HomeMy WebLinkAboutSchembri Homes Inc (11) �..
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ELIZABETH A. NEVILLE ��h`Z% Gym = Town Hall, 53095 Main Road
TOWN CLERK p -� % P.O. Box 1179
REGISTRAR OF VITAL STATISTICS k 63 Southold, New York 11971
MARRIAGE OFFICER •` �*. /' Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER �a, .°$ Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THEOWN CLERK
TOWN OF S UTHOLD
SOUTHOLD WASTEWATE DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1800 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 #R10-97-0050
Name Of Owner SCHEMBRI HOMES INC.
Mailing Address 1 P. O. BOX 163
City St Zip WADING RIVER NY 11792
Property Address 1 INLET POND LANE
City St Zip GREENPORT NY 11944
Tax Map No. section 33.00 block 6 lot 7.000
Cross Street WILLOW DRIVE
Building Permit Number Cross Reference:
Issue Date: 1/29/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABE
TH A.NEVILLE �h`Z� Gym�` �"pwn Hall, 53095 Main Road
TOWN CLERK % p -�:o 6P.O. Box 1179
y 2 .8quthold, New York 11971
REGISTRAR OF VITAL STATISTICS % v"
MARRIAGE OFFICER �Oy �!�- �,�_ Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER �= 1� ' Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER �t l `1►a �i0 Erl
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: January 23, 1998
Transmitted herewith is a copy of application No. 1874 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.
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 i
Signatu e
Dated i l 2 1 /q
C 4
OFFICE OF THE TOWN CLERK ,s" nr`
Town of Southold ,Yi,i FfI e Application Noa- 7�
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road Construction , 7
P. O. Box 1179 Alteration
Southold, New York 11971
Telephone .r4,J $10.00 - Residential
(516) 765-1801 = "� /•';.•
'.• $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ 1/4/.1
3
DATE
APPLICANT NAME: Ste'
APPLICANT ADDRESS: v- 11,3 ( G /
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION 4,,c4,te.
T N S
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTIOi�t� QR, ALTR�,T ION
OWNER OF PROPERTY: fLAI ,,
OWNER MAILING ADDRESS: _ �- r ( ( 3
OWNER PROPERTY ADDRESS: 0� fic4 os bf6e_i_x _
TELEPHONE NUMBER OF CONTACT PERSON: —r7)c
TAX MAP NO. : Section -7)-‘2 Block Y Lot 7
CROSS STREET: L_AL..,6
BUILDING PERMIT NUMBER CROSS REFERENCE•
S ,, 11/
iena ure of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
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THE WATER SUPPLY&SEWAGE �'' O
DISPOSAL FOR THIS RESIDENCE i7E,nt. i` _
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WILL CON FRO FROM TO THE STAND-
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ARDS OF THE SUFFOLK COUNTY I t 260.00' I.
DEPT.OF HEALTH SERVICES. 2.1. 3113. , 1' 73-4
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SUFrOLI{COUta� , 7CPT.OF
HEALTH SERVICES FOR �.'�
APPROVAL O(- CONSI:ONLY ec 'Q
DATE _.. Q Ct
H.S.REF.NO. W
APPROVED BY Q
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Unauthorized alteration or addition to this document is a violation of Section 7209 SURVEY OF:
d the New York state Education Law. LOT 14
Certifications indicated hereon shall run only to the person for whom it is prepared
and on her behalf to tin.Tile Company,Governmental Agency and Leming
institution listed hereon,and to the mignon of the lending institutions or subse- MAP OF HOMESTEAD ACRES
quent owners.
Copies of this document not bearing the professionars inked seal or embossed
sed shoo not be coosiderd a Mid true copy. G 1 N Q{� I W/� (�� lf
the ousels(a d'enensions)shears hereon from slruclum property the operly toes ore �`" 1
fen a specific g woe and use and therefore are not intended to quite the erection d l� WVIv� . I5w
fences,retaining wolf,(ads,polios,planting areas,addition to buildings or any other ,( ^�.' fl�E:f' U 7�1_` '� N
construction. `�4'i'" ~�. a 1" 60°
-
The existence of right of ways and/or easements of record,it any,not shown are •SEY DATE: 2- Ig
1
not guaranteed. '�'\ i-- . 1
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CERTIFIED ONLY TO: 4 1
—;; DESTI ( AF
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' .VEYOR
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By (,,, /4: `off -
e. V n MCCAIN nam Q
DESTIN G. GRAF N.Y.S. LIC No. 500.7 S Oyu p tom,,vow. r, ,
TAX I.D. No. 1000-33-6-7 °"0'E(5t')• ' e
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