HomeMy WebLinkAboutMartz, Theodore C Jr (2)
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ELIZABETH A. NEVILLE, MMC Town Hall, 53095 Main Road
TOWN CLERK F.O. Box 1179
w Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS p .F Fax (631) 765-6145
MARRIAGE OFFICER Telephone (631) 765-1800
RECORDS MANAGEMENT OFFICER Ol
www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER qD
OFFICE OF
THE TOWN CLERK E C E ~ W
TOWN OF SOUTHOLD D
AUG - 2 2013
TO: Southold Town Building Department
BLDG. DEPT.
FROM: Linda J. Cooper, Southold Town Clerk's Office TOWN OF SOUTHOLD
DATED: August 1, 2013
Transmitted herewith is a copy of application No. 4151&4152 for a Cesspool/Septic Tank
ALTERATION Permit submitted by:
Theodore C. Martz Jr. 104-12-6.1 Note: 2 separate systems, work being done by owner
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.
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments:
Signature
Dated
***RECEIPT***
Date: 08/01/13 Receipt#: 156904
Quantity Transactions Reference Subtotal
1 Septic Permit - Construct - Resid. `1157 - 4152 $,'x.00
Total Paid: $tg.00
Notes:
Payment Type Amount Paid By
Cr+KtS,~~I/ $Jp.00 Martz Jr., Theodore
Name: Martz Jr., Theodore
145 Ryerson Ave.
Manorville, NY 11949
Clerk ID: LINDAC Internal ID: 4152
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential a $10 or ? Non-R; idential (d $25 Septic Tank 0 or Cesspool
Application No. 'V~ 0~~ ~ermit No.
Applicant Name: ~ 5 A J~'
Applicant Mailing Address:
Brief description of Propsed C ctio o Alteration: ~6kAl &/-S
Location of Proposed Construction/Alteration: 4Af-V
Owner of Property:
Owner Mailing Address:
Property Address:
A.1
Name and Telephone No. of CRm Person:
Tart Map No.: Section: Block: 1~ Lot:
Nearest Cr oss Street: I't
17
NOTE: LOCATION MAP MUST BE SUBMIM APPLICAT N. NEW
CONSTRUCTION REQUIRES SURVEY WITH ALTH APPROV
8 AL
Siganture f Applicant Date
Received by:
y67-E
S.C.T.M. NO. DISTRICT: 1000 SECTION: 104 BLOCK: 12 LOT(S): 6.1
#R10-08-0023
NGS
W/pUBLICI WATER
150'
' ~ _ •IIa NYI/5
420.69 BR~AD~,AT _
ON. MA- W.M. 80, P xIT/5cp' ~ .
2" S 6100730" g NON.
' EL AREDUI.IR CURyE
RE
Umc
O 0 203.32' NON.
a
0.1 UL
A h
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w m ~ ~
- . _ _ N 1 EL 44.3 am
I ~ m A O 16.2 co'6' I
54.7' 12V rW " w
FR. S„•1~ I
Dv( [LINGS A9 co
WYPU8IIC WATER p» b. 14,1 79.5'
o
r. ' A » Ito U.P. 21.3' 16,1 e
COW-.. s .4 DWELLINGS
,y ; sT 25.3' W/PUBLIC WATER
.
36.5' 150'
S C r
C I EL 40.9
E:
095
`0 m O
f I Ej 0 TI \ DWW 2.0'
u ^Ir O
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vi O 2y,i C.
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so'
10
yt. 2:'
N LA. EL 51.4 LOT 191
O
O
LOT 188 N
O
ELEV. 39.4 O '
DR BROWN 94 LOT 189 LOT 190 O
SANDY LOAM 1. N it
BROWN o
SILTY SAND 3.5 O t.7
bl c7
PALE Z
BROWN
FINE V)
TO
MEDIUM
SAND
NO WATER IT' N68'48'JD"8'
NON. RECEIVED
12-22-07 DWELLINGS 200.00'
fL o
0 2 2 3
ADD NEW SANITARY LOCATION ??-15-13 LO 202 _ DEC r
-27-13 SUFF. CO. HEALTH ERViC
REVISED SANITARY 08 r-- f• -t ((I'~~I
REVISED 06-22-13 r C10Z 0 .73 0 I ~ F Tf>JY, TrR M1
THE WATER SUPPLY, WELLS, DR _
REVISED 09-23-10~- LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS -
REVISED 09-20-10 AND OR DATA OBTAINED FROM OTHERS w.
