HomeMy WebLinkAboutManzi Homes Inc (24) ��oil,OFFOL4'
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ELIZABETH A.NEVILLE �= 4Town Hall, 53095 Main Road
TOWN CLERK o P.O. Box 1179
t y Z Southold, New York 11971
REGISTRAR,OF VITAL STATISTICS ,��
MARRIAGE OFFICER ,L Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER `may_lf 1 �aO�i��, Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ���� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 4177-R Residential x Non-Residential
Fee $ 10.00 New X Existing
Name Of Owner MANZI HOMES INC.
Mailing Address 1 P 0 BOX 702
Mailing Address 2
City St Zip ROCKY POINT NY 11778-0000
Property Address 1 165 SOUTH STREET
Property Address 2
City St Zip SOUTHOLD NY 11971-0000
Owner Telephone No. 631-744-1039
Tax Map No. section 70.00 block 10 lot 6.000
Cross Street OAKLAWN AVENUE
Issue Date: 12/23/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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OFFICE OF THE TOWN CLERK �S�FFO(e`;' /'I-77
TOWNOFSOUTHOLD ��, %."N
j Application No. •T
ELIZABETH A.NEVILLE,TOWN CLERK ` `,
P.O.BOX 1179 a : ; $10.00 - Residential
SOUTHOLD,NEWYORK11971 $25.00 - Non-flesidential
Telephone
NA/
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION,
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ •
DATE ' - 16 OR.
OWNER NAME: Ir-Y-- cc ; H•pn1 e.s n c
OWNER MAILING ADDRESS: tom• C3 1301- ?Oa_
,T\CDCk PoInT N\/ It) ) ?
OWNER PROPERTY ADDRESS: 165 5 d u4 h SYr�eT'
5O,.A.4koIGt uY 119 / 1
OWNER TELEPHONE NUMBER: 63 i - 1114 - !O39
TAX MAP NO. : Section '7 (..) Block 1 0 Lot
CROSS STREET: 'OC&LL' CJS,
TYPE OF SYSTEM: Septic Tank 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.)
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tifb 4f-4-44-4
Signature of Applicant
RECEIVED ""I
tY:
Town Clerk's Office
DATE: Ia- �« fO�
...
•
LAND NOW OR FORMERLY LAND NOW OR FORMERLY
EDWARD J. LADEMANN Jr. WALTER V. and HELEN MacNISH
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EOOE OF PAI MF?
101.38 100.59 - :100.7
FL 107.45 €100.82
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SOUTH STREET'
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SUFFOLK COUNTYDEPARTMENT OF HEALTH 2
AFr't'3°'/,L OF CoNsTRUCrED WORKS FOR
:rad3. F1AMIL'.R:ESIDENCE
4,011 2 7 ,1 it Al
{
,. . +s; d 2111 1 water soi."Sy Cacihtios at this Ieeation have been \
'.;.lar t r i,ied by t',14.7;'-'�^pr uncr,s.u•otheragcnci,..and found to
,; , t'Oh 111.C3'✓1U w,O � 33RG'U':MS. `
ZI c
AREA: 17,850 S.F. = 0.410 AC. s. f p °- `�''I- i'° mo ', c
WELL & SEPTIC PER OTHERS Qfiicc of`v&tcrand Wtutew+i rManag n'nt N f? c . 7
CLEARED AREA: 11,689 S.F. = 65.5% ! �� 1V �,�
O
SURVEY OF FILE NO. 3118 CERTIFIED TO:" ay a c`a
DESCRIBED PROPERTY SITE PLAN 08/25/2000 SUNRISE'ABSTRACT CORP. 3h y.)
cl ADD TEST HOLE 11/07/2000 wallz000 BANK OF`SMITHTOWN � -!
SITUATE AT LOC.ADJ.
OWNERS 000000 a +" w K
SOUTHOLD REV.SAN 1'/16/2000
REV Sm.STs 72/17/2000 1
TOWN OF SOUTHOLD FRDP WE>z 4"° PTT SECCAF/CO
12/13/2000 - .-..
SUFFOLK COUNTY, NEW YORK stAKE*at.06/27/2?0D9Q1
REV. OWEJJ.NG 04/24/2002
S""CE°MP'HSE. ''R'' ; PROFESSIONAL LAND SURVEYOR, P.C.
SCALE: 1"=40' DATE: AUGUST 12, 2000 BINDER cONsmVen"ELL os/2D/ ',...
c>rav o6/27/2002,-,,,'1
gruL 1 f/oHa2. - SUCCESSOR TO —
S.C.T.M. DIST. 1000 SEC.070 BLK.10 LOT006 , '
DONALD TASE, L.S.
" RICHARD WILHELM AND ASSOCIATES
EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE L: PROFESSIONAL'LAND SURVEYORS
NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF �";
THE SURVEY • `' NORTHSTAR'SURVEYING, P.C.
GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON(S) FOR WHOM _ PAUL T. CANALIZO, L.S.,`ROBERT A. KART, L.S
THE SURVEY IS PREPARED,AND ON HIS BEHALF TO THE TITLE COMPANY, ,
GOVERNMENTAL AGENCY AND LENDING INSTITUTIONS USIED HEREON,AND TO THE y. � GOOD'GROUND SURVEYORS, P.C.
ASSIGNEES OF THE LENDING INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE TO �
ADDITIONAL INSTnURONS OR SUBSEQUENT OWNERS. THE OFFSETS(OR DIMENSIONS) '�/' ,ti 1r ' 107-4 W. Montauk Highway 328A Main Street
SHOWN HEREON FROM THE STRUCTURES TO DIE PROPERTY LINES ARE FOR A ({,,i ;, a Hampton Boys,'NY 11946 Center Moriches, NY 11934
SPECIFIC PURPOSE AND USE AND THEREFORE ARE Nor INTENDED TO GUIDE THE ,\� L 6 'PHONE: '(631) 728-5330.. PHONE: (631) 878-0120
ERECTION of FENCES RETAINING WALLS, POOLS, PATIOS, PLANTING AREAS,
ADDITIONS TO BUILDINGS AND ANY OTHER CONSTRUCTION. .p " FAX:"(631) 728-6707 FAX (631) 878-7190
UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF %
SECTION 7209 OF THE'NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY • , N.Y.S. LIC. NO. 049287
MAP NOT BEARING THE LAND SURVEYORS SIGNATURE AND RED INK OR EMBOSSED ND
SEAL SHALL Nor BE CONSIDERED A TRUE VALID COPY. - COPYRIGHT 2002 PAT T. SECCARC0 P.L.S., P.C.