HomeMy WebLinkAboutCriscito ELIZABETH A. NEVILLE le �' Town Hall, 53095 Main Road
TOWN CLERK o*2 P.O. Box 1179
Southold,
REGISTRAR OF VITAL STATISTICS �,'�
New York 11971
MARRIAGE OFFICER Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER , Ark ,,10 , Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER Os 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. 2945 R Residential X Non-Residential
Fee $ 10.00 Septic x Cesspool
PERMIT ISSUED T0:
Name : ROBERT'S CUSTOM HOMES
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 #R10-00-0246
Name Of Owner CRISCITO, ROBERT
Mailing Address 1 PO BOX 372
City St Zip WADING RIVER NY 11792
Property Address 1 1380 EAST GILLETE DRIVE
City St Zip EAST MARION NY 11939
Tax Map No. section 38.00 block 3 lot 26.000
Cross Street MIDLAND PLACE
Building Permit Number Cross Reference:
Issue Date: 12/26/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
.______:._.
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ELIZABETH A. NEVILLE ,0.4.7 o4 ; Town Hall, 53095 Main Road
TOWN CLERK o
` `
P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER `�®„jiiL �����, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER =__SL jig ��o iii Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ���,.9' southoldtown.northfork.net
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�� ' \ OFFICE OF THE TOWN CLERK
% DTOWN OF SOUTHOLD
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T ,„--- -C-:,"So'uthold Town Building Department
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FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: November 15, 2002
Transmitted herewith is a copy of application No. 3065 for a Cesspool/Septic Tank Construction
Permit submitted by:
Robert's Custom Homes for Robert Criscito
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 I/
DISAPPROVE
Comments: d�1- ' `. r4%-- �.�
Signature -e--‘te7( ‘/' './-'
//2--3 ®z
Dated
'
OFFICE OF THE TOWN CLERK , SOUL ._
TOWN OF SOUTHOLD Kyo
Application No.3 o&'
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 . Construction
SOUTHOLD,NEW YORK 11971 ; v • T
Alteration
Telephone ,y �4./ �
"O • $10.00 -Residential J
(63t) 765-18001Ps- F. $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee •$
DATE 1 °11F162-
APPLICANT
°11F1O2_APPLICANT NAME: . O b r+ 6u-54—o m I 16 meS
APPLICANT ADDRESS: P o 372_
wa-cl 9 i ve_r- pd(-1 / 7 9 SEPTIC '/ CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION n.Lo bOc 5-Q
Lo
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: •
OWNER OF PROPERTY: Rober-t e rl S e1
OWNER MAILING ADDRESS: PO -BO X 312
(,Oo_di r\• Q 4 )€ r t1 t l-1 C1 v
we) ca. GsIree
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: Logi-
TAX MAP NO. : Section ..5Y1
Block S Lot cCO
CROSS STREET: k .,V;14 c\
BUILDING PERMIT NUMBER CROSS REFERENCE:
/ Signature of Applicant
RECEIVED BY: dor
To aj lerk's Office
DATE: / �/ •
.aS .y ...
_ � GILLETTE DRIVE = l o
E ,/1 T . 510't TO WATER MAIId
A k QO° W/SIDE OF E. GILLETTE DR
i--- , ,195.t ON EAST GILLETTE DRIVE w v140. 0 J' / .�5��,55 SURVEY OF
;1 ,G,A_— _. ' r.. _: S 26' 36' 30" E l Lor 41
I EL. 19.7 IN
.' EL. 10.3 MAP OF MARION MANOR
'` -C TIE= 120.68' TEST _ PROPOSED SITUATE
HOLE / CESSPOOL SI
i� / 1 EAST MARION, TOWN OF SOUTHOLD
°' / Q `r LOT 42 SUFFOLK COUNTY, N. Y.
O 1 r -
\ o � � ( o� i 15 VACANT
Qcc o cc o I -I — `" ' I SURVEYED FOR : WA YNE J. MO TT
J 1 / I MARY OLIVIA MOTT
LOT 40 -4—J1 12' i i
60' PROPOSED
Q VACANT 20 FOR S.C.D.H.S USE ONLY
' SEPTIC TAX MAP NO.
