HomeMy WebLinkAboutMartz, Theodore (2) •
/OS
, ���fFOLt
ELIZABETH A. NEVII.LE �$ 0 Town Hall, 53095 Main Road
TOWN CLERK p -4 - P.O. Box 1179
ti Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ` �'�� Fax (516) 765-1823
MARRIAGE OFFICER ?i
� �� �0N. I, Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER ��
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1798 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : BENNETT ENTERPRISES LLC
Address 1 : 1029 WM. FLOYD PKWY
City St Zip SHIRLEY NY 11967
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.
Name Of Owner MARTZ, THEODORE
Mailing Address 1 145 RYERSON AVNEUE
•
City St Zip MANORVILLE NY 0000
Property Address 1 1500 STANLEY ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 106.00 block 7 lot 38.000
Cross Street SUNNY LANE
Building Permit Number Cross Reference:
Issue Date: 1/29/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
.?k
. t
�e 0 �FFNA- - -, J 7
ELIZABETH A.NEVII.LE ; _(,,r,,„<„, .,_h`1`�� CO* - Town Hall, 53095 Main Road
TOWN CLERK p -d P.O. Box 1179
op Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS %v ' Fax Fax (516) 765-1823
MARRIAGE OFFICER 4., i/ N- or Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER %_ 0/ ,f° .I
FREEDOM OF INFORMATION OFFICER O.se
IV
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: January 22, 1998
Transmitted herewith is a copy of application No. 1873 for a Cesspool/
Septic Tank Construction Permit submitted by:
Bennett Enterpirses for Theodore Martz
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.
Thank you.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following reco endations:
APPROVE
DISAPPROVE
Comments:
) '.- c.,,LA.A.2„.. ..
/Signatur
//v2-1 /5
Dated
'_ _ _ __ -_- .
I . ' •
mummw v »/"°',t
(UlF|CE OF THE TOWN ChiRN ili/jr.01:1/LA-e?
Town or swukw�� • \p> cnUo^` No. /(f 73
111(1111. T . Terry, Town Clerk
•Town ||oH' 63095 Main Road Construction ~-
x .
t.
�
P. O. Box 1179 Alteration -' - '-' • '
Soo|/ ,N' New York 11971 ---- . . -. '
61I / yr Residential• c----
Telephone
_-- _ --'
���
(516) 765- 1001 -'�v/ Non.lRes)6eoAn|
-'` -- `
'
TOYVM OF S0UT!KOLD
.
.
�
G(]UT�|ULU WASTEWATER DISPOSAL Q|STNIC�'
'
APPLICATION
•
`~~`~~^~=^-~'~
ho•
CONSTRUCT |()N or ALTERATION PERMIT
'
. SEPTIC]' TANK or CESSPOOL .
|`mrm|| No.
--'-'----'
-::0'•
Fou $ ',
DATEDATEDATE__--_ �1�' i �� �%_�. cx___• .______._-_
A `|1'|CANT NAME:_ _-'--03 4' --_- J
c--,
APPLICANT ADDRESS: ^6 2 k(h~. fL 0 yrj Pk w v �
-____-_-----_-
^\ � �' �'"�
-_---_ -��=�^» .1. _.��_/.- _.����_��3_ ___----_-------.
SEPTIC CESSPOOL '
'---' • -----
NiS[uIPT|qN or, MR(}P(/sEU C0NSTRUCY|0N OR ALTERATION
-----'--'--'---'---
4-et- ._ D�_ ��� ��/ e _L._ _ L.Liou6---
. .
LOCATION MAI': Must be attached hereto |xufo,u permit may be Issued.
LOCATION OF PROPOSED CoNST|tUCT |qN OR ALTERATION:
OWNER OF PROPERTY : r460061(- --- thl /4-12-77. - Cl 0
OWNER MAILING ADDRESS: jqs- ���-`-°/=== "'_--'4 "---___- ___-_'-_--
-,._-__fiAila" Piu-4__' k., _y --_-_-
OWNER PROPERTY ADURESS : � � �4�` . \
-------------------------'-------'--'---'---' '-
_'-__---_--_-_-`_-_-_.---'___-'__--_--_'_'-___-_-'
TELE|`||OME NUMBER OF [()N'[/\[[ PERSON: �� / q-001 -_�����>C�7�-
_--_-`_-^�'�---�_`� .
