Loading...
HomeMy WebLinkAboutSchembri Homes Inc • Io•,oNOS�FFOt,tCo ELIZABETH A.NEVILLE t�� is. y1. Town Hall, 53095 Main Road TOWN CLERK % c;) % P.O. Box 1179 REGISTRAR OF VITAL STATISTICS `s f2'ti Southold, New York 11971 %RECORDS MANAGEMENT OFFICER Fax(631) MARRIAGE OFFICER `may RI . *-0101 1 Telephone (631)65 65-1800 1 FREEDOM OF INFORMATION OFFICER get OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2427 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : SCHEMBRI HOMES INC Address 1 : 2042 NORTH WADING RIVER ROAD 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 #R10-00-0174 Name Of Owner SCHEMBRI HOMES INC Mailing Address 1 2042 NORTH WADING RIVER ROAD City St Zip WADING RIVER NY 11792 Property Address 1 175 THE CROSS WAY City St Zip EAST MARION NY 11939 Tax Map No. section 30.00 block 2 lot 14.000 Cross Street THE LONG WAY Building Permit Number Cross Reference: Issue Date: 10/10/00 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) I�,,r�OOFFOLit ; �1 of I �� �o 0 0� ELIZABETH A.NEVILLEGy1: lit OFFICE OF THE TOWN CLERK • 1' �`FOL TOWNOFSOUrHOLD %11.�� CQG= Application No.R 3-'/7 EUZZABETH A.NEVILLE,TOWN CLERK • P.O.BOX 1179 `}� V. Construction 1/ SOUTHOLD,NEW YORK 11971 O rill Alteration Telephone ‘:...040,� 1,./ $10.00 -Residential(631) 765-1800 =�l � , $25.00 -Non-Residential ...,o,,, TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee .$ DATE ,Q/6/6 APPLICANT NAME: ccL> i /. e./ ,,/'L--S _2 X-- APPLI CANT ADDRESS: �?- LI 41.44 S/iLiCa 4/64„-Y6 04.6 1VAb/)c,,, ,e'& l/7 9 - SEPTIC ✓ CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION ,a-e-) 4 f7 e- if77e-- 7-7(-9-(.1 LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: -SLC / k3,e71 `/-4).0G. c, OWNER MAILING ADDRESS: .206--(d- 'U Cf/--j//J ,e,/ 2.,--z, 40 Gt, 14-b/,ue, ,41.-- R'7e #(.47//z 7 9.er OWNER PROPERTY ADDRESS: C°/� C 2OSS co-44/ LOT f sT rn 4 2, n TELEPHONE NUMBER OF CONTACT PERSON: 7 c? - 2‘C-(/ TAX MAP NO. : Section 3 0 Block 0-2\ Lot CROSS STREET: 7-77/Z--- /2 ,(-10 Q/d BUILDING PERMIT NUMBER CROSS REFERENCE: . ‘•/ Air/ ignature of Applicant RECEIVED BY: Town Clerk's Office DATE: 1 JOB No. 00-40TAX I.D. No. 1000-30-02-14 LOT 41 LOT 42 LOT 43 LOT 44 OCC RES PW VACANT VACANT VACANT 97.6 97.3 THE CROSS WAY [ 60' ] EDGE OF PVMT — N 83°27'45"E 77.73' L.29.16' 96.4 96.8 \y FX TIE 115.89' O = m LOT 14 \m 19 • 60' LOT 12 0 VACANT ,\ OCC RES PW 0 71 \ SEp'(1C, D 15 PR_0OFpS,M��`l 1)NOTE TEST HOLES ON FILE MAP SHOW CLAY �0 S�NC'� AND SAND EAST OF SUBJECT LOT 21 LEACHING POOLS MUST BE BACKFILLED N WITH CLEAN SAND AND GRAVEL IN 51.5 N ACCORDANCE WITH SUFFOLK COUNTY N G R9 g HEALTH DEPT.STANDARDS. CI llCP N� N %--1 N SUFFOLK COUNTY DEPARTMENT OF H •1LTH SERVICES PERMIT FOR APPROVAL OF CON9TRU4 TION FOR A SINGLE FAMILY RESI©ENCE 0 L'It DATE'S—CI,-OCRS. REF. NO. ' Q )"tt� APPROVEC - ,� " y`- - } FOR f.tAXIMUM OF : EDROO S EXPIRES THREE YEARS FROM DATE OF AP' ROVAL . 96.0 96.6 ) s 83°27'42"W 77.73' = ••• .....4- ELEV IN ASSUMED DATUM FILE MAP No b266 6/11/75 Unauthorized alteration or addition to this document is a violation of Section 7209 of the New York State Education Law. prepared SURVEY 0 F: LOT 13 Certifications indicated hereon that run only to the person for whom it is and on his behalf to the Title Company,Governmental Agency and Lending Institution listed hereon,and to the assignees of the lending institutions or MAP OF PEBBLE BEACH FARMS subsequent owners. Copseal shf all ecomentnotaealid the opyssional'sinkedsealorembossed EAST MARION, TOWN OF S0UTH0LD seal shall not be considered a valid true The offsets I or dimensions I shown hereon from structures to the property lines are for a specific purpose and use and therefore are not intended to guide the erection of fences,retaining walls,pools,planting areas,addition to buildings or any other SUFFOLK COUNTY, NEW YORK construction. The existence of right of ways and/or easements of record,if any,not shown are SURVEY DATE: 6/29/00 SCALE: 1"=40' not guaranteed CERTIFIED ONLY TO: f---- t. SCHEMBRI HOMES 'N" DESTIN G.GRAF riRAF LAND SURVEYOR fu 73 Woodlawn Road Taw ' "'+ `-4 :% Rocky Point, N.Y. 11778 By DESTIN G. GRAF N.Y.S. LIC No. 50067 ` v. "' 05I • "' 516-821-3442 V 'r! 'es* a