HomeMy WebLinkAboutPrizeman ELIZABETH A.NEVILLE At '�� Town Hall, 53095 Main Road
TOWN CLERK o� - P.O. Box 1179
Southold, New York 11971
,y,
REGISTRAR OF VITAL STATISTICS `® ,'�� Fax(631) 765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER = �®� �� iii Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ���� southoldtown.northfork.net
OFFICE DOFF THETTOWN CLERK
SOUTHOLD iiRSTEWAt� tUrE '�SAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2870 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : JOHN PRIZEMAN
Address 1 : 131 HICKS STREET
City St Zip BROOKLYN NY 11201
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 #R10-01-0145
Name Of Owner PRIZEMAN, JOHN
Mailing Address 1 131 HICKS STREET
City St Zip BROOKLYN NY 11201
Property Address 1 715 MONSELL PLACE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 97.00 block 8 lot 25.000
Cross Street BAY AVENUE
Building Permit Number Cross Reference:
Issue Date: 8/22/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE $.7 * ; Town Hall, 53095 Main Road
TOWN CLERK o P.O. Box 1179
:yi; sae ' y Z Southold, New York 11971
REGISTRAR,OF VITAL STATISTICS °�
MARRIAGE OFFICER *" ?i ' ���, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER � -'/ ��®�i� Fax
(631) 765-1800
®1
- FREEDOM OF INFORMATION OFFICER rr� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD t ,'" t in
I fill
I .1' I I AUG 7 :12.)
TO: Southold Town Building Department I 2002
FROM: Linda J. Cooper, Southold Town Clerk's Office ;;_ ., `` `'
• DATED: August 6, 2002
Transmitted herewith is a copy of application No. 2973 for a Cesspool/Septic Tank
Construction Permit submitted by:
John Prizeman
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.
}p4 Linda J. Cooper
* * * * * * * * * * * *
' I,have reviewed the application and loca 'on map of the project cited above and make the following
itcommendations:
APPROVE
DISAPPROVE
-ol
Comments: `- � ��•
7/4046e
Signature
C'g/4/,-2—
Dated
r.
' - OFFICE OF THE TOWN CLERK ' �c 9 J v
TOWN OF SOUTHOLD e"c �I CQG= Application No.029 3
ELIZABETH A NEVE.J.F,TOWN CLERK
P.O.BOX 1179 Construction ✓
SOUTHOLD,NEW YORK 11971 .=G
Alteration
Telephone1 ) 0 Q�,i�� $10.00 - Residential
(.5765-1801 - 'l 1 �,,"' $25.00 -Non-Residential
6)1
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. •
Fee $
DATE G 2 o G -7„
APPLICANT NAME: J O k.) f R t
APPLICANT ADDRESS: / f J-(C-/&
�3 R.acic4N k1
SEPTIC J CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
fLOCAC/Jh P:7/I 1/ o v 54-
LOCATION
TION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: _ A/ -2
OWNER MAILING ADDRESS: / .3/ tl/GeS ST-
/3/9
T/3/9 oa/cG-'y N NY / t 2-.0)
OWNER PROPERTY ADDRESS: ' _
TELEPHONE NUMBER OF CONTACT PERSON: 1/ cK--6Z-<-1''0 3 g (�
TAX MAP NO. : Section CI 7 Block (4 Lot �S
CROSS STREET: BA'J A VIE
BUILDING PERMIT NUMBER CROSS REFERENCE:
ignature of AID. icant
•
RECEIVED BY:
k `
*Tyown Clerk's Office
DATE: :g 6
SURLY OF LOTS # 3a $ 40
• Ua;J� CC: il `"M P OFNORVIOLD" Q��� N
U
5 tto 6 O Q
FILED MARCH 13, Ig34 AS #1275 ceoT y` , e 2GG2 JUL 25 f;j C I J
SITUATE: GUTGHOGUE •:�' o
TOM: SOUTHOLD �� �>� 5'PT OF HEALTH SERVICLS W E
SUI OL COUNTY, NY GFFICE 1aASTEIIAI ER t1GMT
s
SURVEYED 06-05-01 •s,
AMENDED 01-H-01, \O (Jr FOLfs•:OUNTY DEPARTMENT OF HEALTH SERVICES
01-24-01,08-0c1-0I,
0c1-24-0I, 10-50-01,
12-28-01 . v\0s. °� PERMIT VOR APPROVAL OF CONSTRUCTION FOR A
SGTR I1000-g-1-8-25 • � r'° SINGLE FAMILY RESIDENCE ONLY
o°aDATE -3a co . H REF.NO./ef° — n/—O / -
CERTIFIED TO t,
`ca TOfSEPTIG 'lGI\�\\ \ APPRO D �_
JOHN PRIZEMAN o v\ Fry
w a I7 E -------------- -----
h��Q v `,-------- .`'
b i •OR MAXIMUM OF BEDROOMS
c' `o Q.�' o>� 17) -'= ,•" ,p \� l t�cq�r EXPIRES THREE YEARS FROM DATE OF APPROVAL
<+y'9 `' �' ••'" ' ileo •� �S'6, ��'#38 .