W o
, TANK 1000-038-03-26 I ,
Q - 2 BEDROOM ,
3 FM # 2038Li
0 1� N RESIDENCE o ec O FILED MARCH 18, 1953
I
eTo 1.
1.1-) j9 ^1
° SURVEYED 2 OCTOBER, 2000
^' LOT GENII LEVEL 'eCI gr, SCALE 1"=20'
Lti \ Z �a ; [ V - 0 AREA= 11229.729 SF
.(
o K EL. 10.6 EL. 9.9 U p OR
A. P., ICI 0.258 ACRES
40" qty RI
W N 25° 32' W 140.01 ' LOT 37 t'
-,,- 4j (,` LOT 39 LOT 38 VACANT s4 ZONED R40
VACANT
4°, ` . -4 Cj '
ALL RESIDENCES WITHIN 150'
W TEST HOLE DATA 2 0 }= `.' OF THIS PROPERTY SERVICED
PERFORMED BY. McDONALD GEOSCIENCE . :i BY MUNICIPAL WATER
10/05/2000 C.) f?xx n*4
GUARANTEES INDICATED HERE ON SHALL RUN �snecAq
V ONLY TO THE PERSON FOR WHOM THE SURVEY Der ra0 k. 5 ELEVATIONS ARE FROM SUFFOLK
O .' IS PREPARED, AND ON HIS BEHALF TO THE l✓�%�I Bttowi SANDY LOAM a
% /'I'/
TITLE COMPANY, GOVERNMENTAL AGENCY, ��j�� \ r.5• NCOUNTY D.P.W. EAST END
LENDING INSTITUTION, IF LISTED HEREON, AND 0 p TOPO MAPS
W TO THE ASSIGNEES OF THE LENDING INSTITUTION. C�. GO
GUARANTEES ARE NOT TRANSFERABLE TO bt
Z — ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. GUARANTEED TO
0 FWE'D MEDIUM rrr�� e
race p�J+i WAYNE J. MOTT
P a
UNAUTHORIZED ALTERATION OR ADDIT]ON TO THIS MARY OLIVIA MOTT
' ,. - SURVEY IS A VIOLATION OF SECTION 7209 OF GO
'- • THE NEW YORK STATE EDUCATION LAW WA7 a'PALE BROW FINE
TO MEDiLuw SAND S. FIDELITY NATIONAL TITLE INS. CO.
COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYORS EMBOSSED SEAL SHALL 17'
NOT BE CONSIDERED TO BE A VALID TRUE
COPY
SEWAGE DISP•-v4��1i i+d'� '-{,•SED WELL LOCATIONS
F. F EL 12.0 MIN DESIGNEDr,-:,., . �.` s,,CNOLGGIES) SURVEYED BY
REGISTER . r r AMETERS ARE BASED
UPON S /i� r a `,e F� 1 ,.EN-REQUIREMENTS STANLEY J. ISAKSEN, JR.
r FINISHED GRADE EL 70 ° ' ' „„",41 ' P.P.O. BOX 294
�cvvy� do STA ' ( 1 Ir 1. l ) S+'
INV EL B 0 /NV. EL. 7.5
- . _ IV..
l
{ P in i '” NEW ' UFFOLK, N Y 119. 5 i
INV. EL. B 7 �� ( ��n �� _
INV EL B 5 Lr, 1 .. / ii u rS1> 'yFRANK + ^• ° 1r ;- .. h 1 �' r�, r l TECT 631 73' S3' MlN rE OUO�WR ® q��„OpRn, � � ///�j•
e.
SEPTIC TANK �$00 �-
CESSPOOL
v. LICENSEE L ND SU' EY/'
N r.s NYS LIC. NO. 49273 •
r , NOTE 1. 21 NOVEMBER, 2000 REV SANITARY DESIGN, ADD PROP. WELL, LOT ELEVATIONS. ,
2 24 APRIL, 2001 ADD PROP. WATER SERVICE, REMOVE PROP. WELL. 00C940