HomeMy WebLinkAboutEdgewater (2) y e
o#1161 OFFatite;\
11
ELIZABETH A. NEVILLE _* °� ; Town Hall, 53095 Main Road
TOWN CLERK ` ® P.O.Box 1179
REGISTRAR OF VITAL STATISTICS . s+�t� Southold, New York 11971
Fax(631) 5
MARRIAGE OFFICER ``$40,4 islets Telephone (63 6576541800
RECORDS MANAGEMENT OFFICER "'/
FREEDOM OF INFORMATION OFFICER
��
OFFICE OF THE TOWN CLERK
SOUTHOLDpT1E I SAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2680 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : IRA HASPEL
Address 1 : 126 EST MAIN STREET
City St Zip BAYSHORE NY 11706
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 #R10-01-0142
Name Of Owner EDGEWATER III LLC
Mailing Address 1 2112 BROADWAY
City St Zip NEW YORK NY 10017
Property Address 1 63875 COUNTY ROAD 48
City St Zip GREENPORT NY 1191111.
Tax Map No. section 40.00 block 1 lot 21 .000
Cross Street MOORES LANE
Building Permit Number Cross Reference:
Issue Date: 11/01/01 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
•
,„,..,k
d6
C)
•11 ofFoct
ELIZABETH A.NEVILLE �/�� ; Town Hall, 53095 Main Road
TOWN CLERK ; y - P.O. Box 1179
REGISTRAR OF VITAL STATISTICS , Southold, New York 11971
sP 4W
MARRIAGE OFFICER ..L Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �Ql ��®•i. Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER . .9”
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: October 19, 2001
Transmitted herewith is a copy of application No. 2772 for a Cesspool/Septic Tank Construction
Permit submitted by:
Ira Haspel
Please review the application and location map and advise if the project has received Suffolk County
Health Depaitment 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: � �- -
f/-
Signature
/O A
Dated
4. 'a ••
OFFICE OF THE TOWN CLERK Os' `,��OCK
TOWN OF SOTJTHOLD '��'�®�Ut, .1e�" Application No. ��
7)-
F4 I7ABA.NEVILLE,TOWN CLERK
P.O.BOX 1179 a ' ' "+`At : ; Construction x
SOUTHOLD,NEW YORK 11971 i , '"'• �= t
C::1 ' 1,1 4 Alteration
Telephonete> -4, b �' $10.00 - Residential X._
T- ®�
(63t) 765-1800 - �' $25.00 - Nor-Residential
�,�
TOWN OF SOUTHOLD •
SOUTHOLD WASTEWATER DISPOSAL• DISTRICT
APPLICATION RECEIVED
for OCT 1 9 2001
CONSTRUCTION or ALTERATION PERMIT •
SEPTIC TANK or CESSPOOL Southold Town Cleric,
Permit No. • •
Fee •$
DATE /1 /c /•
APPLICANT NAME: I lr.- 116 S )
APPLICANT ADDRESS: 12p has` f-46tvk 5$c -e-k _
.SHtyiL, N4 11`l o(e.
SEPTIC ) CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
C'3 sn5 v c -6c a ,n.e.k.,3 d uosak 1 n- el -
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: dc -?,,�.;a-v LLe✓
OWNER MAILING ADDRESS: CIO G`-te_ow-'\s✓ Cohn-►,
2.112. `-jroad �.,. , A3y , ►O`1 I !o i 1
OWNER PROPERTY ADDRESS: (¢32-1S--- Coun`H 724-- '/(
C-I fe,e,v► e0,-+ , tiY
TELEPHONE NUMBER OF CONTACT PERSON: 631 " (.a(DS - ---/S-2.5TAX
`ZS-ZS'TAX MAP NO. : Section 4,0 Block 1 Lot 21
CROSS STREET: MUV.CS Cel,v,*
BUILDING PERMIT NUMBER CROSS R - . :
appir S • E.f Applicant
RECEIVED BY: /
own Cler; ' O7fice
\ATE: , U
I
A `<
� Zo
— _ _ _ _ \ �
�G.5,- •r
/ \ \ \ pG�
1' \ ' \ \ 7C`� -p
\ NO \
d
1 teyt Pday \ \ \ 7-
CCe \" A��3
0s \
09eC` \ 1--6
-0 i-\..-
\ \
\ \\./�) \ \`S`
�� `
\ I I --- , \ .
\\ \ \
�� \ \
4 / \\ °- \ \
-(s--N,, / Z� /\ �// \
.d /—J . %%
,c3..„. \ ,
/ /
\\ ..._."
