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HomeMy WebLinkAboutRoberts Custom Homes (2) • ELIZABETH A.NEVILLEd • Town Hall, 53095 Main Road TOWN CLERK k o - P.O. Box 1179 W3 Southold, New York 11971 REGISTRAR OF VITAL STATISTICSP MARRIAGE OFFICER `` 1i Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �_�ol �a �i� Fax (631) 765-1800 FREEDOM OF INFORMATION OFFICER ,s'� 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. 3017 R Residential X Non-Residential Fee $ 10.00 Septic x Cesspool PERMIT ISSUED TO: Name : ROBERT'S CUSTOM HOMES INC Address 1: PO BOX 372 City St Zip WADING RIVER NY 11792 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 #R10-01-0161 Name Of Owner ROBERT'S CUSTOM HOMES Mailing Address 1 PO BOX 372 City St Zip WADING RIVER NY 11792 Property Address 1 1640 EAST GILLETTE DRIVE City St Zip EAST MARION NY 11948 • Tax Map No. section 38.00 block 3 lot 24.001 Cross Street MIDLAND PLACE Building Permit Number Cross Reference: Issue Date: 4/17/03 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) -rj „,,.r; �,,,ti��l ,ciFFO � �10,; C) ELIZABETH A.NEVILLE �it \ Town Hall, 53095 Main Road TOWN CLERK % o - % P.O.Box 11'79 % VA ' Southold,New York 11971 REGISTRAR OF VITAL STATISTICS �► MARRIAGE OFFICER `` 1i ���0 Fax(631) 765-6145 , I RECORDS MANAGEMENT_OFFICER �_�Qd �ao,i� Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER �► southoldtown.northfork.net - -!•.....ai , I MAR 2 14t}' OFFICE OF THE TOWN CLERK a TOWN OF SOUTHOLD i TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: March 21, 2003 Transmitted herewith is a copy of application No. 3140 for a Cesspool/Septic Tank Construction Permit submitted by: Robert's Custom Homes 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 Comments: .. . '' '''.€-E'egt/e.f,"4,-ez" ..-4 21'f'-‘17fr Signature • e9 e 2-/3 Dated OFFICE OF THE TOWN CLERK ;!'�'�,�........�'' Pr.¢nBTOWNOPSOA. tT Towrtcr.Exx THOLD ��� cJ���� G , • Application No..3 MI) P.O.BOX 1179 1.4.1 .04 Construction ✓ SOUTHOLD,NEW YORK 11971 ats cy •c Alteration • Telephone =o$9 �0' . • $10.00 -Residential (631) 765-1800 _�l. t ,�'e • $25.00 -Non-Residential • TOWN OF SOUTHOLD • • SOUTHOLD WASTEWATER DISPOSAL DISTRICT • APPLICATION for . CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. • Fee .$ DATE c,91acolo 3 APPLICANT NAME:'O.bQ nCud rn (4-oat.e5 APPLICANT ADDRESS: PO 6DX c7c9 LO c net , • I i1 q a_ SEPTIC CESS POO L DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION n_e Li' Z(vl 6c LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERAT)ON': OWNER OF PROPERTY: Phict.er-1 ecd �y &Cowie$ OWNER MAILING ADDRESS:a )( 373- • 1 clog v e_ z /U 11 //) e (640 OWNER PROPERTY ADDRESS: r-i5� 6 ////-l-. A7— Mf1-RiOki TELEPHONE NUMBER OF CONTACT PERSON: 6i(p 8. -`7� a a. TAX MAP NO. : Section 08 Block Lot i 5 f o)-2-4 CROSS STREET: nydjand BUILDING PERMIT NUMBER CROSS REFERENCE: 1, ' / /4 /9/(4-ek- Signature of Ap: licant RECEIVED BY: €4v own Clerk's Office DATE: 3il'E? 1/012 ' ' 1 1 I .