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HomeMy WebLinkAboutSchembri Homes Inc (32) ,00,„... •- •0 co, JUDITH T.TERRY �•_4 Gym Town Hall, 53095 Main Road TOWN CLERK ; c/3 P.O. Box 1179 v. Southold, New York 11971 REGISTRAR OF VITAL STATISTICS p MARRIAGE OFFICER �� y %N.011Fax(516) 765-1823 RECORDS MANAGEMENT OFFICER � �,( 4.001 Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER �,ft�� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1599 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. SCHD REF. #R10-97-0007 Name Of Owner SCHEMBRI HOMES INC. Mailing Address 1 P. O. BOX 163 City St Zip WADING RIVER NY 11792 Property Address 1 FARMVUE ROAD (LOT 27) City St Zip MATTITUCK NY 11952 Tax Map No. section 120.00 block 3 lot 8.014 Cross Street SOUND AVENUE Building Permit Number Cross Reference: Issue Date: 3/20/97 Judith T. Terry Southold Town Clerk (TOWN SEAL) • ow, gUFFO�,�1.oG. JUDITH T.TERRY � 11 y1 Town Hall, 53095 Main Road TOWN CLERK y Z P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Vb �� Southold,New York 11971 MARRIAGE OFFICER �-if�f�1 *as" i �1� Fax(516) 765-1823 RECORDS MANAGEMENT OFFICER � Telephone(516) 765-1800 � FREEDOM OF INFORMATION OFFICER '•v.,• oil OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: February 10, 1997 Transmitted herewith is a copy of application No. 1665 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 recommendations: APPROVE DISAPPROVE Comments: RECEIVED M4 1 9 1997 Signature 3/4 Dated 4 t w. --,• i s OFFPCE OF THE TOWN CLERK 4,t,0110,1.,„,,,,,, Town of Southoldg i Judith T. Terry, Town Clerk , Application No. Town Hall, 53095 Main Road e ' P. O. Box 1179 ' ®; Construction "" Southold, New York 11971 a Alteration Telephone ""' t $10.00 -Residential --'"'� (516) 765-1801 I ,'` ,,,. $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 .2-1/'/,-7 APPLICANT NAME: 5-)(ie ' 46„—t,g39,-c, APPLICANT ADDRESS: 10_ 0 -'7 1 (P3 ec-dtij ,g,:_i_, Y"c✓ SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CO STRUCTION ORA TERATION ILA 'Al"Aide ,_ LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: OWNER MAILING ADDRESS: ash_ OWNER PROPERTY ADDRESS: Fp,„_��,,.� 4,,Q Ad%LI.' A 011 TELEPHONE NUMBER OF CONTACT PERSON: 9)---4j -- 17/,' TAX MAP NO. : Section f ,41 Block © I .�1' R,1./ Lot � _-- �.�- CROSS STREET: 70...u...„.e _ BUILDING PERMIT NUMBER CROSS REFERENCE: ignature of Applicant RECEIVED BY: l Town Clerk Office DATE: 440A,' & , c . • - - .--- Ki 10- 11- 30 / 1 2-3 • 00 ,- .- )0 jot -1 3 4 i / 1 c 3t44. =, L 6,.k._ ‘c..) \ k r \k44, kmet..1-et- 1 • _ o .,...v_4,-- . 4t_oiNit‘k c 9c.,\Ck Gk le I • i Miniim --et.-.c-4st A I 44-Vt.--• CS -4 ' L 177 diso--r- P-!-()TE . 0 ----------________Pc01 i, .•-.11/er,„ ,) tO ,14, • -, we - c-A ------- Tee:, : • 1-- I 0 ci- 1 0 1 t I f', I 04.1-• IS' 6A4 lo2-1 (..‘ ..o ..._.2 ze__ c-A,.....;,......,_ 4.,‘ 1 cp 1 /2 10- ii- 373 v./ 1 21,oo r r I DI ' lot I SUFFOLK COUNTY DEPARTMENT OF IMA-LTH SERVICES i I-A Alevorr 1,4,4 C so.] PERMIT FOR APPROVAL OE CONSTRUCIIO(POR A - t SINGLE, FAMILY RESIDENCE ONLY --s - :.- 1THE WATER SUPPLY&SEWAGE 1.? .) 1 Y. l`t 7 11f.".(<1 , ,,, , SUFFOLK (77.4 f',..-,-;‘,.-DEN?,,/,71 . SAL FOR THIS RESIDENCE Air-- . .. HEALTi I',.•.' .. ,". .'.. :, ;*:.1.:APPROVED RF OM TO THE STAND- APP1 .i.'',/;,......1:-. u.".....N ST.ONLY FOR MAXIMUM OF_1_813E000MS - ,-, —.7t.'rkt.,. ,S,UF,FOLK COUNTY DATE_______ _4----raputEs THREE YEARS PROM DATE OF APPROVAL APPROVED BY MVO 1J A44,0,414.ctikrinsi, -. :7_.. - • •alteration or addition to this document is a violation of Section 7209 SURVEY OF: ---, -,--, -11*Mr;York State Education Law. e' t•wCertINcations indicated hereon shalt run only to the person for whom it is prepared - ,otrored on his behalf to the Title Company,Governmental Aency and Lending MAP of- - -Ale-04\16+4 Aiivre./7 ; ,--InstitutIon Nsted hereof',and to the assignees of the lendging institutions or subse- gee,*owners. Copies of this document not bearing the professional's Inked seal or embossed mki--ririni-K 117,1/4.4,4 o 6outi4-01.41 seal shaft not be considered a valid true copy. The offsets(or dimensions)shown hereon from structures to the property lines are 1/1 01,-1‹ 9l Fs-rrtr i Kle-w }(, 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 ,-!clif. construction. The existence of right of ways and/or easements of record,if any,not shown ar .t;,.. ,...-- not guaranteed (:,c ,- . SURVef- ATE: I 11 b 111 SCALE: 1'1= - /r•P'S',':-4 :' - -., CERTIFIED ONLY TO: , . ,r, V, .' - DESTIN G. GRAF ; 151i 1.24.NtrvWle.t i—LAC/9 c 1 z-• P" .''...':.-la -1-----1 i -. I '1• --,.,4; 1 LAND SURVEYOR ...„. ii A- ME - ....,...,„,,,-.. N , ,,05,4, 6' - . By MUM p .- /k_, \ 73 WOODLAWN ROAD ',.. DESTIN G.GRAF N.Y.S.LIC No.50067 b • SIDI I''‘-- ROCKY POINT,NEW YORK 11778 '-4 TAX I.D.No. t 1 2_o - o 5 - e. 14- . • PHONE(516)821-3442 -. ... ..., ....... . _ t