HomeMy WebLinkAboutChardonay Woods Associates .64
o yJ►
JUDITH T. TERRY : Town Hall, 53095 Main Road
TOWN CLERK
C:2
rZ� P.O. Box 1179
REGISTRAR OF VITAL STATISTICS 1 Southold, New York 11971
MARRIAGE OFFICER N- $ Fax (516) 765-1823
-,��
��� Fax
(516) 765-1801
jig
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 902 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : CHARDONAY WOODS ASSOCIATES
Address 1 : 901 NESCONSET HIGHWAY
City St Zip NESCONSET NY 11767
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH SANITARY SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 8/7/92.
Name Of Owner CHARDONAY WOODS ASSOCIATES
Mailing Address 1 901 NESCONSET HIGHWAY
City St Zip NESCONSET NY 11767
Property Address 1 CHABLIS PATH
(CHARDONAY WOODS LOT 3)
City St Zip SOUTHOLD NY 11971
Tax Map No. section 51 .00 block 3 lot 3.003
Cross Street SOUND VIEW AVENUE
Building Permit Number Cross Reference:
Issue Date: 8/25/92 • Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
OOOOOO
1', OLKe�
,czGym
JUDITH T. TERRY : . ; Town Hall, 53095 Main Road
TOWN CLERK : r-ri P.O. Box 1179
REGISTRAR OF VITAL STATISTICS LI") Southold, New York 11971
MARRIAGE OFFICER y° Fax (516) 765-1823
�4� `kV o�� Telephone (516) 765-1801
OFFICE OF THE TOWN CLERK AUG T
TOWN OF SOUTHOLD
01992
A.
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: AUGUST 19, 1992
Transmitted herewith is a copy of application No. 926 for a Cesspool/
Septic Tank Construction Permit submitted by:
CHARDONAY WOODS 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.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE D(
DISAPPROVE
Comments: c .. tc�, S. s Q \ $,l 1 Z—
\C:cffr).A. C.4 COlL
Signature
\ fa%
Dated
k
tvviii
01-FICE OF THE TOWN CLERK c..\\V :.--
(-NN '
Town of Southold
. -,.,,4,,,:,, 41'N, . _;-.11z1 Applic.ation No.
Judith T. Terry, Town Clerk - I .t ' ..: tri, :--: t::
Town Hall, 53095 Main Road -_,---; •-v•,t'=e.. ',..0-3-4,:r; or r;t r t I r:t ion _ -i___
P. O. Box 1179
%.(.1•,:j.% ‘I-1, -31.10; -"Z'k. Alteration
Southold, New Yor k 11971
Telephone
-)•=s-----;777/././If
(516) 765-1801 flon Reidential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DIST!),IC !
APPLICA I ION
. , _.....
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE ati.41LA.s4- 1 "3 i 1()91_
APPLICANT NAME: e
APPLICANT ADDRESS: CA qi oksc.4Kcse-t- t-iiit-q,00.1.4_ _
vestoiAse+ „AI, itI6-7 1
i ...,/
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
Sk a,yv A Ao 5 czct S (9-C c.dcC-f 0 Ll( Cr4(1
i'l eL L-1-1,, )-ePck(ci- ri-l-e int -_—
____
LOCATION MAP: Must be attached hereto before permit may he issued.
LOCATION OF PROPOSED CONSTRUCTION OR AL I-ERAT ION :
OWNER OF PROPERTY : C LaRbov‘ al woo ) ._ acIpc 'ick-t-e,
OWNER MAILING ADDRESS: :01 Ap. s_c 0 r“)..e-4- I4 1 cACtiat
___________ R___ e_p r•_$p+ .4,_PL 9. 11 . & --7
OWNER PROPERTY ADDRESS: '%oLvv\e cA. , a_6 (90e,
---
- ---- -
TELEPHONE NUMBER OF CONTACT PERSON : 0-- 0 r7 0
TAX MAP NO. : SectionPS1.00 Mock L9'300 lot 0 03 0 0 3
CROSS STREET : SOt&r uh .e(.4.9 aur ,
BUILDING PERMIT NUMBER CROSS REFERENCE :
Fer? C 44121)0)N61 a., f)0 ASale
_ .
Signature
Of APplii.ant
RECEIVED BY : , C._-• _ ________ _
Town Clerk's Office
DATE: cl---- • Z------ ------
.
