HomeMy WebLinkAboutGruneisel v"
ELIZABETH A. NEVILLE, MMC Og�FFOf,��,
Town Hall,53095 Main Road
TOWN CLERK ~� P.O.Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS Fax(631)765-6145
MARRIAGE OFFICER ,j. ��. Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER �O,( , �`� www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
DDTO: Southold Town Building Department o L�C�ODIC ApR 17 2018
FROM: Sabrina Born, Southold Town Clerk's Office
BUILDING DEPT.
DATED: April 16, 2018 TOWN OF SOUTHOLD
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4600 for a Cesspool/Septic Tank Construction
Permit submitted by:
Juliane Tomiser Gruneisel.
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.
l
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
oe
Signature
Dated
�Q;DUFFO(�-�
O
ELIZABETH A. NEVILLE ��d Town Hall, 53096 Main Rog,
TOWN CLERK q _ P.O. Box 1179
REGISTRAR,OF VITAL STATISTICS
Southold, New York 11971
MARRIAGE OFFICER o r `� Fax (631) 765-6146
RECORDS MANAGEMENT OFFICER y�fo� y�O� Telephone(631)765-1800
FREEDOM OF INFORMAT ION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residdntial @$10or Non-Residential @$25 Application No. 00
_X
Permit No.
Applicant Name j�L
Applicant Mailing Address_ -2j X �� ��
Septic Tank lon
or Cesspool _
Brief Desof Proposed Construction or Alteration V5&) S eoro f I-)
Location of Proposed Construction/Alteration: /
Owner of Property: �i�
Owner Mailing Address:-11h, 97 &Q _X'
Owner Property Address: 249��7 5- SP1 flj25�
Name and phone number of contact person
Tax Map No: 4 Section
_JLD�K Block Lot
Cross Street 60 j�,C ayxir
NOTE: LOCATION MAP MUST*BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH ALTH DEPARTMENT APP R VAL
Si ature of Applicant 7 Date
Received by:
SURVEY OF
LOT 10 & P/0 LOT 11
MAP OF . .
NASSAU FARMS
FILE No. 1 179 FILED MARCH 28, 1935
Ci vl�
SITUATE - �
PECONIC r
TOWN OF SOUTHOLD 4.
SUFFOLK COUNTY, NEW YORK L
S.C. TAX No. 1000- 104-03-07
SCALE 1 "=20' w
MARCH 2 2013
JUNE 21, 2013 SOUNDINGS
40
DECEMBER 3, 2015 ADD PROPOSED SEPTIC SYSTEM
MARCH 8, 2017 REVISED SITE PLAN
DECEMBER 13, 2017 ADD 50% EXPANSION
AREA = 27,568 sq. ft.
(TO TIE LINE) 0.633 ac.
CER TIFIED TO:
ARTHUR GRUNEISEL
JULIANE TOMISER GRUNEISEL
STEWART TITLE INSURANCE COMPANY
x3.6 340.34'
SET
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DESCRIPTION
SUFFOLK K COUNTY DEPARTMENT Or HEALTH SERVICES
RVl
EXIST. HOUSE
PERMIT FOR APPROVAL OF ONSTRUCTI01.4 FOR
z ....
SINGLE F.Aldll+v RESIDENCE ONLY �_.�....�..,, ... E
� EXIST. GARAGE
SINGLE ........................�... .
[ /� �} L"I� EXIST. DRIVEWAY
I �, - V�I U ~V n TION
F ®ATS { - H.S.hI,S. REF. N®.�� ; � PROP. HOUSE ADDITION
APPROVED ��-- PROP. PORCH
FOR MAXIMUM OF
BEDROOMS �
PROP. DECK
UE PROP. GARAGE ADDITION
EXPIRESTHREE 1' FROM T FAP N
APPROVAL �
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AY . V Jl_ 1
TOTAL EXIST & PROP.
AMP
.°•,•. _ NOTES:
S�rSQP' 5111n
LcOjmpleted
1 . ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM
� �f' flyflx � EXISTING ELEVATIONS ARE SHOWN THUS: 5.0 f , j " "�. EXISTING CONTOUR LINES ARE SHOWN THUS: — — — —5— — — —
STANDARDS FOR T ACCORDANCE WITH THE MINIMUM "^ F.FL - FIRST FLOOR
BY THE DS O I p R � ESTABLISHED) G.FL. - GARAGE FLOOR
FOR SUCH I.I tl �K„TIS LAND TW - TOP OF WALL
PREPARED IN
TII E BW - BOTTOM OF WALL
TITLE ASSO TON
C _ 2. FLOOD ZONE INFORMATION TAKEN FROM:
a FLOOD INSURANCE RATE MAP No. 36103CO166H
I ZONE AE: BASE FLOOD ELEVATIONS DETERMINED TES'
ZONE X: AREAS DETERMINED TO BE OUTSIDE THE 0.2% ANNUAL CHANCE FLOODPLAIN. MoDosa
(TEST HOLE DUG BY E
d der 3. MINIMUM SEPTIC TANK CAPACITIES FOR 4 BEDROOM HOUSE IS 1 ,200 GALLONS.
,a 1 TANK; 8' DIA. 4' LIQUID DEPTH
r I 4. MINIMUM LEACHING SYSTEM FOR 4 BEDROOM HOUSE IS 300 sq ft SIDEWALL AREA.
2 POOLS; 8' DEEP, 8' dia.
N.Y.S. Lic. No. 50467
PROPOSED 50% FUTURE EXPANSION POOL
Corwin UNAUTHORIZED ALTERATION OR ADDITION
TO THIS SURVEY IS A VIOLATION OF
SECTION 7209 OF THE NEW YORK STATE
LA
EDUCATION LAW. + PROPOSED 8' DIA. X 8' DEEP LEACHING POOL WITH SLAB TOP
Lan�d Surveyor COPIES OF THIS SURVEY MAP NOT BEARING 3
- EMBOSSED SEAL SHALL INOT®BEECONSIDERED PROPOSED 1,200 GALLON SEPTIC TANK WITH SLAB TOP EL
Successor To: Stanley J. I ._. To BE A VALID TRUE COPY.
ngegn , L ��
S. CERTIFICATIONS INDICATED HEREON SHALL RUN
Joseph A. Ingegno L.S.S ONLY TO THE PERSON FOR WHOM THE SURVEY 5. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
IS PREPARED, AND ON HIS BEHALF TO THE OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS.
'urveys — Subdivisions — Site Plans — Construction Layout TITLE COMPANY,LENDING INSTITUTION ELISTIEDTAL AGENCY ND
HEREON, ANDS. Al I PROPFRTIFS WITHIN 150' OF SUBJECT PROPERTY HAVE SINGLE FAMILY DWELLINGS