HomeMy WebLinkAboutGreenberg, Leonard •
#011 %OFFOLA,
ELIZABETH A. NEVILLE I1M
Town Hall, 53095 Main Road
TOWN CLERK Z ; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS �� Southold, New York 11971
MARRIAGE OFFICER # r .s Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER =�_1 4..�' Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER 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. 3137 R Residential x Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ARTCO DRAINAGE CORP
Address 1: PO BOX 1132
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION TO EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS,
BUILDINGS, PROPERTY LINES AND WATER BODIES.
EXCAVATION INSPECTINO REQUIRED.
Name Of Owner GREENBERG, LEONARD
Mailing Address 1 1620 PIKE STREET
City St Zip MATTITUCK NY 11952
Property Address 1 1620 PIKE STREET
City St Zip MATTITUCK NY 11952
Tax Map No. section 140.00 block 3 lot 18.000
Cross Street WICKHAM AVENUE
Building Permit Number Cross Reference:
Issue Date: 1/29/04 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
• ,.�,,o�oSUFFoc,�00 ; 3 ) 37
ELIZABETH A.NEVILLE et
ti� y �; Town Hall, 53095 Main Road
TOWN CLERK 1 o . % P.O. Box 1179
ti ZSouthold New York 11971
REGISTRAR OF VITAL STATISTICS 4 47$
MARRIAGE OFFICER Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER y_'�pl j ii 4.0101�' Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ''''----......0','� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
' 6 TOWN OF SOUTHOLD
lettiTO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: January 16, 2004
Transmitted herewith is a copy of application No. 3274 for a Cesspool/Septic Tank ALTERATION
Permit submitted by:
Artco Drainage for Leonard & Amy Greenberg
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: Maintain required setbacks from adjacent wells, buildings, property lines and water
Bodies. EXCAVATION INSPECTION REQUIRED.
71.... ..11 —A:
Signature
. '/ /-7 o
Dated
•
%SUFFO(,�'
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•
ELIZABETH A. NEVILLE , . y Town Hall, 53095 Main Road
TOWN CLERK O P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER : 1 Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER =-44, a0.oil Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER = '� 41 ����1 southoldtown.northfork.net
•
OFFICE OF THE TOWN CLERK-
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
OPERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10 X or Non-Residential @ $25 Application No. 302 7Y
Permit_CutiRiiirfame Name
F'
Owner Mailing Address ? Gl . b) 1 J 3 L
/A- c A) y i, ,J3-
Owner Property Address /i,79-6 P►
►� " / L 1C /v l 1 Lee ,��►.ny
12.0,7
Owner Telephone No. 7 to 0
3
Tax Map No: / (Section Block / Lot /
Cross Street k h c lyl A- v'L_
Please check each that applies: New Construction
Alteration to Existing System X
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 with SCHD approval.)
• / /) . ... .
Signature of Applicant. Date
Received by: � � ,
/V
PIKE STREET
N. 74° 22' 00" E. 100.00'
390.36' � td mon
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NOW OR FORMERLY JEROME
The existence of right of ways and for easements
cif record,, if any, not shown are not guaranteed.
LOT AREA 0. 593 ACRES
' • E (OR DIMENSIONS) GUARANTEES INDICATED HEREON JOB NO. 9 4 -2 15 FILE NO. 6 2 7 F
SHOWN HEREON FROM THE SHALL RUN ONLY TO THE PERSON
STRUCTURES THE PROPERTY FOR WHOM THE
NTT` BEHALF
PRE-
LINESTO SRVEYED FOR LEONARD and AMY GREENBERG
ARE FOR A SPECIFIC'. POR- FARED,
POSE AND USE AND THEREFORE THE 1ITLL C::)MPAINI , GOVERNMEN-
ARE NOT INTENDED 10 GUIDE THE LAT AGGPICY AND LENDING IN5T1-
F.RECTION OF FENCES, RETAINING TU NON um:: HEREON. AND 10
WALLS, POOLS, PATIOS, PONT:?•:3 TETT: ,SWTNEES OF THE l.EIJDING
AkeA5; AUDITION 10 BUILDINGS INSTITUTION. GUARANI TEES ARE
OR ANY OTHER CONSTRUCTION. NOT TRANSFERABLE. to ADDITIONAL
INSTITUTIONS ORsul,s.Elaueur SITUATED AT M A T T I TUC K
UNAUTHORIZED ALTERATION OR OWNERS.
ADDITION TO THIS SURVEY IS A
VIOLATION OF SECTION 7209 OF 'COPIES OF THIS SURVEY MAP NOT TOWN O F SOU T H O L D , SUFFOLK COUNTY , N .Y •
THE NEW YORK STATE EDUCATION BEARING THE LAND SURVEYOR'S
LAW, INKED SEAL OR EMBOSSED SEAL
SHALL NOT BE CONSIDERED TO LIE SCALE 1 "' = 4 0 ' DATE 6 - 27 - 19 9 4
A VALID TRUE COPY,
,.. . .,, FILED MAP NO. -- DATE _
GUARANTEED ONLY TO `)}« .
„ r46:1V"'N,,,. -
LEONARD and AMY GRE •10 ..R-Fes---- 1<-N TA'X MAP NO 1000 - 140 -3-1Bre/.only (IsK122
FIRST AMERICAN TITLE - IA'� E-1:P. R.',r,',` ) `\ HAROLD F. TRANCHON JR. P.C.
FL AT BUS H FEDERAL S I % m ,L0A?I AS N. LAND SURVEYOR
moi..„.
RC Nl', •, ;; 1iAG
y I x' SUCCESSOR TO WILLIAM G. MEIER
_ • :" F :.�d...za' NORTH COUNTRY ROAD - WADING RIVER
(--6,--. •,4,0 l I-- .,-.c+•""-c •- i'. «0' �n� NEW YORK 1 1 7 9 2
HAROLD F. TRANCHON JR.
N. iq .--N497-04-6992 (516) 929-4695
PEN IGAIINNIO. 21115-E
Town Of Southold
P.O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Date: 01/16/04 Receipt#: 5934
Transaction(s): Subtotal
1 Septic Permit- Construct- Resid. $10.00
Check#: 5934 Total Paid: $10.00
Name: Artco, Cesspool & Drain Service
PO Box 1132
Mattituck, NY 11952
Clerk ID: LINDAC Internal ID:87710