HomeMy WebLinkAboutFarmveu Associates JUDITH T.TERRY $1°1 y< Town Hall, 53095 Main Road
TOWN CLERK ; y = P.O. Box 1179
t Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER � �O�',1� Fax(516) 765-1823
RECORDS MANAGEMENT OFFICER : 49.( jig `t► ��� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER -�. ,�•••�
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1467 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ANTHONY SCHEMBRI
Address 1 : P. O. BOX 163
City St Zip WADING RIVER NY 11792
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. #R10-96-0020
Name Of Owner FARMVEU ASSOCIATES
Mailing Address 1 P. O. BOX 163
City St Zip WADING RIVER NY 11792
Property Address 1 FARMVEU ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 121 .00 block 7 lot 5.000
Cross Street SOUND AVENUE
Building Permit Number Cross Reference:
Issue Date: 4/30/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
. ''S�FFO(r- , 7
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•
JUDITH T.TERRY t o= y< ‘ Town Hall,53095 Main Road
%TOWN CLERK % ti Z t P.O. Box 1179
REGISTRAR OF VITAL STATISTICS 0 # Southold,New York 11971
MARRIAGE OFFICER : y22 0- 1 Fax(516)765-1823
RECORDS MANAGEMENT OFFICER 0.( * +so' Telephone(516)765-1800
FREEDOM OF INFORMATION OFFICER .~,,, ,'"te
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OFFICE OF THE TOWN CLERK 'i flITi1?c;
TOWN OF SOUTHOLD
APR 2 3
ms
TO: Southold Town Building Departmentf--
O •
..wl
FROM: Linda J. Cooper, Southold Town Clerk's Office=TWNOp
t
DATED: April 23, 1996
Transmitted herewith is a copy of application No. 1527 for a Cesspool/
Septic Tank Construction Permit submitted by:
Anthony Schembri for Farmveu .
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.
u
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE 1/
DISAPPROVE
47'77,6) ._
Comments: (2 ,"' ; p . jam , EAG' 1‘.--oe
RECEIVED
'
OH 2 9 1996 �
Signature L/
Town Clerk Sowthold
-(
Dated
..T
V
OFFICE OF THE TOWN CLERK ,s" """-'-
Town of Southold l'14 , 'W T. Terry, �' 'W Application No./, off-7
Town Clerk G
Town Hall, 53095 Main Road ;� Construction
P. O. Box 1179 is 'c ;
Alteration
Southold, New York 11971
Telephone y��0 �.a����'� $10.00 - Residential
��
(516) 765-1801 _ 1 * ,, ' $25.00 -Non-Residential
• .--_,,,• I,
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE y--Z ?--- 5�
APPLICANT NAME: I� sch „)1 ,p2,C
APPLICANT ADDRESS: Od do , �/0/i _ ' if 1' l/ 75.)
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION 7
,611 .
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONS CT ION OR ALTERATION:
OWNER OF PROPERTY: / / " / ,
OWNER MAILING ADDRESS: 6, o< (' 1 1)ii'b terv"r ,', f/
tr-2 5i\
OWNER PROPERTY ADDRESS: , AV 9/.461, 114
TELEPHONE NUMBER OF CONTACT PERSON: .9,49- g/
TAX MAP NO. : Section /.+ Blocka 7_ Lot aS
CROSS STREET: / 44,
BUILDING PERMIT NUMBER CROSS REFERENCE:
/ 1
Q4.. '
Sign:`ure of Applicant
RECEIVED BY:/,_ IA.,. •�:
own C er s Office
DATE: L}--02 3 - ? 6 -
-rievAl -3
A, /,oiev\A&A- c-,Per4
11 - 4 o - lycf E. 1 ,e1--0. 0 0
. 101. 100
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SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
'14StgliA:014..Anglo VAL OF CONSTRUCTION FOR A
SI.ric3.3i,FAMILY A.E.SIDILNCE ONLY
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DATEtti
LD c'' 0,1'Vr., ..,4-c,--:1-e-`c
APPROVED( ' :.„. ----
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div(..- ' ) de C l FOR M OF A.,...BEDR MS
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(-0
.t. . Ci 17: 4\ EXPIRES THRE;i, ...AR.S FROM DATE OF APPROVAL
...............„
0
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rti. ..........................L...._...... ............-.......
WATER SUPPLY AND SEWA.C4 DISPOSAL SYSTEMS MUST
a CONFORM WITH NEW STANDARDS DATED NOVEMBER 13, 1995.
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.4 PArpiervv\
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7 GA te_c,oto, -2-13
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\c\ 1000 „---ri-
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°- •\f/Cile....f7 /611 .,
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THE WATER SUPPLY&SEWAGE SUFFOLK COUNTY DEPT. OF 11,AR :','0 096
DISPOSAL FORTIES RESIDENCE HEALTH SERVICES FOR
WILL CON FROM TO THE STAND- APPROVAL OF CONST ONLY : (i. DEF1• OF
DACE
ARDS OF THE SUFFOLK COUNTY
I-I.S, REF. NO..__
DEPT. OF HEALTH SERVICES. BY
Unauthorized alteration or addition to this document le a deletion of &tenon 7209 SURVEY OF: 1.--62-r .-.. t
of the New York State Education Law. •
CortMeatime indeatod hereon shall run only to the person for whom It is emceed
and on his behalf to the nu.Company, Governmental Agency and Lending Institutionme pvvisv\ Aiyrve-tarc-17 Ar
feted bonen, and to the°Wpm' of the lending lnelltutions or subsequent owners.
Copies bofe this document not bearing the professionalmor
's inked d embossed seal
MoN not considered a valid Mao cepy. f\AA1-1..11.-.0 634'/ 1-C2N” ° / e)LA11-\'"''CL 1
The offsets Or dimensions) shown hereon from structures to the property lines are
for a speallto purpose and use and therefore ore not intended to guide the erection of4 0(... „,p1......k. 4c4)..irr t....j I I
hooconst,=Ina wane,pods,patios, planting arms. addition to buildings or any other -.1
/
F
The existence of right of ways and/or easements' of record. If any, not sho et&ONEW 11 /. I
not guaranteed. *cV- I• ICE: '35 I.,. SCALE:
DEN* 13.onAr
CERTIFIED ONLY TO:,..- ' - ,,,, -#'' DESTIN G. GRAF
..--_-..24-kivo,7-J:i% 4.1,-. ,..„4"
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..., El4111 ' ' 'rli
MMKUMNIINDIA LAND SURVEYOR
.'111fri— 4,
Ilk WAIWAkwu Aiii dE#os.1,. Apt
By gilleivt:il / :S \
• 73 WOODLAWN ROAD
DESTIN G. GRAF N.Y.S. LIC No. 50067 'IDN.0"*. ROCKY POINT, NEW YORK 11778 9
-1-- PHONE (516) 821-3442, N.Y.S. LICENSE No. 50067
TAX I.D. _NO. I 000 - t2- - 01 - 05