HomeMy WebLinkAboutAlvarez 0 •
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ELIZABETH A.NEVILLE 4
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y�? Town Hall,53095 Main Road
TOWN CLERK o P.O.Box 1179
t y 2 Southold New York 11971
REGISTRAR,OF VITAL STATISTICS v' % '
G Fax(631) 765-6145
MARRIAGE OFFICER ,L
RECORDS MANAGEMENT OFFICER `may"�Ql �ao�i��1 Telephone (631) 765-1800
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. 3103 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ROGER ALVAREZ
Address 1: 20-06 36TH STREET
City St Zip ASTORIA NY 11105
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR ONE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-00-0258
Name Of Owner ALVAREZ, ROGER
Mailing Address 1 20-06 36TH STREET •
City St Zip ASTORIA NY 11105
Property Address 1 7205 ALVAH'S LANE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 101.00 block 1 lot 16.003
Cross Street
Building Permit Number Cross Reference:
Issue Date: 10/20/03 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE i� G*�> Town Hall,53095 Main Road
TOWN CLERK o - P.O.Box 1179
REGISTRAR OF VITAL STATISTICS % v'
Southold,New York 11971
MAftftIAGE OFFICER ` �?,iL �����, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER "'/� �a0 iii Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER ,,,. southoldtown.northfork.net
OFFICE OF THE TOWN CLERK -
TOWN OF SOUTHOLD
TO: Southold Town Building Department OCT
•
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: October 6, 2003
Transmitted herewith is a copy of application No. 3242 for a Cesspool/Septic Tank Construction
Permit submitted by:
Roger Alvarez
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 1 tion map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments:
-21/6-4.-4E44
Signature
/°/VA
Dated
ELIZABETH A.NEVILLE it 0 ®Gy Town Hall, 53095 Main Road
TOWN CLERK ® P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold,New York 11971
MARRIAGE OFFICER :°6 .1C I� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER y�f� aO�ii�� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER =..' * �' southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10 or Non-Residential @$25 Application No. 3),L1
pp Permit No.
Applicant Name g-o je r 41 vaj e-L
Applicant Mailing Address az —O(o 'S( 5+ . A5 Isze✓ie& K 1110
Septic Tank V or Cesspool
Brief Description of Proposed Construction or Alteration
Location of Proposed Construction/Alteration:
Owner of Property:<"? o A\V A(`�z---
Owner Mailing Address: 20 —Q(c, S'-
A- -ro9.'0.. Y 11l o s
Owner Property Address: ,205 „q.V) 32-
- c ocu€ '3 1
Name and phone number of contact person c Ci 11?1ZI --10 4( SAG 61.1 W20
Tax Map No: Section 101 _Block 01 Lot t�•3
Cross Street
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SUR X WITH HEALTH DEPARTMENT APPROVAL
E " co(G(°)
Signatur of Applic. Date
Received by: i v,
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XUT6S, n, \ 7�'r F } J,,:_., jG` k �sWr' }
ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM - '',• -\rit ',W-?-, „fi'''r�4,41 4 .•'`•H r 3 +!, )6 .g ,h, s
1. ELEV s ;��, �,rt`„ i Y�� u� ` �.." '--scs- '•� `7 ,
; SURVEY OF
EXISTING ELEVATIONS ARE SHOWN THUS:5o.D % 61,,:',.,,,;;A7'5,-V0."'
� �t,G'11 ,.cy _ t '�� — •
2. REFER TO FILED MAP FOR TEST HOLE DATA. I �s o - \ his;--� ��'v> r � `'°,-s_7a'i;
Vi r, 1
3 MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 _ - I F�.. 4` \ .rf;i,.51t -1, ' ;;,r:e ;4+�L:'�4 4'` LOT
BEDROOM HOUSE LS 1.000 GALLONS. -.2 :'. `%1,'q'•=c+4.-Y tti 4�:�,.t' ',n - y "
1 TANK: 8' LONG, 4'-3" WIDE, 6'-7'' DEEP `{;;,' «.. �7r,,,:,. -=„ \ �`. `�"4,�',-,''z, 3' `l ,'v " ' "tea=, L►l
4 MINIMUM LEACHING Sn1tM FOR A I TO 4 BEDROOM HOUSE tS 300 sq ft SIDEWALL AREA. - '.v 4'1 -.: .`<>;'` ,a`-1 : .>,,,,cV t ::-.:-.J„,---:.q-i--1-,:gAP OF
1 POOL; 12' DEEP. 8' d1a. . k 3 k a A"..f; >;
=,Y ' ;: " .. 3K>K ,; �y ST COAST PROPERTIES
PROPOSED EXPANSION POOL -`'j„' .'n ' • i �' .\. - . , 2'.,`r,}g A s •Lififl,t �,: fb,
'�nw x ',= q3� , 3r Y {' =� yxar ' FILE No. 9225 FILED MAY 27, 1992
° , [•A ,:fi--t 5- . _ _ •- _., tx . • , - ;�'( ajw. "- SITUATED AT
�/ PROPOSED LEACHING Pool .k; "f-- �', ?+ 2:44� ,,3*.ma. i',••- .f. Fit, `',✓ `=-
PROPOSED Prx TANK i:,,'a7Y, _ _ . .,,,, •,. _ c ,� '��{"}�.-- , .'r-: , t +' „,, '� -E;+ CUTCHOGUE
® ?�, -F ' ,te r,h,F •J'1,,,,I 1� �:}`Y y .�NFLS �� F.' .f ! -� R i',
5. THEWELLS AND CESSPOOLS ti, a ;' , I::_'..',•};:3K,?4;.,.::A f. ;..--,, s ,..k.':,'-',,‘, , i rte., .
L.OGITION OF sem`.: ` =F==._::� -�:� F- TOWN OF
e` a FROM ,. k <;I-= ` 3 .rSOUTHOLD
OBSERVATIONS AND/OR DATA OBTAINED FRO11`,0 f- •'=,Jrl ``` r� � 1 <y 'I, � ;' + R..
.x" S a � ,�� 41 : t °� �" t ;fi ;it : UFFOLK COUNTY, NEWYORK
r,` • V,_,,,, \, �, . Ey�r�?L C. TAX No. 1000_101-01-16.3
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES \ ✓�5° 5` ` ` -- ' 4,t..i; SCALE 1"=50'
,g�� \ \ cts F s OCTOBER 26, 2000
PERMIT FOR APPROVAL OF CONSTRUCTION FOR A o1 VE7•e'"S
11 s �. szip
SINGLE FAMILY RESIDENCE ONLY �yCP e0 /\ \ '�'�, iiii '<f"F
�j�' G �6` \ AREA = 94,142.54 sq. ff.
PS"
° /-/ `�'1.- 2.161 ac.
DATE t -0 . REF. NO,R/d-e9d_O
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APPROVED 0 // r f, A. /'� 111'' • \, '`°° Oo
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FOR MAXIMUM OF ( B '6ROO S / max=