HomeMy WebLinkAboutSchembri Homes Inc *pF SO!/j�ol -
ELIZABETH A.NEVILLE Town Hall, 53095 Main Road
TOWN CLERK ; J Alli , P.O. Box 1179
va y� Southold, New York 11971
REGISTRAR OF VITAL STATISTICS G Q
MARRIAGE OFFICER .O �� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER 0 1
Telephone (631) 765-1800
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FREEDOM OF INFORMATION OFFICER =��o� ,�//1, southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3384 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : SHORELINE DEVELOPMENT CORP.
Address 1: 102 SANDPIPER DRIVE
City St Zip RIVERHEAD NY 11901
Descripton of Proposed Construction or Alteration
-NEW DWELLING
-FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT
Name Of Owner SCHEMBRI HSS INC.
Mailing Address 1 102 SANDPIPER DRIVE
City St Zip RIVERHEAD NY 11901
Property Address 1 SAME AS ABOVE
City St Zip 0000
Tax Map No. section 48.00 block 3 lot 2.000
Cross Street LINNET
Building Permit Number Cross Reference:
Issue Date: 10/27/05 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
1111-
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ELIZABETH A.NEVILLE O Town Hall, 53095 Main Road
TOWN CLERK 1 1P.O. Box 1179
cn Yc % Southold, New York 11971
REGISTRAR OF VITAL STATISTICS G
MARRIAGE OFFIC R : � � Fax(631) 765-6145
R?GOR1S 14 ANAGEM T FILER �l�COUNT(
�A���� Telephone (631) 765-1800
FREEDOM OFINFORMATION F ICER vUn 1(, ,,�� southoldtown.northfork.net
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: October 21, 2005
Transmitted herewith is a copy of application No. 3533 for a Cesspool/Septic Tank Construction
Permit submitted by:
Shoreline Development Corp.
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.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: —440d'�?�
Signature
Dated
,''�O��gQFFO(,�co ,
ELIZABETH A.NEVILLE ��t`Z` Town Hall, 53095 Main Road
TOWN CLERK % 1 . % P.O. Box 1179
%% Z , Southold, New York 11971
REGISTRAR,OF VITAL STATISTICS : 00 At i
MARRIAGE OFFICER : O t 10 Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER \t#A 40 l° Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER = '� * �',,.�� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK -
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$10 or Non-Residential @$25Applications 3 3
Permit No. LI
Applicant Name 5 1,,,,,L.,` 0 iA.--t_Lzt4------+"
L
L
Applicant Mailing Ad ess L S --,7,
_ / 1 2 0 /
10 � l pe( Dr. Averk c s( ll iituI
Septic Tank or Cessiodl
Brief Description of Proposed Construction or Alteration ` ICA,/ 4„AlL, I
Location of Proposed Construction/Alteration:
Owner of Property:
� lI
C�'\64, k' 41140444
Owner Mailing Address: /0 el AC
41,t, ,L1-L 2 ( Y0 /
Owner Property Address: 52.A..--4 a -c
Name and phone number of contact person
Tax Map No: Section t Block 3 Lot a
Cross Street 1'ri ✓i
NOTE: LOCATION MAP MUST BE S : , f4 TED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY 1 ' H DEPARTMENT APPROVAL
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11 Signature of Applicant Date
Received by:
LINNET •.. • .
STREET
.
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DWELLING
ILi CO N
(USES Pueuc WATER)
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APPROVED
FOR MAXIMUM 01r.. \77\._1317IOOMS
EXPIP',i-IS T.711-U-iE '..-Ii ::;';::71-7:.C1,,7.DATE:Or APPROVAL
1••••••••94,1")..ANIlf 0,1,P1/.1.0,,,,,C.•1,0,01Alii.t.
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TEST HOLE DATA
(TEST HOLE•DUG BY Mc DONALD GEOSCIENCE ON MAY 7, 2005) SURVEY OF
LOT 5
DARK BROWN LOAM OL
1' MAP OF •-
BROWN SILTY SAND SM GREENPORT DRIVING PARK
2.5'
FILE No. 369 FILED DECEMBER 1, 1909
SITUATED AT
PALE BROWN FINE SP
TO MEDIUM SAND GREENPORT
TOWN OF SOUTHOLD
12.2' SUFFOLK COUNTY, NEW YORK
WATER IN S.C. TAX No. 1000-48-03-2
PALE BROWN FINE SP
TO MEDIUM SAND SCALE 1 "=20'
17' MAY 21, 2005
AREA = 5,494 sq. ft.
0.126 ac.
NOTES:
1. THE HOUSE AREA IS 1,020 sq. ft. OR 18.6% OF TOTAL LOT AREA.
32.5 2. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM
:SET 32.5 ELEVATIONS ARE SHOWN THUS: 30.0
3. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1,000 GALLONS.
1 TANK; 8' LONG, 4'-3" WIDE, 6'-7" DEEP
? 4. MINIMUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 sq ft SIDEWALL AREA.
2 POOLS; 6' DEEP, 8' dia.
. . PROPOSED LEACHING POOL
® PROPOSED SEPTIC TANK
0
w 5. IF THE SEPTIC SYSTEM HAS TO BE REPLACED IF THE FUTURE, IT IS TO BE
!Y) 3 REPLACED IN-KIND AND IN-PLACE.
M CO Z 6. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
LI) N -� " OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS.
(0 C0 O 3 a
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PREP N # . ACCORDANCE WITH THE TIM IMUM
• SURVEYS AS ESTABLISHED
,4 ,1 .yTH ...• YORK STATE LAND
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J a:', _ .44).%.. �: � N.Y.S. Lic. No. 50467
0 3 a TOOTTH UNAUTHORIZED ALTERATION
IS A ,VIOLATION OF
I Akin��I
'a Q N SECTION 7209 OF THE NEW YORK STATE
4l EDUCATION LAW.
cn
COPIES DOF 11415 SURVEY KED NOT BEARING Nathan Taft Corwin III
COTHE LAND SURVEYOR'S INKED SEAL OR
EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BE A VALXT TRUE co .PYLand Surveyor
! CERTIFICATIONS INDICATED HEREON SHALL RUN
• ^_. ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED,AND ON HIS BEHALF TO THE
TITLE COMPANY,GOVERNMENTAL AGENCY AND
LENDING INSTITUTION USTED HEREON,AND
TO THE ASSIGNEES OF ONE LENDING INSTI- 992 Roanoke Avenue
TUTION. CERTI iCATIONS ARE NOT TRANSFERABLE.
THE EXISTENCE OF RIGHT OF WAYS Riverhead, New York 11901
AND/OR
NOT EASEMENTS ARE NOTGA GUARANTEED.IF
• PHONE & FAX (631)369-5473
I
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