�o�� oo/ dq o��.�...30,0� a°
h '�
w.\ 4 .I °`^ Q'� 0 ,,,,,,,,,,,-
Test oHole
b ----,..„,„‹,ii m v 06-05-01
.1,,, ,. <Y '4 ..4 0 f 5,q ' r r vim.. g high tide
SEPTIC DETAIL ,moo, - 0) �� 0;'✓4'et,Q�� 9P Elev=lBb o
PROnot to scale DWELLING s'4?E� '^ 9',0 ' ' \ C ED
Te Solt
EL.IH 2 existing gme x 2' l�gBpps a ''0
'�� �'` -, , ti �\ 1$ = 1 �O ry 0 Ww`
2. mint h `� I
min bv= Cover Ila ;'•; �� .? ' 0 •rriit° I C, i •,19,jc AT 3
b 'ekeco„oT s 107 I000 gfLal ly.�� rest a,\ �' I oof p I W r I v
baGhMq k I%4•�r`ft . ' Hole® 0, «•OQ r • -.=o Qa 12'dep Ijapr w p, dI/
e'ab !,' �pQ Q' 1,.,p c r , p Or r �1`C !-' A , sem
Bepo a ion ground water •7 LP j 'I Q . I -\ , fl N ,
�' • ��f`P ' ' ow
�' ,°$Per r- '' ' r A it 01 .—
\• /Rpt--', i, Ot , s ; \-/i.__ r A 4,1,-4/a. .ore
Approved in accordance with :•: • OS -,.-1,,°,,,,,,A,,,,pc / , '
determination dated --__ -e ( \ -1116-07'
V6- 'a o s -----,2--..„, , r \ /
NOTES p°'cu)�/,poi
=-0',.) ,', /p , , ----I._ r A , b Y •
• MONUMENT o okyQ; o. �, t
SUBJECT TO CONVENANTS&RESTRICTIONS LEER s)o•O/•Z//n'6; oeyo,, \, A , i �',.
PIPE PAGE 7g a sIc _
O ' , r , fv� 17
AREA = 16,068 SF OR 031 ACRES U r°''�Qi ('C;'
to b
•r'\ G. Eye `0
ADJACENT AREA = 12,500 5F,PROPOSED �' 5C 4,7"I6 0� i Q p
HOUSE 8 DECK = 1105 SF OR 13-1%COVERAGE o• il, ueyoa� „ :�c j�O r" �' ��
ELEVATIONS REFER TO MSL NGVD'2G •
C�/NG 4,4$'
--z-,,,g OQ 1N * \ ' \'1 4L- *% _
BUILDING ENVELOPE AS PER "PRE EXISTING 4,o A �vx .� ,, � Q I mea »
NON-CONFORMING" LOTS - SECTION 100-244 as 1 ;� �� = �
> d
`�1S 50202 �� ,i ti»,a edbti. � W
•'.FD CA t 7 ''' it'
SUBDIVISION WAS APPROVED FOR MATER SERVICE 4'r,..2:--"•'''',5:5,^,.:5==.°.Z,..--,5-::
AND SEWAGE DISPOSAL BY THE NYS DEPT OF HEALTH � ''
WELL AND SEPTIC LOCATIONS PROVIDED BY OTHERS "" " '"
JOHN C. EHLERS LAND SURVEYOR
GRAPH I G SCALE 1"= 50' 6 EAST MAIN STREET NYS LIC NO 50202
•kIN I= = RIVERHEAD,NY 11901
369-8288 Fax 369-8287 REF.-\\Hp serverVITROS\\01-193g.pro