HomeMy WebLinkAboutManzi Homes Inc (5) ' FFOL,.•
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.ELIZABETH A. NEVILLE �� y21 1:4 Town Hall, 53095 Main Road
TOWN CLERK t e� Z P.O. Box 1179
rft ,
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER Oyib �0Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �l 0�
* *0.0 Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ''v ,os" 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. 3278 R Residential x Non-Residential
-ee $ 100.00 Septic x Cesspool
PERMIT ISSUED TO:
Name : MANZI HOMES INC.
Address 1: P 0 BOX 702
City St Zip ROCKY POINT NY 11778
Descripton of Proposed Construction or Alteration
EW CONSTRUCTION
FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT
Name of Owner MANZI HOMES INC.
Mailing Address 1 P 0 BOX 702
city St Zip ROCKY POINT NY 11778
:property Address 1 425 BIRCH LANE
City St Zip LAUREL NY 11948
Tax Map No. section 128.00 block 1 lot 9
Cross Street PECONIC BAY BLVD
building Permit Number Cross Reference:
:Issue Date: 2/01/06 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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'ELIZABETH A. NEVILLE � a y� Town Hall, 53095 Main Road
TOWN CLERK % y Z ; P.O. Box 1179
R O �,
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER %Wel #0.01 Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER .�,,,�••' southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
JAN 9 r TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: January 12, 2005
Transmitted herewith 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
DISAPPROVE
Comments:
/ 4Signature
e2/A/06—
Dated
/ to dbDated
,I�,oS11FF0��-co
' ELIZABETH A.NEVILLE �`1` Dy Town Hall,53095 Main Road
,.• TOWN CLERK % p P.O. Box 1179
ae
REGISTRAR OF VITAL STATISTICS c/4j, Southold, New York 11971
Fax(631) 765-6145
MARRIAGE OFFICER
O •LC ��
RECORDS MANAGEMENT OFFICER =_ ' ,•l Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER O'' * #0'i, southoldtown.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 @$25 Application No. 3�
Permit No.
Owner Name M an-2- � 14 Omes rnC
Owner Mailing Address p. 0 . Box -70 a_
Roc.kj Pr in+, New York 11778
Owner Property Address 425 13,R c H- L R N E
Laurel , 1JYor1; I )91F-$
Owner Telephone No. (03 I -7414 - 10 39
Tax Map No: Section 12-R.0 0 Block Lot 9 OD D
Cross Street "Peca n i G Bay e I,,d. •
Please check each that applies: New Construction V
Alteration to Existing System
Residential 1/ 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.)
/i ' /oSignature of Applicant Da
Received by:
•
Pejz,,,y,- it 02. 9y ifo z- _ Goz ► i omes
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TEST HOLE
Ground Surface Elevation 30.0 ..
2.0 Brown Loam(OL) B//e.c/ / DA' ,V
17.0' 4.0 Pale Brown Fine to Medium Send(SP) v
A" SO' X330"GU /90.00
11.0 Pale Brown Fine Sand
0 ANY 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 ORIGINAL SIGNATURE AND INKED OR EMBOSSED
Pest Hole by McDonald Geoscience 8/01/03 5 SEAL SHALL NOT BE CONSIDERED A VALID TRUE COPY..
N The existence of right of ways,wetlands,and/or easements of record,if any,not shown are not guaranteed.
Elevations are in assumed datum.
Septic and well locations are by owners.
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WELL
1 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES 5 JP77C Map of Described Property
APPROVAL OF CONSTRUCTED WORKS FOR Situated at Laurel
A SINGLE FAMILY RESID CE Town of Southold,Suffolk County,New York
DatPEC 2 3 2004 H.S.Ref.No. t-/O -P3.0//S District 1000 Section 128 Block 1 Lot 9
The sewagedisposal and water supply fedliges at this location have been Area= 18,525 Square Feet
Inspected andlor certined by this Departm t or other agencies and found b ANTHONY ABRUZZO R.L.S.
be sah.tactory FOR A MAXii OF BEDROOMS.
REGISTERED LAND SURVEYOR
�r � ' 1500 Hortons Lane
Walter J.Hilbert,P.E., le Southold,New York 11971
Office of Wastewater Management 4,.•= r (631)209-0676
-�-. --� st'ti��. -t �y SURVEYED:July 31,2003
3 :;r r.�ro':E ArrI S a 1,r-7,;,,---------:.
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` ;FOUNDATION LOCATION:May 13,2004
`----11Q-14.------ 111± e_. PAGE �=�._
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e. , e_ FINAL SURVEY:October 29,2004
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Offsets and house measurements are to the foundation. Scale: 1"_