]AX MAI' NO' : Section jb �� mod, -9--- Lot &}
~ '--' - -----
=]� � - - - ---'_ -_-------_ --
-_--_''-_-_
_.-
CROSS. STNEET : lU�JJy / � .L p �_' ^ m... - ''
'^
BUILDING PERMIT NUMBER CROSS REFERENCE : it ---
_'-_-_ -_-_-_---' -. _- '- _
.
.
' � �
F Ile
��a�==~-- -- ��'--- >------ -----
Qn unrm /Am) tmnt
����|<ELE|VEC/ QY �� __ _____ �
| rw�s o/./�a
.--'_-------'- �
/ .
•
.
.
' `�t4til, , __� _�
1
I
CO -0i
CO C Z A
a3 F M "N N W
7 ` ,4 Nw _ ~v + Ia
00'6-9/ l 3„ OP 00 0-0/ S ti.,0 i to
�„z� I h qi
a Z I
W ocft
tom.. -o . Cl)� q;C (NI k `'
OIS) Lo
I C O 1 0 \
is 41.1
\ V git` N -
01 ` r
1 W ` 110,.. I 0 i o Q) crt
�
, r i127 %Itc I� ti4a Wim' a
Y" *- ~
SZC. =.4I'9d _ W 10 cc
p-....._\ . 0, s 3,,,, ,3s ,„. _) ,.. ..;,_ k
C
LU - � to •J7M Q L .0? t ` O z II
C-) - 'NJ z N '0Z I Q3SOd0dd I N £L �I w 3 N 11
I-.4 ` O o U
�1.4 il
Q '� �r Z5 t I,' __ r� . 2 ,�
N08OdI "1 i `'
N
-- _CA II W
C) (3 o, w s I i 1 1 N
o M N I I � I � o Q oN
1. 0 I V � 1� iv [}� N t--N v
v44JJJ S I .LI o- ri V) vJ co O
E3 d I C��� 1 \� O �G�. N
i \ /a. o. �� ; - 0 QN .
Cr--
Z o i I �� Z Cr--
-.....
N,91 0 Z M I 3 a
N3-1 7'V2//LS_sod Fu W / - i� ? �`
9l'6l '39' 6b�O 3NO3 = 9ti'Bz 09 W N 0' 2.
�cp hie I, � X L
O z9sz 1 1#3W3'/IG'd 3N /S , 7/O 3Q/M , 9£) 8[8z'�1 'h+ jilaJ J o w
cc. 0L-6z-E- 3N b7 A N NnS (0 �. o W
('M,0 ) 1 N V � b A , Q Z ,
W
0• •THIS SURVEY WAS PREPARED IN ACCORDANCE WITH TEE EX/STING CODE OF PRACTICE FOR LAND SURVEYS ADOPTED BY TME NEW YORK STATE ASSOCIATION OF PROFESSIONAL y
O LAND SURVEYORS. W
0 UNAUTHORIZED ALTERATION OR ADDITION TO TUI SURVEY IS A VIOLATION OF SECT/ON 720,9 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NO7 BEARING THE 0 V
LAND SURVEYORS LURED SEAL OR EMBOSSED SEAL SMALL NOT DE CONSIDERED TO SE A VALID TRUE COPY. CERTIFICAT/ONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON ()
FOR WHOM THE SURVEY IS PREPARED AND ON NIS SENALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LEND/NC INSTITUTION LISTED HEREON,AND TO THE ASSIGNEES OF THE
V Cr
LENDING INSTITUTIONS. CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. (10
•THE OFFSETS OR DIMENSIONS SNOWN FROM THE STRUCTURES TO THE PROPERTY LINES ARE FOR A SPECIFIC PURPOSE AND USE AND THEREFORE ARE NOT /NTENOSD TO GUIDE THE
O ERECTION OFFENCES, RETAINING WALLS,POOLS, PAT/OS, PLANTING AREAS, ADDITION TO BUILDINGS AND ANY OTHER CONSTRUCTION. i
•THE EXISTENCE OF RIGHT OF WAYS AND OF EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEEDZ CO
w •SEPTIC TANK, CESSPOOL AND WATER SERVICE LOCATIONS BY OTHERS. Cr) W
• OFFSETS AND DIMENSIONS TO CONCRETE FOUNDATIONS.
0 SAND SHOWN ON TESTHOLE LOG DOES NOT NECESSARILY MEET THE PERMEABILITY REQUIREMENTS OF THE SUFFOLK COUNTY HEALTH DEPARTMENT. 0
ti