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HomeMy WebLinkAboutChardonay Woods Associates (2) s\tf OL/01 # yam : JUDITH T. TERRY : Town Hall, 53095 Main Road TOWN CLERK C T P.O. Box 1 179 REGISTRAR OF VITAL STATISTICS W .,, Southold, New York 11971 MARRIAGE OFFICER �Q O�' ��, Fax (516) 765-1823 �'�1 ill �, •�� Fax (516) 765-1801 -'` i/''��',' OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1109 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : PETER DENICOLA Address 1 : P. O. BOX 841 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. SCHD REF. #R10-94-0024 Name Of Owner CHARDONNAY WOODS ASSN. Mailing Address 1 P. O. BOX 841 City St Zip SOUTHOLD NY 11971 Property Address 1 290 BURGUNDY COURT City St Zip SOUTHOLD NY 11971 Tax Map No. section 51 .00 block 3 lot 3.016 Cross Street CHABLIS PATH Building Permit Number Cross Reference: Issue Date: 4/04/94 Judith T. Terry Southold Town Clerk LIMN SFAI y y /a! JUDITH T. TERRY �, • .....c. It Hall, 53095 Main Road TOWN CLERK t ca T : P.O. Box 1179 � VS W � Southold, New York 11971 REGISTRAR OF VITAL STATISTICS = y0 �. Fax (516) 765-1823 MARRIAGE OFFICER '_.,`„ ��� ••' A Telephone (516) 765-1801 RECORDS MANAGEMENT OFFICER . 1 4j ,' FREEDOM OF INFORMATION OFFICER � ii//i'� f, OFFICE OF THE TOWN CL ' Kdib /, TOWN OF SOUTHOLD , .1,,, ,t,.,, . Air TO: Southold Town Building Department .�/ \- / ' •c, FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: March 29, 1994 Transmitted herewith is a copy of application No. 1146 for a Cesspool/ Septic Tank Construction Permit submitted by: Peter DeNicola . 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 DISAPPROVE /0 _9)-..-00 2— Comments: Si G� RECEIVED .7-', . sL-%.; MAR 3 1 1994 Signature Town Clerk Southold /37"7 " Dated r . v 1111 OFFICE OF THE TOWN CLERK ,,,, Town of Southold ••''"CAV OLkee- Application No. // Judith T. Te,ry, Town Clerk ;• , Gy Town Hall, 53095 Main Road ;� Construction• `�— • P: O. Box 1179 Southold, New York 11971 �� Alteration Telephone VA, $4.1, $10.00 - Residential (516) 765-1801 '_Ol I , �' $25.00 -Non-Residential _,_ ,f,' TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICAT ION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ (Mita DATE 2 Wi ( ((/ APPLICANT NAME: `fele 1(.( AJ C©Let APPLICANT ADDRESS: 9 P.�• v©� g� I Se u,-(tots /\l, L r // 7 / SEPTIC t7 CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION (\lees bt4J c t b&5 LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: Ckli /t_bONv.el WO t) Gcss. OWNER MAILING ADDRESS: 7lO, 601C �� l OWNER PROPERTY ADDRESS: II -: Lc-11d 1 I TELEPHONE NUMBER OF CONTACT PERSON: 737 - L(Y33 TAX MAP NO. : Section ©nOer-9 Block ,D3090 Lot CZ',O1 6 CROSS STREET: m/3/; BUILDING PERMIT NUMBER CROSS REFERENCE: 961L-- Signature of Applicant RECEIVED BY: C r tow/-1 Clerk's Office DATE: 3/ r'' . 11111r , SURVEY NO.:89- m/o Chardonnay Woods ! Sou Filed September 28,1989 os Map No.8: • 4 • ZONED A-BO RESIDENCE ... ar„„......*....„-atte........... 1 / AREA OF PLOT 4C,%002 s"f. PROP. 1st FLOOR -oro s.f. -PROP. and FLOOR Yoor) s.f. PROP. BASEMENT i�°,p s.f. PROP. GARAGE ,in0 s.r- ASSUMED DATUM. • There are no surface waters within 300 LOT/S feet or this plot. AREA = 40,000 30..or 0.9/8 ARCES Unauthorized alteration or addition to a survey map bearing a Prufess.:; • ° Z Surveyor's Seal is a v;olahon of Section 7209.Sub-Section 2,of the New y,;. r N. �9 37' 00" E. 228.73' o ''' 11 • Education Law. c )� v °'�•Jx, VFW~�• ff ear/6 ',.'r� Gua,anteeso,ce,hhcaho "'drooledosign,lythat rn Y l- L.n°is° *. PLEASE NO-ft. .':�' accordance with the existing"Code f P f / Land ro Y adopt,/ "New York State Association f Professional C d 5 Said" Minimum distance tJe1Wc'a?(1 Well Cn uti�y ce certifications shall run only to m p n theY prepared / `4.j behalf,fo rhe tit/e come V g t l g y d l d 9 t t and ¢a pool is to be 150 feet. �'�w hereon and the assignee fth l g G h t, V;vat i + E; not transferable to additional hmrtons or subsequent O•�� * ' �_ • to bee valid Yue Yma rmArked with nn"ORII,I', t` - "'L; 3., V4," Copies{i the"ORIGINAL f this curve p no / r•t7A pg, 1 — � the Land Surveyor's''RED INKED"seal or"EMBOSSED"seal shall not he t.uri,. L O s,p4 _ °iiia. Pfl*�ac t{(L};i ,`1 CIi JI j L.4Ca'w C a C`• �• • � UO VI y 11 ',/ 1 1'.., 4JJ : . O Cy �--so to SACK Lar ,e 1 "0 , ft i. • e i �O e O t /( A [_ ' � t "• m O 4 • C S. /9° 37' 00" W. 308.07' f,6. 3' COUNTY TAX MAP No. 1000 - 05L i 00- 03.00- 000,6 x J LOT 1B)CfRTIfIED TOS aigii N (L 0 T/7) "417 I10�� Su �� -1 ` SURVEY OF LAND Al, fr NAME SUFFOLK COUNTY DEPT. OF•HEALTH SERVICES NORTH SOUTHOLI.FOR APPROVAL OF CONSTRUCTION ONLY ¢b;�,i ADDRESS TOWN OF e;:,�A. CITY DATE: M.S. REF. NO.: i/% ---- PHONE v i e(ApPROVED: SOUTHOL D g Tho water s pply and sewage disposal systems for SUFFOLK COUNTY CHABLIS PATH this reside c• will conform to the standards and • rfr r4 ''�4 spec!f icat1 ns of the Suffolk County Department of /hereby terrify that this map was roads Edward A. Bullock, Jr BY' `r.'1.3' Q from en actual survey completed by roe on T� f/�J. Health Sery ems. JF. 07 o-9a Protesstona/Land;:carve yor,&Er y t : r DRAWN. , �� �) r• "7'y- I➢Milo,AwtUe ._Z` Fro. yd C-i 1..it0•I.. +. Parr Jsr#tsson Stalk," SCALL• 1 .. applicant's signature . N.YS.P.L.S.No.49214 NY 1/7'6 ^ ---- NYS.PE.PE.No.63675 516.47.1-131 FllE NO.: NASSAU SUFFOLK BLULPOIN rlrl(. ^ �iu�-�•' 0 P