\ \ \
A V i
tio< \// \
\ \1-7 \ ,. .,
\ ,
.••••' '..*\ •
rk;(\v.' \ 0 ./, ••••••' '-••-•,\ ', . • •
c v, \cos'c, d ey \
7Z SO este N� , / �• \ \ t `\ 4 r s"
�� \ \ ;�-
C\;)\ \ \ . \ .,
\\ )- . \\_ _ \---,-..,,-,- --\\ 4\\ - "- '
, -4,-,o-\-\ \
\ fr ®s
\ \off \7,,\ ,6 .
\ - °
\-\_.\.,„ A`c)) ,
\ keP e
00 \\\ / V
\ \
Y
N
/�® / I�0 <, oC. ���'{/' -� 'Unauthorized alteration or addition to o Sur.-ey
:FERENGE MSL NC�VD '2q / / `y y y oh ng a seemed fond surveyors seal r a
�, �O` O ,beaon of Imense 7309 sub-division a of the
r ‘ New York State Ed+cation Law"
''3S 777(c...+.77
/, / 4-:
' '+; 'Only copies from the of the l of the survey
Z `//"tea\\,((\\ll�.. v, , \ naked w�N an u�gool of the land surveyors
=NT FOUND Ce slurped seal shall be considered to be voila true
01
y3x `,� �" �.s,�° �� * 'eertdimLons indicated hereon signify that this
/ .�H, .. , S i sirvey rm pre male 7.`,7=,
d hereon sr wrtn tb the
/ / 4[f, ivy Lode of F'raclec For LaM Surveys o6opted
FOUND / r � �• b the New York State xiation hof es io al
/ / '+ —' O Lad Simve son Said fn the
shall run only
�' .� to the person for wFnm the survey is prepared,
and on his behalf to the Lytle company govermcn-
�iL f• Q , lot agency act ie�g vrttvlon tutee hereon and
/ +�o • 50 1`¢,/� to the asmgnees of the lending institution certif.co-
+� I ..,%4..
`D '�V lion ore not transferable to additional institutions
JSE TO BE LOCATED IN FEMA FLOOD ZONE X Z : l
31 �,F r--)P � -tom v.r.uFC,
b
SITUATE: GREENPORT
TOWN: SOUTHOLD q w_ E
SUFFOLK COUNTY NY
c®/c:),ne
SURVEYED 02-20—OI ,
PROP HSE 05-30-01, 07-101-01 J/�
10-01-01
SUFFOLK COUNTY TAX # eis,(:"..\1000-40-1-21 �y /'
CERTIFIED TO• q®
/
EDGEWATER III, LLG $ ilf)171<iN/
/
TITLESERV AGENCY OF P �� /
NEW YORK CITY, INC j,� SEPTIC DETAIL
- /
_ PROPOSED
'/ / / / / not t0 scale DWELLLING
/
,' / // , /
' ,',i.' / / / proPoee
/ ,' // oe/,' ,'/ existing gratle max 2 g
/ / max. 2' min 1
/ tion ' min. r cover
cover
,/ / / // /�'�'/ /'/ / / /
leaching
it[11 9seankc i/4 0 r ft
/ / % / / , 12' deep min P ft
j / / / / 8' dia i/4" Per
' / / / / 300 s.f.
_tr
/Y ///� //' i' / / /
'� ',
/,
min. 3'
':,1,-'' i—. ! / '///0 �// /,' separation
//// / / /7////,'/, i / / ' ''
/ 01._
a ground water
C...� /,,//',/ // //, /// //////
j '.(
'. + ; / ' , (/'o/; ✓O�a SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
r_-,-4_
/ / ' ' /,', // / ' ♦ tip �1--....„
PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
// / `• SINGLE FAMILY RESIDENCE ONLY
/ --C71
z.= / /// '/ E 4:)', JAI
�0� DATE f�-� HS REF.NO. IC3-�+
APPROVED / .r
•
� � FOR MAXIMUM OF B• OMS tiPg
N
/� G���� EXPIRES THREE YEARS FROM DATE OF APPROVAL
— / \
......_
EXCAVATION INSPECTION REQUIRED ';
, I \ .......
, _
FOR SANITARY SYSTEM
i/ _....
.,
\ . .
BY Ftg... -� I�IrPAI -`I�NT
l ,
4
\ \
. A, \ \ s Y
9
J iVe31 )
O
i n \
tljt
N
ClwIrl: i \ \ . \ \\ \\ �Jv
Cs \ . O
•
WA �
-
\ \-7 -\ \
40o
i
l
i
o,
\ ,
\,,,, .0