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HomeMy WebLinkAboutSchembri Homes Inc (18) h• OfFOt; co ELIZABETH A. NEVILLE 4°,``Z� t�` Town Hall, 53095 Main Road TOWN CLERK p -� P.O. Box 1179 • ti Z Southold, New York 11971 REGISTRAR OF VITAL STATISTICS • %.3.- Pr, 1 O ** . Fax (516) 765-1823 MARRIAGE OFFICER � y RECORDS MANAGEMENT OFFICER ��0•I Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1894 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : SCHEMBRI HOMES INC. Address 1 : P. 0. 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 #R10-98-0083 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 4 lot 44.017 Cross Street WELLS LANE Building Permit Number Cross Reference: Issue Date: 7/10/98 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) OAP 0,l‘\)OFF Oilr z �Y ELIZABETH A.NEVILL �\ �Gy •� Town Hall 53095 Main Road TOWN CLERK , p -4 , P.O. Box 1179 co REGISTRAR OF VITAL STATISTICS Pr, t Southold, New York 11971 MARRIAGE OFFICER y Fax Fax (516) 765-1823 RECORDS MANAGEMENT OFFICER . �� ����I �c� Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER =�'( 4, , I . .. • OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: June 24, 1998 Transmitted herewith is a copy of application No. 1968 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: 'gnature Dated r, • OFFICE OF THE TOWN CLERK i•I' OC ti n TOWN OF SOUTHOLD �'s �1 �14pj� Application No./15f ELIZABETH A.NEVILLE,TOWN CLERK y P.O.BOX 1179 !� Construction C/ SOUTHOLD,NEW YORK 11971 Z ; Alteration Telephone 0� Q ` $10.00 - Residential (516) 765-1801 42, (516) � ' $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 /4)//,1--' APPLICANT NAME: 5Ci • ( s • APPLICANT ADDRESS: 110- 4177( cati4i SEPTIC CESSPOOL DESCRIPTION 0 PROPCED CONSTRUCTION OR ALTERATION LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR AL ERATION: OWNER OF PROPERTY: OWNER MAILING ADDRESS: OWNER PROPERTY ADDRESS: TELEPHONE NUMBER OF CONTACT PERSON: TAX MAP NO. : Section c-� Block d Lot 5-V/7 CROSS STREET: WijLiI. BUILDING PERMIT NUMBER CROSS REFERENCE: A7 6ce S'gnature of Applicant RECEIVED :/0/ To Clerk's Office DATE: F .- - t -J' 1�LIis15, e 1 • • r • A^ - P^^ PvteiIt�G^O /- t A' 12 tL 5- S B,,t.,r. �f. ir�rr 'i S.i 6-1 - - / .c„, alp ' o ,iy 8s � �T�aree2' oo 1 �4 O f _ is 3 L541,!C- { nt.- 4 DF---t' kiktP k9R4 • -Z e'''KPAA4' (o/4 FOOL-6 3 ' Pee? 1.kPatif 4 SUFFOLK COUNTY DEPARTNIF..N, r).:1-117,),LI I-I SERVICES i PERMIT FOR APPROVAL,^,;�CONSQ_C.o Jt kt.rcrroN FOR A Z SINGLE FAMILY itiEg/DD :NCL ONLY N DATE• �`- 9fSt.f:i , i.+F ..'jam 1�� . ^- ` . j t :� APPROVED__________\_ _1.:2__, ,. ,_—/4 r fir' FOR MAXIMUM OF 1 . r� ,rkts's( MS • • °; ‘A.1. ; EXPIRES THREE YEARS FItOt IT:;'ti;T.CI APPROVAL J � 7.,,<,..,--;:,-_- I 4• N it,-r– IG .) rIl c)it � s S o Sv SSE TE6'T' `k- — 2S _ r': hi C \� `�4k 94.9NI""� rn / 13.9 -'-- IW ''- R•:-ti.0 9'8 0 ,-) i / (\I t3rg'‘A'j 414:11:: --71EX....1‘11 1.4 . q -c, `�K , wfKac.l6t /_ . / . To 6A•-10'r Std, Ur \NATtstc 14 \o qg /y13 1 d'' hmww 44 co?.... lief / SIN 3 �f G1 . t Cs'\1-452 .,:, k wed tdlaredon or addition to this document is a violation of Section 7209 / u 1, Op*Strin•WWItallilklidtitielitnt I—, I CatIltiallitienS SURVEY OF: **Mid hsteon they run only to the person for whom it is prepared and on hiaboair b$10 Tldt Company,Governmental Agency and Lending �D O �� � / ;: ed awaits.i7Ned heewrt,and m the assignees of the lending institutions or subse- quent T r _.�G InelitOMtlert. Copies ol mid shall a considered a valid professional's inked seal or embossed lf^�f W{/r1 �/Q (O,`,-1 ©f! 1 rr,ff1..`� ..' VVV `.\�r� Ire/.V 1" r = The OMaets(or dimensions)shown hereon from structures to the property lines are ' + 1 y k for a spttdNo purpose and uall and therefore are not intended to guide the erection of N fences,retaining wats,pools,patios.planting areas,addition to buildings or any other Construction. The existence of right of ways and/or easements of record,if any,not shown are not guaranteed. NE O ., � "� e9 Y DATE: 19 b SCALE: 1 ��. 4.0 a ` CERTIFIED ONLY TO: • DESTIN O.GRAF t _ _zi"'' DESTIN G - -rh _. / • . yr rr �' `r;• eceivfad eta 4 r;s k',i LAND SL RVEY Ik County '' `` By i • , cENSt. tt. JUN 13 ice' DESTIN G.GRAF N.Y.S.LIC No.50067 ♦ 79 w000 N ROAD „ TAX I.D.No. �e' ROCKY POINT,N W I ow - 53 ,/ St 1- t�,I, .,t �,aaicn Sery ; ,�_ �'T - �-. (7 a8 4M a,. ' PHONE(518) its, Wastewater ',` ,