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HomeMy WebLinkAboutCassara ee ELIZABETH A. NEVILLE i1�°Z° ydTown Hall, 53095 Main Road TOWN CLERK o - P.O. Box 1179 H Southold, New York 11971 REGISTRAR OF VITAL STATISTICS v' �� MARRIAGE OFFICER ,fsL Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER "'/O .. 'of Telephone (631) 765-1800 I. FREEDOM OF INFORMATION OFFICER ���. 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. 3067 R Residential x Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : SAMUELS & STEELMAN Address 1: 25235 MAIN ROAD City St Zip CUTCHOGUE NY 11935 Descripton of Proposed Construction or Alteration ADDITION TO EXISTING SYSTEM. APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION REQUIRED. Name Of Owner ,CASSABA, RONALD Mailing Address 1 3142 CLUBHOUSE ROAD City St Zip MERRICK NY 11566 Property Address 1 30185 CABOT WOOD ROAD City St Zip PECONIC NY 11958 Tax Map No. section 73.00 block 4 lot 1.000 Cross Street MIDDLE ROAD (ROUTE 48) Building Permit Number Cross Reference: Issue Date: 7/29/03 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ,/0,®�®SUF�O`,�c®G ELIZABETH A. NEVILLE ���,_�' # Town Hall, 53095 Main Road 1 TOWN CLERK o - % P.O. Box 1179 REGISTRAR OF VITAL STATISTICS ,i Southold, New York 11971 MARRIAGE OFFICER : ,y,L �4$. Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER "'/Q1 $ ' � Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICERos southoldtown.northfork.net 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. 3067 R Residential x Non-Residential Fee $ 10.00 Septic x Cesspool PERMIT ISSUED T0: Name : SAMUELS & STEELMAN Address 1: 25235 MAIN ROAD City St Zip CUTCHOGUE NY 11935 Descripton of Proposed Construction or Alteration ADDITION TO EXISTING SYSTEM. APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION REQUIRED. Name of Owner RONALD CASSARA Mailing Address 1 3142 CLUBHOUSE ROAD City St Zip MERRICK NY 11566 Property Address 1 30185 CABOT WOOD ROAD City St Zip PECONIC NY 11958 Tax Map No. section 73 block 4 lot 1 Cross Street MIDDLE ROAD (ROUTE 48) Building Permit Number Cross Reference: Issue Date: 7/29/03 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) .L; 0 1I,. ' BOG ELIZABETH A.NEVILLE )% V. Town Hall, 53095 Main Road TOWN CLERK y - % P.O.Box 1179 REGISTRAR OF VITAL STATISTICS % Southold,New York 11971 MARRIAGE OFFICER ``®,jiL �����, Fax(631) 765-6145 RECORDS MANAGEMENT O1 ICER :_4 �.o,�' Telephone (631) 765-1800 FREEDOM OF EORIVI,V O p FICER r�'� southoldtown.northfork.net a - n\ n,j k - .,,,,,•, \\',):!1\ / zal ;1-, OFFICE OF THE TOWN CLERK : ,4 .���- ` TOWN OF SOUTHOLD v.:--' Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: July 17, 2003 Transmitted herewith is a copy of application No. 3195 for a Cesspool/Septic Tank ALTERATION Permit submitted by: , Samuels & Steelman Architects 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 * * * * * * * * * * * * 9 I have reviewed the application and location map of the project cited above and make the followingc ! recommendations: APPROVE DISAPPROVE Comments: Maintain required setbacks from adjacent wells,buildings,property lines and water Bodies. EXCAVATION INSPECTION RE•UIRED. , -....