HomeMy WebLinkAboutFredenberg ,I�,�®�®511FF0`4►co;
ELIZABETH A.NEVILLE ���o� 4 : Town Hall, 53095 Main Road
TOWN CLERK ;
Southold vo - P.O. Box 1179
REGISTRAR OF VITAL STATISTICS
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New York 11971
MARRIAGE OFFICER ?i �1 Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER '/Q �ao 0i� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER �� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER,DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3044 R Residential x Non-Residential
Fee $ 10.00 Septic x Cesspool
PERMIT ISSUED TO:
Name : KURT FREDENBERG
Address 1: 51020 MAIN ROAD
City St Zip SOUTHOLD NY 11971
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 #R10-01-0143
Name of Owner FREDENBERG, KURT
Mailing Address 1 4 CORINE COURT
City St Zip LONG VALLEY NJ 7853
Property Address 1 165 LESTERS RAOD
City St Zip MATTITUCK NY 11952
Tax Map No. section 114.00 block 7 lot 2.001
Cross Street WESTPAHLIA ROAD
Building Permit Number Cross Reference:
Issue Date: 6/11/03 Elizabeth A. Neville
Southold Town clerk
. (TOWN SEAL)
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ELIZABETI$.''A.NEVILLE ����� 1St Town Hall, 53095 Main Road
TOWN CLERK o - P.O. Box 1179
REGISTRAR.OF VITAL STATISTICS Southold,New York 11971
` �� Fax(631) 765-6145
MARRIAGE OFFICER • ,L
RECORDS MANAGEMENT OFFICER y/Ql �®���°, Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ,�� southoldtown.northfork.net
-,,
OFFICE OF THE TOWN CLERK r� F 11 ,V7
TOWN OF SOUTHOLD ,r ; - - • _
MAY 19 2003
TO: Southold Town Building Department I
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED:
Transmitted herewith is a copy of application No. 3168 for a Cesspool/Septic Tank Construction
Permit submitted by:
Kurt Freudenberg
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.
Linda J. cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE /J
Comments: •G•.�.//4� rr,�•�
Signature
'91, .3
Dated
, * ,,,,,,,--..„..... fs lo -c90
ELIZAABETH A.NEVILLE
t ,o4 ey�, ; Town Hall, 53095 Main Road
DOWN CLERK
t % P.O. Box 1179
ti Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ��
MARRIAGE OFFICER •
O .� �� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER *fO ac s' Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER =_'� � ,��� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$10 or Non-Residential @ $25 Application No. 3/6 S
Permit No.
Applicant Name Lisc IC,t
Applicant MailingAddress Din (- 0/9-74-e-
670
e Gra
O� 74-e_
y70Zb /71 // 0c
3 cio / I 1W 779 7/
Septic Tank or Cesspool lc
Brief Description of Proposed Construction or Alteration
52 ny k -e . e.� -�
Location of Proposed Construction/ Iteration:
Owner of Property: Yi O r- . -h-ec%
- Owner MailingAddress: C�rue & . ZO 11 Vali r5 S''
Lf � � � 7� -�
Owner Property Address: --=-7—1 '_--__- "7''"47�`� -
I CO s - tat ivicei±
-
Name and phone number of contact person
Tax Map No: Section //%' Block 7 Lot
Cross Street ble4A--r .si."". .
NOTE: LOCATION MAP MUST BE SUBMIT _ I WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HE• H I EPARTMENT APPROVAL
/ s/9 0 5
a ature of Applicant Date
._Received by: _ (ib,a46,—___,
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4'.3 " ` '0037 PROPOSED WATER SER�(ICE
how ~�• c%66/,z.`J') °F EASEMENT ACROSS RIGHT,OF WA
9) 0 ,'I.�J 0 1ss'
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i O� NOTE
k /' . (.( .
p / / i/../y C / REPUTED
EPUTED LOCATION OF WELLS
O A
o / p 'Q , ' AND CESSPOOLS AS INDICATED
BY MR. DANA FOX
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/A/ .1‘,5:0. 43�� /may /o C.j
STAY --
,40'
4� /�'�`' PROPOSED WELL PROPOSED
HOUS
'q�� tis °° / & WATER SERVICE'9 ¢S3,' EASEMENTJo ITT-WO
FlEST24000R
xi/, ii,
<()1//, r FINISHED GRADE
1' MN
2' MAX
/' 110=20 50 I •I"DIA PVC
'1.t(O / I I PIPE 0 200% IIE=20301
.
NOTE
AREA = 22,875 SQ. FT.
