HomeMy WebLinkAboutPosillico (4) " 0004
ELIZABETH A.NEVILLE / /� d Town Hall, 53095 Main Road
TOWN CLERK ; C13 P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
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MARRIAGE OFFICER : ofi�m :' ��IS Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER '�®d ��•
ei� Tel (631) 765-1800
FREEDOM OF INFORMATION OFFICER
- _ ����
OFFICE OF THE TOWN CLERK
SOUTHOLD rfaMfg160/tasTEARrittanSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2702 R Residential X Non-Residential
r
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : POSILLICO CONSTRUCTION CO
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 #R10-00-0130
Name Of Owner POSILLICO CONSTRUCTION
Mailing Address 1 31 TENNYSON AVENUE
City St Zip WESTBURY NY 11590
Property Address 1 3040 KERWIN BLVD
City St Zip GREENPORT NY 11944
Tax Map No. section 53.00 block 4 lot 44.035
Cross Street PHEASANT PLACE
Building Permit Number Cross Reference:
Issue Date: 12/17/01 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
Ilk
r f I�,,, FFO`��,-). 07 6 .-----
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ELIZABETH C NEVILLE �'1,ERK =�0 4�•; Town Hall, 53095 Main Road
TOWN ® _ , P.O. Box 1179
REGISTRAR OF VITAL STATISTICSva
i Southold, New York 11971
MARRIAGE OFFICER O 0 Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER `�#4. too
southoldtown.northfork.net Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER _ .1 ,,”osoutholdtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department0 N 1 D
Ntai
FROM: Linda J. Cooper, Southold Town Clerk's Office NOV 2 0 2anii
DATED: November 20, 2001
BLDG DEPT.ptp '.�r z
7/.31"4_Qf :1r;
OUTH
Transmitted herewith is a copy of application No. 2796 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.
1,
,� Linda J. Cooper
r
* * * * * * * * * * * *
I have reviewed the application and location ma 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. rs ie�.*
/ ,,,,.r//ece„.4..ity, „„r
Signature
/` % 01
Dated
e 0 "'P.p
OFFICE OF THE TOWN CLERK c,�FFJ(,r O
Town of Southold Off. "'. C f
O. . 4 Application No. 77w
Judith T. Terry, Town Clerk +� ..r.. �''_ . �
Town Hall, 53095 Main Road o C•..,: 1�► r�� '"— Construction ✓
P. O. Box 1179 }`a# , ���Y,` '
Southold, New York 11971 '" �- Alteration
•
Telephone 1 [ 'N Residential
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
•
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for !VCV '
CONSTRUCTION or ALTERATION PERMIT ,,
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE ///% /d
APPLICANT NAME: 9,5-;//i2-0 �-��C � 6,� 1C
APPLICANT ADDRESS: 3/ +-/5�„�
ma y, by //59O
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION Aeuz S c
TekA. d 3 79-0--0l 5/5-40, hew s%rtgle 4 ;
tiresiJec e �J
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Po .; )/,' cc�;� ,
OWNER MAILING ADDRESS: 31 rem,,,/5&,., /4..e
WPs4e42,, /1iy //59Q
OWNER PROPERTY ADDRESS: '30 SIO /{ev-kt,i '/3/vd
"Ir•e-81) /LY //955/
TELEPHONE NUMBER OF CONTACT PERSON: _/ - 3 33-06 C-6"
TAX ,MAP NO. : Section 53 Block V Lot 3S-
CROSS
SCROSS STREET: PAel'SG4-" P4r-e
BUILDING PERMIT NUMBER CROSS REFERENCE:.
Signa ur- o Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
_ , .
I
JOB No. AUG-33 • TAX I.D. No. 1000-53-04-44.35
NOTES:
1] ELEV IN USCGS DATUM
2] GROUNDWATER BASED ON TEST
8111°.
•
HOLE DUG 5/13/98 LOT 19 TO ASCERTAIN CHANGES
IN WATER LEVEL SINCE APPROVAL
OF FILE MAP.
3] GROUND WATER ELEV 90.0 ASSUMED
ELEV 2.5 USCGS DATUM
4] 3 POOL SYSTEM 4'IN DEPTH ......
BOTTOM 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 ' 8-
LOT 29
PROP ELEV [10.0] EXISTING 10.0 • OCC RES PW .
DRAINAGE AREA
POND
9.4 KERWIN BLVD. [ 50' ] 7.1
R=25 00'
L=39.27' S 43°09'40"E 160.00'
/ I
10.0
_ _ _ 8.0
TIE 777.00' rl�0 01 EX EX f 10.0 j
t:ti ° w
} 5
LP INV 91 LP„ LP 1 I iu
(/) I 65' ce
E
W INV 9 3
9 1 10.0 1 INV 9.8 SEPTIC '
AL'ANT • INV 10.0
[12.2] [12.2]
gyp , PROPOSED N 53' o
ppp SINGLE FAMILY z
[11.2] D
o FF13.9 [11.2] o 0
o GAR 12.4 0 }
N t.0
0
IP Z
b Q
Q '5 �i� o N
7 sIoCD ��(^AvArioN LC) cea
,,,,,,,;
, ..
z z Q ,0 MSpECT� Q.,
EIV /TAY SYS R ----./RED
TEM
d g - -,-o v
r IV FLOOD ZONE X n'"' -r-i
. i FIRM PANEL No.36103C0159 G c*tC., t3'�4 O / 7,.s r---C")
Cb / ni, CFI :..r_1
0 9.0 7.0 ( Pai AI AC r
N 43°09'40"W 160.00' ` 3rn �
\ _-lin
VACANT
FILE MAP No. 9107 6/3/91
Unauthonzed alteration or addition to this document is a violation of Section 7209 '
of the New York State Education Law SURVEY OF:
Certifications indicated hereon shall run only to the person for whom it is prepared LOT 33
and on his behalf to the Title Company,Governmental Agency and Lending
Institution listed hereon,and to the assignees of the lending institutions or M/0 AUGUST ACRES SECTION 1
subsequent owners
Copies of this document not bearing the professional's inked seal or embossed
seal shall not be considered a valid true copy. ARSHAMOMAQUE, TOWN OF SOUTHOLD
forThe s [oprdposeands]eand hereon from no intendctures tdtouropertythe linesare
SUFFOLK COUNTY, NEW YORK
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
construction
The existence of nght of ways and/or easements of record,if any,not shown are SURVEY DATE: 5/2/00 SCALE: 1"=50'
not guaranteed
CERTIFIED ONLY TO:1 4,0' N .
POSTLLICO CONSTRUCTION � � "P.� DESTIN G.GRAF
DES-1N G.GRAF LAND SURVEYOR
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Ar� or . 0
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w 73 Woodlawn Road
? .E,#05/1.7 J`" Rocky Point, N.Y. 11778
By DESTIN G. GRAF N.Y.S. LIC No. 50067 ' :.% 516-821-3442