HomeMy WebLinkAboutBoeckman, Franklin a
r'' " Town Hall, 53095 Main Road
:P t` 4�. P.O. Box 728
��� 0,0411Southold, New York 11971
JUDITH T.TERRY TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
September 11, 1986
Mark Boeckman
P.O.Box 1453
Mattituck, New York 11952
Re: Franklin Boeckman
ROW off. Cox Neck Road
Mattituck, New York
Enclosed herewith is the Construction, Alteration or Modification
Permit for a Septic Tank or Cesspool System for which you applied.
Please be advised that each owner of real property operating an
on-site sewage disposal system, such as a septic tank or cesspool must,
prior to such operation, possess in the name of the owner an Operation
Permit for the system. The Operation Permit is issued by the Town
Clerk's Office.
The fee for an Operation Permit is ten dollars ($10.00) for
residential use and twenty-five dollars ($25.00) for non-residential.
Please have the owner complete the enclosed Application for an Operation
Permit and return it to this office along with the proper fee.
For your general information I have enclosed an Informational
Bulletin regarding the Scavenger Waste Laws adopted by the Southold
Town Board. Should you .have any questions pertaining to either permits
or the Scavenger Waste Laws, please do not hesitate to contact this
office. We will be glad to assist you in any way possible.
Very truly yours,
Judith T. Terry
Southold Town Clerk
Enclosures (3)
JTT/Ijc
1
I
OFFICE OF THE TOWN CLERK c��FFOUre;
Town of Southold , 0��
Judith T. Terry, Town Clerk Z
Town Hall, 53095 Main Road
P. O. Box 1179 ,un
Southold, New York 11971 O " '�,
0.
Telephone
* ��,
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 34 Residential xx
Non-Residlential
Fee $ 10.00
Septic _Cesspool xx
PERMIT ISSUED TO:
NAME: Mark Boeckman
ADDRESS: P.O. Box 1453
Mattituck, New York 11952
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New House Construction
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Franklin Boeckman
OWNER MAILING ADDRESS: 3470 Manchester Road
Wantaugh, New York
OWNER PROPERTY ADDRESS: Right of Way off Cox Neck Road
Mattituck, New York
TAX MAP NO. : Section 113 Block 7 Lot 19.6
CROSS STREET: Cox Neck Road
BUILDING PERMIT NUMBER CROSS REFERENCE: pending
Judith T. Term
Southold Town Clerk
DATE : September 11. 1986
(TOWN SEAL)
r l •
C Ian( ' ":7::-0. FOCrI' ., , it ,�
f tis -<
_ 41986 'E
r , ,;I to 4
.: `'W: v� �= Town Hall, 53095 Main Road
TOWN OF w4 F €•'CTk r• t''‘'41 . , ; P.O. Box 728
' ��` y Southold, New York 11971
'Awe 0I
JUDITH T.TERRY TELEPHONE
TOWN CLI RK
(516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
September 4, 1986
To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 30 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by Mark Boeckman for Franklin Boeckman
Please review the application and location map and advise if the
project has received Suffolk County Health Department approval
and if we may issue the permit.
Please complete the form below and return it to my office.
Thank you.
egoee4;:;eea....d, ............•' _
Judith T. Terry
Southold Town Clerk
* * * * * * * * *
I have reviewed the application and location map of the project
cited above and make the following recommendation:
APPROVE -
DISAPPROVE -
COMMENTS:
Signature
Date
OFFICE OF THE TOWN CLERK
Town of Southold Application No. 20
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road Construction
P. 0. Box 1179 Alteration
Southold, New York 11971
Telephone Residential
(516) 765-1801 Non-Residential
RFCci"FD TOWN OF SOUTHOLD
SEP 0 . 1986 SOUTHOLD WASTEWATER DISPOSAL DISTRICT
no. I.4CI Southoli
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. ,..31-t
Fee $ /O °.c.‘
DATE S P'% 4 Sh,
APPLICANT NAME: .1-"ii
APPLICANT ADDRESS: oX `,45.3
SEPTIC CESSPOOL V
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
g_
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 4.Li rJ
OWNER MAILING ADDRESS: '1( 1-1A-Acki-c-s k- 1�+,
OWNER PROPERTY ADDRESS: Cox HI RtXk_
TELEPHONE NUMBER OF CONTACT PERSON: 2,_Ct
TAX MAP NO. : Section J 15 Block 01 Lot /9
CROSS STREET: c3au ✓� �� oA.-.i>
BUILDING PERMIT NUMBER CROSS REFERENCE:
s/1,1-77,dr-A//
ignature of Applicant
RECEIVED BY: Cc cta- C,K
Town CI k's Of ce
DATE: 3 , ,yyr / �4'
•
BERGEN��Op
-
N
413.00 770- 41��E `�j
now or formerly m \
cich Jr. 8►Cotherine Simicich _ _
X58.03'
John Simi 9,25'45:E N
� 5 W o
'� �77o ,�— o i-o
c� • 559.38 'NovWay 40663 4p 41 W - '
'? 25p.pp� ljrn.c°014'31"E 5545��W
4.6301413.1:1:_--------
r"
.63 f - C7 1 -
0
a.
