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Home My WebLink AboutStamidis ® FG ELIZABETH A.NEVILLE,MMC may. y Town Hall,53095 Main Road TOWN CLERK %� P.O.Box 1179 H Z Southold,New York 11971 REGISTRAR OF VITAL STATISTICS 0 ® Fax(631)765-6145 MARRIAGE OFFICER t' RECORDS MANAGEMENT OFFICER �Q( _ � Telephone(631)765-1800 FREEDOM OF INFORMATION OFFICER www.southoldtownny.gov OFFICE OF TIME TOWN CLERK TOWN OF SOUTHOLD D IS V L-; TO: Southold Town Building Department F EB 17 2017 FROM: Sabrina Born, Southold Town Clerk's Office BUILDING DEPT. DATED: February 17, 2017 TOWN OF SOIJ t _OLD RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4465 for a Cesspool/Septic Tank Construction Permit submitted by: Cedar Knolls Inc. for Constantine Stamidis Please review the application and location map and advise if this office may issue the permit. Please complete the form below and return it to me. Thank you. I have reviewed the application and location_map of-the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: Final approval required from the Suffolk County Health Department, M RECEIVE® SignatureLOA MAR - 7 2017 03X o-7 111-7 Dated 4-1 Southold'Towyn Clerk a ELIZABETH A.NEVILLE �°� �G�� Town Hall, 53095 Main Road TOWN CLERK p _ P.O. Box 1179 2 REGISTRAR OF VITAL STATISTICS Southold,New York 11971 MARRIAGE OFFICER Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER O'C 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 V", or Non-Residential @$25 Application No. L H O Permit No. C) Applicant Name Cw acx- V 6 is U;m Applicant Mailing Address '�D O MC CQ7 on`L C)n 4�0r-'tC. Septic Tank or Cesspool /�— _ �� 1 Brief Description of Proposed Construction or Alteration neuD �)!A a� Location of Proposed Construction/Alteration: Owner of Property: cbS�-qe Owner Mailing Address: k '�; +mon cd Owner Property Address: 1 7.5 qe��qtee,) %e_ Name and phone number of contact person)AStAyle Tax Map No: Section 52 Block OS Lot l 3 Cross Street NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY 7'EALTH DEPARTMENT APPROVAL 2 \b 1 Signature of Applicant Date Received by: _ t� SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 4465 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : CEDAR KNOLLS INC Address 1: 900 MARCONI AVE City St Zip RONKONKOMA NY 11779 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. FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT.REF #:810- 16-0095 Name Of Owner CONSTANTINE STAMIDIS ------------------------------ Mailing Address 1 156 BRIXTON RD ------------------------------ ----------- ------------------ City ----------------------------------------------------------- City St Zip GARDEN CITY NY 11559 -------------------- -- ---------- Property Address 1 1325 BAYVIEW AVE ------------------------------ -------- --------------------- city St Zip SOUTHOLD NY 11971 -------------------- -- ---------- Tax Map No. section 52.00 block 5 lot 13.000 Cross Street COLONY ROAD ------------------------------ Building Permit Number Cross Reference: Issue Date: 3/09/17 Eli abeth A. Neville -------- Southold Town Clerk (TOWN SEAL) FOL&Q9, ELIZABETH A.NEVI LE,MMC 81;� Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 CA Southold,New York 11971 REGISTRAR OF VITA-11 STATISTICS Fax(631)765-6145 MARRIAGE OFFICER Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.-ov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: February 17, 2017 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4465 for a Cesspool/Septic Tank Construction Permit submitted by: Cedar Knolls Inc. for Constantine Stamidis t Please review the application and location map and advise if this office may issue the permit. Please complete the form below and return it to me. Thank you. I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: Final approval required from the Suffolk County Health Department Signature Dated ELIZABETH A. NEVILLE �`�° �� Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 C Southold, New York 11971 REGISTRAR OF VITAL STATISTICS Fax (631) 765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER ��f�� ®� 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 shy or Non-Residential @ $25 Application No. Permit No. C' Applicant Name Ci <- Applicant Mailing Address C)C) a-\t ccr) Septic Tank mor Cesspool Brief Description of Proposed Construction or Alterations Location of Proposed Construction/Alteration: Owner of Property: Owner Mailing Address: ct Owner Property Address: %e— Name eName and phone number of contact persori T 4_-AA\nc. (_" i(_eE Tax Map No: Section 5`2— Block C�S Lot 1 . ti Cross Street CA NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITHEALTH DEPARTMENT APPROVAL �, x �F f" -2- Signature of Applicant Date Received by: i`� VOdb 1 �tis Lei // Bpd \X\'C o. p�l pY�F'P aayy :: °a.