HomeMy WebLinkAboutBaumgrantz, Frederick (2) JUDITH T. TERRY z '� : Town Hall, 53095 Main Road
TOWN CLERK p T P.O. Box 1 179
REGISTRAR OF VITAL STATISTICS trs Southold, New York 11971
MARRIAGE OFFICER %0 �' � Fax (516) 765-1823
Win %MPl�� Telephone (516) 765-1801
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1086 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : ANGELO ACCARDO
Address 1 : 85 FORGE LANE
City St Zip CORAM NY 11727
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR NEW SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. SCHD REF. #91-SO-94
Name Of Owner BAUMGRANTZ, FREDRICK
Mailing Address 1
City St Zip 0000
Property Address 1 MEADOW LANE
City St Zip MATTITUCK NY 11952
Tax Map No. section 115.00 block 5 lot 7.000
Cross Street NEW SUFFOLK AVENUE
Building Permit Number Cross Reference:
Issue Date: 1/28/94 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T. TERRY :,' L ; Town Hall, 53095 Main Road
TOWN CLERK : p •T P.O. Box 1179
REGISTRAR OF VITAL STATISTICS y `�' Southold, New York 11971
P �. ��� Fax (516) 765-1823
MARRIAGE OFFICER '_ .,/'�� �O ," Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER '__t(/1 i�
FREEDOM OF INFORMATION OFFICER ��,��viii,11°�/
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: January 3, 1994
Transmitted herewith is a copy of application No. 1121 for a Cesspool/
Septic Tank Construction Permit submitted by:
Angelo Accardo for Fredrisk Baumqrantz .
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. ,
_
i j r
Ji►N 4 ,
Linda J. Cooper
* * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE !/
DISAPPROVE
Comments: S'cAzz7 cP , 1. 97 So.-9 L
", 2- 7e./.2-1.-
Signature
ie&)09, //027N / Z /A S`
Dated
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OFFICE OF THE TOWN CLERK
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v,,�Oy 22,.-=';---Town of Southold '[, '�. '
Application No. f (. j /Judith T. Terry, Town Clerk
i= �Town Hall, 53095 Main Road •
P. O. Box 1179 c
v' ti. 7,J-1-4 -.-,4. 7 Construction x/
Southold, New '.��n
York 1 1971 •.••=�=�
�% •
•07-c$* Alteration
Telephone "°l i 7b ., Residential
(516) 765- 1301 . „.alv
•
Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
•
•
APPLICATION
•
for
CONSTRUCTION or ALTERATION PERMIT
•
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
•
DATE . / -3 9'
APPLICANT NAME: / ti!
?de ic ,--#<1",4- O.. . •
APPLICANT ADDRESS: ?...Cs— 1'`o-25°E .1.4-4/ •
SEPT ICCESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION Ai
sT6 ;74AN>�4..- // �"
•
LOCATION MAP: - Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION. OR ALTERATION:
OWNER OF PROPERTY; '
• OWNER MAILING ADDRESS: akJ .la,/
OWNER. PROPERTY ADDRESS: •
•
•
•
TELEPI-IONE NUMBER OF CONTACT PERSON; &in
TAX MAP NO. : Section // Block o ."
Lot G 7
. CROSS STREET: •
BUILDING PERMIT NUMBER CROSS REFERSIC
,', .>-/.( (....!. --L-1,---t. .,,--(6, .
Sidnaturc of Applicant
•
Cy
• RECEIVED BY; a;
own C erlc's Office
•
DATE: .
.is
4
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•
•
•
•
WELL COVENANT I;ECUtRLD ' '
('PRIOR TO �� \ .
FIhgL APPROVAL/
I c,P�1`
-- -40T
••,/l... r
ILoi 41 now or formerly
(VACANT) County of Suffolk
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176 I `
7.6 / S 6s�l 9`IO ' ` 2.0
(fTl• v/ LL eS.4I12.11 I 229.13'
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O �a FSIs;° ) ;I I P O N Lot 42 v
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- --'16_ � � i m I, III D. Area=22357s.f.
o 4v 1 I r 1 111 m
RESIDENCE \ ,- / .4 O ) "� 1' /I
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RESIDENCE ‘_/')/1�/ / �/ //// /�WETLANDS BOUNDARY LIME
Z
100 • O CP//11;{ /6/.11///,,,
/ / / PIP,
1T/ 6.1,� I 168.80' O
r 12.0 i- `' '-•. . a.I / a.
