HomeMy WebLinkAboutKidby, George (2) ELIZABETH A.NEVILLF, Town Hall, 53095 Main Road
TOWN CLERK o P.O. Box 1179
REGISTRAR OF VITAL STATISTICSSouthold,New York 11971
MARRIAGE OFFICER � ���, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER : Qljig �a0,�'ili0 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. 3182 R Residential x Non-Residential
Fee $ 10.00 Septic x Cesspool
PERMIT ISSUED TO:
Name : MANZI HOMES INC
Address 1: PO BOX 702
City St Zip ROCKY POINT NY 11778
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 #R10-03-0071
Name Of Owner KIDBY, GEORGE
Mailing Address 1 15 LAUREL ROAD
City St Zip RONKONKOMA NY 11779
Property Address 1 700 BOOTH ROAD
City St Zip GREENPORT NY 11944
Tax Map No. section 41.00 block 1 lot 20.001
Cross Street WILMARTH AVENUE
Building Permit Number Cross Reference:
Issue Date: 9/01/04 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
Adr.
313 2--
ELIZABETH A.NEVILLE _� Gy� Town Hall, 53095 Main Road
TOWN CLERK o - P.O. Box 1179
Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Al
MARRIAGE OFFICER ��� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER y�� a�,,•' Fax
(631) 765-1800
FREEDOM OF INFORMATION OFFICER ,�'� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department •' 262004
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 26, 2004
Transmitted herewith is a copy of application No. 3323 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
DISAPPROVE
C
Comments: .r• �•�° ILAN"
_iJ�Il�fl_ - -4- G 40.
21/4"."0-/Kg"
Signature
Dated
1111,
„,,,,,,,,,,,,,,
OFFICE OF THE TOWN CLERK �is° ' ULL�/a
• TOWN OF SOUTHOLD '� (�� �I`44%-% Application No.
ELIZABETH A.NEVILLE,TOWN CLERK �7 �/ /
P.O.BOX 1179 � Construction t✓
SOUTHOLD,NEW YORK 11971
4.1 Alteration
crs
Telephone "=Y0,f- Qr�i� • $10.00 - Residential
(516) 765-1801 �l *'.�'� $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 ..51.-3/1-
APPLICANT
! -APPLICANT NAME: • alC4/) .? / / /Y) ,5` I
APPLICANT ADDRESS:?-0 .c:!3_1( -70c
RAO ck p0i�rt • &Y r) P
SEPTIC ✓ CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
•
neL C°O-S-\ c ie
•
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: '7PQ(`C� Q �� 0+j
OWNER MAILING ADDRESS: L5 /...._c j kreA (LOC
ON/ 11 ))
OWNER PROPERTY ADDRESS: 10O c -k Plc&c
C`zvee &Dy I 1 9
TELEPHONE NUMBER OF CONTACT PERSON: 6 31,- L{ 4- 1 03�.
TAX MAP NO. : Section L Block /. ',j, Lot° Q0,, 0
CROSS STREET: _A__ *) \ y`'-NIX rA'r- ` 7
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of pplicant
- f \ L—
RECEIVED -
BYj 1 a
• • 'own Clerk's Office
DATE: 5 )c C .
S.C.Y.M". NO. - DISTRICT: 1000 SECTION:41 BLOCK: 1 LOT(S):79&20
I
WELL IN HOUSE WELL IN HOUSE
DWELL.
PUBLIC WATER
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IMP a
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34.70 WILMARTH (50•) AV UE EL 30.85
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E::PiRE. THRIi`.v «,(; c-,:'2:4 DA.ic.OF APPROVAL
THE WATER SUPPLY, WELLS AND CESSPOOL
LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS
AND OR DATA OBTAINED FROM OTHERS.
AREA: 18.000 S.F. OR 0.41 ACRES ELEVATION DATUM: __MINED-
UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A KOLATION 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, GOV+E'RNMENTAL 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 FENCE.%ADDITIONAL STRUCTURES.OR AND.OTHER IMPROVEMENTS. EASEMENTS
AND/OR SUBSURFACE STRUCfURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EWD£NT`ONTNE``PREMISES AT 174E TIME OF SURVEY
SURVEY OF: LOTS 11, 12, & 13 "."*" THEODORE C. MARTZ JR.
CERTIFIED T0:
MAP OF: WASHINGTON HEIGHTflgw N31VM31SyM
.131..4.40
FILED: DECEMBER 29, 1927 S 1DI!�,"1. N11 v?I, I• : 114
SITUATED AT: GREENPORT 30:0111V 6Z ddV COOZ
TOWN OF:SOUTHOLD �t1Nfl0� )1101411S
SUFFOLK
L.S.
SUFFOLK COUNTY, NEW YORK 03A0 38 /w% f� Land` Surveying and Design
� i k/ A P.O. Box 3, MatUtuck, New York, 11952
FILE # 23-12 SCALE:1 =30' DATE: APRIL 21, 2003 PHONE (CO 296-1568 FAX (691) 298-1588
N. Y. S. UC NO.502.^7 maintaining the records of Robert I. Hennessy
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Map of Lots 11, 12,and 13
"Map of Washington Heights"
Situated at Greenport
Town of Southold,Suffolk County,New York
District 1000 Section 41 Block 1 Lots 19 and 20
ANTHONY ABRUZZO R.L.S.
REGISTERED LAND SURVEYOR
.--•- 1500 Hortons Lane
Y .4e` %:- Southold,New York 11971
, i. (631)209-0676
ANY ALTERATION OR ADDITION TO THIS MAP ISA VIOLATION OF SECTION 7209 ,A , ' , MAP PREPARED:May 24,2004
OF THE NEW YORK STATE EDUCATION LAW COPIES OF THIS MAP NOT t�';W.W'
BEARING THE LAND SURVEYOR'S ORIGINAL SIGNATURE AND INKED OR EMBOSSED W
SEAL SHALL NOT BE CONSIDERED A VALID TRUE COPY. 7
THIS PARCEL IS SUBJECT TO ANY EASEMENTS OR RESTRICTIONS OF RECORD.
ELEVATIONS REFER TO AN ASSUMED DATUM. LAND S
WELL LOCATIONS BY OWNERS. Scale: 1"=30'