HomeMy WebLinkAboutManzi Homes ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hail, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.nort hfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO:
FROM:
Southold Town Building Department
Linda J. Cooper, Southold Town Clerk's Office
DATED: January 12, 2005
Transmitted herexvith is a copy of application No. 3422 for a Cesspool/Septic Tank Construction
Permit submitted by:
Manzi Homes~ Inc.
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
Comments:
DISAPPROVE
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MA_~AGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southold~own.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
OPERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential ~ $10 ,v/or Non-Residential ~ $25 __
Application No.
Permit No.
Owner Mailing Address P. 0. I~lt~x
Owner Property Address
Owner Telephone No. t~0 I--/q-q -
TaxMapNo: Section I'2--8.00 Block I Lot 9,°00
Please check each that applies: New Construction V/
Alteration to Existing System
Residential 'V~ Non-Residential
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. (Locate
building and system; give north arrow and approximate distance in feet from system to building
and closest road. New construction may submit copy of survey with SCHD approval.)
Signature ofAp~ ' /, ~Dad/O 3"
Received by: ~
~,JFFOLK GOUNTY DEPARTMENT OF H~IU.TH ~RVICE8
APPROVAL OF CONSTRUCTED WORKS FOR A SINGLE FAMILY R£81DI~NCE '
~at~-C ~32004 ..s. ae~..o. ~/~-~3.011.C
be ~a~t~:~, FO~.MA~MU~ BEDROOMS.
alter d. Hiller, p.E.,~ei~
Office of Wasteweter Management
Map of Descrlbed Property
Situated at Laurel
Town of Southold, Suffolk Counv], New York
District 1000 Section 128 Block I Lot 9
Area-- 18,525 Square F~t.
ANTHONY ABRUZZO R.L.S.
REGISTERED LAND SURVEYOR
1500 Hortons Lane
Southold, New York 11971
o~'~'~. ~ (631) 209-0676
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~..,~. ~ v~¥ED: L~v 3,.2oo~
/~'/~'~'.'~,~' "~.~,FOUNDATION LOCATION: _MMnv 13 2