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HomeMy WebLinkAboutSteele 'r ��pF SOUryO�" ELIZABETH A. ,RMC,CMC �0 �p Town Hall,53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS y ae Southold, New York 11971 MARRIAGE OFFICER Fax (631) 765-6145 RECORDS MANAGEMENT OFFICERTelephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER CO , southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 4393-R Residential X Non-Residential Fee $ 10.00 New X Existing Name Of Owner WILLIAM & MARY STEELE ------------------------------ Mailing Address 1 25 HIGHGATE DRIVE ------------------------------ Mailing Address 2 ------------------------------ City St Zip SMITHTOWN NY 11787-0000 -------------------- -- ---------- Property Address 1 1895 LEETON DRIVE ------------------------------ Property Address 2 ------------------------------ City St Zip SOUTHOLD NY 11971-0000 -------------------- -- ---------- Owner Telephone No. 631-656-6418 ------------ Tax Map No. section 58.00 block 2 lot 10.000 ------ --- ------ Cross Street WEST DRIVE ------------------------------ ---------------------------------- Issue Date: 5/05/09 Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) 41 �*r3f sa�ryo ELIZABETH A.NEVILLE,RMC,CMC �� !O Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS G Q Southold, New York 11971 MARRIAGE OFFICER '�► • �O Fax (631) 765-6145 RECORDS MANAGEMENT OFFICERTelephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER �COUNN 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. 3870 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : WILLIAM STEELE Address 1: 25 HIGHGATE DRIVE City St Zip SMITHTOWN NY 11787 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 #R10-04-0058. FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT. Name Of Owner WILLIAM STEELE ------------------------------ Mailing Address 1 25 HIGHGATE DRIVE ------------------------ ------------------------------ City ------------------- --- City St Zip SMITHTOWN----------- NY 11787 6 /� ------ Property Address 1 1895 LEETON DRIVE ------------------------------ s b ------------------------------ City St Zip SOUTHOLD NY 11971 Tax Map No. section2 -5S-00 block --2 lot 10-000 Cross Street WEST DRIVE ------------------------------ Building Permit Number Cross Reference: ------ ---------- Issue Date: 4/28/09 Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) %3FF01 ELIZABETH A.NEVILLE C* y� Town Hall, 53095 Main Road TOWN CLERK C#3 Z P.O. Box 1179 REGISTRAR,OF VITAL STATISTICSO Southold, New York 11971 MARRIAGE OFFICER y • �� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER ��! `�►aO Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION OPERATION PERMIT CESSPOOL or SEPTIC TANK ResidentialU,'@ $10-/ or Non-Residential @$25 Application No. `TI) Permit No. 3 9-7 O Owner Name r? 9�" n� Owner Mailing Address c� 5 4 *k4 D p' ✓e. k / . // V 7 Owner Property Address `1 �� alceid-ev. Owner Telephone No. 3 S Tax Map No: Section Block Lot 1 Cross Street Please check each that applies: New Construction Alteration to Existing System Residential Non-Residential NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. (Locate building and system; give north arrow and approximate distance in feet from system to building and closest road. New construction may submit copy of survey SCHD approval.) -Ile Signature of A plicant Date Received by: t � oF so�ryol ELIZABETH A.NEVILLE,RMC,CMC O Town Hall, 53095 Main Road TOWN CLERK l P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER • COQ Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER �rN Tele hone (631) 765-1800 FREEDOM OF INFORMATION OFFICER I�CO(JI11�,� 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. 