HomeMy WebLinkAboutSchembri Homes Inc (2) oma'
ELIZABETH A.NEVILLE Town Hall, 53095 Main Road
TOWN CLERK p 1 ; P.O. Box 1179
N Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS V v'
O �� Fax (516) 765-1823
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER �\y 00-,��
* 4. Telephone (516) 765-1800
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FREEDOM OF INFORMATION OFFICER ���1
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1842 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : SCHEMBRI HOMES INC.
Address 1 : P. O. BOX 163
City St Zip WADING RIVER NY 11792
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 #R10-97-0167
Name Of Owner SCHEMBRI HOMES INC.
Mailing Address 1 P. O. BOX 163
City St Zip WADING RIVER NY 11792
Property Address 1 PLUM ISLAND LANE
City St Zip ORIENT NY 11957
Tax Map No. section 15.00 block 5 lot 5.000
Cross Street RYDER FARM LANE
Building Permit Number Cross Reference:
Issue Date: 4/16/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE �$h`1` Town Hall, 53095 Main Road
TOWN CLERK ; p 1 , P.O. Box 1179
•• ti •2 •
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS • AA.. �ii Fax (516) 765-1823
MARRIAGE OFFICER �` 4 16
RECORDS MANAGEMENT OFFICER .. -0 *� �� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER ����
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OFFICE OF THE TOWN CLERK ' '
TOWN OF SOUTHOLD I 1998
, BLDG.DEPT.
TO: Southold Town Building Department TOWN OF SOUTHOLD
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED:
Transmitted herewith is a copy of application No. 1916 for a Cesspool/
Septic Tank Construction Permit submitted by:
Schembri Homes, Inc.
Please review the application and location map and advise if the project
has received Suffolk County Health Department approval and if this office
may issue the permit.
Please complete the form below and return it to me.
Thank you.
1 "
Linda J. Cooper r
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE
DISAPPROVE
Comments:
Si natu �
Dated
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OFFICE OF THE TOWN CLERK ,� r
Town of Southold ,,"I 0tK�D Application No. g"/
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road ;G Construction (—
P. O. Box 1179 *+ Alteration
Southold, New York 11971 �`
Telephone '�ij �O�',�;$ 10.00 - Residential
(516) 765-1801 -. .1 *IV,
$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 ��
APPLICANT NAME: S l G ,'4L -
APPLICANT ADDRESS: I Q /ctet(p '
t-U ' jiat. P!K- 7( o24--
SEPTIC CESSPOOL (� J
DESCRIPTION OF PROPOSED CONST UCTI NOR ALT RATION
,CJ-t -----eit-c-X-et-i-1 Ott-'-e-e--
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION�
OWNER OF PROPERTY: 25 CkV:4-,91A-L-4A- -
OWNER MAILING ADDRESS: CP / 3
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OWNER PROPERTY ADDRE aar!��— - . ,
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TELEPHONE NUMBER OF CONTACT PERSON: fr 1
TAX MAP NO. : Section / Block _ S--- Lot C
CROSS STREET: Pvres.---- .! -J-�
BUILDING PERMIT NUMBER CROSS REFERENCE:
fi /1/?,/
Si•nature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE: 79
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SUFFOLK COUNTY .; \1..1.`:.,i'.,. .'i;.. r 1.4 1, i.. • 1 — .
PERMIT POR Ai init r ,,._ ,, 1.1 '';."1k:%:‘ ;"•:...,:i'•.
THE WATER SUPPLY 8;SEWA c •-i,a� W;`:; 1,.,,; ;is'll.:)
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DISPOSAL FOP THIS RES1DEN lbAlll�/7 .(,2 / , +
NU_C0NFROM TO THE STAN -APPRO'.'L ; ,, < '• -.,•!
ARDS OF THE SUFFOLK COUN Pt3R ; ,".::.:.. • , .
DEPT OF HEALTH SERVICES...
EXPIRES 711ltIiF., l . , `)1, ,;;'t- it',', Az.
62.41.44r„dr.14 14 nVAIWiladd�,...,.,
n.-- __-_,.� .Fl 1.67. t4o, 3444
Unauthorized alteration ocadan(on to this document is a violation of sexton 7209 SURVEY OF:
of the New York State Education Law. (I/ei'.
Certifications indicated hereon shall run only to the person for whom it is prepared `( �� �r •
and on his behalf to the Title Company,Governmental Agqes and Lending /A/( A e or ./10' / Z
Institution listed Mason,and to the assignees of the IertdingrInstitutions or subse• /y`/T( tJlfr � �j�
quent owners. O`
coW. a s this document not bearing the proleeaionsi's inked seal or embossed Oft �
I r P � D� �T�:
seal shall not be considered a valid m,.copy. / � I
The onsets(or dimensions)Masan Moon horn structures to life property lines are �VFrO 4 'i/iN r 'I t`15w _
fora specific purpose and use and therefore are not Intended to guide the erection of
fences,retaining walls pools,ponos,planting areas,addaon to buildings or any other
construction.
The existence of right of ways andtor easements of record,if any,not shown are
not guaranteed. ` 4S,OF NE�t1-a Y DATE: 1011-71 11 SCALE: 1 ':4,'
CERTIFIED ONLY TO: ti DEST1'a•GR:—•,• r DESTING. , I
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By / `:_ .. ` 73 WOODCAWhtF(c'k4Dc^'�,N +.;r } d
DESTIN G.GRAF N.Y.S.LIC No.50067 +.� ,.z., / ROCKY POINT.NtsW YORK T17' .. --
' `,r„i ` PHONE(516)821.3442
TAX I.D.NO. 1000— lS -Os -- 0 S., iIN; -----