HomeMy WebLinkAboutHagerman, Ellen SIFFO(��
‘,0%
' Town Hall, 53095 Main Road
ELIZABETH A. NEVILLE y.
%.y
TOWN CLERKS 1 P.O. Box 1179
N Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS . Fax (516) 765-1823
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER 4511 %� Telephone (516) 765-1800
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. 2213 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : RICHARD HIVE/CHARLES HAGERMAN
Address 1 : 21 SEACLIFF LANE
City St Zip MILLER PLACE NY 11764
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 #R10-99-0216
Name Of Owner HAGERMAN, ELLEN
Mailing Address 1 6 SERGENT COURT
City St Zip ST JAMES NY 11780
Property Address 1 465 HALL'S CREEK DRIVE
City St Zip MATTITUCK NY 11952
Tax Map No. section 116.00 block 7 lot 3.002
Cross Street NEW SUFFOLK AVENUE
Building Permit Number Cross Reference:
Issue Date: 12/28/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
a„ • ,,,,....___ aa, � 3
o�oS�FFoc,,eo
•
ELIZABETH A.NEVILLE tt= Gy Town Hall, 53095 Main Road
TOWN CLERK o - P.O. Box 1179
t ti Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax(516) 765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER = �fo #011.O� �� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER ' ,
_", ',II
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED : December 16, 1999
Transmitted herewith is a copy of application No. 2301 for a Cesspool/
Septic Tank Construction Permit submitted by:
Charles Hagerman
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 recommendations:
APPROVE ✓
DISAPPROVE
Comments:
ignatu
�a + \ \' 9
Dated
v.
' OFFICE OF THE TOWN CLERK •,,"COU[K,,,�
TOWN OF SOUTHOLD O. o'
Application No. c� /
4 ....
ELIZABETH A.NEVILLE,TOWN CLERK
PO.BOX 1179 _ L. Construction
SOUTHOLD,NEW YORK 11971 ;,t 0 Alteration
Telephone Ook �iri • $10.00 -Residential //
(516) 765-1801 � -asl �,, , $25.00 -Non-Residential
-- iiii0/0�
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCT ION or ALTERAT ION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE /Z//7//f 9
APPLICANT NAME: 4_11 Aiv, IUIe / C6z /-/4Gau
APPLICANT ADDRESS: al Se,4 /,r--F Li
f1,-1('e,-ci'lAc_,e MY- /1 76 y •
SEPTIC CESSPOOL IC
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
New pc,-
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATIO
OWNER OF PROPERTY: �.L4-rcc..e5 /, ciu#( ) E
OWNER MAILING ADDRESS: c Q 3
OWNER PROPERTY ADDRESS: t., .�ezG,e,vr (-_-4=s "IGS w
.1A.v..Q-A. IMO /
TELEPHONE NUMBER OF CONTACT PERSON: ' ,tL 1-1C-c 33i-77i/9
TAX MAP NO. : Section I I L Block c) 7 Lot Flo S
CROSS STREET: Teves So cLIL
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature o Applicant
RECEIVED BY: rye /1--e-c---(A- Z______
Town Clerk's Office
DATE: / _// (o/97
. , s ' IL Ng
1 REO EIV & Young, Land Surveyors. a
TEST HOLE
:UrFoFFOL C(�j Ostrander Avenue, Riverhead, New York 11901 rg 1.'
�""�: S NO. 1 516-727-2303
, "I I�i (/FF o.o I9 OCT I S Q I0� 2 Alden w. Young P.B.. 8 L.S. (1908-1994)
Dltlt J co .$. OC� LOAM NEkLTNR'110E Howard W.pYoung, Viand Survey {4.0Thomas C. Wo1 ert, Pro essional En ineer
al
d k, OFFICE WADI WArR MGM John Schnurr, Land Surveyor .1
401111g HEALTH
SANG ,
0
DEPARTMENT CERTIFICATION ,,§
punting ' ace 10. 0 $ g
- ,� o TEST 'iiOLE NO. 1 ON LOT 35 • �' � ,
pure N i AS PER FILED MAP K,, Y HAR1�IIBN"jOPMAL'f'�ARV1t''8S
0 W \� h i
W
�iR�» ,�!lMALOV MRA' -
iiii
/ ON ► a % . i", (DwellingWiS:44. 0\-,
Litth P31' DA S ' 7 ��iN� n S� ! ;.���_f. . . X1_.__:
to ► ' Public Water)
/ ^ ^vii ~ 'Si1, T4 APP — ... �e . I
Wf i
k �� / \ t', r �/ iA • I VOR /1 1 OP_s� - s
/ V
! _I
3;;1.19' ,C YaARS P*OM DATE OF APPROVAL
/� LI
• /PROPpSEo \ '/ � •�/j• �►'�1 �d... IEE=2.0: v
' V 4 /
• /� t*t LonsommilwarrommormwarmirmAgromor.0 in
8
_o i‘h$ --I_ ;:.
