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HomeMy WebLinkAboutSchembri Homes Inc (27) of°OfFOLit ELIZABETH A.NEVILLE • Town Hall, 53095 Main Road TOWN CLERK ; perP.O. Box 1179 REGISTRAR OF VITAL STATISTICS • W Southold, New York 11971 MARRIAGE OFFICER �Oy � 1� Fax (516) 765-1823 RECORDS MANAGEMENT OFFICER �: �0 agoof 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. 1902 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : SCHEMBRI HOMES 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 #R10-98-0089 Name Of Owner SCHEMBRI HOMES 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 13.015 Cross Street MAIN BAYVIEW ROAD Building Permit Number Cross Reference: Issue Date: 7/21/98 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ,., ti ' f 0 --)./. - Isis�OfFOU(- • ELIZABETH A.NEVILLE $e`1O � . Town Hall, 53095 Main Road TOWN CLERK t, 4=a 1 P.O. Box 1179 y Z Southold, New York 11971 %REGISTRAR OF VITAL STATISTICS ,1 % Fax (516) 765-1823 MARRIAGE OFFICER ` y %N.1 Telephone (516) 765-1800 RECORDS • ►a , . nFFICER 01NO�• - 1 P F I(�TF(�?R IO OFFICER ,• so 0 I U / 4t, dr- OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD BLDG.DEPT. T.WN iF S•UTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: July 14, 1998 Transmitted herewith is a copy of application No. 1977 for a Cesspool/ Septic Tank Construction Permit submitted by: Schembri Homes • 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: .)S6-- -*" .----'-- Sign ure Dated R' y ���FFO���. OFFICE OF THE TOWN CLERK OCA LAi`," Q t'f TOWN OF SOUTHOLD Off, �G Application No. I (1 I ELIZABETH A.NEVI' F,TOWN CLERK $10.0 1 - Residential P.O.BOX 1179 cn SOUTHOLD,NEW YORK 11971 ; $25.00 - Non-Residential O�'�i Telephone 0 [ �� �' (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION RErri\1r1n for COIXiarairdliai• JUL 1 [?. 1993 town Cleric Southold SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ , DATE7 fe OWNER NAME: � i, � i bfl C OWNER MAILING ADDRESS: P O . E3C14, 110- ) (161 .r NY OWNER PROPERTY ADDRESS: F4., C €- OWNER TELEPHONE NUMBER: qaq 5gtD) TAX MAP NO. : Section I 00Q- Block to Lot (3 . I J CROSS STREET: Atzt, 4, ,J TYPE OF SYSTEM: Septic Tank C/ ew �'--��Existing Cesspool New fisting Residential v Non-Residential LOCATION MAP: Must be attached hereto before permit may be issued. (Locate building and system; give north arrow and feet of distance, approximately, to building and closest road.) /4( ignature of Applicant RECEIVED BY: 64,4 Twn Clerk's Office DATE: 7f /93 q(5 .2)1T092 1W6e,Ct 7 I q.. i ®© 6/ > lj I634.0.,_(:./.1.,,...,...0, �� r2y s \jot ��e • q 6.1 oo -� (� [�o'] 4Pt = 3a.�3 \_____._.±.- \ I Ic'°' l,, o,fo , P .J \ 15 K.: 3So.00 (A -0L..,P I _ i \ vv4 I� 0 , /� �� - o - 0 `^V �j/pe0�'!C� O• . -3 2 , r-__________L2_________ c.....1 c...\ ii ---, „ 107...,/ \—ch, I- 6kg 10 , z 1- O0 — o I` -17 ..s, I N Z 1.—eiv.-14-0.4 U pool./-2 O �At,l2 Viicw t Pt p- RkTt,� n1 I-.n Ih X Pf*o-1 SI vr4 1706 L Peze nn I til O t' S t FIG.oM ?epe .r' L1146. d µIN o t= 81 aow\ oTtia2- I.CJtZoit4 Fr Pmlfi, I2' b2_92- SOW SUFFOLK COUNTY DEPARTMENT OF HEAL R,Ii S� PERMIT FOR APPROVAL OF CONSTRUCT iN FOR A SINGLE FAMILY RESIDENCE ONJ,,3t THE WATER SUPPLY&SEWAGE D,!'tJUL 1 3 1993 H$ .NO. I �0�uQ -W DISPOSAL FOR THIS RESIDENCE • APPROVED. . C1 /. � RLL_ WILL CONFROM TO THE STAND- FOR MAXIMUM OF,..4,_ : -Dikt..MS ARDS OF THE SUFFOLK COUNTY WIRZSIVREE YEARS 'OM DATE OF APPROVAL DEPT OF HEALTH SERVICES, 1 Unauthorized alteration or addition to this document is a violation of Section 7209 SURVEY OF: 1. .-z51-- t' 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 Institution listed hereon,and to the assignees of the lending institutions or subse- ��r 0 I quant owners 't 1"I' /IE-,_ / I 13(,,kit ) � o r ?1 3 L,7 Copies of this document not bearing the professional's inked seal or embossed 1��� V V�! i' t t'[J Ct 3yy seal shall not ts be(o consideredh valid true copy. / U ff� kl , I The offsets(or dimensions)shown hereon from structures to the property lines are !� ,(N1� for a specific purpose and use and therefore are not intended to guide the erection of I fences,retaining walls,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 — 0. not guaranteed. � OF NE .►:VEY DATE: (9I 10 1 GI'(J SCALE: \ f : 40 0 CERTIFIED ONLY T0: 7 5� DESTIN 0,OR --9 p' ' DESTIN G. GI F' iGII 6 e f )- IME ir„ry L, ii I LAND SURVEYOR VI is / By OA. • -'•E#05,,' ,4 \ 73 WOODLAWN ROAD flPCTINI (: (:PAC NI V C I Ir Mr, cnna7 '. i► __ . - . - .