AREA: 71,038.19 SOFT. or 1.63 ACRES ELEVATION DATUM: ASSUMED
UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A 140LATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY
MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES 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, GUARANTEES ARE NOT TRANSFERABLE.
THE OFFSETS OR diMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS
AND11OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
SURVEY OF: LOTS 189 & 190 INCL. CERTIFIED TO: THEODORE C. MARTZ JR.;
MAP OF: AMENDED MAP "A" OF NASSAU CLUB POINT PROPERTIES IN- ABSOLUTE ABSTRACT INC.;
FILED: JUNE 28, 1922 No. 156 FIDELITY NATIONAL TITLE INSURANCE CO.;
SITUATED AT: CUTCHOGUE
TOWN OF: SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC
SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design
~r . P.O. Box 153 Aquebogue, New York 11931
FILE //27-36 SCALE: 1 "=40' DATE: APRIL 30, 2007 PHONE (691)298-1588 PAX (BSI) 298-1588
N.Y.S. LISC. NO. 050882 maintaining the records of Robert J. Hennessy A, Kenneth M. woychuk
S.C.T.M. NO. DISTRICT: 1000 SECTION: 104 BL 12 LOT(S): 6.1 Water
fn line(s) MUST Be Ins
the Suffolk County pet P ted By The
51'w ~Sub~~t DW£LLIN Cali 852-5700 4g Hours eIt Services.
sa~~ta~`1 ~,~men W~PUeuc ATER To Schedule Inspection !n
A vance,
150,
eX~s~~n~ Qt° ( •
e 'Lot de4ad as - . _ _ _ NY rs
Pba°d° reex'N" a naa
eomf°`{° BRADVATERS .
rII+ Q J7 ab
ON. W.M. AD~
2847 S 61.07'30- E'. MON. ,
EL cuR1r
q 1. TIE L"E
O ` 1 • * 205.52' MON.
~i
o.rw uL
z o -CO
N EL 44.3 I've som
9
Nr ro K ~RrR
DWELLINGS Enslne A
W/PUBLIC WATER "B""~oxEa a amvxias~E`LD~o,sR ° /5as w '+a 79.5'
to. 0 m 'P. I
150'
U.P. DWELLINGS
u. .`s I PA W/PUBLIC WATER
150'
u ~
Lk law
SEPTIC
t,xit ~
PROPOSED Ip. ~a yp~~
(2) 8'Dw8'DI\EP CTWORS p
~}3~~1 »EE
C \3 KI DI0.8'W 2.0'
1anA44s0 J " 0l I
46.9
yp U
J
9051110 S IVINr III K
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w N asrn
laci e~ w a 51.4 C$
0o T.v«e~ "(F~SEGRr~~~
LOT 158 N lr O` ~w~C`"
ELEV. 39.4 PROPOSED
OR BROWN 47 (2) B-014.8-DEEP LOT 189 LOT 190 O~q~S 0
SANDY LOAM 1. G
SILTSAND o ry 3.5 Ilk Ra j
0~ G~FP
PALE
BROWN Z
^
To 9 e
N• P
MD S N @ V
OF RgpR
Oaf` pVEp ML~N,O~cpP. ~1pP~E
F
$
JOIN-b
L NO WATER 17'
C ~y MON.
12-22-07 DWELLI S 0.00'
AUG 2 6 2013 W/PUBLIC
w 150'
IV LOT 2( 2
w BLDG. DEPT.
TOWN OF SOUTHOLD
REVISED 06-22-13 THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL
REVISED 09-23-10 LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS
REVISED 09-20-10 AND OR DATA OBTAINED UOA1 OTHERS.
