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