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HomeMy WebLinkAboutToman OSOFFOt4- 1�= iii feeN ELIZABETH A.NEVILLE //.1d Town Hall, 53095 Main Road TOWN CLERK % o - P.O. Box 1179 C/3 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS °* MARRIAGE OFFICER Fax(631) 765-6145 RECORDS MANAGEMENT OFFICERI. -_ Jai Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER Ql �,�,I'� southoldtown.northfork.net ....., OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2958 R Residential X Non-Residential Fee $ 10.00 septic x Cesspool PERMIT ISSUED TO: Name : SUSAN TOMAN Address 1: PO BOX 1605 City St Zip MATTITUCK NY 11952 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 #R10-00-0024 Name of Owner TOMAN, ROBERT & SUSAN Mailing Address 1 PO BOX 1605 City St Zip MATTITUCK NY 11952 Property Address 1 ' 3480 MAIN BYAVIEW ROAD City St Zip SOUTHOLD NY 11971 Tax Map No. section 78.00 block 2 lot 13.000 Cross Street BAYWATER AVENUE Building Permit Number cross Reference: Issue Date: 12/26/02 Elizabeth A. Neville Southold Town clerk (TOWN SEAL) V,. r, .. I�,��®S�FFOt,�c .., a6i5Y ELIZABETH A.NEVILLE to.��°® ®�'��; Town Hall, 53095 Main Road TOWN CLERK % o - % P.O. Box 1179 2 v, Southold, New York 11971 REGISTRAR OF VITAL STATISTICS ® Fax Fax(631) 765-6145 MARRIAGE OFFICER sdi ��,1� RECORDS MANAGEMENT OFFICER =__�®1 ��®iii Telephone (631) 765-1800 FREEDOM"OF INFORMATION OFFICER �������,���� southoldtown.northfork.net i ' \77" L;' - 4a,2501 - ` 1 OFFICE OF THE TOWN CLERK \'.' _ TOWN OF SOUTHOLD ,TO:-– Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: December 3, 2002 Transmitted herewith is a copy of application No. 3081 for a Cesspool/Septic Tank Construction Permit submitted by: Susan Toman 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 \ - r Comments: < .: �- -- -/ .' 0/- Signature /r4-7//2— Dated • OFFICE OF TEE TOWN CLERK �,,,, ,,•,,•••, TOWN OF SOUTHOLD �,•�g�FFa/re' : ELIZABETHA.NEVILE,TOWNcr.Exx •,4, l/ _ • Application No �� P.O.BOX 1179 �� SOUTHOLD,NEW YORK 11971 _ Construction ® T • • v' y� Alteration •�. Telephone f� ��• $10.00 - Residential (631) 765-1800321 $25.00 -Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL • Permit No. Fee .$ � 2U DATE ! ii ?1&/1 el. 00Q-) APPLICANT NAME: V(*SQLn )0m(33(\ APPLICANT ADDRESS: To p-„, L QO- SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION C),S--\-r)r\/ CV) LOCATION MAP: Must be attached hereto before permit may be issued-. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION=: OWNER OF PROPERTY: �\ �� v us-Q_ cCk �Vv mac( ��, r, 'c"� h-Yra 1�1 � r pvecit OWNER MAILING ADDRESS: ' 1 � jb�©mn maAk; do �� \k G' � OWNER PROPERTY ADDRESS: 3-4 Mc .kv\ ��v Vt��: \N.),e_VVJQ., CYC uln�lc� !��wo'c'� y TELEPHONE NUMBER OF CONTACT PERSON: E-40 CoOM tE:3 or c)3� �(91,D-2 TAX MAP NO. : Section .,-T Block D.2_ Lot i 3 - CROSS STREET: 1(�� �, I,c al-6A BUILDING PERMIT NUMBER CRO SS REFERENCE: Signature of Applicant RECEIVED BY: j DZL 1\--- Town Clerk's Office DATE: lTA-2Civ ^c.)e_ 4.- C,124, I'144- ' VF w..i v i o ► .w i V i i i r V"i i 11 A i F`�I��, e"° 49 f�'r iv °'� 3 'AT SOUTHOLD ' ~f • 65 9,\ ,�� Y Y Y Y 49 q/V,4. TOWN.EY OF ' �] V V T �/ ) �� .