HomeMy WebLinkAboutSchembri Homes Inc (17) �_-
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ELIZABETH A.NEVII.LE Town Hall, 53095 Main Road
TOWN CLERK y Z P.O. Box 1179
�
O l Southold, New York 11971
REGISTRAR OF VITAL STATISTICS �fi 1
MARRIAGE OFFICER #� •
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��111 Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER ,,.1 Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER �-" I
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1914 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 #R10-98-0102
Name Of Owner SCHEMBRI HOMES INC.
Mailing Address 1 P. O. BOX 163
City St Zip WADING RIVER NY 11792
Property Address 1 AUGUST LANE
City St Zip GREENPORT NY 11944
Tax Map No. section 53.00 block LI. lot 44.0111
Cross Street KERWIN BLVD.
Building Permit Number Cross Reference:
Issue Date: 8/13/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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/N�gUfFOL�-CO
ELIZABETH A.NEVILLE %‘;
Town Hall, 53095 Main Road
'OWN CLERK ; p 14 P.O. Box 1179
y 2 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS • O ��� Fax (516) 765-1823
MARRIAGE OFFICER : ifi ��
RECORDS MANAGEMENT OFFICER : 49! *so/1 Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER
001
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: August 7, 1998
Transmitted herewith is a copy of application No. 1990 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 rec mmendations:
APPROVE
DISAPPROVE
Comments:
gnats
g./1/ el 8'
Dated
.
OFtICE OF TUE TOWN •CLERK ,,,'",,"
Town o )Southold ,.0" gF��K G
Judith T. Tert ', Town Clerk �' Gy :` Application No._f /
Town Hall, 531) ', Main Road Construction
P. O. Bo1179
Southold, New York 11971 t / Alteration _-
Telephone -P,j� sic $10.00 - Residential
� ---
(516) 765-1801 - l � $25.00 - Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. /990
Fee $/6 .0 (r_
DATE D I
_.----
APPLICANT NAME: cisnA,, \A-41 .,u4 ...__
APPLICANT ADDRESS: 0 I,o`
SEPTIC CESSPOOL LVV---
DESCRIPTION OF PROPOSEDXST UCTION R ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONS RUCTION:LALT RATION:
OWNER OF PROPERTY:
OWNER MAILING ADDRESS: (
C�3 4
X L -
OWNER PROPERTY -ADDRESS:
IV
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section 5 Block ° Y-
Lot T /%7
CROSS STREET: kg'`K'A- 4,L-9 • — _ __
BUILDING PERMIT NUMBER CROSS REFERENCE:
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'Signature of App scant
RECEIVED BY: Z?
Tow C erk's • ice
DATE:
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APPROVED .�&L4... ' �' . , �: r ;-� \ 0
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S'INREE YEARS FROM DATE OF APPR i VAL 0 •�c,
. ;11/ 14 \A'C't"
(t. . ../\"\e". p,Acikkic
�� _,... THE INAi:EF SUP PI Y 13,.
• SEWAGE
. Received
t•ASID NCE
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DISPOSAL ":1. ;
(Jiv, TO THE STAND-
JUL 0 8 1998
ARDS OF THE SUFFOLK COUNTY •
i Dept. ot F-ieaitn;„)t: VIC:i3:
! fflce Of Wastewater M rte DEPT.OF HEALTH SERVICES. s! l
.
Unauthorized alteration or addition to this document is a violation of Section 7209 SURVEY OF:
d the New York State Education Law. � r
Gn his beh f hted hereon shall run ver m the person for whom it is prepared /� - - ^ O r k
,�./ �1A,and on his beh►alt to the Title Company,tiovemmental Agency and Lending V/��dlfji'J ��"'2 K/v1
44
iri
Institution listed hereon,and to the assignees of the lending institutions or subse-
quent Copies
oT�l'V►0/ r1QVl�/1-5AJ"J
Copies of this document not bearing the professional's inked seal or embossed t64F01.44.A,ItetTu(1
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seal onot(oconered•valid laic copy. J
The offsets(ordimensions)shown hereon from structures to the property lines are
for a specific purpose and use and therefore are not intended to guide the erection of
cide.._
fences,retaining walls,pools,patios,planting areas,addition to buildings or any other
construction.
The of right of ways and/or easements of record,if any,not shown arenot guaranteed. - t.OF NE .'s,, EY DATE: (—I lett. SCALE: I 'I:.0
CERTIFIED ONLY T0:// s -1-19:4467 y DESTIN ti.OR DESTIN G. GRAF
Pi LAND SURVEYOR
el7' 14 t4* s
.. By • • CEN'k 40.!4• \ 73 WOODLAWN ROAD
DESTIN G.GRAF N.Y.S.LIC No.50067 ` ROCKY POINT,NEW YORK 11778
TAX I.D.No. 1000-5b- 01--44,(4- --,..::....,,, ,. 74.C.-,... PHONE(518)821-3442
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