RightI
c 50' 505.27 erly r " X
form Hilliker ``
\ • C... 0 i Christine _ �
0�
CP 9I �,
S.63?'14 31 W•
o Hilliker 8► n o Z
LIA
•
•
Thom Z o t o R1 a
?,� 1.o. CO 1 co CP CD
N �o ;.
4r ANO-
3. o �" •
•
now or formerly
tD
�' °o- James D. Norris Estot e p
? 681 Cfm
1o
14.56
`�a59c���E 2210
• . \
�- -.
1 '
N
S."6 v' %."0 '
•
•
—� °- COUNTY DEPARTN /.74.111 SERVICES SURVEY FOR
0
O.
Cyt' I • IrrtloN FRANKLIN G. BOECKMAN a ARLENE P. BOECKMAN
LA ti; FOR APPROVE OF Y
R Sin- . Famiiy I ` Unl •
_ AT MATTITUCK
°O- 1� .►� % � -ul
o
/r"--.1
TOWN OF DATE JAN.28,1986
o ATE $ SOUTHOLD SCALE
O. .
SUFFOLK COUNTY, NEW YORK No I loo f
s` s , APPROVED +
86 -56
M UNAUTMOIIIZED ALTER/41'10N OR ADDITION TO THIS
GUARANTEED TO:
3 ^-" 1 SURVEY M A VIOLATION Of SECTION 7209 OF THE 1
rT N ` `i NEW YORK STATE EDUCATION LAW NATIONAL ATTORNEYS' TITLE INSURANCE I
CI �- r J EXPIRES TYYO YEARS FR OF APPROVAL «COPIES OP THIS SuRvEY NOTSEARING THE LAND CO.(NO.12-14709F-S)
n O • =p '� SURV(rOR'S INKED SEAL OR EMBOSSED SEAL SMALL
Z NOT Q CONSIDERED TO RE A VALID TRUE COPY
..•-•;,,,,,
�1 �� So �� NGUARANTE[f INDICATED HEREON (MALI RUN ONLY TO P NF
:G SS t E D 1`
Qi HEALTH DEPARTMENT-OATH FO �1d41 TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY !f PREPARED
AND ON INS !/HALF TO THE TITLE COMPANY,GOVERN- p,RD iv. �Q
MM V1 Fl c) . Lp d) « N[ARESTRATER MAIN All • Mid MAZER PRIVATE PUBLIC— MENTAL AGENCY ANO LENDING INSTITUTION LISTED '7
X �. t0, N-^ « NEA CO. TAX MAP DIST 1000 S[CTI SLACK 4L LOT ,G M[R[ON,AND TO THE ASSIGNEES OF THE LENDING r0 ` BOG
O t )
*THERE ARE NO DWELLINGS WITHI ET OF THIS PROPERTY INSTITUTION. GUARANTEES ARE NOT TRANSFERABLEAI
' �',- , r OTHER THAN THOS[ SHOWN N[R[0 • TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT 2
Oi 's P N THE WATER SUPPLY AND S[MMK 011 MEN FOR THIS RESIDENCE
OWNERS
i
tt i WILL CONFORM TO THE STANDARDS 0 MIA COUNTY DEPARTMEMT *DISTANCES SHOWN HEREON FROM PROPERTY UNES 7�`��
OF CP
HEALTH SERVICE!. TO[KISTING STRUCTUR[f ARE FOR A lPECt/IC � %
w APPLICANT.
V. \ PURPOSE ANO ARE NOT TO BE USED TO ESTABLISH
PROPERTY LINES OR FOR THE ERECTION OF FENCES
N \ ADDRESS !� • .J O' 4589
�. \ G 14ND SVENL�*
�20. YOUNG YOUNG R400ERHEAD, NEW YORK /
? „ 222' ,i NOTE: AREA= 2.329 ACRO ICE. II'MONUMENT
(550 24 5t w' c< Soho hers i RE LOT N0.4 MINOR SUBIJOf :PAhlEO�FOR ALOEN W.YOUNG,PROFESSIONAL ENGINEER
` S. .r10` tvg\5 JOHN ,IMICICH JR_ 9 CAT! MCICiC AND LAND SURVEYOR N.YS.LICENSE N0.12645
d�
e
t «THE LOCATION HOWARD
---------
ARC
F , OF wEiLhl►Y,IIptK SPOOL$S�P)SHowN Nps W YOUNG, LAND SURVEYOR
• ARE FROM FIELD OBSERMETIONE AWED P OTHER; N.Y.S.LICENSE N0.43893
•
• ,
t
1