HomeMy WebLinkAboutSchembri Homes Inc (20) '�•••
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ELIZABETH A.NEVILLE 'I,,`� t N Town Hall, 53095 Main Road
TOWN CLERK c :4 P.O. Box 1179
k y Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS � Fax (516) 765-1823
MARRIAGE OFFICER �‘ # 0\. g Telephone(516) 765-1800
RECORDS MANAGEMENT OFFICER ���! +.1.1
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. 1855 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 #R10-98-0059
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 44.021
Cross Street AUGUST LANE
Building Permit Number Cross Reference:
Issue Date: 5/01/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
/�,��OFFOUr t S S
ELIZABETH A.NEVILLE 10' OGS 0 Town all, 53095 Main Road
TOWN CLERK P.O. Box 1179
y Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS V' Fax Fax (516) 765-1823
MARRIAGE OFFICER �= ol �4�� Telephone(516) 765-1800
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER ��''
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: April 29, 1998
Transmitted herewith is a copy of application No. 1928 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 r commendations:
APPROVE
DISAPPROVE
Comments:
Si• atur-�
V/30/?8
Dated
OFFICE OF THE TOWN CLERK ' % UL fi
TOWN OF SOUTHOLD %;'O �l �1 CQG Application No. /
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 z _ Construction
SOUTHOLD,NEW YORK 11971 '
czaAlteration
Telephone 4or $10.00 - Residential
(516) 765-1801 = 1 1I�,•"1. $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
APPLICANT NAME: C' f y"--e0
l
APPLICANT ADDRESS: ea- g /(r3
SEPTIC CESSPOOL
DESCRIPTION OF PRO OSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERA, TION:
OWNER OF PROPERTY: J L- -�''`r'�
OWNER MAILING ADDRESS: 17'. 0 . /(0 3
OWNER PROPERTY ADDRESS: 4 I
pt/-4-)L
TELEPHONE NUMBER OF CONTACT PERSON: 52)4_ r j �o AT-04Y,
TAX MAP NO. : Section 'D Block Lot �7`
CROSS STREET: L t41,--k •
BUILDING PERMIT NUMBER CROSS REFERENCE:
. id/ t‘i
ignature of Applicant
RECEIVED BY: 91:
own Clerk's Office
DATE: (/ '
w
. 10
TAX Lor Z1 -Mx t.or z4 :
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SUFFOLK COUNTY DEPARTMEN f9 , ALTII SERVICES
PERMIT FOn A Prko VA L OF CON.. .tUCiION FOR A
. !...INCL F. ! EMILY RESI:)EN E ONLY q •
DATE W -.),-1-`1,a... I;S REF.NO. i. C'-`_ 8�5 1
APPROVED �...,;: �',�i . -.
FOR MAXI.Yl .4OF,! „D .• •"NIS4
1111
EXPIRES THREE YEARS FROM D OF APPROVAL \IC '
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gih'-#4- 3']xsaP
FOR SA 04—-Y SYSTEM
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THE WATER SUPPLY&SEWAGE
DISPOS;'. FOR THIS RESIDENCE
WILL C': i-'f-ROM TO THE STAND-
. I--or 24) VAL ARDS OF THE SUFFOLK COUNTY
DEPT.OF HEALTH SERVICES.
.
gaVA- I iJ /45k,um CTvM 1 of Z.
unauthorised aMa tally i►addition to this document is a violation of Section 7209 SURVEY OF: 'r I 1 q A
of e New vont 4C*dtals here n taw.. is GwI"7� ' 46.:
oniCertificationsbaf to the 1 hereon shall run any b tin Pin aLendi ° A w r �
d
and on his semis r the,and Campari".Governmental ding Y n9 ��/1A` /�� 11/�/�.�.{/��[
quentan Rated hareort,and to ilia aeefgrnes d do Medi institutions or subse- J Iwr/�Y 1' `_` / 'Gm o /��
quant owners. /3424 T Ip►
Capias Of this document not bearing the profsesional's inked seal or embossed i �
seal a e (oc«tdend a hewneld hs eoDY. are !iy,�;r �[ / ioi yl ' dew
l o K
The offsets(or dimensions)shown bacon Fran,structures to the property lines ✓✓VV ��!Vt� ✓v"
for a specific purpose and use and therefore are not intended to guide the erection of
fences.retaining walls,pooM,patios,planting areas,addition to buildings or any other
construction. // /jam
The existence of right of ways and/or easements of record,if any,not shown are , •.' -� A DATE: �I .2314e.
SCALE: %�fv
not guaranteed.
• pESTIN O. ..„�,
CERTIFIED ONLY TO: , � ;;' DESTIN G. GRAF
7
Let ■ 1.AL �.,. ' ��
LAND SURVEYOR
By �OALICENSE %t-t, • y 73 WOODLAWN ROAD
DESTIN G.GRAF N.Y.S.LIC No.50067 90p, ROCKY POINT.NEW YORK 11778
TAX I.D.No. loon -.S$- 04 - 44, 2- 1
��SS1ON/k" PHONE(516)821-3442