HomeMy WebLinkAboutSchembri Homes Inc (15) `'I_"/II
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EItIZABETH A.NEVILLE $�`Z` Gym 1 Town Hall, 53095 Main Road
TOWN CLERKy - P.O. Box 1179
2 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS O t Fax (516) 765-1823
MARRIAGE OFFICER 1
RECORDS MANAGEMENT OFFICER ? 01 �a,1.,•I Telephone(516) 765 1800
FREEDOM OF INFORMATION OFFICER lir tea
es
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1873 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 #R10-97-0041
Name Of Owner SCHEMBRI HOMES INC.
Mailing Address 1 P. O. BOX 163
City St Zip WADING RIVER NY 11792
Property Address 1 WILLOW DRIVE
City St Zip GREENPORT NY 11944
Tax Map No. section 40.00 block 2 lot 6.007
Cross Street INLET POND LANE
Building Permit Number Cross Reference:
Issue Date: 6/03/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
Are a.
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ELIZABETH A.NEVILLF, .1,` y�; Town Hal], 53095 Main Road
TOWN CLERK % c2 -� % P.O. Box 1179
REGISTRAR OF VITAL STATISTICS %O Southold, New York 11971
MARRIAGE OFFICER %.4fy Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER �*�1 �, ,,I Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER "
•% III
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 28, 1998
Transmitted herewith is a copy of application No. 1947 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:
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Dated
BLDG. DE?T.
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, TOWN OF SOUTHOLD
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t
°OFFICE OF THE TOWN CLERK �l'' M/r
TOWN OF SOUTHOLD i �QG Application No. ( 2Y 1
Fi i7ABETH A.NEVII I F,TOWN CLERK
,
P.O.BOX 1179 .G,, Construction
SOUTHOLD,NEWYORK 11971 .Z i
VI l/ Alteration
Telephone O,j► iri $10.00 - Residential
(516) 765-1801 — .11900'e $25.00 -Non-Residential
...sip.'
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE 5-/
- 017-7/),2
APPLICANT NAME: 5 k (. ,ILC,, .
APPLICANT ADDRESS: po, A2«‘3
v i17f
SEPTIC CESSPOOL —'
DESCRIPTION F PROP SED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRU TION OR ALTERAT N:
OWNER OF PROPERTY: ` ' _ _I D
OWNER MAILING ADDRESS: 120„ 4(A/63
W\ / t7V
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: 9,,z, - sic(
TAX MAP NO. : Sction VO Block ‘,./— Lot G-7
CROSS STREET: Add Xsa
BUILDING PERMIT NUMBER CROSS REFERENCE:
•
k,a,,,,/,
Signature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
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WWESTWOOD
LANE
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Lott WILLOWw.1, DRIVE
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DEPT. OF ;-1L: .-, i - ..r Vi CE,3- L< ,0 'l t3•o
SUFFOLK COU'�TY DEPT. OF
Irairoii gci tfriaParmarr OF memIB�RMO
HEALTH ":3•1--71\,107:,1 FOR PERMIT FOR APPROVAL OB CONSTRUCTION POR A
APF OI.+;`,'. .. , .,. ,.', .ONLY N/F sreenothmum ONLY
DATE--------___ BATE 27 s/7 3 • .No. /D -q). O 15
H.S.REF.NO.
APPROVED BY
.:4R • it OF BEDROOMS
EXPIRES THREE YEARS PROM DATE OF APPROVAL
5L M. . GOwNr< d-k'i"viv% -
Llnouthorized operation ar addition to this document i0 a violation of Secban 7209 SURVEY OF:
of the New York State Education Law. LOT 5
Certifications indicated hereon shall run only to the person for whom it is prepared �., .. ..
and on his behalf to the title Company.Governmental Agency and Lending
institution listed hereon,and to the assignees of the Ionising:»tAuttons or subse-
quent owners. • MAP OF HOMESTEAD ACRES
Copies of this document not bearing the professional's inked.ed or embossed
seal xinrA rut be cunsrclrrJ a wkJ hue copy.
The offsets(or dmensions)shown hereon from structures to the property lines arel'g54{�' ,�1 }�{1��
lxidi
for a specific pupose and use and therefore ore not intended to guide the erection of � �� T 0 V,�'t`
ZOO/4W;
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tenses tion g walls.pools. botine, planting arena,addition to hi/kings or any other V%l Y ZO /V 1-1 NI -‘,/a construction Of N :e TtJ VF-.
The existence at right of 00)0 and/or easements of recorg if any, not shown are '� 2_ Ir)i .SC! EY DATE: `.' 1" = 40'
.
not guaranteedLQ,
CERTIFIED ONLY TO: \,
��-•NEvv1t�21 -� - ‘411(:... —y'--- DE-•
x,� ., . GRAS
tii ` URVEY
, •641HICL'i",,i, . ,:. .':./.,',.:. ,\Nat. _Aor
DESTIN G. GRAF N.Y.S. LIC 0. 51167 �l rF' _�t .../:_y‘7...,,
./'�j4., 3�aa��c2 0x.
TAX I.D. No. 1000-40-2-6.7 ./ Pt+o .e� ,z