3870 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : WILLIAM STEELE Address 1: 25 HIGHGATE DRIVE City St Zip SMITHTOWN NY 11787 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 #R10-04-0058. FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT. Name Of Owner WILLIAM STEELE ------------------------------ Mailing Address 1 25 HIGHGATE DRIVE ------------------------------ ------------------------------ City St Zip SMITHTOWN NY 11787 -------------------- -- ---------- Property Address 1 1895 LEETON DRIVE ------------------------------ ------------------------------ City St Zip SOUTHOLD NY 11971 -------------------- -- ---------- Tax Map No. section 5&.00 block 2 lot 10.000 ------ --- ------ Cross Street WEST DRIVE ------------------------------ Building Permit Number Cross Reference: ---------------------------------- Issue Date: 4/28/09 Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) � t o�*pF SOUIyOI ELIZABETH A. NEVILLE, RMC, CMC O Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER Fax (631) 765-6145 RECORDS MANAGEMENT OFFICERTele hone (631) 765-1800 FREEDOM OF INFORMATION OFFICER I�COU ,� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD -- TO: ;Southold Town Building Department FROM: Carol Hydell, Southold Town Clerk's Office BLDG.DEPT. DATED: April 23, 2009 TOWN OF SOUTHOLD Transmitted herewith is a copy of application No. 3870 for a Cesspool/Septic Tank Construction Permit submitted by: William Steele 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. I have reviewed the application and location map of the project cited above and make the following recommendations: / APPROVE DISAPPROVE Comments: Of ..rsGrt� Signature Dated � o ELIZABETH A.NEVILLE �`�� G¢r Town Hall, 53095 Main Roo TOWN CLERK s'� P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER y01 �OTelephone (631) 765-1800 FREEDOM OF INFORMATION OFFICERsoutholdtown.northfork.nei 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 a) $25 __ _ Application No,�70 Permit No. Applicant Name Applicant Mailing Address ¢��-• - S fi t i �u 0�-„� �' Septic Tanker or Cesspool Bn15f nDescription of Proposed Construction or Alteration S �o Location of Proposed Construction/Alteration: Owner of Property: Owner Mailing Address: -�—�'�� S h CA Owner Property Address: S rrnt � l l 7 7 Narne and phone ntunber of contact person Tax Map No: Section .7 5 .—Block Lot Cross Street NOTE; LOCATION MAP MUST BE SUBNHTTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH II DEPARTMENT APPROVAL G' Signature of Applicant Date Received by 1 STORY I STORY 2 STORY 1 STORY I STORY DWELLING DWELLING DWELLING DWELLING DWELLING NOTES: 1. SEE GRADING PLAN FOR PROPOSED DISTRICT 1000 GRADES NOT SHOWN. D15TRICT 1000 DISTRICT 1000 DISTRICT 1000 015TPJCT 1000 DISTRICT 1000I SECTION 055 SECTION 058 SECTION 058 SECTION 058 SECTION 058 SECTION 058 BLOCK 2 BLOCK 2 BLOCK 2 BLOCK 2 BLOCK 2 BLOCK 2 LOT 7 LOT 20.1 LOT 15.2 LOT 13 LOT 12 LOT I I SCVA SERV= SCVA SERVICE SCVA SMIXE SEPW SrSMW SCVA SERME SEW SERVJCE SEPTIC SISMI SCVA SERVICE Smix$ysmv S&nc smum srpnC'mom SEPM srsuN pay. may. mv, EEM OF P*fi" 7 LAA roN PRIVA7 .arca r50I x775 CL L. 7.80 EKE OF PAVEMBEr .7.34EP.EDGE IF PAVEMAIT 6.98-j -lZ04EP x f 7.07 T 143,. 5' LON (W) 1000 GALI KrAry REINFORCED EL.-=- 6.80 SAND mu GUM CONCRErE 669 R.W. taw. SEPTIC TANK p PALE KWVN r A 0SAW W bxb rxaw s 10, WATER M &Z..47 W=AIECK 4 .70 VAdrER "i 6xwe ExtAvabon InspeCtiOn me i VE PPJVA7r VAMt SM-FLY VaL par SaMM System Fmw W VAT R W 0 x PAU BWW INSTALL (5) WIN a rr. .5 < av tteafth fen F3W :7 DIIAIEWI, 2 Fr. HIGHCQ4M PRECAST CONCRETE 549 4.37,a 96 % 1 t1a STORY DWELLING SAM, v 2 STORY DWELLING LEACHING RINGS – 578x cl ev 25 wwA SERVICE SEE DEIAL SIM FOR 5-.5x upric SrSIEN T.STaW BRIVIEVAl x 5,46 DISTRICT 1000 INVERT ELEVATIONS & Dil.. '- - DISTRICT 1000 3.20 SECTION 058 DETAILS a"�i. ---, — SECTION 058 =EL BLOCK 2 -�sw F LOT 16 BLOCK 2 TES T BORING LOT 9 Nil, 1 swnc srsm —x x 4J DA TED, 3118105 q d . ........ TEST tAXE BY 14CDaWD fZ=1ENCE 4JZ w BOW, SDUUMB, NY -7459 10 4.20 ----�-IW7 4ZZ DWNG CONTOUR 7" X JO11971 1 _ �:: a��%��p IxLL•`• ?� 4r631> 765-3677 x 4J51 -00- (T Aj (I ViEDED AREA AEAW MM AND IN= EMSM ELEVATION SUFFOLK COUNTY DEPARTMENT OF HEALTH SrLRVICZ5 7W FRMWA TM VETL" 7yPlCx Y AGMAt AELDWKARAT AND AND a PERMIT FOR APPROVAL OF CONSTRUCTION FOR A 7W 11Y P- aN 1113104 SINGLE FAMILY RESIDENCE ONLY Lj�k\ "Act -ie- t2 4140 AffiNDIDN bONQWIE LEACHING OAT . KS. REF. W-PLACE: 1- fi L/ S 45*3.5**30 1,23,89-' CENTR&SRtVE Z9 A PAPER ROW FoR buximum Or BEDROOMS GAWMARED PROV?ry Gd ;C"YR74L MME MITH Ar CENMIL AUVE EXPIRES THREE YEARS FROM DATE OF APPROVAL YIOr PAPrR ST" TT NOT OPWA)r SCALE: 1 "=40' PROJECT NAME DRAWING TITLE -5UFFOLK COUNTY TAX MAP ROBERT A. 5TEELE SCALE DATE DWG. No. SANITARY PLAN DISTRICT 1000 PROFESSIONAL ENGINEER 5TEELE RESIDENCE ADDITION - SECTION 058.00 A5 5HOWN 5/ 17/05 FRONT Of HOU5E ALTERNATE BLOCK 02.00 2G ROLLING AVENUE 5. IA 1895 LEETON DRIVE 5OUTHOLD, NY 1 1971 LOT 0 10.000 MILLER PLACE, NY 11764