HomeMy WebLinkAboutGatz, Peter (2) ,0o��FFOIK�OGy
JUDITH T. TERRY %� ` Town Hall, 53095 MainRoad
TOWN CLERK _ P.O. Box 1179
REGISTRAR OF VITAL STATISTICS
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T i Southold, New York 11971
MARRIAGE OFFICER ���� Fax (516) 765-1823
%c Telephone (516) 765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 731 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : VINCENT R. BONTI, JR.
Address 1 : P. O. BOX 329
City St Zip MT. SINAI NY 11766
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 6/19/91 .
Name Of Owner GATZ, PETER
Mailing Address 1 P. O. BOX 45
City St Zip MATTITUCK NY 11952
Property Address 1 SOUNDVIEW AVENUE
City St Zip MATTITUCK NY 11952
Tax Map No. section 99.00 block 3 lot 4.018
Cross Street BAILEY ROAD
Building Permit Number Cross Reference:
Issue Date: 7/01/91 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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,;a ' z ., Town Hall, 53095 Main Road
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JUDITH T.TERRY TELEPHONE
TOWN CLERK (516)765-18017
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK _/ '
TOWN OF SOUTHOLD
To: Southold Town Code Enforcement Officer
From: Linda Cooper, Southold Town Clerk's Office
Dated: June 19, 1991
Transmitted herewith is a copy of application No. 749 for a Cesspool/
Septic Tank Construction Permit submitted by:
Vincent R. Bonti Jr. for Peter 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 recommendations:
APPROVE X
DISAPPROVE
Comments: cv, , . .a,o ,q J%/A.X. -
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Signature
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Dated
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OFFICE Or THE TOWN CLERKc,.vFFDL
Town of Southold * ,� BOG
Judith T. Terry, Town Clerk ',•� . T Application No.
Town Hall, 53095 Main Road o :. = ,.
"5 �'��� �r Construction v"
P. O. Box 1179r �(y
Southold, New York 11971 0.t `' Alteration
Telephone OJ r )\s Residential -
(516) 765-1801 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 ___.?
1
APPLICANT NAME: N sr-
APPLICANT ADDRESS: (i) S2—`)
k`c, jt —AL
SEPTIC 17-CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
C-47
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 3-F-M11. C -,
OWNER MAILING ADDRESS: p d gz.„.7s
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OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section / Block 3 Lot ' j 3'
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_ CROSS STREET: iS4-lc-1=`T <siA P .
BUILDING PERMIT NUMBER CROSS REFERENCE:.
/0A-0,6-A _
Signature of Applicant
RECEIVED BY: � _
own Clerks Office
DATE: �'/
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Re'P° JUN 10 1991
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S.C.DEPT.OF
HFAI TH SFRV!CF1
SURVEY FOR
PETER GATZ
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICE• LOT NO. 18," HONEYSUCKLE HILLS" JUN. 10 1991
AT MATTITUCK DATE APR. 18,1991
FOR APPROVAL OF CONSTRUCTION ONLT TOWN OF SOUTHOLD SCALE I"= 30'
1
c 1 --'3 :-..., 1.' SUFFOLK COUNTY, NEW YORK NO. 91-0268
DATEv 1 O REF.NO.
IUWUTHdllit0 ALTERATION OR ADDITION TO TWIT CERTIFIED TO+
NEW
SURVEY A VIOLATIONUCOF SECTION 7100 OF tNf PETER GATZ
I •Z`__ IT r /,i(_•' �,� MEW YORK STATE LOU vEY LA•B SUFFOLK AT IONAL BANK
if-PROVED II COPIES O THIS SUIIVEY NOT BEARING THE LAND
SURVEYOR'S INKED SEAL OR ENIOSSEO SEAL SHALL SE OF Mph,
1 -NOT OE CONSIOERfD TO IEA VALID TRUE COPY
.; -;',--0SPr0
THE PERSON FOR INDICATED01 WM INHOW THE SUINE ON SLRun PRENONLY TO W. .40 ''r ..
HEALTH DEPARTMENT-DATA FOR APPROML'TO CONSTRUCT AND a HIS BEHALF TO THE TITLE COMPANY,GOVERN- 0� G
_ MENTAL AGENCY AND LENDING INSTITUTION LISTED I r `
I CO.MEATIEST NAM DIST
L I.• C TION f OF WATER.MIME_-.11 6
I SIP CTAI NAF OMi 1000 Sft TION_Ea-.BLOCK�T_LOTg.IR HEREON,AND TO THE ASSIGNEES OF THE LENDING
p
ITMER ARE ND DWELLING WITHIN 100 FEET OF TINS PROPERTY INSTITUTION.GUARANTEES ARE NOT TRANSFERABLE Et �
. OTHER THAN THOSE SHOWN HEREON. TO ADDITIONAL INSTITUTIONS OR SUSW
SEENT {(-�^, -
S serumTHE WATER SUPPLY AID SEWDISPOSAL SYSTEM FOR THIS RRIDENCE OWNERS \��YY /
*DISTANCES SHOWN HEREON FROM PROPERTY LINES
MILL CONFORM TO THE STANGRROS OF THE SUFFOLK COUNTY DEPART TO EXISTING STRUCTURES ARE FOR A SPECIFIC
OF HEALTH SERVICES. PURPOSE AND ARE NOT TO N USED TO ESTASLI/H !! '
APPLICANT. L V= 1/, le PRO INES ON FOR THE ERECTION OF FENCES ��ffe E(o�
ADDRESS (�- -
(A USV
I C, . 44,, 'till
'OP.,- eeff V,y. 11777 TEL. G- _. " - YOUNG a YOUNG RHES AT ONNEW YORK
• NOTE: o:STAKE II=MONUMENT ALDEN W.YOUNG,PROFESSIONAL ENGINEER
OFSUBDIVISIONSU MAP FILED IN THE OFFICE OF THE CLERK AND LAND SURVEYOR N.Y.S.UCENSE NO.12845
OF SUFFOLK COUNTY ON OCT.16,1981 AS ALE NO. 7019.
HOWARD W.YOUNG, LAND SURVEYOR
ITN LOCATRI O WELL(W I,SEPTIC TANNINS CLIS OOLS(C/I NDWN WARMM N.Y.S.LICENSE NO.45893
AN PROW VELA OUERUNTIOMI MOOR DATA OITMNEO FROM OTHERS
SNANOIS A NC
SONS I . A T