HomeMy WebLinkAboutManzi Homes Inc (12) OFFICFti9F THETOWN ��c��FFU(,r`pG' Application No.y.,73
TOWN OF � �'►� - Residential
�'i�
ELIZABETH A.NEVILLE,TOWN CLERK ,C $10.00 Residents
P.O.BOX 1179 cn PR; $25.00 - Non-Residential
SOUTHOLD,NEW YORK 11971 *.$.
Telephone :0
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
• for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 2.305 R
Fee $ 10. 00
DATE `'; —/4-°
OWNER NAME: MCU Zl i4omeS
OWNER MAILING ADDRESS: P.O . Box --rDZ J 12. NI onroC, STreeT"
OWNER PROPERTY ADDRESS. OCKy Point
OWNER TELEPHONE NUMBER: (P3I — '7 Li- 103 1
TAX MAP NO. : Section 128.,00 Block 3 „_.Lot 12 . 00 4
CROSS STREET: �eJmar Dave.
TYPE OF SYSTEM: Septic Tank \Z New " Existing
Cesspool New Existing
Residential ✓ Non-Residential
LOCATION MAP: Must be attached hereto before permit may be issued.
(Locate building and system; give north arrow and feet
of distance, approximately, to building and closest road.)
Signature of Applicant'
RECEIVED BY: ' ✓�/�`�-�
gwn Clerk's Office
DATE: >
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__ _ ' Ii'r'FC.1l. COUNTY Ii`i'AR"i'Nf.1;Ja'","U?HEALTH I SERVICES
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OFFSETS TO FOUNDATION.
AREA: 21,540 S.F. = 0.484 AC.
CLEARING LIMITS: 6,902 S.F. = 32%
CERTIFIED TO: SURVEY OF
VERCONICA E. MATOVCIK DESCRIBED PROPERTY
GERARD M. MATOVC/K
ABN AMRO MORTGAGE INC.
ALLSTATE ABSTRACT CORP. SITUATE AT
EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED LAUREL
ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT TOWN OF SOUTHOLD
THE TIME OF THE SURVEY.
GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON(S) FOR SUFFOLK COUNTY, NEW YORK
WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COM-
PANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTIONS LISTED HEREON,
AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. GUARANTEES ARE SCALE.' 1 "=50' DATE: JANUARY 18, 2000
NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS.
THE OFFSETS (OR DIMENSIONS) SHOWN HEREON FROM THE STRUCTURES TO
THE PROPERTY LINES ARE FOR A SPECIFIC PURPOSE AND USE AND THERE-
FORE ARE NOT INTENDED TO GUIDE THE ERECTION OF FENCES, RETAINING S.C.T.M. DIST. 1000 SEC. 128 BLK.03 LOT 12.004
WALLS, POOLS, PATIOS, PLANTING AREAS, ADDITIONS TO BUILDINGS AND
ANY OTHER CONSTRUCTION.
JOB N0. F2595 Ukt1 G� T o
REVISIONS: • , tnv:-, O !� .#::::;::.::. . ::<:�� T A
.{ :......
NEW TEST HOLE 03/15/2000 :;;::>;�,••:;•: ..-::.:.......
REV, PROP, HSE 06/06/2000 S ,t , k},�: 132 ..,:::::::::::''O.:4:::;:....1.1::: ......
c;>;t`'0,: 4
.' •. :•::: hway
ADD REAR SETBACK 6/21/2000 I --4` .r1 Haj On Ba N.Y di.,46
STAKE FOUNDATION 9/23/2000 ., :1'I'FINAL 03/02/2001 1 ', (631) ''8-5330
ADD CERTS 03/08/2001 -”ro �7:7:',%f
f Marc E. Charest, L S
.`,440
,': Successors to
, ' Paul T. Canalizo, L.S. Robert A. Kart, L.S.
license no050149 Good Ground Surveyors, P.C.