HomeMy WebLinkAboutMangiamele 4,11 sufF04
•
ELIZABETH A.NEVILLE Town Hall, 53095 Main Road
TOWN CLERK o - P.O. Box 1179
cro,
ti Southold,New York 11971
REGISTRAR OF VITAL STATISTICS ,,1 Fax(631) 765-6145
MARRIAGE OFFICER ,y Telephone(631) 765-1800
L
RECORDS MANAGEMENT OFFICER "�Q� ',��,
.
FREEDOM OF INFORMATION OFFICER _ �il� 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. 3088 R Residential x Non-Residential
Fee $ 10.00 Septic X Ce spool
PERMIT ISSUED TO:
Name : THEODORE 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 #R10-01-0226
Name Of Owner MANGIAMELE, VINCENT •
Mailing Address 1 1 NICHOLAS COURT
City,St Zip BETHPAGE NY 11714
Property Address 1 1200 BRAY AVENUE
City St Zip LAUREL NY 11948
Tax Map No. section 126.00 block 7 lot 31.000
Cross Street 6TH STREET
Building Permit Number Cross Reference:
Issue Date: 10/20/03 Elizabeth A. Neville
SoutholdlTown Clerk
(TOWt SEAL)
• ®�®�oFFOLor 36os 00
�s
ELIZABETH A.NEVILLE to'lf Town Hall, 53095 Main Road
TOWN CLERK ® P.O. Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS v' °7
MARRIAGE OFFICER `�!,,, ���� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER "'/Qd iNg ��®,i� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ���� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
! SEP m 9 2.003 ~' TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: September 9, 2003
Transmitted herewith is a copy of application No. 3222 for a Cesspool/Septic Tank Construction Permit
submitted by:
Theodore Martz for Mangiamele
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: 4,0%-t.."1
1.°
L7//4..„479‘zr..
Signature
4219"
Dated
sti
-OFFICE OF THE TOWN CLERK
Town of Southold c0FOlp
Judith T. Terry, Town Clerk � t Application No _
Town Hall, 53095 Main Road c •
P. 0. Box 117 9 vs `�`` Construction 1/
Southold, New York 11971 • Alteration
Thone0.
P 1 Residential
ete
(516) 765-1801 - .
Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION RECEWE®
for SEP - y UO30
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL Southold Town Clerk
•
Permit No.
Fee .$
DATE Septet/ter 5, 2003
•
APPLICANT NAME: Theodore C. 1 riz Jr.
APPLICANT ADDRESS: 145 Ryerson Potanm
Manorville, New York 11949
SEPTIC CESSPOOL X
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
new 9CmS septic systen
•
LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Virit and Earxera Mangiarrele
OWNER MAILING ADDRESS: 1 Nic-alas Ccurt
Bei, New York 11714
•
OWNER PROPERTY ADDRESS: 1200 ElaY Avenue
Laurel, New York -
TELEPHONE NUMBER OF CONTACT PERSON: (631)-878-8443
TAX MAP NO. : Section 16 Block07
Lot 31
CROSS STREET: 6th St:
{: - BUILDING PERMIT NUMBER CROSS REFERENCE: 4110
40Pfz"-**-
Signature of •..plicantWI
RECEIVED BY:
Town Clerk's Office
DATE:
•
r
,.�� _
...s 1,.....• t
GUARANTEES INDICATED HERE ON SHALL RUN =-
ON4Y TO THE PERSON FOR IfHOM ME SURVEY
4 ' IS PREPARED, AND ON HIS BEHALF TO 7HE .
777LE COMPANY, GOVF.RNMENTAL AGENCY,
. LENDING INS717U770N, IF LISTED HEREON, AND -
TO 7HE ASSIGNEES OF THE LENDING INSTITUTION.
GUARANTEES ARE NOT TRANSFERABLE 70 EDGE OF PAVEMENT ALL SURROUNDING RESIDENCES
ADDITIONAL Mint/TIONS OR SUBSEQUENT OMERS r
sIkyrH (25' WIDE) STREET SERVED BY MUNICIPAL WATER
UNAUTHORIZED ALTERATION OR ADDITION 70 THIS UNLESS OTHERWISE SHOWN
SURVEY IS A VIOLATION OF SECTION 7209 OF N 69'13'10"E 150.00
THE NEW YORK STATE EDUCATION LAW
FUTURE 0
COPIES OF THIS SURVEY MAP NOT BEARING r
O IXP. POOL
THE LAND SURVEYORS EMBOSSED-SEAL SHALL ' 'I ( 'I i s? ; =;- --I TEST
NOT BE CONSIDERED 70 BE A VALID TRUE ' HOLE Ln
COPY. O /� N
Z o I I�-•I O
N �'(. {' ELEVATIONS TAKEN FROM EAST
FOR SCDHS USE ONLY Q �� t %
Li END TOPO MAPS AS FILED IN THE
rn r o
10SUFFOLK COUNTY DEPT. OF PUBLIC
o N moo P1 PI WORKS
La / moa I m
O t x v 40.0' ' 10.0' - -n
to z 0 to M
1 0°vz v g ��+
0
0
twi Q ii
TEST HOLE DONE BY z/ P m ~ v
> ac MCDONALD GEOSCIENCE o4' _X o 3.4'E n g m m m
w '1,, g 26 SEPT 01 iii (n N GI q o o POLE
01 zr o d ORIGINAL GRADE o 3 (71
Z m m ♦,I''-NYT#17
M O X o c�m oJ mtBROWN LOAMY SAND SM IZi
ooALC w tri Q 3' o PROPOSED W TER
Z m r 16.0 3_ _ SERVICE
Li. t�dlz Z a m OV I O GARAGE -ROPOSED DRNEWAY 0tat k. W oce X U. 24.0' 1 gd 0 Ed EL Q 3.4'E 40.0'w a 2 W PALE BROWN FINE TO PIPE FOUNDXwa m m ic1 MEDIUM SAND SP o0r Iv7 O 0 DI a o 0 0U Ll. w of a Fes- r o o9.
lY. .• CA _o a _" ww� z NYT y1s
• ti. w i� o , �•
a 0. h a 17' , 4/11 ■= ® OS 69'13'10"W 150.00' CM FOUND
CESSPOOL
LOT No. 45
SURVEYED: 20 SEPTEMBER 2001
SUSCALE 1'= 30'
LOTS 41,42,43,44VEY
- ., AREA = 30,000 S.F.
IN OR
SUBDIVISION MAP SECTION ONE .688 ACRES
PROP. OF GEORGE I. TUTHILL & OTHERS
FM# 861 SITUATE SURVEYED BY
DATE FILED Jan 15, 1929 LAUREL, TOWN OF SOUTHOLD STANLEY J. ISAKSEN, JR.
TM# 1000-126-7-31 SUFFOLK COUNTY, N.Y. P.O. BOX 294
NEW UFFOLK. N.Y. 11 '56
631- '34-5835 ti GUARANTEED TO: SURVEYED FOR: VINCENT MANGIAMELE
VINCENT MANGIAMELE
BARBARA MANGIAMELE BARBARA MANGIAMELE ' ' I,
ICENS' ► WAND ` -VEYOR
NYS Li.. No. 49, 3 01C1057