HomeMy WebLinkAboutMartz /� ,��OSUFFOL"
ELIZABETH A.NEVILLE �� O4 Town Hall, 53095 Main Road
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TOWN CLERK o P.O. Box 1179
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REGISTRAR OF VITAL STATISTICS i Southold, New York 11971
MARRIAGE OFFICER ` �? �� �, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER %/4a .iii 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. 3071 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : THEODORE C. MARTZ, JR
Address 1: 145 RYERSON AVENUE
City St Zip MANORVILLE NY 11949
Descripton of Proposed construction or Alteration
SANITARY SYSTEM FOR ONE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-03-0048
Name Of Owner MARTZ JR, THEODORE C
Mailing Address 1 145 RYERSON AVENUE
City St Zip MANORVILLE NY 11949
Property Address 1 970 JACKSON'S LANDING
City St Zip MATTITUCK NY 11952
Tax Map No. section 113.00 block 6 lot 2.000
Cross Street MILL ROAD
Building Permit Number Cross Reference:
Issue Date: 9/08/03 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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I�o'OFFOUr;
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ELIZABETH A.NEVILLE i/0 4 Town Hall,53095 Main Road
TOWN CLERK % o - % P.O. Box 1179
% y Z Southold,New York 11971
REGISTRAR OF VITAL STATISTICS 1
MARRIAGE OFFICER
`� ►� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER
...
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Telephone (631) 765-1800
FREEDOM OF IN TION-ON�'r`l �����s" southoldtown.northfork.net
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t ',;\ Jud,_ 2 \ 240 OFFICE OF OWN OFI OUTHOLDWN LERK
TO: BuildingDepartment
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: July 21, 2003
Transmitted herewith is a copy of application No. 3200 for a Cesspool/Septic Tank Construction
Permit submitted by:
Theodore J. Martz, Jr
,
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
Comments: �6 - - /
7.„4...4,4
Signature
o7/ 3 03 j
Dated 1
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OFFICE OF THE TOWN CLERK ,�' �l nu
TOWN OF SOUTHOLD ,%,I�% +1 CQGy Application No. 32.
FT.T7ABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 ; .G Construction ✓✓✓
SOUTHOLD,NEW YORK 11971 Alteration
Telephone O,y $10.00 -Residential
(631) 765-1800 -=��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 July 17, 2003
APPLICANT NAME: _'Theodore C. Martz Jr.
APPLICANT ADDRESS: 145 Ryerson Avenue
Manorville, NY 11949 •
SEPTIC CESSPOOL X
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
NIb
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: •
. OWNER OF PROPERTY: Theodore C. Martz Jr.
OWNER MAILING ADDRESS: 145 Ryerson avenue
Manorville, NY 11949
OWNER PROPERTY ADDRESS: 970 JaCKson's Landing
Mattituck, NY 11952
TELEPHONE NUMBER OF CONTACT PERSON: (631)-878-8443
TAX MAP NO. : Section 113 Block 06 Lot 02
CROSS STREET: Mill Road
BUILDING PERMIT NUMBER CROSS REFERENCE: I i
4010/ 011,
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Signature o Ap•Iicant
RECEIVED BY: •
Town Clerk's Office
DATE:
1 PS.C.T.M. NO. DISTRICT: 1000 SECTION: 113 BLOCK: 6 LOT(S):2 ELEV. 27.01 ELEV 5.0±
REC LVED TOP SOIL
SUFFOLK COUNTY 0.5'
—
HEALTH SERVICES LOAM SAND
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2'
ZOO) MAR 10 A 11: 5 5
1 .•,. -.)L ,,:.‘,0u-75. :,.;i'A- .4,1< i 4.11;.kidiris'
COARSE
GROUND
; SAND WATERt� rz= ; t :, ? ; ` �, ;.. �r GRAVEL x` ', ` n = i ti} ;
:p 5-7-1&01,.--3 Sir -. 2`.,'C';._S (3I 0 -U3— 8' _ . .
( APPROVED__ -____14......n.,—,r.
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14'
mar T /1 4�f�� TEST HOLE TEST HOLE 12
EXPIRES T T E �B iy AS SHOWN ON rum YAP AS SHOWN ON FILED MAP
4 a�•+���: :�n�il FROM DAT" "yi�„��,�a�F.��"�^J'f 1.5�
LAND N/F OF COUNTY OF SUFFOLK
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S 01'25'20" E \ 180.00'
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\ RECHARGE
16.o' \ AND PARK
PROP. AREA
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0.(12.0) DECK 0.11.5) \
ss.o' \ VACANT
100'
w n GARAGE PROPOSED c fio.o �_
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IN 01'25'20" W 180.00'
JAC SON'S (50') LANDING
ASP T PAVEMENT — TOWN MAINTAINED
WATER MNN
MILL ROAD
DWELLINGS
f— W/PUBLIC WATER
100'
THE WATER SUPPLY, WELLS AND CESSPOOL
LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS
• AND OR DATA OBTAINED FROM OTHERS.
AREA: 25;600 S.F. OR 0.59 ACRES ELEVATION DATUM: ASSUMED
UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY
MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED-AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION
LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE.
THE OFFSETS OR DIMENSIONS-SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS
AND/OR SUBSURFACE STRUC-TURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
SURVEY OF: LOT 9 CERTIFIED TO: THEODORE C. MARTZ JR.; .
MAP OF: JACKSON'S LANDING
FILED: MARCH 28, 1969 No.5280 ,
SITUATED AT: MATTITUCK
TOWN OF: SOUTHOLD KENNETH M. WOYCHUK L.S.
SUFFOLK COUNTY, NEW YORK Surveying .and Design
• 164,44('
�' P.O. Box 3, Mattituck, New York, 11952
PHONE (831) 298-1588 FAX (831) 298-1588
FILE # 22-209 SCALE: 7 "=30' DATE: FEB. 22, 2003 N. Y. S. LIC NO. 50227 - maintaining the records of Robert J. Hennessy