HomeMy WebLinkAboutNicholson 1
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ELIZABETH A. NEVILLE, MMC y0 Town Hall,53095 Main Road
TOWN CLERK P.O.Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS 0-0 Fax(631)765-6145
MARRIAGE OFFICER ,j► ��. Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER �Ol �`� www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department _
D
FROM: 'Sabrina Born, Southold Town Clerk's Office JAN 2 6 2018
DATED: January 25, 2018 BLI LDING DEff-
TOWN OF SOUTHOLD
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4557 for a Cesspool/Septic Tank Construction
Permit submitted by:
Barbara Schmitzler for Jan Nicholson
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
i
Signature
Dated
o�oS�FFat�-�,
ELIZABETH A. NEVILLE `Z` �G Town Hall, 53095 Main Road
TOWN CLERK o y� P.O. Box 1179
H a Southold, New York 11971
REGISTRAR,OF VITAL STATISTICS � Fax(631) 765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER y� Telephone (631) 765-1800
IfO! �aO�
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 @ $10or Non-Residential @ $25 Application No.
4�67
Permit No.R1 13
Applicant Name 5 G�Vtit�Jey
Applicant Mailing Address IU 22'�
Septic Tank or Cesspool
Brief Description of Proposed Construction or Alteration -
Location of Proposed Construction/Alteration:,, �M, I qw,, �
Owner of Property: � 0`t-ay' i (w k� DD
Owner Mailing Address: �1 )D O ZZ
1j \Ij
Owner Property Address:
Name and phone number of contact personkY'!/� G ✓LST !�jc
Tax Map No: Section 'F& Block L�of
Cross Street c_cv c/
NOTE: LOCATION MAP MUST BE SU MITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
I'
6knm' �avtu
_ 41::
Si afore of Applicant Date '
Received by:
400 Ostrander Avenue, Riverhead, New T ork 114101 22
- tel. 631 '12'1.2303 fax. 631.12"1.0144
admin@youngengineering.Com
Abandonment 0,:m must be in g'
4
conformarcc 4 4�t
uJR'�i���1�:::''�.>=ii;(i't i•`.;t:1in:��:i>:G1I Si.:�inIt
completed d forms��''ti NI.i0a_zls proof ZR
Z R
Howard W. Young, Land surveyor g�
Thomas 0. Wolpert, Professional Engineer og
Douglas E. Adams, Professional Engineer m
O _ _ (Dwellln� Robert 0. Tost, Architect §8
0 2018 HEALTH DEPARTMENT USE e
�. ________ _________ SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
PERMIT FOR APPROVAL OF CONSTRUCTION FOR A A�
6 SINGLE FAMILY RESIDEI CE ONLY
C) ti DATE HS RE- NTO. 'd 2,11
g
P N
w APPROVED
FOR MAXI OF.&SEDROONIS
o�
t\� IVO „ �'b� EXPIRES THREE YEARS FROM DATE OF APPROVAL
�/ l �' IRRIOAT10N BOX
3 ,n1&0 � WATER SERVICE TO BE ABANDONED f
\\V� � I EXISTING ELECTRIC SERVICE N
Qt Qf X �O �;` EXISTING ELECTRIC METER FOR PROPOSED SEE
ATTACHWBIT(S)/.\N UNDERGROUND ELECTRIC SERVICE H
Q 'C \w AO ^� PROPOSED SANITARY SYSTEM A”
C\ PROPOSED UNDGROUND ELECTRIC SERVICE q9
�( 10 .�0 oj') \ 6.1 / PROPOSED WATER SERVICE 2
PROPOSED 206 S.F I STORY ADDITION
(WITHIN FOOTPRINT OF EXISTING DECK t �g
nA+ No \� 16.i \AA PORTION OF DWELLING TO BE REMOVED) g
+16.4 O EXIST.SANITARY SYSTEM TO BE ABANDONED IN
ACCORDANCE KITH S.G.D.HS.STANDARDS
R 01
+11A
yb. FRAME SHEDl�N
�s fro BE Del-MMHED)
Y "oma
163 /I dAL57 15.2 0 0
PORTIONS OF PROPOSED +
EXISTING 1��OVERMANG 4O 9 .,a�' y // �P loxAO qg
I STORY DVELLIN&TO BE
TEMPORARILY RAISED FOR 15.4
IN-PLACE REPLACEMENT OF lei 11.1 / \ O
GONG.FOUNDATION(MAINTAIN �/ \�
EX.RIDGE HEIGHTS}
PROPOSED
BASEMENT /
- - -- NI°S /OSTAIRSg > /
ACCESS
- +�A1
153 , —
/ - o
PH
RD a3 15A EX VIOOP REPAIRED DEG T EDE
AS NEEDED / 12.1 �ag/ ` o p
14.8+ ��i ' 9 �
APPROXIMATE 850 S.F. `� \�J +15A// �� '� �/ti, p�
PORTION OF EXISTING `C�6/
1 STORY HOUSE 4 294 S. /, 04,
DECK TO BE DEMOLISHED 4 J p
REMOVED ! O,�✓ ���,.'pt' 12.8 // 6O 4p = too %..�n 14.1 + \� P j/�No / / +2A
PROJECT LIMITING FENCE 4 STAKED 1\� `, GG / S
HAYBALES ALONG PROPOSED LIMIT P( �, g
OF CLEARING,6RADIN6 4 &ROUND
DISTURBANCE
v�
FIRMZONE
RY L �4 % 4 A /INE GS\q ` - Gp
ASSG�FROMM Fdte� g
INSURANCE RATE MAP o V4.
