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Home My WebLink AboutHitzler 01 WFBLir JUDITH T.TERRY ; Town Hall, 53095 Main Road TOWN CLERK =, g P.O.Box 1179 REGISTRAR OF VITAL STATISTICS `` 0 Southold,New York 11971 MARRIAGE OFFICER �� •O� •� Fax(516)765-1823 RECORDS MANAGEMENT OFFICER ®l `D �°'o ,,�' 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. 1379 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : TORKELSEN BUILDERS, INC. Address 1 : P. O. BOX 1475 City St Zip SOUTHOLD NY 11971 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. #R10-94-0110. Name Of Owner HITZLER, RONALD AND ELIZABETH Mailing Address 1 344 EAST 87TH ST., APT. B City St Zip NEW YORK NY 10128 Property Address 1 INDIAN NECK LANE City St Zip PECONIC NY 11958 Tax Map No. section 86.00 block 4 lot 6.002 Cross Street LESLIE ROAD Building Permit Number Cross Reference: Issue Date: 9/06/95 Judith T. Terry Southold Town Clerk (TOWN SEAL) J ... //, 3 r7 JUDITH T.TERRY ® Town Hall,53095 Main Road %TOWN CLERK I ,gor< t P.O.Box 1179 REGISTRAR OF VITAL STATISTICS ��0 �o Southold,New York 11971 MARRIAGE OFFICER 082" 8 ®��1� Fax(516)765-1823 RECORDS MANAGEMENT OFFICER : ®df 4 Telephone(516)765-1800 FREEDOM OF INFORMATION OFFICER '''.toil OFFICE OF THE TOWN CLERK '' I''' - - -- -=--1 TOWN OF SOUTHOLD ALG 2 8 8995 TO: Southold Town Building Department ; E3LE G. Da?). FROM: Linda J. Cooper, Southold Town Clerk's Office ; _�_a�F. v P_ ev ,o j 3 °___ DATED: 8/28/95 Transmitted herewith is a copy of application No. 1431 for a Cesspool/ Septic Tank Construction Permit submitted by: Torkelsen Builders, Inc. for Ronald W. & Elizabeth A. Hitzler . 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: C .,-.4/,' J: moi' JC'/ 14 �6 ' �,� e 2 Signa tur Dat Ve? 9...."---- II i - OFFICE OF THE TOWN CLERK ,,,""""%. Town of Southold .11"COf ULA#4, Application No. /171‘..9/ •••• Judith T. Terry, Town Clerk „Q• l/y Town Hall, 53095 Main Road �� .:` ,;:•; `'= ✓' < Construction P. O. Box 1179 • _ __ 'C • v -` Y.` �4.• '7' • Alteration Southold, New York 11971 cn �/ Telephone _0,��0 � 0 �• $10.00 - Residential (516) 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 APPLICANT NAME: Or( Mg-LSO-Ai .80/1.bCrOZS i/i C APPLICANT ADDRESS: C41 fe L. dx,u ( / c p. 230Y /97S v9t ) by fr9�/ SEPTIC CESSPOOL x DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION 6796/9C. . L1pr/ e7 iiia / CG S'S/'OdG /o) .• egeis 7=12( Oc9it4 ✓a S ,G2 6EX C 0 04- ‘619 /714f/ 0'11 LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: ''� �171U�Lp.i/L, f ll'6 � Z LG'�- �? Et/Z17-15e7/i- A-- hi/ TZIG% - OWNER MAILING ADDRESS: 3YY 8-4s497 TitS ` 1P7 4 • to /,1cc. OWNER PROPERTY ADDRESS: /--. 6?-7-a-• f 11° 14//Lp ©i'T X T PLScoz,/Z F Jho (333) w,S (9 /4,19/ji. £ ,)-671 Zj TELEPHONE NUMBER OF CONTACT PERSON: 766-- 3/ 7Y TAX MAP NO. : Section 08342 Block V Lot 6%2, CROSS STREET: ilL/ fJ/F ��I� AGr�Lf �9 6P�/2 . v3 A/e LLS'St/G5 Gogo BUILDING PERMITS NUMBER CROSS REFERENCE: // Signature of Applicant RECEIVED BY: /Q ,' Town Clerk's Office DATE: �' � c- /75 - . -, • . : 3,WA SINGLE FAMILY DWELLNG ONLY , my,.CO HEALTH DEPT APPROVAL I S EXPIRES THREE YEARS FROM DATE OF APPROVAL H.S. NO. ,01-' '2 .,„1- t661 zia-,ea - . VACANT ,t,, ' '------ •4-9 i i irizTall b•4 ; r 7 .