HomeMy WebLinkAboutRebell ELIZABETH A. NEVILLE,MMC "', Town Hall,53095 Main Road
TOWN CLERK `ti P.O.Box 1179
k Southold,New York 11971
REGISTRAR OF VITAL STATISTICS �� Fax(631)765-6145
MARRIAGE OFFICER 631 Telephone 765-1800
P ( )
RECORDS MANAGEMENT OFFICER " www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Sabrina Born, Southold Town Clerk's Office
DATED: October 3, 2018
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 4660 for a Cesspool/Septic Tank Construction
Permit submitted by:
John David Rose Architect P.C. A/.A for Jonathan Rebell/Noah Levine
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:.
..........................................................
Signature
............................
Dated
Town of Southold
P.O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Date: 10/01/18 Receipt#: 248724
Quantity Transactions Reference Subtotal
1 Septic Permit-Construct- Resid. 4660 $10.00
Total Paid: $10.00
Notes:
Payment Type Amount Paid By
CK#19492 $10.00 John, David Rose Architect
PC A/A
Southold Town Clerk's Office
53095 Main Road, PO Box 1179
Southold, NY 11971
Name: John, David Rose Architect PC A/A
596 Hampton Rd Unit 1
Southampton, NY 11968
Clerk ID: JENNIFER Internal ID:4660
ELIZABETH A.NEVILLE �" Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold,New York 11971
MARRIAGE OFFICER a Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �w�� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD RECEIVED
SOUTHOLD WASTEWATER DISTRICT OCT 1 2,00
APPLICATION Southold Town Clerk
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
W (�O
Residential @ $10 t.-' or Non-Residential @$25 Application No.
Permit No.
Applicant Name CL Wo VkclnLJ,air _ C� ",
Applicant Mailing Address
W..........--.
Septic
of Pro case
Tank t-'or Cesspool
Brief Description
p d Construction or Alteration ad :
ry
Location of Proposed Construction/Alteration:
Owner of property.,
Owner Mailing Address:..S6G--Can.11
Owner Property Address: U-7CIO &-b
Name and phone number of contact per; on�aw7:Da �: :...Sa . -.�_
Tax Map NoAbO6 Section 7`'..., _ _ Block 0j . l of
Cross Street
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
7 I"1 N ,� UII S SU E'Y WITH HEALTH DEPARTMENT� APPROVAL
RECEIVE
m_mm.a...
Signature of Applicant Date
', ry
wnm IMNII�
Received by: d UW ....... m ._"._.....
Southold Town Clerk
UNAUTH
OR
TION
S SURVEY IS A
ION
CTION 7209 OF THE NEW
K STATE
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ERTY LINES TO EXISTING
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INDICATED HEREON SMALL RUN ONLYTOTHEOPERISON FOR WHOM THEUSURRVEYFIS�PREPARED AND ON HIS BEHALF TO TO THE�TLEAnCOMPANY.(GOVERNMENTAL�AGENCYEAND,LENDING INSTTUT10N LISTED HEREON.ANDUTO THE ASSIGNEF,S OF THSPECIFIC
E LENUHG INSTITUTION•CERTIFlCATIOHS'BE NOT-TRANSFERABLE ESTABLISH
7TOUBdPdIALLIINSTITUTION OR SUBSEQUENT DOWNERS THIS THE L MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR )EMBOSSED SEAL SHALL NOT BE D CONSIDERED OBSERVATIONS
TO BE A VR D TRUE COPY.(4)CERTIFICATION
(5)THE LOCATION OF HELLS(W),SEPTIC TANKS(ST)@CESSPOOLS(CP)SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS..
