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Manzi Homes Inc (26)
/',0,iii- j , Is,�o�OSUf FO(,�co ELIZABETH A.NEVILLE e„` 4 Z Town Hall, 53095 Main Road TOWN CLERK % co . , P.O. Box 1179 c* 2 $ Southold, New York 11971 REGISTRAR,OF VITAL STATISTICS � v.Q ' MARRIAGE OFFICER - •:. `F 4 Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER `�y�� �D�I��• Telephone (631) 765 1800 FREEDOM OF INFORMATION OFFICER = '� -N- .0� southoldtown.northfork.net _ OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD .. SOUTHOLD WASTEWATER DISTRICT APPLICATION OPERATION PERMIT CESSPOOL or SEPTIC TANK Residential @ $10 or Non-Residential @ $25 Application No. `la gY Permit No. Owner Name Z 1 it MCS Iii C Owner Mailing Address —1), c) . ''J© --- ,-7O .` (2-Oc ' Patv-1 Ny 11)2k Owner Property Address .x`15 S” S 1-1C c— /v e cL 2 J fCOtilC- Owner Telephone No. Tax Map No: Section 6 Block 6 Lot I Cross Street YCC_,, a 5— Please check each that applies: New Construction v Alteration to Existing System Residential Non-Residential NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. (Locate building and system; give north arrow and approximate distance in feet from system to building - and closest road. New construction may s : ' c• of survey with SCHD approval.) /111PALd • - -05 e Signature of Applicant Date Received by: 1 — • la BUILDERS JOB NO. TITLE NO. D STREET "------ TQIL._ P{.,QTARE/A: 19,965± S.F. • a OMT02' E „Ea FIRST FLOOR AREA = 1040E S.F. I Ng2��'3© NO GARAGE w 1� .. a • •N' .;I rr 9� 0 Or NO.S FE 1.3 E �, ' W/MINES T w CO d 1 GII i I NOTE:NELL 167.0'±TO NEAREST C.P. L I 1 NELL0.3E 1 a I i3.5\ ' 4wp (� 1 • I 71.3' pp) •',/ I— I 1 ,. 1 99. E. 1 (NJ ,-1 -1STk2ND Fl DECK ,,ti STEPS ' 1 M- Am I. lo.o I.o I - . 1 = 6 I I J .. 2 STORY N FR RES. 1 +EFLE1V.10a3' 1 I 6 1 0 ;iS ' I i i 1lost0,.../40,4),/ ' i o MPSS 1\23'19' I Er- 1 �, 30. f00,t • 'fir 64 ' 1 1 a i p i E,., o I 0 1 0 11 0 `� W N 1 0 1 Z P3 I' a. i • 1� Mctl . O rNa •LE) dtq O Iva P •ooh IFE„ 6eI 1. Z 1 - Pw` GO-61 t' L POLE 0 : y a A' •' UDE COUNTY DEPARTMENT OF HEALTH SERVICES APPROVAL r.../F:Cl.:Ns i nx .::it WORKS FOR =_ , , BLOCK APRON F>0'OF pP N Q O tl i hF2 $$1K p, S I p.. ,. . YJ; „a)1., .;ii' .•,aii :•sit;:gi fuze° 1,,,e01) ��� P4I?PL 11151:rG'CZCC1 C�•t.1r li F ,,i 1 ..C. ::1 ,3 :;'.itU foLi,c3 tSU _ � ,�6141.:() r. • i • 00- Oifico 04 i..:_. tit.L... ;L :1,1...1 :,ao a..i�.�f'kilt I THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE EXISTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED BY THE NEW YORK STATE I ASSOCIATION OF PROFESSIONAL LAND SURVEYORS. . ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. NO OFFICIAL OF THIS STATE. OR OF ANY CITY, COUNTY, TOWN OR VILLAGE THEREIN, CHARGED WITH THE ENFORCEMENT OF LAWS, ORDINANCES OR REGULATIONS SHALL ACCEPT OR APPROVE ANY PLANS OR SPECIFICATIONS THAT ARE NOT STAMPED. CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON =_ FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. I SUFFOLK COUNTY TAX MAP DIST:1000 SECT:086 BLK:06 LOT:12 BURTON _---____ BEHRENDT ^ ' =' MAP OF DESCRIBED PROPERTY SMITH . ,' . LOCATION: PECONIC 1 I'� � ., �t I. 1�' ' TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK ENGINEERS 's1 �. �t ....4:4:. ARCHITECTS SURVEYORS Y9�I � f ! -• t SURVEYED: OCTOBER 28, 2002 REV.REPLOT WELL1 2/10/02 �` ILP /C$ e REV.HSE CHNG./ADD GAR. 1/06/03 244 EAST MAIN ST. I, ��:' ✓ CERTIFIED TO: ROBERT do EILEEN WAX ,�: � WELLS FARGO HOME MORTGAGE INC. FINAL SURVEY 2/8/05 PATCHOGUE, N.Y. 11772 ,��r '" . SUNRISE ABSTRACT LLC. REV DRIVE & FE LOC: 6/8/05 • ii i ✓' (631) 475-0349 - FIRST AMERICAN TITLE INS.CO.OF N.Y. ,> SCALE: 1 '' 50' FILE NO: 02-406 FAx 475-0361 Town Of Southold P.O Box 1179 • Southold, NY 11971 * * * RECEIPT * * * Date: 06/17/05 Receipt#: 23330 Transaction(s): Reference Subtotal 1 1 Septic Permit-Operation - Resid. 4284 $10.00 Check#: 23330 Total Paid: $10.00 Name: Manzi, Homes Inc P 0 Box 702 Rocky Point, NY 11778 Clerk ID: LINDAC Internal ID:4284