HomeMy WebLinkAboutSchembri Homes Inc (16) el' FotA.
ELIZABETH A.NEVILLE t$ �O co
Gy�1 Town Hall, 53095 Main Road
TOWN CLERK ; y P.O. Box 1179
Z Southold, New York 11971
11.7
REGISTRAR OF VITAL STATISTICS O �I Fax (516) 765-1823
MARRIAGE OFFICER ‘`..#4/
# 0�/ Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER . W �is.06
are
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1900 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
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 #R10-97-0043
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 6.009
Cross Street INLET POND ROAD
Building Permit Number Cross Reference:
Issue Date: 7/21/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
� 0o
ELIZABETH A.NEVILLE •h`Z�� co .�` Town Hall, 53095 Main Road
TOWN CLERK % p .' % P.O. Box 1179
tt
y Z
t Southold, New York 11971
REGISTRAR OF VITAL STATISTICS �'� Fax (516) 765-1823
MARRIAGE OFFICER L It
RECORDS MANAGEMENT OFFICER VI ��. ,�� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER ���
�— g•
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: July 9, 1998
Transmitted herewith is a copy of application No. 1975 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.
b cc_
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following reyommendations:
APPROVE
DISAPPROVE
Comments:
Sig ture
'1( t 5 �,'�
Dated
{)
v OFFICE OF THE TOWN CLERK OC3�FFQ�`;'
TOWN OF SOUfHOLD , ��, OG Application No. / 9/7g-/
ELIZABETH A.NEVILI.F,TOWN CLERK
.G ; $10.00 - Residential 1
P.O.BOX 1179
LA SOUTHOLD,NEW YORK 11971 *.$ $25.00 - Non-Residential
Telephone S0"."
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
.
for
c vO-
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $
DATE 7/41
OWNER NAME: 1 "--if ECM"(
OWNER MAILING ADDRESS: res.)_467( 74, .
LA) , ,) ' „_ 1 ( 7/1)--
OWNER
'1)^OWNER PROPERTY ADDRESS: 4 •.jsi 0
OWNER TELEPHONE NUMBER: 02-9- ; 7
TAX MAP NO. : Section V° Block Lot
CROSS STREET: inlet
TYPE OF SYSTEM: Septic Tank l/"' . New (-------- Existing
Cesspool �' New L-- Existing
Residential Non-Residential
LOCATION MAP: Must be attached hereto before permit may be issued.
(Locate building and system; give north arrow and feet
of distance, approximately, to building and closest road.)
7
Sign-ture of Applicant
RECEIVED BY:
owns Office
DATE: Iie,
y
SUFFOLK COUNT Y DEPAR'TN1>ENT`OF HEEALT/1!! tV C S.
` � x' '1K�R AP!'�DYAL Q'D OO1�TAtUC ON FOtt A
EST WOOD FANCILY Ot4LY
LANE DATE __ /15. 7- $/
APPROVED
FOR MAXIMUM OF ,IAEDROOAiMS .. •
Q Q. Q �. > • yy
.*v F
tcWILLOW I� v DRIVEWILLOW)
(112.
E ROAD)
•roe, . - .,..„. _ yt�a
,
t
SO2'17'10”I� 100.00'
2
. 1078.51'
e: .11 L = 39.27'
tis y
( �7 i! 1\a �',t,
0
, z S
o .
o_ 3 , ___ ,e,,�d LjiN<,r�"
<i N o
�vltnca o Q
•
Ii5 I* ,• ^
to i
-i ti 41447.,,, .F, 15,2
.-.;:,' ...1 ilffill it K 1301 - :41.0';',#,'b
fe]. ww
2 Yid' x r •' „s`•
, 1(&I ,(- "14)7 ---- ' 41,1y),,--,:,,,,spot,1,- .,.....
THE WATER SUPPLY&SEWAGE 0 mss` � , N.
DISPOSAL FOR THIS RESIDENCE Z / ''7#2 C,�o�'C ;� "
WILLCOi.;ROM TO THE STAND-
ARDSOFTHESUFFOLKCOUNTY ,
DEPT OF HEALTH SERVICES. a
fiIS.o •h:o
f.
NO2'17'10"E 125 00',�� �. 4
SUFFOLK COUNTY DEPT. OF � �
1 r;,�,$;. \,{,
HEALTH-SERVICES FOR
cOVAL. �!t CONST.ONLY N/F MORRISON . ,
l
DATE 1
H.S:R NO.
APPROVED BY — x . ,�r •♦o_
? . . 4,14-t AlaiiiP+',' i
4u.W./31--K- Z•eurJr' Ci/4r rn \,1% ,
tAsseerahed
titivation or Wallas to this document I a violation of Section 7209 ' 's,
SURVEY OF: Lo.r.,,,` ` �'1 �q�
of the Nen*fork Slate Educetion the.ddttadbtn Mdieoled fw,aon slau run any to n,e pe son la wean d is prepaedistgA
,� W
and ae FY Udraff to the title Company,Croeemmentd Agenq find lendmq1. �`
hUV♦wtrttes Med hereon,end to the assignees of the lending Institutions or subs,- , r
*f' MAP OF HOMEST ' "t
Ceptss M Mit document not beang the professional's Inked sent or embossed �" 1 •;
Me Ali eel be tensiderd bvalid hue copy. .i t\ j t
int duals(co dimensions)shown hereon from structures to the property toss an / J •'��_�s!+. ." rt O� •�r.�sr
IM•spit Ke mese and use and therefore ars not intended to qu ds the weelbn of 6-e .j.14 �(i1 t Jt FI`�•f
fates Mailing ends,peek potion,ptmlrq aeon,nddhioe to butdlrgs a any eh,
``,OC NEV .°1 (.�N 1-, r•_., /'�4
/M.�d, eel right of eape and/or easements of reword.if any,not shown ore �A"♦ �" .�p ,l• DATE: 1 1 q SSCALE:
j " 40'
..*raa.eea ?.. to flr`..r�i `.GWP; 1 =
CERTIFIED ONLY TO / �x�: s
�—�kng�� ovin' , ' n _u DESTIN ;Ge' GRAF51i
rn tArt1 'LAND SURVEYOR
I � �RR
-A `t
1 t GESTIN• G. GRAF N.Y.S. LIC No. 50067 ``'F� i A ` ,;n + Pao `
S Ot{' poser POM.KV rax itrn
TAX'1.D. No. 1000-40-2-6.9 e 4 18101E(5,1821-3442 -4,<,O