� �- . l am familiar with the STANDARDS FOR APPROVAL CIE 164 L. AND CONSTRUCTION OF SUBSURFACE SEWAGE'' '� - • p PSP 4 DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES LPN- - Q and will abide by the conditions set forth therein Sand on the_ permit to construct. M "t°D �arNtt OEPART#ulEas OR HEA{.?N S 1C8s tik , q.� — mfr FOR APPit VAL 4R CONSTRUCTION FOR A SCDHS REI. NO. R10- 01- 0181 - _ The locations of wells and cesspools .� g Y� \ N -0 4- �� SINGImE FAMILY RESIDENCE ONLY Q shown hereon are from field observations I,O e��in9Y,��e e 5 u' \ Q l and or from data obtained from others. ate L `66' l q �, DATES ►3 i6 1 H. 6 . t �� a 00:31 , ELEVATIONS ARE REFERENCEDP Jb I' q► y• \ L C % APPROVED TO AN ASSUMED DATUM. r `o �� _ FOR MAXIMUM OF - LF ,6EDROOMO Q = PROPOSED ELEVATION Ql. & Q �r"Pe �, IBES? YEAR$FROM OATS AF APPROVAL '( L� s ker) - Zdi / P i \ 1 l a v . \ "9 0 �e �'l� �o' SURVEY OF PROPERTY � /-, �''�� prfP o�� ®.. ,� /� AT EAST ItARION e9y / �, h�� ite� • f� © :-4- ' TOWN OF SOUTHOLD ak .� ®� ® ��.�f SUFFOLK COUNTY, N. Y. ! , ' � el 1000 - 38 - 03 - 15 & 24 ,„,.�,' f.� g'°- ��- SCALE: 1'�- 30' TEST HOLE 5/0//01 �� *. \ JUNE 15, 2001 brown VI‘ 60 ,." V- • 4 Q E \ • � .Ju/y 3a Zoo/lie,, , ,o7 ; illaftely -0 4 �+ /.$, m� \Iti_Ouse&n -,},- , - --7110O,p 66` F. 412- ' oL l2 1 t� . 1 7fS. sift Own /0a►r1y 4� "� V �, 16g• BOTTOMOF e/9 PROPOSED GRADE e ■ FOUNDATION q- Dov Blohrli any /O �' rz 1 E 7: POO GAL. — C° 4 0 v'� O.n 1 sEPnc rAN7C ,E�� �rE�,' CES-587"1- -sem' coarse'sand CI G • SW =e%3./ ��S D L���VO O'( J0,C°./ 8' do �co/lar of _Lc"lean sand; Waist* . N 01 PIPOPO•sFD SE1s'AgE F!�:::: SYSTEM 6 POOLS pceoo! clus/er1 eh 3J • P1711 CLEAN sA 3'C /200'GAL.PRECAST and *I. cow�ETE sEP... TMTOM OF LEACh�VG 006* POOLS TO BE P'ABOV /MDWATE% �` b4ti56. ' \, NOTE: CROSS SECTION - SEPTIC SYSTEM 8�•`Mc�ona.laCl Geos a/G'r)Ce e� Y ® SUBSURFACE SEWAGE DISPOSAL Z - i;, AREA = sq. $'$ 1 SYSTEM DESIGN ^tc, c- � 50 ft. t.0 BY: JOSEPH FISCHETTI, P.E. .v HOBART ROAD OF N�/y 44. �' c y,1; SOUTHOLD, N.Y. 11971 - - -,..14,,,-- r �`'z i ' ANY ALTERATION OR ADDITION TO SURVEY IS A VIOLATION CERTIFIED TO: - , (6311 765 - 2954 n. .0 s "�Fr� �'f'• =•:` '�' - �r OP ION 7209 OF-7'HE NEW YORK STATE EDUCATION LAW, WA YNE J. MO T T i >> F �; a t7 EX 7' AS PER SECTION 7209 - SUBDIVISION 2. ALL CERTIFICATIONS g ;- . Q.; _� HEREON ARE VALID FOR.THIS MAP AND COPIES THEREOF ONLY IF MARY OLI VIA MO T T -' /1 ; , ,;;; r, •- . FIDELITY b.;., ,., LI :___ r.,; SAID,MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR NATIONAL 'TITLE INSURANCE ; r s6 t - WHOSE SIGNATURE APPEARS HEREON: \ COMPANY OF NEW ,YORK iI �_ .Illi °`'': 1'Y.S. Ll N0 6/8 ADDITIONALLY TO COMPLY WITH SAID LAW THE TERM 'ALTERED BY' NOTE: ' r- �ti MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY LOT NUMBERS REFER TO MAP OF MARION LAKE .'ECONIc � YOBS P ' �' OF ANOTHER SURVEYOR'S MAP. TERMS SUCH AS 'INSPECTED'AND FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE (6311 T6 • 11•: Oafl`, ` 765 1797 'BROUGHT - TO - DATE'-ARE NOT IN COMPLIANCE WITH THE LAW, ON MARCH 18, 1958 AS FILE NO. 2038 P. 0. BO \ 1230 TRA D. - 'ET SOUTHOLD, N.Y. 1197/ I 67 — 172