\/ STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL : SYSTEMS FOR THIS RESIDENCE WILL . .. . .Z5 I CONFORM TO THE STANDARDS OF,-THE _ _ , . • . .. ' ' . • I SUFFOLK CO. DEPT OF HEALTH SERVICES. I N.66.00.E. ' i -,COMMON 250.0 ' 62 5(!ez• ' . 2,••45 (Si m.....-......-.. " •'' .----0 FZIV EWAY / ..., , , . , , _ _ ___,....._ _._.. A ..._ SUFFOLK COUNTY.:3FNOLRY 0,7,77:7-...00„.Fi.,:;27."7:L;T,...:1;, - ; l• . 51 , ui CONSTRUCTIONSERVICES APPROVED . , ., , . . , ,_ . . , , _, -.-, .,_ _-., -,' - -: /1/.' ' . . ,. . ,.. .. DATE. c 1,-',--''' '--•,,,.:rvaeweLL-11-)-- / , - NO,,,... , . . 4-;•f--;',0_,,..,:,. -' ' -., •_ ! : ,.--, ..‘.1‘"•': , ,,- '.::•;:i:,sitt.: , , . / -- /111 °------- . ,.. ... , •„:':‘;',-,10 "i -- '- ,.••,' ---, -- . - 1 I i • SCALE-40%I" Ed I- / .;:'4:`,„2"..:,c_ .-.:.•-•"-•••z.T•1 --',- ,•••-\ ,..... /....______.fso. _I fra9p.Ho. .1 i . ".'141 ' SUFFOLK CO.TAX MAP DESIGNATION:___ i _;:' t...) AREA'40,000 FT. .','••-r.O.i?'',;;YA'_'",,:'•i.;''' ;',27.::;:y' , '-5. ''•_"'•;';-.. .• •, ' ±i, '-.:.4 1.13 / DIST SECT. BLOCK '' PCL. ' CD..PIPE - ;OM -. .086 2„ ,,; -,-...,-;;., ,; v•,:._-1--:.• --- --.' -- , - 4-, 1 ,-------________: 2DFern5 , .5„: 1-• , x. - ,,-,, - ',, ___,, , 1 > / OWNERS ADDRESS: , 2 i - i ....., •344 E.87114.STREET . 1 • . \ .., , , - I 1 I'.El -, ':•"'• : - .3 . ,ti-, La 7 AP \ il . . ...-' NEW YORK,N.Y.KNEE, , ,.. ,. I , . 45. -8 -`. 212-36g"7783 , • tct--' 2 NOTES c•! ...1 - DEED- L N/A . _P - , I.LOT NO'S.I-LEPER-TO MAP OF WILD -i ------.."\ ,... (fillSTAMP i.l. 1 .- " I ,...-- -Ca.9 4 9 OATS,FILED IN TF-IE•SUFF.CO.CLEIZIeS • TEST HOLE - J. .... *?-• ' 0 . — --. _ noothonzed:2 zi":.•ciz",-;:ton ,:.,,,, _ r-5.66 00 W. Z50.0 '4 2. OFFICE Pa MAP.NO.9331. . - cog=72CO cl tho NziwYcAt Si= ,.„..,.. _ '1 I .- • ,,.'',' . , „........„.--<- ., 0-±Ii. -• a 1-cl 1 _Z.ELEIATtONIS REFER TO MEAN- „ - .' - - • - - SEA LEVEL. - - . ..;••--,. coloA c:O.--,7,1.-rw.7 rm.?tic!es....erig - le lord mr.ovars ir.:toci zealot _,..,.- atcoro co coal oh.s.:rot too=orY..=1 ,-.- - _ :f- on 1"i ...,,,, ,' ".;. I(lj-'''''' ,_ , _ . x .rsr.'ms Intrd esa ;tal chm:run -..4,.. Ny VPAmCAeNmoT t, '• ?I . . . . ., . C% ...4--.,.1ci,r,c..-ao•r - • . ( ) --I . - h-vetnsri,thoot-h"'aacAcl:s:tio mwIPgOS ca,4 ,..---_ _. -......-?,..."...., O ' PiAP AMENDED-OCr...12,19g4 , LI eL.,,..-, c,.,.,.-tst,...: MAP OF P[2OPERTY. . . ..,, ', ... .- ' -:•,..r---;':-;.'SUFZVE_Y_ED ' -F012 • / . . . • Lu „rg....„ . •. r2.0NALDW. -' ' 0,- ELIZABETH PA: 03 I I ',1 ,:._=1/42AWEE2 ---R) 1 SEAL-..." - H ITZLE12. . FIDELLTY NATIONALTITLE iNSU . ,RANCECO I ANO St2IDGEHAMFTON NATIONAL NIC , • ',;•31 ;:a'i.'---:..'".....Z •;,„f,;.....;.l..a, , :i TAT' I AS SURVEYED SEPT.26-,1994- ' . .;.-';.--:,-7:.-'1 lit ;:-...., - .1 --.1-..."1,..) ! . • _ . RODERICK VAN TI. f_L,„,PC. is • - Peco-wic. ,z..,. V.---/--7--‹ I '...,..... .:_.,„..,,,...",„?, ,...„. ....,.....,,,,,,,/, . -TOWN OF SOUTHOLD , NI.Y. . LICENSED LAND SURVEYORS SF s GREENPORT NEW YORK k NO32, ',. ' . ,a1,, ....