e
NOTE
FIINISHED FLOORS ELEVATION TO BE WATER Li - T" 'M�ly
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BLUE HORIZON5
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at Peconic, Town of Southold
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4� 6AR,4GE� GFEL=aa.o' SRVEYBUILPIN6 PERMIT
POOL HOUSE
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N. �� ^` WITH OUTDOOR SHOWER Gounty Tax Map Dletlot 1000 section 74 Block OI Lot 35.56
;2J 8'DIA.x \ ( \ FIELD SURVEY COMPLETED NOV.O6,2011
BITE DATA e'En.LP `” TRS 11s
...... ✓" \\ ° y Y,Y MAP PREPARED FEB.07,2018
LtLREA 121
.15 �RE5 OR 55,,0441 SCS, FT, \ w
1400 5.F.51N AJ
\ \ Record of Revisions
°SUBDIVISION- "MAP OF DUE HORI NSw FILED IN THE OFFICE OF ✓ 9,C ' T
THE CLERK Oil'SUPFOLK COUNTY ON SEPT 3O,10155 AS NO. n�� � � ��„ � \\ \ � �� N\\ � RECORD OF REVISIONS DATE
AVVRESSED SGS 1 ' .1 w
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PROPOSEDVERTICAL DATUM
N.A.V.DATUM�9
oONINS USE DISTRICT RESIDENTIAL LOW DENSITY I ACRE IR-40) SANITARY SYSTEM
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FIRST FLOOR', I;Tq .PI. _.
c = SETBACK LINE \\
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GARAGE = 516 50.FT.
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POOL HOUSE = 221 50.FT. \ \ P L ..,,. ( \ ` ' DG.2015_006'1_201 1_0214_bp OF 3
O =MONUMENT SET = MONUMENT FOUND = STAKE SET A= STAKE FOUND cD,= UTILITY POLE
(1)UNAUTHORRFD ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW.(2)DISTANCES SHOWN HEREON FROM PROPERTY LINES TO EXISTING STRUCTURES ARE FOR A SPECnC PURPOSE AND ARE NOT TO BE USED TO ESTABLISH PROPERTY LINES OR FOR ERECTION OF FENCES(3)COPIES OF THIS SURVEY MAP NOT BEARING THE LAND'SURVEYOR'S INKFD SEAL.OR LMBO55E0 SEAL':a]Afl NOT BE C9.*&D'."
INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON,AND TO THE ASSIGNEES OF THE LENDNG INSTITUTION.CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS W a ERLO TO BE A VALID TRUE 4"CAM(4)FROM
01@(ML
(5)THE LOCATION OF ME115(W),SEPTIC TANK'S(ST)&CESSPOOL*'.(Clp)^d`dONP1 p1o;WEM1,"AA ARE FROM FlE4d 0.00N,",�F:fdYA"I'll,'Nf5 AND OR DATA OEC6AtlMED FROM d577 RCFd7
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9
4 � � � N, A� "� ry PROPOSED GARAGE
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SURVEYOR'S CERTIFICATION
\
PROPOSED
DRIVEWAY \ ` �C •WE HEREBY CERTIFY TO JONATHAN R LL w'6"} T
SUR W
, ' SURVEY AS PREPARED IN ACCORDANCE
\ A' �� PRACTICE FOR LAND SURVEYS ADS M T "�
PROPER WELL ASSOCIATION OF PR_�FESSIONAL LAND,
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HOWARD W.YOUNG,N.Y.S. ,5.Na
\\ \ SURVEY FOR
IV
JONATHAN REBELL
a \ O LOT 6, "MAP OF BLUE HORIZONS"
o \ � - at Peconic, Town of Southold
\ eco,� ) / Suffolk County, New York
\ LFI ON D ti / BUILDING PERMIT SURVEY
SITE DATA \ (2)V DIA.x IO'EP
...
AREA = 121"18 ACRES OR 55p49 50. PT. '\y \� -1
County Tax Map District 1000 secti-'74 61Dck OI LDt 55.56
•
9UBDIV1510N- "MAP OF BLUE HORIZONS"FILED IN THE OFFICE OF \ A / FIELD SURVEY COMPLETED NOV.Ob,201.1
THE CLERK OF SUFFOLK COUNTY ON SEPT.50,1985 AS MAP NO. \ Q MAP PREPARED
1914. y� OP FEB.OT,2018
• VERTICAL DATUM - NA.V.DATUM(1988) p" Q- / Record of ReVI5lons
*ZONING USE DISTRICT = RESIDENTIAL LOW DENSITY I ACRE(R-40) RECORD OF REVISIONS
\ // DATE
t RESORT RESIDENTIAL(RR) \ �� ��W� ��� I � �E OI..2"
$ • 6A5 SERVICE NOT AVAILABLE �
� " GRO55 FLOOR AREA .. ... �... ..
g BASEMENT FLOOR 1,303 5Q.FT.