• VERTICAL DATUM = N G V DATUM (M S.L 1929)
• ZONING USE DISTRICT = R-40 1
• THE FIRM ZONE BOUNDARY SHOWN HEREON AS CONCIDENT
WITH THE 11 CONTOUR.
• REFER TO FLOOD INSURANCE RATE MAP PANEL NUMBER
36103C0481G LAST DATED MAY 4. 1998.
• 03
= NUMBERED LATH SET p
0=MONUMENT SET • =MONUMENT FOUND A-STAKE SET A-STAKE FOUND 0-PK SET 0=RERAN SET
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HEALTH SERVICES
2002 OCTA A Young & Young, Land Surveyors
400 Ostrander Avenue, Riverhead, New York 11901
N 631-727-2303
' Alden W. Young, P.E & L.S. (1908-1994)
Howard W. Young, Land Surveyor
I Thomas C. Wolpert, Professional Engineer
Robert C. Test, Architect
W .i .. • E
HEALTH DEPARTMENT USE
,' SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
I s
PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
SINGLE FAMILY RESIDENCE ONLY
I / DATE 6/P/0 3 HS REF.NO.(PM-19i-0)/14z
I
WELL /�' S APPROVED,- .2-44.— -.....----
FOR MAXIMUM OF i BEDROOMS
.7.-- } EXPIRES THREE YEARS FROM DATE OF APPROVAL t
ct` e&`
Scr
- ENGINEER'S CERTIFICATION
for •NVE 111,SB•�'TR�4.N/ •
GE �� • I HEREBY CERTIFY THAT THE WATER SUPPLY AND SEWAGE
DISPOSAL SYSTEMS FOR THIS PROJECT WERE DESIGNED BY ME OR
UNDER MY DIRECTION
• Approved in accordance With 8 R vt w •
determination dated I &. O 3
�&Q' .s C wo °)
e'er * Z 1, ,iil
`o� TEST HOLE - '' �i+,�� w
DATE S .742
07/11/01 lifr " �-• 'z _ , ' lu
HOWARD W. YOUNG, N.Y.S. L.S. NO. 45893 • �(2;, 61483 S.,:-
EL
�
EL=18 9 0 0' THOMAS C. WOLPERT, N Y.S P E NO. 61483 OF ��C.:-
,
, ESSLO
BROWN
LOAMY
SAND \
2° SURVEYOR'S CERTIFICATION
• WE HEREBY CERTIFY TO KURT FREUDENBERG,
APPROXIMATE JANET R. LATHAM & FIRST AMERICAN TITLE
WELLLLnoN of PALE INSURANCE COMPANY OF NEW YORK (TITLE
BROWN NO. 641 9013003 THAT THIS SURVEY WAS PREPARED IN
I FINE ACCORDANCE WITH THE CODE OF PRACTICE FOR L , YS
SAND ADOPTED BY THE NEW YORK STATE ASSOCIATI•
PROFESSIONAL LAND SURVEYORS. 4'. NEW).
GW EL=23 166'
r
OSS w Gy
WATER IN _ wit-R.'1. n'
PALE BROWNA4/72,4444....`. ! pl(�III
ONE SAND — / —=,� r''I1•
t7° HOWARD W YOUNG, NYS. L.S. NO 45893 (%� 4Sgg3 OI
4:0LAND SVS'
SURVEY FOR
KURT FREUDENBERG & JANET R. LATHAM
COR EL= 2 65 At Mattituck, Town of Southold
__ ==t. Suffolk County, New York
I El C 2'MAX El ,
LOW LINE I I
-1 4"BA PVC I County Tax Map District 1000 Section 114 block 7 Lot 2.1
67' J I IE=19 80 I PIPE*1 000 ,
L° TIE=1921
--_1BUILDING PERMIT SURVEY
_T- o
O
I
I — — 0 33' o
1 GENERAL AMENDMENTS OCT. 8, 2002
600' I GENERAL AMENDMENTS AUG 13, 2002
1 FEB. 6, 2002
GENERAL AMENDMENTS
SEPTIC TANK 800 I GENERAL AMENDMENTS NOV. 27, 2001
z GENERAL AMENDMENTS OCT 1, 2001
300 S.F.S.W.A. GROUND GENERAL AMENDMENTS JULY 24, 2001
LEACHING POOL WATER I GENERAL AMENDMENTS JUNE 7, 2001
MAP PREPARED MAY 25, 2001
SANITARY SYSTEM DETAIL
N.T.S SCALE 1' = 30' BP
JOB NO. 2001-0134
J` DWG. 2001_0134_bp