HomeMy WebLinkAboutChardonnay Associates (3) ,r
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JUDITH T. TERRY :,, • .G Town Hall, 53095 Main Road
TOWN CLERK : o rZ : P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS = VO �� Fax (516) 765-1823
MARRIAGE OFFICER '' O � Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER _7(/ + �l
FREEDOM OF INFORMATION OFFICER
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1143 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : PETER DENICOLA
Address 1 : 1695 CHABLIS PATH
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR NEW SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES.
Name Of Owner CHARDONNAY ASSOCIATES
Mailing Address 1 P. O. BOX 841
City St Zip SOUTHOLD NY 11971
Property Address 1 BURGANDY COURT
City St Zip SOUTHOLD NY 11971
Tax Map No. section 51 .00 block 3 lot 3.014
Cross Street CHABLIS PATH
Building Permit Number Cross Reference:
Issue Date: 6/06/94 Judith T. Terry
Southold Town Clerk
____ (TOWN SEAL)
. ,,,,,,,,,,.,, /
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JUDITH T. TERRY , •..... 1 .G ; Town Hall, 53095 Main Road
TOWN CLERK : p rZ : P.O. Box 1179
Vs w $ Southold, New York 11971
REGISTRAR OF VITAL STATISTICS = �Yv •�� Fax (516) 765-1823
MARRIAGE OFFICER '_''`^ i b ," Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER _'�/,� r'
FREEDOM OF INFORMATION OFFICER =",o.r,4r, hill
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 26, 1994
Transmitted herewith is a copy of application No. 1184 for a Cesspool/
Septic Tank Construction Permit submitted by:
Peter DeNicola for Chardonnay Associates .
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.
Thank you.
Ill! lil liE
MAY 2 7
1994
4crz.ccu'' I
Linda J. Cooper TOWN osf DEPT.
p osour_21.
* * * * * * * * * * * *
I, have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE �/
DISAPPROVE -
� I
Comments:
��i ,� ��
- Vt1 7}(-1-"17 /v 6 / G `�j
JUN 3 1994 Signature Or
Iowa heck
6/7 951'
Dated
1.
OFFICE OF THE TOWN CLERK
%C FULK _ 4/j
Town of Southold `G
,�,. � AW-‘ 4 ' Application No. It 7
Judith T. Terry, Town Clerk •
Town Hail, 53095 Main Road Construction
P. O. Box 1179 v� +� , . .$ Alteration
Southold, New York 11971 �. 0�' ,
_�! * *0-.'.' Residential L.-----
Telephone ,
(516) 765-1801
Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
• SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE c/2-C(41(4
APPLICANT NAME: ?deo._ '"(4'CaCC;
APPLICANT ADDRESS: IGgc (Lc 13L + S ?cciii,
So u.4-4,t) L k
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTR CTION OR ALTERATION:
OWNER OF PROPERTY: r it.,4,boot.ik.1 6"06.x1--t4S
OWNER MAILING ADDRESS: ?JO , Nose. ZS l 1
OWNER PROPERTY ADDRESS: S _,,t4,,
TELEPHONE NUMBER OF CONTACT PERSON: ‘.."-Kys ^ bY
TAX MAP NO. : Section CC 1'Ca Block C3,O d Lot 4.9(9Sleigif
CROSS STREET: `54t -
BUILDING PERMIT NUMBER CROSS REFERENCE:
_0(gt
Signature of Applicant
RECEIVED BY: $ /
Town Clerk's`Office
• DATE: '5/4._ ea%: jC
SURVEY NO-:89-070
5a O m/o Chardonnay Woods til Southold
Filed September 28, 1989 as Map No. 8822
\
(LOT N� \ N. 69'46'29" E
/A 4 7'
c�\ PARCEL ZONED RESIDENCE
���� "J�CI`e�� LOT PROP,AREA O1stLFLOOR OT ~ 35('�/- S,F.
c_� ,O`-',%.3 27' PROP, end FLOOR inoo S,F,
<.E' �-<�; `•L S c' 44- • � PROP. BASEMENT ,,f,,50 S,F,
_k N
`��6,:',\g` OPEN E• \�0• PROP, GARAGE • d��, S.F.
� r, 3°t, ASSUMED DATUM,
50� THERE ARE NO SURFACE WATERS
N•
00 •�• WITHIN 300 FEET OF THIS PARCEL,
.O
ah0 THERE ARE NO WELLS WI THIN 100
c FEET OF THIS PARCEL,
43
wEa-
ic
Sa' /a w C7• AREA o 40,00/S.F. or 0.918 ARCES
7p Unauthorized alteration or addition to a survey map bearing a Professional Land
e 4�� {gyp p� Surveyor's Seal is a violation of Section 7209.Sub-Section 2,of the New York State
,-------
‘,I 7-" o Tbzo °' d 19 f217 • 551.0 - Education Law.
.r 401 i Q
Guarantees or certifications indicated hereon signify that this survey was prepared in
S • 504. 4AV V f accordance with the existing"Code of Practice"for Land Surveys adopted by the
"New York State Association of Professional Land Surveyors".Said guarantees or-
- ` 30 certifications shell run only to the person for whom thesurveyis prepared,and on his
\ �al:,-.,-I behalf,to the title company,governmental agency,and lending institution listed
.5` \ hereon and the assignees of the/ending institution.Guarantees or certifications are
FgeO \ •�4• � not transferable to additional institutions or subsequent owners.
o O }
LOT is) �4.o.,
\ k lP b� Copies from the"ORIGINAL"of this survey map not marked with an"ORIGINAL"of
�n1 \ .'k 31 S� (\Q a the Land Surveyor's"RED INKED"seal or"EMBOSSED"seal shall not be considered
g?—go \t:::... 83 5 R. 50.00' A.1,g • 5 5�e�;away are to be a valid true copy.
-z S- 23 DDD �tia y gC d
629. �'2 p;ped v0d
V'
, "Cr( ,
.• (\..-lc, I
Igl414%
0 wsec .6,,C. E..6 o0/r4/q�
to�� /01; COUNTY TAX MAP NO.: /000- 05100- 0S00- 0030/4
\01S A t CERTIFIED TO:
O�Q v�C rY�� ; �S�i1'1S' ;' t
INOUIRED
��P� .
SUFFOLK COUNTY DEPT. OF HEALTH SERVICES
NAME FORR�APPROVAL OF CONSTRUCTION ONLY SURVEY OF LAND AT 0
ADDRESS CITY o N DATE1 AY o 3 Y. H.S. REF ••/,'RN- /yy• NORTH SOUTHOLD
PHONE ( } APPROVE. / �i _ a
N..•
TOWN OF s
SOUTHOLD 1
THE WATER SUPPLY AND SEWAGE DISPOSAL' C' ••Baan• SUFFOLK COUNTY NEW YORK
SYSTEMS FOR THIS RESIDENCE WILL CONFORM
TO THE STANDARDS AND SPECIFICArims Cr BY'E.A.B.
S „C7 O Ihereby certify that this map was made
OF K COUNTY DEPARTMENT OF HEALTH Edward A. Bullock, Jr.
hom an actual survey completed by me on Professional Land Surveyor&Engineer 4 CHABLIS PATH .07-Jai, r) Aewie 9 DRAWN: J,P.S. 02//4/89 #
2It gAl L c�weu.rQ �S.9 Lo.L. Art*Nam Stat,6n SCALE: 1"— 40'
APPLICANT'S SIGNATURE V N.Y.S.P.L.S.No. 49214 MY '1776
7 N.Y.S.P.E.No. 63675 516-473-55J2 FILE NO.: 1000- 5/- 3- 3.14