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HomeMy WebLinkAboutSchembri Homes Inc (19) i •i �SufFO(,( ELIZABETH A.NEVILLE 1,I=`Z�� Gy�• Town Hall, 53095 Main Road • TOWN CLERK 1 p a' P.O. Box 1179 • ' Z • Southold, New York 11971 REGISTRAR OF VITAL STATISTICS • 1+' MARRIAGE OFFICER • 1� Fax (516) 765-1823 RECORDS MANAGEMENT OFFICER �0Ai ��0 1, 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. 1895 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 #R10-98-0084 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 44.018 Cross Street WELLS LANE Building Permit Number Cross Reference: Issue Date: 7/10/98 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) 11116, ofFOc � , / ELIZABETH A.NEVILLE I$,`\. ol/y�•�` Town Hall, 53095 Main Road TOWN CLERK p P.O. Box 1179 N Southold,New York 11971 REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER Oy ,1� Fax (516) 765-1823 RECORDS MANAGEMENT OFFICER : �� 0 Fax (516) 765-1800 FREEDOM OF INFORMATION OFFICER -- 1 * ��1'� 1� 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. 1969 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. ZYK-etw Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE r/ DISAPPROVE Comments: ignature CoI /5 Dated OFFICE OF THE TOWN CLERK .1,!'%��%OIL t - TOWN OFSOUi'HOLD ,t' % �14Qt441 Application No. /f(� 7. ELIZABETH A.NEVILLE,TOWN CLERK P.O. O BOX 1179 Construction -� SOUTHOLD,NSWV YORK 11971 . 0 Alteration Telephone ‘�0� Qom,/ $10.00 - Residential �r (516) 765-1801 �'Q �� o' $25.00 -Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ J DATE . l0- y/9r APPLICANT NAME: ,51k.,:c-- -4- (9 APPLICANT ADDRESS: ". 0- ( (p 33 c-J ' P-44/4„ AiVi f 7•41o1--- SEPTIC CESSPOOL (/-----_ DESCRIPTION OF PROPOSED NST CT ION OR ALTERATION 24(41 LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRICTION OR ALTERATION: OWNER OF PROPERTY: /0-1--( _ I / OWNER MAILING ADDRESS: vs OWNER PROPERTY ADDRESS: TELEPHONE NUMBER OF CONTACT PERSON: yi-g- s-76. I TAX MAP NO. : Section 55 Block 0 7 Lot i � CROSS STREET: "4JVbef2„i -� ir=k BUILDING PERMIT NUMBER CROSS REFER NCE: Signature of Applicant RECEIVED BY: 6/(A .„..,--,Clerk's Office DATE: U, ry t 9 74 ..,' _ O \. a c‘ O -, t is L.. ;: i.. L—A v- 4'pe.A5F '1: 64 P Ia•1 i 3' . ,�,uc oo�rrrr�r " F:Rs`Ei` TH 1 sERvicEs R r 1,.. i y ,,`iv�..,6,"' fit"..:�{$Tt<Cit'�i`i!Ol\ a•��.� 1,oT 1� (�E`.Iz 1I't'r :�'k K2t � ti�:k ONLY Witallo .00, k. ,n:s.iUM OF DIt00MS - KJ 31 -- — 9,0 — 4.: ‘-',1.'...''''',-i4:1E-C.:1':--14-- r- i TIE / 3� S i R ..,. =LS.o 3 L • ,lf 7 x _.24.‘$ • Ex ( ) \.9 Ex 3 / i , •- ‹f,,r 14 t-. / loT' -09_ , , v..:,:ri S11 '4 : q� v 4a,,� �u,A ls, F, !q6,01 �1 / °,ao C; 4.0.. _1-..-„.., LA„N, kt...,,onict) C&to 2 ,.,,,,,,,,,._ ......... ,,,,,,, - -MV hu i'Y S - •wining. .4- _.. L S i z' 1114 r+5Vt - .`EXCAV,���K3p�C CrY ou,.ivw AI- BYE TION REC��EO L`'r Z(, F.I.ta/ di 0..0 Eilit -t Ctf.� SYSTEM ,'' r 1 I :T.-:,7-.._': ---.�_ rid b this document is a violation of Section 7209 a1 ‘ , k L - 4*. SURVEY OF: I(07 ` ��,t tthaM tun only to 1M person for whom It Is prepared and an r,rt,. , ,. Governmental Amey and Lending /Ir 0 4 x 4 I , ,. 11104,011#, '"001•1110liaNprNN of the nrnrW institutions or subse• 1 I , rtwytt rti A N i ! •� A,, � lip bovine the professionals inked seal or embossed (,e r aNP + nliUtn+e°gp)'' U � w 1� Tt` ene wt Ninon from structures to the rty lines are rF, for• ,:i7"-,, and MtrlrNala are not kflentled b IM erection of fan0ia patios,planting areas.addition to buildings or any other oOrriMVCM 6 1� N : ,r. F The ery0tliahM of right of ways ands easements of record,if any,not shown are lb a DATE: Slq 8 's • z , .:'Li-- - i ,itt CERTIFIED ONLY TO: ''' DESTI D.GRAB 7" 54 ;�'""' 1 , r . *, DESTIN . G r :F -..; qq{{ LAND S —�A� - l.�AND SUR„ ` ' 1 j' r r t 5L�� fAp4 .4/p4,e 1' Otsft• sstet .3.ta� \4: Of WayieW' .. By e� � '4 / �( 'N qv 1 Al•0.0, ,, , / 73 WOODLAWN ROAD DETa�D.GRAF N.Y.S.LIC No.50067 (\�0..;•1,,r. ROCKY POINT,NEW YORK 11778 1 TAX I.©.*. r - 14' PHONE(516)821.3442 rx S 304— 44. 18 �T ` T