.-15---)p• S.'B'6°0600EW.
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1 PLEASE NOT t I
al
o I am farnll;ar wttfi the Standards for Approval and
tt Is the applicant's respo�Albility to Con�trectiDn of Subsurface Sewape Disposal SystemsI.
maintain adequate sanitar distance for Singio Family F.eslflencss and will apblde by the
between ail water supply an a vage conditions G .torte therain end on he permit to
disposal fdCt;:tieS. �'g construct.
aUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICE signature\= �A
FOR APPROVAL OF CONSTRUCTION ONLY NEW SUFFOLK AV E N U E
o Alt 24 199?HS REF. NO �� -q LI SINGLE FAMILY DWELLING ONLY
t=xP$RF�TWO YEARS FROM DATE OFAPPROVAL
APPROVED ��� - �C % SURVEY FOR ,;,
NOTES. v TtA�L -�— JAMES E. FISHER I ..a •� ,
I. •=MONUMEr(T LOT 42, "MATTITUCK ESTATES,INC..
2. SU STAKE AT MATTITUCK
3. SUBDIVISION MAP FILED IN THE OFFICE OF DATE AUG. 14, 1991
THE CLERK OF SUFFOLK CO. ON SEPT. 8,1965 TOWN OF SOUTHOLD SCALE: Cr 40
AS FILE NO.4453 SUFFOLK COUNTY, NEW YORK NO. 91 -0698
4. SUFFOLK CO.TAX MAP
DIST.1000 SECT.I I5 BLOCK 05 LOT07 S UMAU TNORI
5 - ION OR ADDITION TO THIS
--14--- = EXISTING CONTOURS SURVEY O A VIOLATION 01 SECTION 7205 OF THE
NELAW
6. ELEVATIONS ARE REFERENCED TO IC WORK FSATE EDUCATION M T
S COVEYS OF THIS SURVGT NOT KARMD THE LANDI
1E OFN.G.V.D. 1929 SURVETORS INKED STAL OR EMBOSSED S µ(MALL/MSU NOTBc COHSID[RfDTOBEAVALID TRuE torrMEALi?I DEPARTMENT_DATA FOR APPR •G"ANANTECS INDICATES HEREON SMALL Rum ONLY TOr.SE0S16L TO CONSTRuc T AHE PERS0 FOR WHOM THE SURVEY IS PREPARESr•N(F arU BAIr rlSOURCC 0I WATLn IRIaTE_r BEHALF TO THE TITLE COMY,GOvERN •
-
► . UKIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED %
R/LIF CO.. T SO Dr BLOCK_LOT HEREON,AND TO THE ASSIGNEES OF THE LENDING 7. o
[NOWS WITHIN 100 FEET OF THIS PRO P[RTY INSTITUTION //7
OTHER THAN THOSE SHOWN HEREON GUARANTEES ARE NOT TRANSFERABLE �1e71Y
■INC WATER SUPPL,Aa)SCWA "i0 ER T10NAL INSTITUTIONS OR SUBSEQUENT
•ILL CONFORM TO f AE dSipe AL SYS T[A1 1011 THIS*mot NCZ OWNERS I
K STANDAROS OF TeL SUFPQK COWL♦ M DISTANCES
Of..T. SON ICES OEIARLN(Ni SHOWN N[RCOM FROM PROPERTY LINES f
a HEAL Ti /l TO EXISTING STRUCTURE! ARE FOR A SPECIFIC
Pi
J/Qyj�QO `E�LL O' PURPOSE AND ARE NOT TO BE USED TO ESTABLIfM re 58 r
40001(LS "�`-•ww T' F�+(t_ PROPERTY LINES OR FOR THE ER EC 110H Of FENCED �'rf0 0 U
•T� / `� i
L ,_ I� /�.c>_, f4ND SUBy�
'`2 �/ .ZT� G2
— ,ori —�
� 400 OSTRANDER AVENUE
JJ YOUNG YOUNG RIVERhEAD, NEW YORK
ALDEN W.YOUNG,PROFESSIONAL ENGINEER
AND LAND SURVEYOR N T.S.UCENSE NO.12845
IR nt LOCAT1011 Of mLIWI,SEmC TAmm(rT7P CCSL'oOLSICP1 SAG....EKED„ I HOWARD W.YOUNG, LAND SURVEYOR
ANE PRO,FIELD On(ReTIces Aro OR DATA 0ITYIKO IRON OTHERS s i N.Y.S.LICENSE NO.45893
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