610
6.0 / ` : .a // '�j2��jA y- �p' y�PP,
gy-
100� _ _ 2.1 + / �0 �UA O 1 >n
�bA �
NOTE a,-)
TOTAL AREA Wm = 51,915 SF ` �0
AREA SEAWARD OF CONCRETE SEAKALL = 5,166 SF "
BUILDABLE LAND - 28,149 5F
EXISTING HOUSE t DECKS ■ 2,050 5F \\\ SURVEY FOR R 5
PORTIONS OF EX.HOUSE TO REMAIN a 1 06 5F JAN N I CHOLSON �
PROPOSED ADDITION = 208 SF �C at Peconic, Town of Southold ¢�
PROPOSED OVERMANS 45 SF Suffolk Count , New York
EX.DECK TO REMAIN = 216 5F � g
PROPOSED 6ARA&E = 600 SF OC3 0
LOT COVERA&E = 2�RT 5F/28,149 SF = 8.09% �0 BUILDING PERMIT SURVEY 4
�a
FLOOD INSURANCE RATE MAP PANEL NO.9610560164 H LAST DATED County Tax Map Dletrict 1000 section 86 Block 0'1 Lot 041� 1. r'1 ��� go
SEPT 25,2009. I
VERTICAL DATUM FIELD SURVEY COMPLETED OCT.30,2015
= NA.V DATUM(1988) gZ�t ,� MAP PREPARED JAN.25,201"1
TOTAL NUMBER OF BEDROOMS �` a� �� 8
SURVEYOR'S GERTIFIGATI 01 �`'= !"�.
Record of Revisions g o
•WE HEREBY CERTIFY TO JAN N I C H 0 L S P "43 j `, r) �� �
SURVEY KAS PREPARED IN AGGORDAWE KE �I THE CO>rtOF AMEND BLDG.PERMIT DATA FEB.01.2011
is t � ' i � ELEVATIONS t CONTOURS FEB.21,201
PRACTICE FOR LAND 5LRVEY5 ADOP7I=D THE STATE•; ', Cn &ENERAL AMENDMENTS MAR,O6.201"1 0
ASSOCIATION OF PROFESSIONAL LAND SUR OR5. 7 1 ; &ENERAL AMENDMENTS APR.28,201-7 >
-- ADDRESSED ENCONSULTANTS COMMENTS MAY 22,201 1 >c
LANDSCAPED BUFFER OCT. 12.201-1 S"
ELECTRIC, NOV. 14,201 z
' 40 O 20 40 80
HOKAkP W.YOUNG,N.Y.S. 456q! >
Scale: 1" = 40' 0�
JOB No.2016-01-5 I 10
9
O = MONUMENT SET ■= MONUMENT FOUND Q= STAKE'SET a 'STAKE FOUND DI - DRAINAGE INLET DWG 2019_0211 OF 2 Y
?� PLOTTED BY:Diana Lopez PLOT DATE Nov 15, 2017 - 11:02am DWG FILE: R:\2013\2013-0211\dwg\2013-0211-bp.dwg