HomeMy WebLinkAboutGatz, Thomas '���O�OSUfFOL,tco •
ELIZABETH A. NEVILLE L.** Town Hall, 53095 Main Road
TOWN CLERK C - P.O. Box 1179
tyy,
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS G �� Fax (631) 765-6145
MARRIAGE OFFICER tel.
RECORDS MANAGEMENT OFFICER y_ l 1° Telephone Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER °���
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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. 2297 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : PFENNIG CONSTRUCTION CORP
Address 1 : PO BOX 244
City St Zip WADING RIVER NY 11792
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. REF #R10-99-0007
Name Of Owner GATZ, THOMAS
Mailing Address 1 119 STEPHEN DRIVE
City St Zip WADING RIVER NY 11792
Property Address 1 EAGLE NEST COURT
City St Zip MATTITUCK NY 11952
Tax Map No. section 127.00 block 9 lot 8.000
Cross Street WHITE EAGLE DRIVE
Building Permit Number Cross Reference:
Issue Date: 4/20/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
strFO�,� 97
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ELIZABETH A. NEVILLE t�� Town Hall, 53095 Main Road
TOWN CLERK c* P.O. Box 1179
; y t Southold, New York 11971
REGISTRAR OF VITAL STATISTICS 1
Fax(631) 765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER `= �1 ia�0',, Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICERgoo'��
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: April 17, 2000
Transmitted herewith is a copy of application No. 2386 for a Cesspool/
Septic Tank Construction Permit submitted by:
Pfenning Construction Corp. for Mr. and Mrs. Thomas Gatz
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 recgmmendations:
APPROVE
DISAPPROVE
Comments:
Signature
`611/"
Dated
.
OFFICE OF THE TOWN CLERK ', .' FFOL t
TOWN OF SOUTHOLD �'' Q�� !1i
QQG Application No 2
ELIZABETH A.NEVILLE,TOWN CLERK �r y� `
P.O.BOX1179 Construction !/
SOUTHOLD,NEW YORK 11971 ,1o .rn
to Alteration
Telephone O,jj�o �biri $10.00 - Residential
(5 6) 765-1801 -- 1
�� $25.00 - Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE 1-1-( % - c.
`
APPLICANT NAME:
?rEiN)i.A.Cfp Co01)�f42-vC-F1t� Pe.
APPLICANT ADDRESS: \7o BOY 41.NPat)(i J , l LJ� OLI . l 173'2--
SEPTIC l/ CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION Nev.) Co_le;i-,
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION :
OWNER OF PROPERTY: V V_ f, (A.1( s (1-({j ,4 ( 4 Tom__
OWNER MAILING ADDRESS: I ti ErerrtZti >f2Ave, we400n!G rim
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OWNER PROPERTY ADDRESS: ( ) Lor 4 €) & 'to /v iS r-(32vic r
IM.A r7-I rx.lc
TELEPHONE NUMBER OF CONTACT PERSON: G 9, I -ct29 - 31 s (P
TAX MAP NO. : Section / 7 Block Lot
CROSS STREET: re_ E✓iLc WIv
BUILDING PERMIT NUMBER CROSS REFERENCE:
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` • ature of A. . ant
RECEIVED BY: , A
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Town Clerk's Office
DATE: // / `7/ ��j
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��-�: I Co°o/J`o Young & Young, Land Surveyors
Voting \ r°QOio0. /' 400 Ostrander Avenue, Riverhead New York 11901
' # \ 'P��P 3 ,- 516-727-2303
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f�Q11ttJ �O = r�'O�O 1' / Alden M. Young,P.8 k L.S. (1908-1994)
\ e 5 A O/�. 9award of Young L¢nd SuryEngineer
p<� �\ 656 s o 6 7.15` '''o�,O Thomas C. Motpert,ProJeesion¢t meyorr
�eGr`oao 1 99s*)+ J / John Schnurr, LaM Surveyor
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f_ \ NOTES:
1. SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK ,,
1h 5�• O 'o S R COUNTY ON AUG.30, 1984 AS FILE NO.7770. `
O\ ^p a P(e 1 No,I \ 2. ELEVATIONS SHOWN HEREON ARE FROM ACTUAL SURVEY AND ARE I
\. �O REFERENCED TO N.G.V.D.(M.S.L 1929).
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3. ■-MONUMENT FOUND
N 4. A STAKE FOUND
m Ca+ S. A e STAKE SET
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O\ \ �� SURVEY FOR:
���^°°°�l �°J do 4 \GG STEWART RACHLIN & KAREN RACHLIN i
S \ r� ��G4. \ LOT NO. 8 "GOLDEN VIEW ESTATES t
\ apt° At: LAUREL Town of: SOt)THOLD
eat. w�QG�� \\ �J¢�a^`� Suffolk County, New York y
e
110111114
' ¢�y* II 1 y �0.w•• 4,01 ,'-,,619 .� s' Suff. Co. Tax Map: 1000 127 9 e r
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