HomeMy WebLinkAboutCarmellini ELIZABETH A.NEVILLE,MMC �aQ l/,yr Town Hall,53095 Main Road
TOWN CLERK P.O.Box 1179
y Z Southold,New York 11971
REGISTRAR OF VITAL STATISTICS 5i ® .� Fax(631)765-6145
MARRIAGE OFFICER ��j aQ� Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
D
TO: Southold Town Building Department APR 2 5 2017
FROM: Sabrina Born, Southold Town Clerk's Office
BUILDINGDEPT.
DATED: April 25,2017 TOWN OF SOUTHOLD
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4481 for a Cesspool/Septic Tank Construction
Permit submitted by:
Patricia C. Moore for Andrew Carmellini& Gwen Hyman
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
40�- Z) 0 l
Dated
ti
�aOFF0410
0
ELIZABETH A. NEVILLE �y`� �� Town Hall,63095 Main Roa,
TOWN CLERK A P.O. Box 1179
REGISTRAR OF VITAL STATISTICS tiny. Southold, New York 11971
MARRIAGE OFFICERo r Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER 41, � 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. LA
Permit No. kM)
Applicant Narne� 01:aC-2)—
Applicant
Applicant Mailing Address l C7a A--t P� i U--
Septic Tank Y or Cesspool
Brief Description of Proposed Construction or Alteration__ Piy1J
Location of Proposed Construction/Alteration:
Owner of Property: pp B �•
p rty: �(�C�f L'c� �Q�'�1�t.[.Cit til t G (�J-ei 44 A4 C,
Owner Mailing Address: 1 F, ash
I tAAJ L 010
Owner Property Address: "[ j�S 8 3
Name and phone number of contact person C.0 S 1/33 )
Tax Map No: Section VA, Block 01 Lot O
Cross Street -Arnho-fim
NOTE: LOCATION MAP MUST*BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY TH DEPARTMENT ARPROVAL
4�� 1
rgnature of Applicant Date
Received by:
V I I I Ir,—I I
►CATES ABSTRACT, Inc.
'ITLE No. ADA-02970-s NASSAU POINT
/ART TITLE INSURANCE COMPANY TOWN OF SOUTHOLD
.ENS BANK, N.A., ITS SUCCESSORS AND/OR ASSIGNS, SUFFOLK COUNTY, NEW YORK `
AS THEIR INSTRESTS MAY APPEAR
S.C. TAX No. 1000- 111 -09-08
SCALE 1 "=20'
MARCH 9, 2016
MAY 27, 2016 AD DECK, WALK & STEP DIMENSIONS
JULY 29, 2016 ADD PROPOSED STAIRS
NOVEMBER 3, 2016 ADD TOPO
NOVEMBER 29, 2016 ADD PROPOSED SEPTIC SYSTEMFEB _
MARCH 15, 201 REV SE PERE PROPOSED S C D H S. INCOMPLETE IC S
2017 PLETENOTICE
AREA = 36,026 Sq. ft.
0.827 ac. �o , o
NOTE CHANGEWS)
By Suffolk County Department of Health Services
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TEST HOLE DATA
/ ?11F /NCC O?EN) (TEST HOLE DUG BY McDON ILD GEOSCIENCE ON NOVEMBER 9, 2016)
EL 51 0 0'
MIXED GRAVEL, SAND, LOAM PREPARED IN ACCORDANCE WITH THE MINIMUM
0.5' STANDARDS FOR TITLE SURVEYS AS ESTABLISHED
D ADOPTED
DARK BROWN LOAM OL BT NAPPROVED
SUCH USE THE ORYYORKNSTATE LAND
D`N TITLE ASSOCIATION
8-\C W PEER BROWN SILTY SAND SM
USEs
LOT 29 ,- • '' ' � �•' �,
PALE BROWN FINE SAND SP L- r
HOUSE
?TIC TANK CAPACITY FOR 6 BEDROOM HOUSE IS 1 ,5Q0=C,ALLONS• EL. 34.0, 17'
8' DIAMETER, 5 LIQUID DEPTH �, _�� ' N,, -S Li c.
CAST IRON COVERS TO GRADE � � .,,a,
ACHING SYSTEM FOR 5 BEDROOM HOUSE IS 400 lD ;ALL LEACHING
' DIAMETER, 16' DEEP N�1k � ` UTHORIZED•ALTERATION OR ADDITION
- ,• THISISURVEY IS A VIOLATION OF '
8 ,t I" Sf TION 7209 OF THE NEW YORK STATE
CAST IRON COVER TO GRADE ED CATION LAW., Nathan Taft Corwi
'r i:'iTz4'a� z .s�S"
• ` = :^�'��TcopHEMAP NOT
ILANDFSURVEYORS�INKED SEAL ORRING Land Surveyor
.EMBQSSED SEAL SHALL NOT BE CONSIDERED
•g = -` ;TO BE A VALID TRUE COPY.
N,A,V,D. 1988 DATUM CERTIFICATIONS INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
IOWN THUS: XX.X IS PREPARED, AND ON HIS BEHALF TO THE Successor To: Stanley J. Isaksen, Jr. L.S.
XX.X TITLE COMPANY, GOVERNMENTAL AGENCY AND Joseph A. Ingegno L.S.
;HOWN THUS: LENDING INSTITUTION LISTED HEREON, AND
SOWN THUS: XX TO THE ASSIGNEES OF THE LENDING INSTI- Title Surveys — Subdivisions — Site Plans — Construct
TUITION. CERTIFICATIONS ARE NOT TRANSFERABLE. Fax (631)7:
PHONE (631)727-2090
OFFICES LOCATED AT MAILING AI
THE EXISTENCE OF RIGHTS OF WAY 1586 Main dP.O. so
AND/OR EASEMENTS OF RECORD, IF Jamesport New York11947 Jamesport, New
SYSTEM LOCATION PROVIDED BY OTHERS. ANY, NOT SHOWN ARE NOT GUARANTEED.
A
C
USES PDg�IG T TH RVICES
SU FFOLK CQU NT"' DKEFAR'i M ENT OF H EAL I S Z
PERMIT For: Apr-PzovA- T_ OF CONSTRUCTION FOR A
N G L_F7 I:A04 I LY P E 5 11)E N C E OILY
-0
DATE
APPROVErw
FOP, NIAXIMUNI ()F �BEDROOMS
EXPIRES THREE YEARS FROM DATE OF APPROVAL
,_vnustbaill USES
Abard1=11
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as proof.
cor"'.pleed VM
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WOOD WALL
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SEPTIC SYSTEM DESIGN
6 BEDROOM
SEP TEM DESIGN BY: MINIMUM SE'
Jos`&P4aFischetti, PE
1725 Ho di�pad 1 TANK;
, LOCKING
%S
Southold, NY 11971 MINIMUM LEI
Telephone: (631) 765-2954
1 POOL;
Facsimile: (631) 614-3516 LOCKING
I i E-Mail: joseph@fischetti.com
NOTES:
U')
1 . ELEVATIONS ARE REFERENCED TO
Gm r OwE�G GwP�ER EXISTING ELEVATIONS ARE Sh
PROPOSED ELEVATIONS ARE
r� USES PUB CONTOURS ARE Si
FIRST FLOOR
G.FL, - GARAGE FLOOR
TB - TOP OF
A B13 - BOTTOM OFBULKHBULKEADHEAD
TIN - TOP OF WALL
BIN - BOTTOM OF WALL
2. EXISTING WATERLINE AND SEPTIC