/ � ► "y �/R �;'i i i. Lot 30 j� 0 • WE HEREBY CERTIFY TO CHARLin in ,ES R. HAGERMAN 8c o
4,7 ,k.....
2`� �.q, i�.,o i ' • i ' i ELLEN M. HADERMAN THAT THIS SURVEY WAS PREPARED k-
�4¢ (,��/ / w c` �po��,� t �'
',5� '� p IN ACCORDANCE WITH THE CODE OF PRACTICE FOR LAND SURVEYS ��
/ �/ • / Qom,• �/ // �/ i r� i N ADOPTED BY THE NEW YORK STATE ASSOCIATION OF
SA , tr i l _ \ p
a , ! PROFESSIONAL LAND SURVEYORS. Lp►N0� ig ,
/ C) O 130.5 ; -
h. ; �''� ,'�� o 'ate H N
�• , ,qp s ,'� �'� \ �\ o 0 3 L 1 ' �'� ‘.1.SCyti�'�1.�
A -J o ' qty `7'' 8-� \ i 3 Z _ Q / U � s '4 a
/ g / ,
/ V 4,`r 4q� P �/ I \ 41 e ,tAiiiIP 33 ac.):,
/ ��\S / i •W, •; I }xd•, 10.6 xl
\\ -+F a 3 W 1--niaunaaa-we kr -�=
xi
/, N7O� i \ t i i /%� JOHN SCHNURR, N.Y.S. L.S. N0. 49517 § e. ..
, 4 04" r; ' , i i /� Jo / HOWARD W. YOUNG, N.Y.S. L.S. N0. 45893 495. /
Lot 30 i ,'(43• 137 0 , t.
7:11
'� Lot 29 ; — —.31- _ ,r �� EL=2.Oj / `�� Uj SURVEY FOR —'/ Y
. N87�7 50"yy x �.3 iGi
. LOT LINE PER FILEDAMAP ' u.s 227.55' CHARLES R. HAGERMAN & ELLEN M. HAGERMAN
' Q P/0 LOT 30 HARBOR VIEW AT MATTITUCK � •
PROPERTY LINE AS PER Lot 29At Mattituck, Town of Southold 6,1!
SURVEY BY ALBERT W. TAY (Dwelling With Public Water) igt }`
AND LOT LINE MODIFICATION MAP Suffolk County, New York o
BY RUZENSKI ASSOCIATES, NOTE
A DATED MARCH County Tax MOP District 1 COC Section 116 Block 07 Eot P/0 3p
2, 1999 $
AREA = 51,033 SQ. FT. gas :;
• SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF BUILDING PERMIT SURVEY o
SUFFOLK COUNTY ON AUG. 21, 1937 AS MAP NO. 8377 y
• VERTICAL DATUM = N.G.V. DATUM (M.S.L. 1929) a:b .
• ELEVATIONS SHOWN HEREON ARE REFERENCED TO N.G.V.D. MAP PREPARED AUG. 31, 1999 glg
p
(MSL 1929) I j€
• PROPERTY LOCATED IN FIRM ZONE AE (BASE ELEVATION 8), AS SCALE 1" = 50' 'O'�
SHOWN ON THE FLOOD INSURANCE RATE MAPhi
, MAP NO. JOB NO. 99-0576 1 OF 1 XIA
CD - MONUMENT SET • - MONUMENT FOUND A — STAKE SET A- STAKE FOUND 36103C0482G, PANEL NO. 0482-G, LAST DATED MAY 4, 1998. DWG , ,
. NO. 990576 JUNI
t
t
.. , . .
......
. , .
1
i