� oo. Y Y C/ 49,475•:;46.1p.: . YORK � B /et• \ 4"-* \ •••, Y ' Y Y v SUFFOLK COUNTY, NEW ',.., / \� Y Y V Y Y , V 1000-78-02-13 t r \ Y ., Y YSCALE: 1 "— 40' I 5� , , N. " V �£l<440V Y '^ Y Y T. 21, 2000 2 • 1 = , •. Y Y Y V SUFFO OUNTY DEPARTMENT OF HEALTH[SERVICES" _ �' run- \ ( • Y Y Y ,, ,, k gi1Ds OC, . l6, 2000 ( �evls ) E` ,.\ k. ; Y PSR FOR APPROVAL OF CoNSTRuCTlON FORA NOV. 6 2000 Cold conc. foundation ) Q Nov 2.4, 2000 (B o IH) F' ' �n �� • `. . Y `Y SINGLE FAMILY RESIDENCE ONLY , • - - ` _T k _ _ t / Jon. 241 2001 ,opo.! Feb.Pel / 200/ well) al . �, �` lour x. �v -- ---- v{ , .. / �cl( �? i t ,��� O (-O ��MARG�H 14, 2001 �,� I-f RE OC-. 12, 2001 l prop. hse. 1 ' �'- 1._ APPROVED .e",`� JULY l2, 2002 (revision, prop. pool 1 lsJp � "dayc� \ O� �' �sir- • f � FOR MAXIMUM 0F �BEDROOMS Nom 27 Q �,,/ w _ , — 2 200-.1. (ftp 13 1 v--• ,� o ` '.4 \ti L'—i?r� • `�'=_. . , ---- >" . 'IRES THREE YEARS FROM DATE OF AP�RQVAL lel q (S►,....,0,,,,,)„,A.,..9. .;1,,r ... �/ i - '- F.F. N./3.6 A (LI A ;:v-„,'t.,r e l'-" `.a 6 .;i' LL -t' 5T h ,1.04,c1- . " ill 64 64 . ,ro'osed : ` , ,s, . `` -r� Q�i�o o �y l'� � 7Tf� IE g7 r43 ScIOT/C TANC r(r,* r- cr4.001-(i'i►0 6AL. �I" iv,. ,/ �, �' m A/,, -' '1 0✓ :u'.. g„,,,'rpm ! ,, ,�'Y ' ., \41 t 4 • 8'AW 'dQr{ eo1M }'},., epde M!E 1 • �� h oo , o, 3D 4 i t , ^1 `� ``. ^� 0 Zv asmaRai - _,T ►sem• ' i T TEST BORING'0•10�oc IT- = .`.E 4� `. ''yam , ;:t J� tr" �q o \\ Q•om{ •\�C S1r /' � C�1t 4� �� w �y�PLAN • Topsoil., 94; VISII Olt \ t v�' i�>Y �' �� %,..., LOAMY \ \ i 1( ‘)( ` �, -� 1 �. NOTE' er 3 Q 'Y+ •�_`; U'' � 'fib '� SUBSURFACE SEWAGE DJSPI iL • _ � ; '''�' �- ©, SYSTEM.DESIGN COARSE /.(.' 4 4 ` y, ! ` BY' JOSEPH FISCHETTI, P.E. s ' \' 4y d N4 ` .r HOBART ROAD r ‘---,-- . _ _ _ )(,) SOUTH©L P, N.Y., /1971 '` ��.� ' I (6311 765 - 2954 WA �d �ti J' ' \ �N G..'_ 1 ..nr ' COARSE - • T'P�. '°o'�jf'�'� l .; ti SAND SW AREA = 35914 s .ft. '4 NN �' �. ` ��`�" 'A CERTIFIED TO' q c' \ l°w� ek HOUSE PAINTING BY ROBERT'TOMAN INC. N� l a FIDELITY. NATIONAL TITLE INSURANCE COMPANY ,, EDF AEl y . NOTES: • ' - - OF NEW- YORK ��� �� r t ,• moi' l T. MET �Ci� J ^ r I on familiar with the STANDARDS FOR APPROVAL -site';'. t - ,-' _' '' AND CONSTRUCTION OF SUBSURFACE SEWAGE + ©I it �"-< ,,,�_-� � •DISPOSAL SYSTEMS FOR SINGLE .FAMILY RESIDENCES .1� r ��l��`+=`:(;`j and will abide ,by the conditions seta forth therein and -° + O� on" 'the permit to construct. 4, -e, .:' p cons uct• prof ;r s4� d,' }r> IJs- # 0 2, • 496Ae C, 0•y • p [A D• S\�J A�. � he location of' welts and cesspools shown hereon ore FLOOD ZONE' ,;.•i -$ FROM. FIRM f — , .a MY,S, L - ► • -618 from field observations and or data -obtained fon others. 36I63C0166'0 MAY 1998 . �yy l'ECONIC SURVEYORS, P.C. '"'r. , (63:1) 765 '- 5020 FAXk'631) 765-1797 Contour lines "and elevations are referenced to N.G.V.Datum ANY A�rCpTrpry n�1si7oir 7p rt-as SURVEY r�, a uroLArraN OF SECTION 7?¢}; ct _NEW YQRK . TA.rE EDUCATION LAW - ft. 0• BEX 909 _ EXCEPT AS PER _ICIN:'7 69-SUJPD!VISILIN 2 ALL CERY'1f,',[CATIONS ' i♦=,MpNLit�1E_NT _- PrI,Pcose00-- Dieu- :o^ HEREON ARE •VALt 3I.:OR; r? TS, MAP AND COPIES THEREOF ONLY IF ' 12 0 TRAVELER ,TR�ET `.PIPE SAID MAP 012 12 - , 'iriE' ;MPRESSED SEAL 7F THE SJPVtEY0R' SOUTHOLD, N.Y. 11.9=71 0 0 -- 2 4. WHOSE SZGNA1`URE', P 4PS 'HEREON. •y -