HomeMy WebLinkAboutPosillico (2) 1 ZS, <
ELIZABETH A.NEVILLE d Town Hall, 53095 Main Road
TOWN CLERK ® P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER �.®� O � �1�, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �;�®� tEl
' Fax
(631) 765-1800
FREEDOM OF INFORMATION OFFICER _ `-s ,�� �i �
OFFICE OF THE TOWN CLERK
SOUTHOLD '1 OTRI IOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2585 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : POSILLICO CONSTRUCTION CO, INC
Address 1 : 31 TENNYSON AVENUE
City St Zip WESTBURY NY 11590
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 #R10-00-0153
Name Of Owner POSILLICO CONSTRUCTION CO, INC
Mailing Address 1 31 TENNYSON AVENUE
City St Zip WESTBURY NY 11590
Property Address 1 430 AUGUST LANE
City St Zip GREENPORT NY 11944
Tax Map No. section 53.00 block 4 lot 44.026
Cross Street WELLS LANE
Building Permit Number Cross Reference:
Issue Date: 5/17/01 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
s
5
. .
. #i„,,,,,,,,,,,,,,,,,,,,,,,,,
, ,4,. . _ ,,,,,, Z Y
..,
ELIZABETH A. NEVILLE ����� `' Town Hall, 53095 Main Road
TOWN CLERK ; A I P.O. Box 1179
REGISTRAR OF VITAL STATISTICS : vo
r �0 Southold, New York 11971
MARRIAGE OFFICER `` '`®. 0 Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �__ ®1 ggi � �i� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER s��
-----..,..,0
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 9, 2001
Transmitted herewith is a copy of application No. 2673 for a Cesspool/Septic Tank
CONSTRUCTION/ALTERATION Permit submitted by:
Posillico Construction Co., Inc.
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 l ✓
DISAPPROVE
Comments: Maintain required setbacks from adjacent wells,buildings,property lines and water
Bodies. EXCAVATION INSPECTION REQUIRED. .
9ignatur
ee
5-ILorn %
Dated
• ,,,,,,
OFFICE OF THE TOWN CLERK . �cvFFJ(,-
- Town of Southold CSG
Town Clerk • ; Application No. 67�
Judith T. Terry, .•
Town Hall 53095 Main Road o :.�:•
u, .Y`-„ wi ,} ? Construction
P. O. Box 1179 �y . ,' ':?:r,
Southold, New York 11971 '� < Alteration
Telephone 0/ st- Residential
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE sig/D/
APPLICANT NAME: (651 1l je.o, s-/-roc.f ,„ a
APPLICANT ADDRESS: 31 Miley S ,4-e
Wes-1-64y) /v Y //S-YO
SEPTIC CESSPOOL'-.
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION //'e*-v 5.,9 4c.
akilt atc4 (3) G. d- Ards hew si� le i i /
rest ztep,c-e
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: pas. ) lje-0 S ✓�r�ci-iG� �o Z .
OWNER MAILING ADDRESS: 31
•
Wesdu i-A /vl/ //596
OWNER PROPERTY ADDRESS: '3O Ajos-/. Lgne
�-/, ivy «m yii
TELEPHONE NUMBER OF CONTACT PERSON: 3/C— 333 - e)‘‘,C.
TAX MAP NO. : Section 5-3 Block `Jt Lot f Cid. 26
CROSS STREET: Wei/S L441 e
BUILDING PERMIT NUMBER CROSS REFERENCE:.
/, ,1 -
Sig` of Applic. ' t •
RECEIVED BY:
Town Clerk's Office
DATE:
i
,,
[JOB. n No. AUG-24 TAX I.D. No. 1000-53-04-44.26
LOT 15
NOTESOCC RES PW
1]ELEV IN USCGS DATUM
2]GROUNDWATER BASED ON TEST
HOLE 5/13/99 LOT 19 . 8*.
3]GROUND WATER ELEV 90.0 ASSUMED
ELEV 2.5 USCGS DATUM
4]3 POOL SYSTEM 4'IN DEPTH ^o loom.LP 5.5 2 EX POOLS 3'IN DEPTH
5]GRADE ABOVE 6"COVER LP 11.0
6]TOP SEPTIC 10.5 GRADE ABOVE 6"COVER 12.0 x,90•
29'
10.2 TIE 631'
tp TO PHEASANT PLACE
PROP ELEV[10 0] EXISTING 10.0 • ��� •
1,„,(Z) LOT 25
OCC RES
N. so.01 PW
'`v 10.01 LF .P
1..?
1t0.o1
J� 1 eldir9.3
1 SEPTIC
two\ trNg9
21
.,. F 11221 PROPOSE
D
w S1NG1.EO 0 " - - oFPM11YRop15' in
0.
h 0,%,,,
9- co)
^
O'G �' So•
FF 13.9
�JQ GAR12.4 p
24 tV
O
6? °n
co
GP IP'GE
EXCAVATION INSPECTION REQUIRED
FOR SANT RY SYSTEM
I3Y HEALTH EPART4tENT
s.
N 3p:'00,0o"W 170
0g,
• ' ., . .. . .. 14.0
• NIY.DEPARTN �TH SERVICES o
SUFFOLK COU
c'r; r.a
= i p --, `)
I pp.ENDT FOR APPROVAL OF CONSTRUCTION FOR A _ .w
SINGLE FAMILY RESIDENCE ONLY CD `�_t W'
QC o ,-:,c) c_
• DATE, v -27--00HS REF. ,v- CO - co :ill
APPROVED ,�� .T `�71: ri l
FORN'UR MUM OF BED' f N 30°00,i1� /0123 'i ";t
I 'Ki 59 71 OCC RES PW _.._ "I
• .4:4 1; ti's I.,r • : YEARS FROM DATE OP APPROVAL FILE NM TT'? N 1 U7 6/3/91
1i authonzed alteration or addition to this document is a violation• , 1., , _ _ !�"
e ., SURVEY OF: LOT 24
cations indicated hereon shall run only to the person for whom it is prepared
and on his behalf to the Title Company,Governmental Agency and Lending MAP OF AUGUST ACRES
Institution listed hereon,and to the assignees of the lending institutions or
subsequent owners .T' SECTION 1
Copies of this document not bearing the professional's inked seal or embossed
aal offs°not reimensoredns a shownhed e�Pyom ructure _ ' ARSHAMOMAQUE, TOWN OF SOUTHOLD
The offsets(or dimensions shown hereon from structures to the property lines are
for a specific purpose and use and therefore are not intended to guide the erection of
fences,retaining walls,pools,planting areas,addition to buildings or any other SUFFOLK COUNTY, NEW YORK
construction
The existence of nght of ways and/or easements of record,if any,not shown are
not guaranteed SURVEY DATE: 5/25/00 SCALE: 1"=50'
CERTIFIED ONLY TO: �,c9f EE Pi 1,'p
ep
POSILLICO CONSTRUCTION g� SFS t G.GR F �' DESTIN G.GRAF
��r;- LAND SURVEYOR
o
A , r is 73 Woodlawn Road
V • ,�sE.#o5o 1 � Rocky Point, N.Y. 11778
By DESTIN G. GRAF N.Y.S. LIC No.5006k, 1` `� 516-821-3442