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HomeMy WebLinkAboutSchembri Homes Inc (30) �SUfF067;0 r ELIZABETH A.NEVII.LE �y� Gy. Town Hall, 53095 Main Road TOWN CLERK ; p -4 P.O. Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS • Fax (516) 765-1823 MARRIAGE OFFICER : ifi 1 RECORDS MANAGEMENT OFFICER 01 ire It I' 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. 1889 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 #R10-98-0079 Name Of Owner SCHEMBRI HOMES INC. Mailing Address 1 P. O. NOPX 163 City St Zip WADING RIVER NY 11792 Property Address 1 BALDWIN PLACE City St Zip CUTCHOGUE NY 11935 Tax Map No. section 103.00 block 10 lot 5.000 Cross Street LITTLE NECK ROAD Building Permit Number Cross Reference: Issue Date: 7/10/98 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) • ��0 �OFF0IAt / (' - ELITH A.NEVILLE ;$_4� �Gy�=, Town Hall, 53095 Main Road "OWN CLERK p . ‘ P.O. Box 1179 % y 2 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS �t Fax (516) 765-1823 MARRIAGE OFFICER �� ?i �1 RECORDS MANAGEMENT OFFICER ���1 ���,� Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER 411 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: June 18, 1998 Transmitted herewith is a copy of application No. 1963 for a Cesspool/ Septic Tank Construction Permit submitted by: Schembri Homes, Inc. • Please review the application and location map and advise if the project has received Suffolk County Health Department approval and if this office may issue the permit. Please complete the form below and return it to me. Thank you. Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the followingrec mmendations: APPROVE 1 DISAPPROVE Comments: Signat r L.. It 1 ( 5" Dated A. arb$TOWNCLERK ,,,c1tf4 "` = '�(W8MrHaw �` Application No " ," i :- TOWN CLERK % ��-=- A.BOX 1179 ` +" Construction SOUTHOLD,PSW YORK 11971 s Alteration . � '�' Telephone .i� �• �� $10.00 - Residential c. t (516) 765-1801 --- al 4't,,'' $25.00 -Non-Residential -- >,, TOWN OF SOUTHOLD r r SOUTHOLD WASTEWATER DISPOSAL DISTRICT f APPLICAT ION 1 for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. . A Fee .$ / // DATE 4' //t//11 . , ,,,,,,';:t-'6:13:17:„.1,,,,,,,=.. APPLICANT NAME: 510,,,(J. (,[...,,,,,,,„__,, APPLICANT ADDRESS: .. O. / 7" ( 6 3 w k- VLa ,n1 l / ('- ? ff SEPTIC CESSPOOL '140- DESCRIPTION OF PROPOSED ONSTR CTION ,�OR`ALTERATION ,,,,. 4.,, �-(. _ r. t LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: - r OWNER OF PROPERTY: 1-�'j v -t, (�4-�`"e- OWNER MAILING ADDRESS: _--� (Ll, -c (� �'�lv`'2— CL) K6-/-----( f OWNER PROPERTY ADDRESS: .c.tiX�, . -u (--/- } , TELEPHONE NUMBER OF�CONTACT PERSON: % �/�'G/ il TAX MAP NO. : Section Block tom' Lot 0S --- - CROSS STREET: pej, ji,c BUILDING PERMIT NUMBER CROSS REFERENCE: Sig ature of Applicant RECEIVED BY: U--) - 'own GTerk's Office 1 DATE: (© 1 1 g `, z ::( e StIegliqbligrY DEASIMEINteteArEALTH SERVICES ' i 1iPROVAL OF CONSTRUCTION FOR A k e JGLg FAMILY RESIDEN S orij,,Ys. o° TA x (/oT 2.2.-7 1, = FOR UM OF ,e>~I I SES THREE YEARS FROM DATE OF APPROVAL 100 A- - — — — ----41-Dinfili,k,---11-A4 -- Tr" — — 1 i-61.e. \ , lrb•.J P,rE 84-S4-lot 1 CO.00 4 • 1/‘ \ . _ --1-1-- J(.I. �1 t�o. T4 l-ko•oo , • a — 1 w — Ct ►ter wtii,t., � I _ i Go t ', 0-4- 0,/,6Gae-gq,� .. VALhrn� :� J=is idly _ A� — -4TY Cr L•9 -� r�or - SS `. •..S Mt.* 4 ot / f.' o. \xi3 `"► V f ,c i` c)14•../.. ISo' �'o _ 0.8,4 c S�m, ' _ �- 12A91017 4 0 ,,,, _ Leir" Li 4 „ ,c o le p Lo T 1 (t12S v1/444.4.-) z \ J W c N v • J U) A)• i.-.P AirA ,,„„,-..,-, yap 'i J a 7 I0°' 1/3 G•AG.ro•J qq.1 V 0. 1 gals-- 4-LDC I Oaoo -•fd7T91..,3* C /-•••or b q4I4b (trte roe r 6•144128E . I 130 1 K 4L L e weed ` .J - www hiw�u�►r LJ. -- ' ,; :=AWA ER SUPPLY&SEWAGE t I -�a' ciols. . . _ Z- 1AL14fr4 7.?a24,17 .Co -� DISPOSAL FOR THIS RESIDENCE w Go��c)V AG �1 _ WILL CONFROM TO THE STAND- `+" (o S' off B cis— of {-64s6 `•Atreb`' 1/4 Ru4 ARDS OF THE SUFFOLK COUNTY ?wry.44 c.+rJit w wisps 4k40 EL.4.4icr'Jo*i 14 AqiusAE.4 d,trvm DEPT.OF HEALTH SERVICES. Wteunorized swoon oraddltion to this document is a violation of Section 7209 of the Neve Yodt state Education Law. SURVEY OF: ert CiNcalorts In catpd hereon shah run only to the person for whom it is prepared r I and on his behalf to MeTiGovernmentale Company,Governmental Agency and Lending 0r 96 t�gC141 S f vi r - kNNre aAion Noted hems,and to the',sigma of the lending institutions or subse- quent n 11 7`,1 �7 Copies of this document not bearing Its professional's inked seal or embossedf-Mil Com/12446.6til /1 N a e aid she*not b•considered a valid kw copy. kk The mesa(or dinwW Ws)shown Heaton from structures to the property lines are4, for a Vedic purpose and use and stators are not Intended to guide the erection of 4 u r O /( l�r(4 ' �vt/ oe Mmes.sces,retaining wepoole,patios,planting areas,addition to buildings or any other consolation. 3. The existence of right of ways and/or easements of record,it any,not shown are °F-14k; Nk :A EY DATE: 4-L 14.I ei SCALE: 1 r's 4 t : - CERTIFIED ONLY TO: • -" DESTIN 0 GRAF 1:,r DESTIN G, - e • ..c :" rte ,_ ? Received®® ':---- ."':-i. ', SURIVETORiffeut.Cou h+ r pA, a By 73 WOODUW -• •N � 1 err r ,� DESTIN G.GRAF N.Y.S.LIC No.50067 V /!, ROCKY POINT,N ,� S_i... -,Se TAX I.D.No. i 000 -- 10$— 1 o — Qs PHONE •(516) -,•at F Wastewater T