�9ti $1 0 tioa i X4, ao\I IS 41*1 > yip arp/�acpG\ / QQ��IQ'l��h tk pp�77 qg� P�' tr yy \ ti c`s 5 i Fo 9 LF �F G X 00 $9TH V � 61, a.4\ �j, s� P�� °o 0 O� 7.3 �� o,, o� 6.6 A d. A i �& a a. . .X-'-L4 - P�. b�a .d ti q �L � e o k6, . Q 4 a Gp 9 A r.-o 0000��F °Fy��ti� a E I N ECTION RE.:An oFOR SANI Y SYSTE � cy 10)r SUS'Fo'.t re I�f'e G'1::i1Fu.�4a OF llrALT H ERV ICES EXPIRES THREE YEARS FRPM DATE OF APPROVAL FENIG31NE-EIMS,l„+1v.RMFYCA t Ilm BIR D® 0 SUBMIT RILE-. 07,k�..`v° E-IRTIFI A T 10M e'Oi E Es'�i4 t 61' `s' °e 1 STR CT€CSN I5 , _..�_ Wear Line(s) MU S Be Inspected By The Suffolk County Dept. Of Health Services. Cali 652-5700, 48 Hours In Advance, To Schedule Inspection(s). PROPOSED CONC. RETS (Nor TO S FINISHED GRADE O _ � PROPOSED 1,200 GALLON SEPTIC TANK 6. APPROXIMATELY 200 cu. yds. OF CLEAN SAND FILL TRUCKED IN FROM AN UPLAND SOURCE SHALL BE NEEDED. 7. AREA OF NON—TURF BUFFER IS 500 sq. ft. AREA OF DISTRUBANCE IS 7,485 sq. ft. DRAINAGE SYSTEM CALCULATIONS: ROOF AREA: 1 ,175 sq. ft. 1 ,175 sq, ft. X 0.17 = 200 cu. ft. 200 cu. ft. / 42.2 = 4.7 vertical ft. of 8' dia. leaching pool required PROVIDE (2) 8' dia. X 3' high STORM DRAIN POOLS DRIVEWAY AREA: 1 ,200 sq. ft. 1 ,200 sq. ft. X 0.17 = 204 cu. ft. 204 cu. ft. / 42.2 = 4.8 vertical ft. of 8' dia. leaching pool required PROVIDE (2) 8' dia. X 3' high STORM DRAIN POOLS PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS AS ESTABLISHED BY THE L.I.A.L.S. AND AND ADOPTED FOR SUCH USE B NE Y TATE LAND TITLE ASSOCIATI 10 'JAF co r , . 0213 OF N N.Y.S. Lic. No. 50467 UNAUTHORIZED ALTERATION OR ADDITION ^}h�.y EDUCATION TO THIS SURVEY IS A VIOLATION OF Q`( ,Qn Taf JL C 0 SECTION 7209 OF THE NEW YORK STATE ---rwin III ATION LAW. I AV WA COPIES OF THIS SURVEY MAP NOT BEARING Land Survtv y or THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN Successor To: Stanley J. Isaksen, Jr. L.S. ONLY TO THE PERSON FOR WHOM THE SURVEY Joseph A. Ingegno L.S. IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND Title Surveys — Subdivisions — Site Plans — Construction Layout LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI— PHONE (631)727-2090 Fax (631)727-1727 TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. THE EXISTENCE OF RIGHT OF WAYS OFFICES LOCATED AT MAILING ADDRESS AND/OR EASEMENTS OF RECORD, IF 1586 Main Road P.O. Box 16 ANY, NOT SHOWN ARE NOT GUARANTEED. Jamesport, New York 11947 Jamesport, New York 11947 77377 32 SURVEY OF LOTS 40 & 50 MAP SHOWING SUBDIVISION OF PROPERTY KNOWN AS SUMMER HAVEN BELONGING TO WILLIAM G. HERR FILE No. 1123 FILED JULY 5, 1933 SIT UA TE ARSHAMOMOQUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-52-05- 13 SCALE 1 "=20' APRIL 7, 2015 JUNE 29, 2016 REVISE PROPOSED HOUSE JULY 26, 2016 ADD PROPOSED BEACH STAIRS SEPTEMBER 29, 2016 REVISE PER HEALTH DEPT. NOTICE OCTOBER 25, 2016 REVISED PROPOSED HOUSE TOTAL LOT AREA = 10,317 sq. ft. (TO TIE LINE) 0.237 ac. UPLAND AREA = 10,044 sq. ft. 0.231 ac. TOTAL LOT COVERAGE UPLAND AREA = 10,044 sq. ft. DESCRIPTION AREA % LOT COVERAGE PROPOSED HOUSE 1 ,225 sq. ft. 12.2% & COVERED PORCH ' PROPOSED DECKS 296 sq. ft. 3.0% PROPOSED OUTSIDE SHOWER q 24 s ft. 0.2% TOTAL 1 ,545 sq. ft. 15.4% NOTES: 1 . ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM EXISTING ELEVATIONS ARE SHOWN THUS: XXX EXISTING CONTOUR LINES ARE SHOWN THUS: — — —XX— — — PROPOSED CONTOUR LINES ARE SHOWN THUS: 2. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. 3. FLOOD ZONE INFORMATION TAKEN FROM: FLOOD INSURANCE RATE MAP No. 36103CO159H ZONE VE: COASTAL FLOOD WITH VELOCITY HAZARD (WAVE ACTION); BASE FLOOD ELEVATIONS DETERMINED ZONE X : AREAS OF 0.2% ANNUAL CHANCE FLOOD; AREAS OF 1% ANNUAL CHANCE FLOOD WITH AVERAGE DEPTHS OF LESS THAN 1 FOOT OR WITH DRAINAGE AREAS LESS THAN 1 SQUARE MILE; AND AREAS PROTECTED BY LEVEES FROM 1% ANNUAL CHANCE FLOOD. 4. MINIMUM SEPTIC TANK CAPACITIES FOR 4 BEDROOM HOUSE IS 1 ,200 GALLONS. 1 TANK; 8' DIA. 4' LIQUID DEPTH 5. MINIMUM LEACHING SYSTEM FOR 4 BEDROOM HOUSE IS 300 sq ft SIDEWALL A.RFe_ 6 LEACHING GALLEYS, 2' DEEP (8.5' x 4.75') n� r _.. �� PROPOSED 50% FUTURE EXPANSION GALLEY PROPOSED 8.5' long x 4.75' wide x 2' deep LEACHING GALLEY