- . i ` .eds.eee "lose Signature 001/05 05 Dated i f I est OFFICE OF THE TOWN CLERK •" ,,0M/re UL t�FFOtk' ''- TOWN OF SOUTHOLD it** �OG__ 'Application No. 6t" FLUABETH A.NEVILLE,TOWN CLERK O P.O.BOX 1179Construction SOUTHOLD,NEW YORK 11971 cera • - Alteration V Telephone O,jj� �Q�,' $10.00 - Residential %../ (631) 765-1800 = Ol ,,,,,, ' $25.00 -Non-Residential TOWN OF SOUTHOLD • o • 'SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. • Fee •$ DATE 7//6` 3 • APPLICANT NAME: J4fl erA9 ot&- M APPLICANT ADDRESS: &523b V/ tO / aetrc Efo&O 'i /VC' !89'35 - SEPTIC Y/ CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION 4Dn//V69 ,V6(f q 1`/C 7WK PV(Sr(q6 GE4atil/YG /UOrs , f' cS'e-.bia • LOCATION MAP: Must be attached hereto before permit 'may be issued. LOCATION OF PROPOSED CONSTRUCTION � O :R ALTERATION • OWNER OF PROPERTY: /� i4f) C ,43,PAW4 OWNER MAILING ADDRESS: 09&C,2 Ciadouc f gd„b inne`ck, ivy. //5 OWNER PROPERTY ADDRESS: 30x5 of (f Q £on Pcoiv c,, XVI /(95e? _ TELEPHONE NUMBER OF CONTACT PERSON: pc 6jc 0)5 TAX MAP NO. : Section 73 Block ( outj 0(4 Lot CROSS STREET: AD9t 4C b BUILDING PERMIT NUMBER CROSS REFERENCE: Wzi ignature of Applicant • RECEIVED BY: Town Clerk's Office DATE: 1 �b �o) • - a c, SITE DATI , 0 Y aWasaaaas scrni a 1000 r0u PROPERTY. •pICES ADRESS I`• tAitY�-,. 58 LONG ISLAND SOUND 9 AREAS S OWNER DH'RONALD CASSARA ` 1 P,� 7142 CLUBHOUSE ROAD p 2", ` 17'.42. / itti(MERRICK Y tt 1 ���.--� EXISTING RESIDENCE, 1110 SF. —�f� o SITE 108,001 89 30 FT.-•x 2,479 AC QQQ —�—` ,_ $ PRORDSED R!=TM°IDENDE 1900 SP AREA �J� y mq a ZONING R-80 • EXISTIN6 DECK TO BE 105540Y-d2. 320 SF. FLOOD' X Z ZONE , ,y \ -y'�w EXISTING SHEDS TO REMAIN, 944 SP SURVEYOR JOSEPH A INGEDNO I. EXISTING GARAGE, 440 SP 1580 ROANOKE AVENUE `__ ('--;--------::--• RIVERHEAD,NEW YORK 11907 4./4'o I,i , . - Ham41 . 'T�.S` J PIfOPO.�a�GAFiAf�E, i80 Sr LICENSE 4 DATED JUNE 29 2000 CI Tp -r, 'G 00,- +.- ,+, .-•i"' NOTES ELEVATIONS SHOWN ARE REFERENCED Q .11011t -inti - R1101 TOTIr•. EXISTING ELEVATIONS ARE SHOWN THUS 5.0 Z W .. '• a. EXISTWG CONTOUR LINES ARE SHOWN THUS 5 "- "- =�• ! // +A 9T7E GOVfJiAFiE, 9074 5F. - ID IDH . • -„A .e'-»j\ / i• THE LOCATIONS OF WELLS AND CESSPOOLS : iw�bOBSERVATIONi y5�" / .:', 2LA SHOWN HEREON ARE FROM FIELD O ' coo - T'` w,'k+`if• ' ` s' \ ```� r-�' ��, pp FRON!OTHER83 AND OR DATA OBTAINED Q /` ion T.10 WOW. Y N®1N�Mi1 \\ 6. V Dm11IY Al+!aHm 717immaem .. .. • � 0 ` CC reµ Lr l2.,YI1M ' �`• W 1111 /141.11 .� ` awe Li 4 4:40ii.• ._ .... • 10210077 a4 dRfliN, L. OC, ATION MA 44We AND 1=---...-:p.a-- ---'-- .rcwA.e LLr1 N. .� I; + �T'���. ...e> oe rare�ol�.,,.o.eur Lx _.• _ a — -/./ iii,: .... , „ .. . ,. .. S - "�„'1nl'r ;” OSCK OnAO! * ,, /,° iii `,�� l ! \I; -� �321t1 CAS x�C `" '�df y? w.1. TEST HOLE \\ f� 0.-re \�� • 1.�. ' circ. . r, 'a ` 2 w.`3 3 S Of 11Da1M/D 400r.0aa J( gS a1 nea:lse1 x aom f ., �' a I-. 5 i 7''''':: O. sp ..„,•. i.• FXdA1DE EL.+35Btt �' 1 4 ..: 20 PAM MOM L1Y UMW a ''..4... 1 _ � ` `. Po Sy T I'f ,. 'SND/9LT M. �`�� 1yf NIL OIAiIIO� i sae wINNity Mi �ficwlol+. AIT MIOIM e0.t 14. �\ - "Tw t NOTE CABOT'S WOOD ROAD IS A PRIVATE UNPAVED I i S. , ROAD LOCATED 07 MILES WEST OF THE of INTERSECTION OF ROUTE 48 AND MILL ROAD I a�orM G1JM9NMW e6 } \\\\ PECONIC LANE THERE IS A SIGN LOCATED ON y ROUTE 48, BOOM ne . i 00 R. 717 MQgM MW � - r �T E PiN.7El 1�: • wo11Am sL'A 1l=7RaPLA[�1 \� ifje' 0 COUNTYDEP A L 'OF HEALTH SERVICES `�+ � V1a7rCHECKEAY: TcsZ ,C�f 'I"1 / *, s! FOIt APPROVAL tiOF mO ENcE curio- / .: - 11AT& 8(13!02 NI. 2.� 1°1° L7INGHfE�'A i�, YI IDENCF:ONLY �� i'`E�`�'�° scA\S I • rw.1- . •_UM ISEYAroN*SILO (1,(,A2C �CM►e< NI.._� c:f �I ' ` /� /� /T�t�� C� �:. i°�: 1-=�r�' m�ma, ., • Y , `�� / DATE 3 2 -s RE \V.' .tO—O3--a)2.j Q� �.� �✓° w��P C� SHEET IME -- APPROVED _,.� i �� p1 Her ', .eoo .oen !r.< g 4 �� x< SITE PLAN �• �"" FORI�YAXI1 EJMOF BE► ' •• ^F SHEETNO ' - EXPIRES THREE YEARS FROM DATE OF APPRO, : �. 1g3'�O . SEPTIC PROFILE FOR RESIDENCE .,' . _ NEYr MXDD ROAD r — • - } ,,