HomeMy WebLinkAboutSchembri Homes Inc (26) `ie" ii .i
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ELIZABETH A.NEVILLE $0.1G.y �� Town Hall, 53095 Main Road
TOWN CLERK •
`p .� P.O. Box 1179
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Southold, New York 11971
REGISTRAR OF VITAL STATISTICS %% O 4�1 Fax (516) 765-1823
MARRIAGE OFFICER �‘ #4
y � Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER : �Ql %N.���
FREEDOM OF INFORMATION OFFICER %
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1843 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 #R10-97-0047
Name Of Owner SCHEMBRI HOMES INC.
Mailing Address 1 P. O. BOX 163
City St Zip WADING RIVER NY 11792
Property Address 1 WATER TERRACE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 88.00 block 6 lot 13.004
Cross Street AVENUE OF TREES
Building Permit Number Cross Reference:
Issue Date: 4/16/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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4FFOL
ELIZABETH A. NEVILLE �•h`Z� ot; Town Hall, 53095 Main Road
TOWN CLERK ; p -4 P.O. Box 1179
y Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS % v' ivy 1
°,,, Fax (516) 765-1823
MARRIAGE OFFICER :` s
��
RECORDS MANAGEMENT OFFICER ` 'a�1 �a' i'I Telephone(516) 765-1800
asio
FREEDOM OF INFORMATION OFFICER
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OFFICE OF THE TOWN CLERK ti F G � �yl ''.
ri TOWN OF SOUTHOLD
•
I !99$
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office ` "' . BLDG • H'A
DATED: April 10, 1998
Transmitted herewith is a copy of application No. 1917 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.
.' 4----
Linda J. Cooper ,
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE
DISAPPROVE
Comments:
jS' natu
Dated
T
OFFICE OF THE TOWN CLERK ,,,'"'"
Town of Southold so',citf ikK/4;
fry
Application No. /q17
Judith T. Terry, Town Clerk G pp
Town Hall, 53095 Main Road ;� '•�G = Construction
P. O. Box 1179 'eT Alteration
Southold, New York 11971 :
Telephone
‘7:_040A..
040A. �,0 $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.
Fee $ c
DATE �6 7(
APPLICANT NAME: C10 c 4644C1- A)t't
APPLICANT ADDRESS: O- t (j 73
-
i ? q -
SEPTIC CESSPOOL v
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRU TION OR ALTERATIO
OWNER OF PROPERTY: >��• ,
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS: W I V.144.41,cit„ (art 5.46e1 ?
/ / , /
TELEPHONE NUMBER OF CONTACT PERSON: S�Y
TAX MAP NO. : Section 4 b Block b b Lot 3
CROSS STREET: ///(.( •
BUILDING PERMIT NUMBER CR S REFERENCE:
Signature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
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THE WATER SUPPLY E SEWAGE
DISPOSAL FOR THIS RESIDENCE
Ml,R 9 ,,��,�
V LL CON FROM TO THE STAND-
ARDS OF THE SUFFOLK COUNTY ,
DEPT OF HEALTH SERVICES. .-.. _
Unauthorized alteration or addition to this document is a violation of Section 7209 SURVEY OF: 1/.01-
of the New York State Education Law.
Certifications indicated hereon shall run only to the person for whom it is prepared
and on his behalf to the Title Company,Governmental Agency and Lending MAT-? o r A�i 1 h J�g
institution listed hereon,and to the assignees of the lending institutions or subse• F' (Sri✓ It+ 7
quent owners. '.13.0k'6/I E1n/ — OKIKI of aT RNA
Copiess of this document not bearing the professional's inked seal or embossed
seal shall not be considered a valid true Copy.
The offsets(or dimensions)sanushown hereon from ostructures to the property lines are , ,If. � , ' ` `
for a specific purpose and use and therefore are not intended to guide the erection of (�.f e� Iry 1Y(J
lances,retaining walls,poois,patios,planting areas,addition to buildings or any other �` J NEyy Y I
constriction.
The existence of right of ways and/or easements of record,if any,not shown are •
riot guaranteed. yct. SUR "k".• •TE: 312014E, SCALE: 1 „- 4.0'
ogstrat. fir
CERTIFIED ONLY TO: r, .'"A. ie, P�
111.1.11i
x ,,4,,et 4 �.. DESTIN G. GRAF
r LAND SURVEYOR
CEWE
By '1/ •+*� Qs„ / '"" �\t 73 WOODLAWN ROAD
DESTIN G.GRAF N.Y.S.LIC No.50067 +' rl:i� ROCKY POINT.NEW YORK 117789
TAX I.D.No. 1 000 _08- 0(O .. 13.Q' '�rJ PHONE(516)821-3642