�ww
} FIRST FLOOR = 1,T79 SO.FT. \C
40
M SECOND FLOOR 1,355 SQ.FT. 0 / ,,cwt;` �, .. ... .. .. .. ..
GARAGE 516 50.FT. / Y�l ,,,C�'I,,Q 20 80
40
a POOL HOUSE = 221 50.FT. / PJA
5ca1e: 1" = 40
" l JOB NO.2011-0214
DWG.2015_OObl_2011_02I4_L p 2 OF 3
= MONUMENT SET = MONUMENT FOUND = STAKE SET A= STAKE FOUND
(1)UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW.(2)DISTANCES SHOWN HEREON FROM PROPERTY LINES TO EXISTING STRUCTURES ARE FOR A SPECIFIC PURPOSE AND ARE NOT TO BE USED TO ESTABUSH PROPERTY LINES OR FOR ERECTION OF FENCES(3)COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VAUD TRUE COPY.(4)CERTIFICATION
INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON.AND TO THE ASSIGNEES OF THE LENDING INSTITUTION.CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS (5)THE LOCATION OF WELLS(W),SEPTIC TANKS(ST)k CESSPOOLS(CP)SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS
(2)8'DIA.x 10'ED
400 Ostrander Avenue,Riverhead,New York 11,101
tel.651.12"1.2305 fax. 631.121.0144
1 / odmpneyoungenglneering.com
4 �
/ 1 , Hlomar4d V^d'.Young,,Land 5arveyor
Thomas C.Wolpert,ProFeBislonol Engineer
Douglas E.Adams,ProFe6e[onol Engineer
..._ Robert C.Tast,Architect
s✓ 0�
/ .....
DEPARTMENT USE
� � HEALTH DEPAR
$ t
N h
Oeky `'"
O
3 I
n
51 TE DATA
` AREA = 1.21-18 ACRES OR 5504q 50. FT.
N 0 SUBDIVISION- "MAP OF BLUE HORIZONS"FILED IN THE OFFICE OF
I THE CLERK OF SUFFOLK COUNTY ON SEPT.50,1485 AS MAP NO.
C4 ` 7474.
/ VERTICAL DATUM = NA.V.DATUM(1488)
•ZONIN6 USE DISTRICT - RESIDENTIAL LOW DENSITY I ACRE(R-40)
a 4 RESORT RESIDENTIAL(Rly
` *GAS SERVICE NOT AVAILABLE
> �a 6Ross FLOOR AREA 5MVEYOR7S CERTIFICATION
BASEMENT FLOOR = 11305 So.FT.
FIRST FLOOR 1,774 50.FT. ,,.....
\ SECOND FLOOR = 1_055 SQ.FT. ■WE HEREBY CERTIFY TO JONATHAN RE' L L,THAT
SURVEY WAS PREPARED IN ANCE' . ",:" E GODE'OFr
GARAGE = 576 Sa.FT. PRACTICE FOR LAND SURVEYS ADOPTED ( THE-Nt'A'YY a7
POOL HOU5E = 221 50.FT.. ASSOCIATION OF PROFESSIONAL LANG
HOWARD W.YOUNG,N.Y.S.L,5,NO.45883
\ SURVEY FOR
JONTH,4N RESELL
Q \ LOT 6 MAP OF
BLUE HORIZONS
\ \ at Peconic, Town of Southold
Suffolk County, New York
\ _ BUILDING PERMIT SURm YE'f
T County Tax Map DIBtrIGt 1000 section 74 elak OI Lot 55.56
\ FIELD SURVEY COMPLETED NOV.Ob,201-7
MAP PREPARED FEB.07,2018
Record of Revisions
RECORD OF REVISIONS DATE
e�."p(`. j A NO. U .. JUNE_01._2015
u
o 12-0 ...�....,�...
............... �.......... �mm
40 0 20 40 80
F
EL Scale: I" = 40
JOB NO.2017-0214
DWS.2015_006'I_201R_0214_bp 3 OF 3
O MONUMENT SET = MONUMENT FOUND A= STAKE SET A= STAKE FOUND