HomeMy WebLinkAboutSchembri Homes Inc (28) o��gUFFO�,�Co
ELIZABETH A.NEVILLE $h� Gy Town Hall, 53095 Main Road
TOWN CLERK ; p 1 P.O. Box 1179
y Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS v' 1
MARRIAGE OFFICER � y Fax (516) 765-1823
/ Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER � 0 #81.1
FREEDOM OF INFORMATION OFFICER : 1 O���
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1920 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 #R10-98-0126
Name Of Owner SCHEMBRI HOMES INC.
Mailing Address 1 P. O. BOX 163
City St Zip WADING RIVER NY 11792
Property Address 1 AVENUE OF TREES
City St Zip SOUTHOLD NY 11971
Tax Map No. section 88.00 block 6 lot 13.042
Cross Street FAIR WINDS COURT
Building Permit Number Cross Reference:
Issue Date: 8/25/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE I,``Z� G.. ,,,k Hall, 53095 Main Road
TOWN CLERK % cz 14 P.O. Box 1179
% C13 Z
k Southold,New York 11971
REGISTRAR OF VITAL STATISTICS • �'�i Fax (516) 765-1823
MARRIAGE OFFICER :` y
RECORDS MANAGEMENT OFFICER : violise .S./ Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: August 24, 1998
Transmitted herewith is a copy of application No. 1998 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.
C:44-"7-ace—
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
ma
APPROVE
®
DISAPPROVE
Comments: Signat
s1l a s /c Si
Dated
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OFFICE OF THE TOWN •CLERK „ '",
Town of Southold els' ,OFO[Kl' =
Judith T. Terry, Town Clerk 1t�' OGS Application No.I /
Town Hall, 53095 Main Road .4 : Construction
P. O. Box 1179 * I
Southold, New York 11971 t yc�, AlterationY �_
Telephone =yO.jy #1.1� / $10.00 - Residential
(516) 765-1801 - �l 4 ,, $25.00 -Non-Residential
_
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.AWRE.
Fee $/Oj :OO e
DATEA Y " LO
NAME: CCj”. ,16%- 4' A-L '
APPLICANT ____-_- -------\,\16%-‘ 4'
----_--�-.--.—_�_____.
APPLICANT ADDRESS: 1-0 ,L ( (?
MM= `_' - _1( 7) - '
SEPTIC CESSPOOL 1.--------(
DESCRIPTION OF PROPOSED ,/��ONST CTION ORA ERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION R ALTERATION:
OWNER OF PROPERTY : S �`A
OWNER MAILING ADDRESS: / 40-'I7 C
c^A) '!"/( 7 9
OWNER PROPERTY ADDRESS: _ �/
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TELEPHONE NUMBER OF CONTACT PERSON: T).____9—, ----9 (
TAX MAP NO. : Section 7 Block V& Lot / 3 1/41---
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CROSS STREET:-r .-L (filjC -
BUILDING PERMIT NUMBER CROSS REFERENCE: _„&:7/1Pf/
Signature of Applicant
RECEIVED BY :,'�4111
Tow' Perk' Offic
DATE: A __ ____
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3\ �� 9400L41 riIE WATER =UPPLY&SEWAGE
>=14 ,46P,1/24.- 171P Q DISPOSAL FOR THIS RESIDENCE
V► WILL CONFROM TO THE STAND-
ARDS OF THE SUFFOLK COUNTY
DEPT.OF HEALTH SERVICES.
-„Zoi 1. ‘///c110,14/-7 Ibl Are-AM/164 d7 VM
$ 24241A,� cur w•4. = wATI% ti
614
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10 iv AUG 1 8 1998
v�� MAP i10 erl 0.1 3
Unauthorized alteration or addition to this document is a violation of Section 7209
of the New York State Education Law. SURVEY OF: _'` 4'0
Certifications indicated hereon shell run only to the person for whom it is prepared
and on his behalf to the Title Company Governmental Agency and Lending /� /�d? , �j dInstitution listed hereon,and to the assignees of the lendkq institutions or subse- "►! Mcvsv / F�
subse-
quent owners. roo...iii-TOININJ OCopies of this document not bearing the professional's inked seal or emtwsaedseal shell eotts be(o codi a ered cion) hownvalid rhs eopy. ✓ N— II yolak.
,
The offseb(or dimensions)shown hereon from atrawtures�the Property lines are /We1`iA1 -1f 1Y
for a specific purpose and use and therefore are not intended to guide the erection of
fences,retaining walls,pools,patios,planting areas,addition to buildings or any other
construction. . J
The existence of right of ways and/or easements of record,if any,not shown are , N
not guaranteed. V. .0 r Via- a DATEe4112,160 SCALE: 1 r = 4,0l
DEST•
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Cos NG.GR �"
CERTIFIED ONLY TO: —CCS"' DESTIN G. GRAF
!SiEl ,• ' , \ ) LAND SURVEYOR
- By •�f uCENS4 !;• e `.` 73 WOODLAWN ROAD
DESTIN G.GRAF N.Y.S.LIC No.50067 i0"P� 'ROCKY POINT,NEW YORK 11778 O
TAX I.D.No. (000- -
13 SSi*UN L PHONE(516)821.3442