 , ham/ s
/ . :.-3EL
0
1---"14
% 13-
1\ 8.95 1 1 •
{
L=105.76' . " Ida °- " `' ',� EXCAVA ! �• Rff p o.
LA , -a • ) _ I \if, P �8AN1 AR, ` ; ' to
{ 172.62 )1// I , s . ; j'�__ _.
irtON Fp MON
86'00'30'W et, /'165.54' b°`
edge
existing water main
+ +
62.40 CENTRAL DRIVE 51.80
i Su FFOLF:COUNTY DEPARTMENT OF HEALTH SERVICES
PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
SINGLE FAMILY RESIDENCE ONLY
DWELLING — PUBLIC WATER
DATE LI qt[01 H. 7. 0 S. --DJ-p o7
APPROVED le
FOR MAXIMUM OF (1 BEDROOMS
EXPIRES THREE YEARS FROM DATE OF APPROVAL
3-30-leer SHow PROP DWELL
I4 QlPSETS (OR `lMEN5IONs) UUHKAIv,CL.' ....,,,L..
.--
MOWN HEREON PROM THE PALL RUN ONLY TO THE PERSON
:TRUCTURES TO THE PROPERTY FOR WHOM THE SURVEYRS
_ G
IS PJOB No. 01-42 FILE No.CAPTAIN KIDD ESTATES
INES ARE FOR A SPECWIC FUR- PARED, AND ON HIS IIEHALP
LOSE AND USE AND THEREFORE THE TITLE COMPANY, _GOVE NMEN
%RE NOT INTENDED TO GUIDE THE TAL AGENCY AND LENDING INTI- SURVEYED FOR JOHN CLEARY
RECTION OF FENCES, RETAINING TUTION LISTED HEREON, AND TO
VALLS, 1:0015, PATIOS, PLANTING} THE ASSIGNEES OF THE LENDING; PART OF LOT NUMBER 80
AREAE ADDITION TO BUILDINGS INSTITUTION. GUARANTEES ARt MAP OF CAPTAIN KIDD ESTATES
XtANY(9'NACONSTRUCTiON. NOT TRAN"MASLE TO ADDITIONAL
INSTITUTIONS OR SUBSEQUENS SITUATED AT MATTITUCK
3N T IORIZED ALTERATION OR OWNERS.
tUtilTIONTO THIS SURVEY 15 1h
1<t 7 COPIES Of THIS SURVEY ' a~ TOWN OF SOUTHOLD — SUFFOLK COUNTY N.Y.
> y4. SEARING THE LAND SURVEYOR'S
kwat ! SEAL OR EMROSSED SEAL
y _ ,u t EEE o� TO ILII SCALE 1" = 30' DATE 2-16-2001 .
.rkl�rf�c'�'
. FILED MAP No. 1672 DATE 1-19--1949
CERTIFIED ONLY TO: TAX MAP No. (REF ONLY) 1000-106-2-13 DISK 800
!WSW U31VM31SVM 311330 HAROLD F. TRANCHON JR. P.C.
S331P�2{3S 1-111V311 AO 133.I LAND SURVEYOR
£1 .01 WV Z-- Aldi!OQZ
F `)'" ,,._, ,,_.. 1866 WADING RIIVNEWE YORKOR17 2 WADING R1V ER, __
Al iioo WoJ• ns N.Y. LIC. No. 048992
Q]M 333 1 ROL,D F. TRAMCHON JR. PENN. LIC. No. 2115—E 631-929-4695
4