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HomeMy WebLinkAboutNordstrom (2) • ELIZABETH A.NEVILLE ,����� 4 Town Hall, 53095 Main Road TOWN CLERK o P.O. Box 1179 y Southold, New York 11971 REGISTRAR OF VITAL STATISTICS VV644_ �� Fax(631) 765-6145 MARRIAGE OFFICER :" � 1 RECORDS MANAGEMENT OFFICER ; Q %/4‘1:'11 a 'i� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICERJig �� southoldtown.northfork.net .....iii �1 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3022 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : MANZI HOMES INC Address 1: PO BOX 702 City St Zip ROCKY POINT NY 11778 Descripton of Proposed Construction or Alteration SANITARY SYSTEM FOR SINGLE FAMILY DWELLING. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. REF #R10-02-0216 Name Of Owner NORDSTROM - MANZI HOMES Mailing Address 1 PO BOX 702 City St Zip ROCKY POINT NY 11778 Property Address 1 100 WOOD LANE City St Zip PECONIC NY 11958 Tax Map No. section 86.00 block 6 lot 12.000 Cross Street INDINA NECK LANE Building Permit Number Cross Reference: Issue Date: 5/14/03 Elizabeth A. Neville Southold Town clerk (TowN SEAL) il I 4 ELIZABETH A.NEVILLE ���h`t®� ®Gy•: Town Hall, 53095 Main Road TOWN CLERK % p ; P.O. Box 1179 k y $ Southold, New York 11971 REGISTRAR OF VITAL STATISTICS ' rr etl` I� Fax(631) 765-6145 MARRIAGE OFFICER ,L Telephone (631) 765-1800 RECORDS MANAGEMENT OFFICER \��"'/®1 �aNV 0 southoldtown.northfork.net (6 1) 76 -1800t FREEDOM OF INFORMATION OFFICER ,I"*�46. OFFICE OF THE TOWN CLERK ____ _ -- -__ - __. -"_ _ ,_l TOWN OF SOUTHOLD i OR '1 6 2003 ' - TO: Southold Town Building Department . FROM: Linda J. Cooper, Southold Town Clerk's Office - - T` t" ____J DATED: April 18, 2003 Transmitted herewith is a copy of application No. 3146 for a Cesspool/Septic Tank Construction Permit submitted by: Manzi Homes Inc. 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. Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: / APPROVE ✓/ DISAPPROVE Comments: /- ./..,=2...., . e -71 .4."1 feegg.- Signature D zr 03 Dated .__ <r.t A OFFICE OF THE TOWN CLERK ',1'° ��FOLk TOWN OF SOUTHOLD ,•' Q� CCG=1. Application No. A ELIZABETH A NEVILT.F,TOWN CLERK i P.O.BOX 1179 !� Construction t SOUTHOLD,NEW YORK 11971 ; =v rn �. Alteration Telephone '�,j,�, Q�'�••• $10.00 - Residential p _ �i �'' (516) 765-1801 = _ �,•0 $25.00 -Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ DATE 4 1 ) 1 1 0-3 APPLICANT NAME: M.O,,tinz i t--\7,y , 1 A APPLICANT ADDRESS: c o-c -7 U 2, .ac.L1 Pot. wt ,1(-1 I Ili SEPTIC 'f CESSPOOL "( DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION C(n^ - 64' 5 t "` � LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: • OWNER OF PROPERTY: - ( ,t�, (e-nom VL OWNER MAILING ADDRESS: 7cr7 l pZ OWNER PROPERTY ADDRESS: \rc c. W 0-13-4 L. ti n c\. TELEPHONE NUMBER OF CONTACT PERSON: 14q - I p 39 TAX MAP NO. : Section S Le Block (P Lot 12_ CROSS STREET: 3 .c,L BUILDING PERMIT NUMBER CROSS REFERENCE: 7.)c luireA44 Signature of Applicant RECEIVED BY*71061 Town Clerk's Office DATE: 4(111o1) , BUILDER'S JOB NO. TITLE NO. - v1 oe.„Ze....'\ fR° ° T Eta 2.10P1/4SSE TOTAL PLOT AREA• 19,965± S.F. 1 Ng2 69l • ; , n>a1 V"� . ��i `'• FIRST FLOOR AREA = 1040± S.F. a /d , , • , '4," • \a NO GARAGE N20'12'40"E ' G 38.64 IP oo ,- .y i FIN:11 u M) � TN. V. n 150'1@MNUN ' I FROM PROP SAN M ©� P.: / '- re r. Ig PLEASE NOTE Q ' >z Sanitary System not to be installed O , '• -, �o ,� g g under driveway. DEKCP I"' o g I a =IX a SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES q 110" g •6 g 122 !aa0 S ,,42 • s ce PERMIT FOR APPROVAL OF CONSTRUCTION FOR A ,�0 260 a10 SINGLE FAMILY RESIDENCE ONLY . 10'IfiN.I rli snDATE 12-2O-0a HS • F,N0 ►_4 �_ Q ,-: MPI ;am/nom• e'MPL��' APPROVED. 3i , ,.- a MIN FOR I,�AXIP UD/d OF BED: 00 b. O, EXPIRES THREE YEARS FROM DATE OF APPROVAL F 1.,0. P. PLEASE NOTE - - --Minimum distance-between Ween welt — - En 0 r and cesspool is to be 150 feet. z a . p.a in FNO C M 0 N00.47'30"W I • 1 ' 46• .24 .„,,,‘O�� 0� Q�,lo►a' GROUND EL. ,�,�•`La `.- . '„� 0.3' TOPSOIL a �5 50 v��1`O, .�J 0 9• DARK BROWN LOAM UnL POLE 0 # ' 1.6' BROWN SILTY LOAM __,,,c-II4`i�, 0 /�", �g 1.6' GREYISH BROWN SILT 4, •� o f � � /�`� .F- 7.7' PALE BROWN COARSE SAND cN 4 ` 1 do ppVO aQ+ O P° ,�`Is C,\& t p1 4.9' WATER IN PALE BROWN COARSE SAND \N0\P oVOIA TEST HOLE swo THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. -'4.2, r, THIS SURVEY WAS PREPARED IN ACCORDANCE %MTH THE EXISTING CODE OF PRACTICE FOR LAND'SURVEYORS ADAPTED BY THE NEW YORK STATE c'-t,.1 r ASSOCIATION OF PROFESSIONAL LAND SURVEYORS r' 4 P • ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY J- C .r a 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 Ci.' i ' 'iW 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 r- ..-a C' FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON ?=---_ -- -.1";:r ' • AND TO THE ASSIGNEES OF THE LENDING INSTITUTION CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. — t ? .I 7: SUFFOLK COUNTY TAX MAP DIST:1 000 SECT:086 BLK:06 LOT:1 2 -';"- ' BURTON ": BEHRENDT MAP OF DESCRIBED PROPERTY SMITH a; A LOCATION: PECONIC $� A, 9S '1' . ENGINEERS Qw '',4\c , TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK ARCHITECTS > `'a �0 „,.. SURVEYORS c SURVEYED: OCTOBER 28, 2002 REV.REPLOT WELL12/10/02 `'V4n7'11 CERTIFIED TQ: MANZI HOMES, INC. 244 EAST MAIN ST. O PATCHOGUE, N.Y. 11772 '+o�e. Mo, 31 4,�4' (631) 475-0349 Sea lrt110 ti: SCALE: 1 " = 50.00' FILE NO: 02-406 FAX 475-0361 , F r' , p L -