A55 EEOO
REA: 71,038.19 SQ.FT. or 1.63 ACRES t ELEVATION DATUM:
UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A V70LATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY
MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES 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, GUARANTEES ARE NOT TRANSFERABLE.
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS
AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
SURVEY OF: LOTS 189 & 190 INCL. CERTIFIED TO: THEODORE C. MARTZ JR.;
MAP OF: AMENDED MAP A" OF NASSAU CLUB POINT PROPERTIES IN- ABSOLUTE ABSTRACT INC.;
FILED: JUNE 28, 1922 No. 156 FIDELITY NATIONAL TITLE INSURANCE CO.;
SITUATED AT: CUTCHOGUE
TOWN OF: SOUTHOLD KENNETH -M WOYCHUK LAND SURVEYING, PLLC
SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design
410 P.O. Box 153 Aquebogue, New York 11931
FILE #27-36 SCALE: 1 „=40' DATE: APRIL 30, 2007 PHONE (831)298-1588 FAX (881) 298-1588
N. Y& LIM Na o5ow maintaining the records of Robert J. Hennessy & Kenneth M. Woychuk
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 32256 Date: 03/20/07
THIS CERTIFIES that the building DWELLING
Location of Property 375 BROADWATERS RD CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Nap No. 473889 Section 104 Block 0012 Lot 006.001
Subdivision Filed Map No. Lot No.
conforms substantially to the Requirements for a ONE FAMILY DWELLING
built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z- 32256 dated MARCH 20, 2007
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
issued is ONE FAMILY DWELLING WITH ACCESSORY COTTAGE-
The certificate is issued to ANTHONY SAVASTANO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
A horized Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 375 BROADWATERS RD CUTCHOGUE
SUBDIVISION: MAP NO.: LOT (S)
SAME OF OWNER (S): ANTHONY SAVASTANO
OCCUPANCY: SINGLE FAMILY DWELLING ANTHONY SAVASTANO
AINMITTED BY: JASON SCOTT ACCOMPANIED BY: KIRK SEUBERT
HEY A%WIJLBLH: SUFF. CO. TAY MAP NO.: 104.-12-6.1
7
SOURCE OF RNQURST: ANTHONY SAVASTANO - 3/15/07 DATE: 03/20/0
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 ; EXITS: 4
FOUNDATION: CEMENT BLOCK CHLIAR: PART CRAML SPACE: PART
TOTAL ROOKS: 1ST F R.: 6 2ND FLA.: 0 3RD PLR.: 0
BATHROCK(S): 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE: 2-CONCRETE&SLATE&CONCRETE
BREEZEWAY: FIREPLACE- GARAGE:
DOMESTIC H0TMBITHR: YES TYPE HEATER: OIL-H.WATER AIRLUNDITIONING:
TYPE SEAT: OIL IGUW AIR: HOTMATER: YES +
OTHER: -SEPARATE HOT WATER HEATER
ACCESSORY STRUCTURES:
GARAGE, TYPE OF COLST.: STORAGE, TYPE CONST.:
SKINNING POOL: GUEST, TYPE CONST.: WOOD FRAME ONE BEDROOM-
OTHER: -COTTAGE ON SLAB-KITCHEN,BATH,LIVING ROOM,FIREPLACE,ROOFED OVER PORCH
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION I ART. SEC.
I
I
I
I
~ I I
I I
I ~ I
~ I I
I ~ I
REMARKS:
INSPECTED BY: DATE ON INSPECTION: 03/19/0
7
GEORGE GTTJ.M TIME START: MAID:
LI - G 75- ya ys
Form No.6
Wp' 5 TOWN OF SOUTHOLD
17~~ BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2110 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9,1957) non-conforming uses, or buildings and "pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy
is denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $25.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date.
New Construction: Old or Pre-existing Building:
n (check one))
Location of Property: SSS hlagd w a fY?S 1rs4c~ eq7 c, he, 9 k e,
House No. Street T Hamlet
Owner or Owners of Property: A o~ 5-U11-15 An D
Suffolk County Tax Map No 1000, Section /y ! Block Lot `O
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: check one)
Fee Submitted: $ f~ / f
i
plicant Signature
6AL CO-_3~ 6
5