HomeMy WebLinkAboutSchembri Homes •
� � � PriC� Town Hall, 53095 Main Road
ELIZABETH A. NEVILLE � .
TOWN CLERK % r P.O. Box 1179
REGISTRAR OF VITAL STATISTICS �.i-; .00F �� Southold, New York 11971
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MARRIAGE OFFICER `� `4./ Telephone Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER =,_ � ,.cc��, e�®iii Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER `Ls' ,o'�
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2340 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : SCHEMBRI HOMES INC
Address 1 : 2042 NORTH COUNTRY ROAD
City St Zip WADING RIVER NY 11790
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 #R10-99-0144
Name Of Owner SCHEMBRI HOMES INC
Mailing Address 1 PO BOX 163
City St Zip WADING RIVER NY 11790
Property Address 1 830 DEEP HOLE DRIVE
City St Zip MATTITUCK NY 11952
Tax Map No. section 115.00 block 12 lot 12.000
Cross Street NEW SUFFOLK AVENUE
Building Permit Number Cross Reference:
Issue Date: 6/07/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
04074 3 (-/90
ELIZABETH A.NEVILLE �.���� z" " Y �� Town Hall, 53095 Main Road
TOWN CLERK r, u G;s P.O. Box 1179
REGISTRAR OF VITAL STATISTICS
.11' N CSouthold, New York 11971
MARRIAGE OFFICER Fax 0-- ..' y�e1', Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER Wei ,��22, �®ale Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER `Zs' ISS,
��. . ..0i
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: June 5, 2000
Transmitted herewith is a copy of application No. 2428 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.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments:
Signa
/&iO )
Dated
i
4 i' '0000000.,,,,,,,'
OFFICE OF THE TOWN CLERK a5g
'01°1 `` f UL Kee /
TOWN OF SOUTHOLD O�U OG _� Application No. '`-�
ELIZABETH A NEVILLE,TOWN CLERK v '�ji '
'R`' Construction
P O.BOX 1179 z � �� �i� �'',4, �
SOUTHOLD,NEW YORK 11971 . v ,a rn t
Alteration
Telephone 0,� ori $10.00 - Residential
(516) 765-1801 - Ul 4t ,," $25.00 - Non-Residential
— ,..,,,00-
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
RECEIVED
APPLICATION
JUN 5 2000
•
for
CONSTRUCTION or ALTERATION PERMIT Southold Town Clerk
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE 1s v
APPLICANT NAME: StSGL'721.64' gJ6.7_s —ix/C. ,,
APPLICANT ADDRESS: 90 Ufa- 1�o � �c)1.- 7 _. 4
1 , ie, tau //7 "0-
SEPTIC
0-
SEPTIC CESSPOOL 1�/
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION ON OFA ALTE' ' TION:
OWNER OF PROPERTY: 5 r - ► A O ' ''
OWNER MAILING ADDRESS: d -' /G 3
,- 5/4-A ✓' r
�j
OWNER PROPERTY ADDRESS //' ,
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section /06.0 Block /(c Lot /0/ — 1e —
CROSS STREET: L4 7c) ��tliiC-C,f�/C' /4-61e....--f)<-41E-
BUILDING
¢61e�7C/(1i t'=
BUILDING PERMIT NUMBER CROSS REFEREN E:
4fr-/ '*(%://
ignat,ure of Applicant
RECEIVED BY :
Town Clerk's Office
DATE:
, SUFFOLK CO HEALTH DEPT APPROVAL
W
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II FLOOD ZONE LINES _I U C'•
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Z W \ STATEMENT OF INTENT
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�"� I EGINTGN I ) , I THE WATER SUPPLY AND SEWAGE DISPOSAL
w, y II RESIDENCE', ` I SYSTEMS FOR THIS RESIDENCE WILE
Wy m CSL,-"� v_ G I 1 CONFORM TO THE STANDARDS OF THE
LI/!- I , •+a..g:,45...,,w i SUFFOLK; CO DEPT OF HEALTH SERVI[Ft'
E� A� 587 19 a]E 19, yP,RE°e t ISI
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p §i(')
(�{j 0,1 ry y n� I i ��O I I I SERVICES - FOR APPROVAL FIJI
1 Cjj�/�hI� •' \ -.DS �a•[11 I W PROP �O 'i d'uO+ 'GS �sb: i I WELL CONSTRUCTION ONLY
IE,Ni !`A • �iLST • I _f N i ��{���CFWL 1 I G DATE
\ e10LE -'T-, i I 1 H S.REF,NO'
W �`r-3Ya - I� flog b+9 j I APPROVED '
O i ! T,, ,4 87.19 20 ": \ , 215 / I _4— ,
I SUFFOLK CO,TAX MAP DESIGNATIONS
SUFFOLK COUNTY..EPARTMENTOFiIBALTHSERVICES LL w 1 k7 /
' DIST SECT. B4.00K' PCL:'
o 1000 115 '12 12'.
• PERMIT FOR APPROVAL OF CONSTRUCTION FORA
5LO5kI1
SINGLE FAMILY RESIDENCE ONLY (RESIDENCE) -t 1 OWNERS ADDRESS
Rlo-4S-o1`(w AREA'IO,3005,F I•IUMMItJ661 tZIP.
DATE H .NO. MANNA '.t:'1
c rocLs O•MO V Uf�lET1T Stanley Chase •
APPRO G� 0'PIKE 143 Centre Island Road
F'0 NIAXASSMDF BEDROOMS �, !1 STALE Oyster Bey,N.Y.11771
•
EXPIRES THREE YEARS FROM DATE OF APPROVAL 629,DING PLAN DEED L-2992 P'41-2(Reg)
E2_.12 TEST HOLE
Approved In accordance nth Board d krona EL..IEzy- 99 a (F�sT• Pao?.J
•dotcrminatwn dated . 01~a ^J
8.1 T9 � • T E it,- � HUMUS� I sn"� ..w.w�ar
RFit/i7WeD (i,•+7.L Sf(/dU 03 I 4 T1 64. J'2 TOPSOIL kI c .rTao..srm�a,.na
MAP OF PROPERTY ,.oso c}A .3[TTIc TANG PoOL5 t _ Y ,h��,.,•
SURVEYED FOR GQOUND WoTT-z(Z' L E0.0=) rar,n< t""'.
STANLEY CHASE yt;
J-1EIJDEO NOV IO,I a,NOV 29 �'w��.l.,
AT SANE:, .--.
,SEAL
MATT I300C
TOWN OF SOU THOI U , NY, -0 4.
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