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HomeMy WebLinkAboutWockenfuss l ,®�®gUfFOt,�-c®; , ELIZABETH A.NEVILLE ��h� Town Hall, 53095 Main Road TOWN CLERK y P.O. Box 1179 Southold REGISTRAR OF VITAL STATISTICS • 1,7 New York 11971 MARRIAGE OFFICER ,ji ` ��1, Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER "�®1 *tool Telephone(631) 765-1800 i FREEDOM OF INFORMATION OFFICER r�� southoldtown.northfork.net .....ii OFFICETTOF TTFHE TOWNCLERK SOUTHOLD W� WAU DI.I'OLDSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL • Permit No. 2905 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : PETER DENICOLA Address 1 : 1695 CHABLIS PATH City St Zip SOUTHOLD NY 11900 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 #R10-01-0117 Name Of Owner WOCKERFUSS, JANET Mailing Address 1 7240 DEER POIJNT LANE City St Zip WEST PALM BEACH FL 33411 Property Address 1 2386 HYATT ROAD City St Zip SOUTHOLD NY 11971 Tax Map No. section 54.00 block 1 lot 4.000 Cross Street SOUNDVIEW AVENUE Building Permit Number Cross Reference: Issue Date: 10/30/02 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) • -1--,-zr ,I�•ool islaFFO(t►c; 02905— p'; ELIZABETH A.NEVILLE Ali 0 4 \ Town Hall, 53095 Main Road TOWN CLERK % co P.O. Box 1179 %% ,y�, r� Southold, New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631) 765-6145 MARRIAGE OFFICER �, RECORDS MANAGEMENT OFFICER Fax $,,.•�, Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER -----...0'''rr' southoldtown.northfork.net S,� 1 't\-- OFFICE OF THE TOWN CLERK �� s 3 ® 200 �',_.) TOWN OF SOUTHOLD !t ATO•s ' ' ' ' ;:So tlaol ,Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: September 27, 2002 Transmitted herewith is a copy of application No. 3022 for a Cesspool/Septic Tank Construction Permit submitted by: Peter DeNicola 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: � � _./0 ,i7e:r-el 0,-;_... \ .,/,// _ 71"r9X -Ee-4,eX: Signature 0 0V!,2— Dated OFFICE OF THE TOWN CLERK �•i1•�•••••••ir Rr.T7ABETHANNEVIr.rOWNCLERK ,,,OF SOUTHOLD '�og�FF� k�o� Application No. 3J P.O.BOX 1179 ; iO Construction SOUTHOLD,NEW YORK 11971 c�t1 Alteration Telephone _O ������, $10.00 -Residential (639:) 765-1800 - .- tr'� ,•�•�•,,. $25.00 -Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION • for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee .$ DATE '?��2 APPLICANT NAME: ?4efz t.-11 Coi.0 APPLICANT ADDRESS: [(Q'jr Ctitelig,S Peek SrAL-11.00 i,1 -I4/ l /47i • SEPTIC t-/ CESSPOOL L/ DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION INIeW LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:' . OWNER OF PROPERTY: glyN,�+ Gt1®CkeKs-C OWNER MAILING ADDRESS: '72y9 De-e2.. PO 10- Lahr Piz Oh Aot e-4 t iLC a 33 'ill OWNER PROPERTY ADDRESS: D3 g$4 14114W iej TELEPHONE NUMBER OF CONTACT PERSON: ."-N.05--S-36e TAX MAP NO. : Section sq Block 0 / Lot ®SF CROSS STREET: 506,AVitelli (td e BUILDING PERMIT NUMBER CROSS REFERENCE: 1/69(• Signature of Applicant RECEIVED BY: T wn Clerk's Office DATE: l \21 �v'Z� J v i i sr s v s i .c v v.a i,r Ati t i . . ,� AT HOR TON' S POINT 44P.:. - TOWN OF SO UTHQLD ,. . 46.7.,-F 4430, SUFFOLKCOUNTY, , N. YORK .g' ti ti ' ?- 1000-54-01 -04, �� 4., (-1,.. .. oc�F I" /4 f�q� �4,N SCANoLE:V 1 X000 0 2h 0,,,-..,, I" Q , DEC. l/, 2000 ( trap. hse. ) i ,, 64. ,� r .S '''1,:l �, Mar. 13, 2001 (additions) c . . 00.- O ' / i -.Q''7 "�..r May 2, 2001 (Slaked Hse. L ocalion) '�� At ,J� F ,' , ,,,,_p ^ / i �4' 4.� r ' E-XCAVA 6NSPEC1 ION REQUIRED *'�' °} i '' P °i FOR SANITARY SYSTEM ,art, ��`` l'..' i/* id i // / %% � ,,- \ m BY HE l`f H DEPARTMENT 40 I _ r / / / / y t� , .�I \ 1 °00. � ,l � 1 . °, ,a.. , �, 1.5,, '-44 I4/c� ifiFilp Test Hole 11 / % i/ l l • j , X, _� �`�/i C/`�'S Br. Loam OL t i� / ' /50__- "� SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES 0. � . r / i / =4 " \ ' i _ Sand Clay h / �t ' -'•" ;/ • PERMIT FOR APPROVA(.OF CONSTRUCTION FOR A C o f i `� 4 42 a _ $/ h "3- R x� 1.,/• N''f,�j SINGLE FAMILY RESIDENCE ONLY Brown /if 1) �� I I• l , / :a,. �_ ,- `,X3 /. (�'qCq� .4)/ Clay CIN'�% Dc� �� Tj DATE 5134)k H.S. F. 0 Aid d -U ()1/7 !8' 1i✓4 z MI4/ (P‘ v '` a i l�'9g)S` . --%, .1i, APPROVED ���"[[( Fine to INCA F� p�{ � ..O �m lQ �J¢,, \ FOR MAXIMUM OF `-�' SEDROOM9 Y ,-Y Coarse �' • : . tl �e EXPIRES THREE YEARS F DATE OF APPROVAL Sand SP -\444 \ IcyT a- \ ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION 1,20 .00, \ 0i d 0 OF SECTION 7209 OF THE NEV YORK STATE EDUCATION LAV �� EXCEPT AS PER SECTION 72x9-SUBDIVISION 2 ALL CERTIFICATIONS , • HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONL Y IF � p SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR .. WHOSE SIGNATURE APPEARS HEREON, G l'''44F<[ — NOTES: "` I am familiar with the STANDARDS FOR APPROVAL -Y-cc, OE NEB�1 ' `. AND CONSTRUCTION OF SUBSURFACE SEWAGE ;' Q'� = yep,1, ' .. s, � ' DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES X= Lath S ,o�,e ���� . and will abide by the conditions set fort}' -therein and ' 'f on the permit to construct. 3^ `a The Location of welts and cesspools shown hereon are S ARE Iz FERENCED TO FIVE //4#1,�� /. F- .Y.S:)z. NO. 49 18 CONTOUR LINE E /,,�r� ��y from Field observations and or data obtained f rom others EASTERN TOWNS TOPOGRAPHIC MAPS (NGVD.) •^ = rr' - PCQIVI ''" E�� ,, Elevations are referenced to an assumed dat` m. COASTAL EROSION HAZARD LINE FROM COASTAL ( 31)- 76 `-7 Q, � AX`(631) 7`65`-1797 EROSION MAP PHOTO # 56-570-83 P. Cl,,$©X -gi`___`.. = ®=MONUMENT AREA==-28,675 S.R.-. .. { ���I�1' �'RA•VE1.:Ek' STREET _ _ �: . - SOLI,T LD,; 'N..1',"- 11971 '�� "" 1