• •
VA Ac. SUPVEY NO. -059
•
V aGo,,T m/o Choidonnoy Woods S Sou/ho/d
K. Fl/ed Sep/ember 28, 1989 os Mop No.98:
89 8822
Ir
•
PARCEL ZDNED 'A-86 RESIDENCE
•
�o CHABLIS \PA
THPROP.AREA °1 ttLFT44000 OOR 'S5o/- S.F.
•
• �s,s (50' WOE1 .__,),,;. -P'
PROP, ad FLOOR 2000 S.F.
o .+,d PROP. BASEMENT z550 S.F.
PROP, GARAGE "za0 S.F.
N. /9P 3t 00" E. /30.80 (1:21,
n ASSUMED DATUM,
(LOT 4) \ LOT 3) pT ?) 378.58' R=20.00' O THERE ARE NO SURFACE WATERS
L =3/.42' A !WITHIN 300 FEET OF THIS PARCEL.
Sia THERE ARE NO WELLS WITHIN 100
,,,, 3• t O FEET OF THIS PARCEL.
4 ,..69 •
As
\y\
rrill
PROP 1-lo.,5E AREA = 40,000 S.F. or 0.9/8 ARCES
p L,ceT,oa p
ap Unauthorized alteration or addition to a survey mbearing a Professional Land
36U�' F 38.5 "- 53' AGA,*.)T Surveyor's Seel is a violation o!Sectian 7209,Sub-Section 2,of the New York State
(7, •It_ 3G5
Education Law.
GZ Guarantees or certifications indicated hereon sign,!ythat this surveywaspreparedin '
q ,� accordance with the existing"Code of Practice"for Land Surveys adopted by the
�}'' , a•O "New York State Association of Professional Land Surveyors".Said guarantees or
certifications she//run only to the person for whom the surveys Prepared,andon his _
15—C) �'vL,1'1. behalf,to the title company,governmental agency,and/ending institution listed
v hereon and the assignees of the lending institution.Guarantees or certifications are
C3....4 O not transferable to additional institutions or subsequent owners.
p • Copies from the'ORIGINAL"of this survey mei not marked with an'ORIGINAL'of
VA�/" ^` the Land Surveyor's"RED INKED"seal or-FM BOSSED'seal shall not be considered
`+V •r W.
`V to be s ve/id true cap y.
Orci
• '$ I PRbP
NAME -P r)�IVi co4R PLEASE NOTE
ADDRESS 9m/ ft/t�CD N SF1`' iv .
SUFFOLK APP/RO APNTY PROVAL CONSTRUCTIEPT, OF H SERVICES Minimum distance between well
CITY Ii/�3'cO.vS'El` �/t . O t�utio
DArE,AUG 07 19 x ,s. REF. ^R50�?7 L and cesspool is to be 150 feet.
PHONE <S7A 366 0/2b 0 •
-A APPROVED' iv '
THE MATER SUPPLY AND SEWAGE DISPOSALT/4 pb 7 j.DOS ICIP "Roe" Afuresa E.I.O. 7 ys.9t
SYSTEMS FOR THIS RESIDENCE MILL CONFORM COUNTY TAX MAP NO.: /000- 05/.00- 0.100- 00. 003
TO THE F FSaTANDARDS AND SPECIFICATIovs or CERTIFIED TO:
Sr JUUFFLK COUNTY DEPARTMENT OF HEALTH SINGLE FAMILY DWELLING ONLY
tK 5� �"lEXPIRES 3 vims., .Roy+. TiE.OFAPP,ROYA�. EXCAVATION INSPECTION ROMEO
LICAN 'S SIGNATURE
•
36 D SURVEY OF LAND AT o
��., IFT8 „ E. NORTH TOWNSOUTHOLD
a �u :T 112.97 , 56OF
JUL 24 1992 "' 23.24' .
o►° �e SOUTHOLD
f SUFFOLK COUNTY NEW YORK
S /9• 7�• OO•• /� I hereby certify that this map was made Edward A. Bullock Jr. BY. E.A.B.�J V from an actual survey completed by me on - ---
S.C. DEPT. OF s-ry-ap Professions/Land Surveyor 9 Engineer DRAWN: ,LP.S. 02/07/89
HEALTH SERVICES ed._12.,d.. ni_Aetn,6,.A, p War en
Port Miaow o Oen SCALE: 1"— 40'
•/V C p l C A,. .T T OM....V.A. •1*.11