HomeMy WebLinkAboutSchembri Homes Inc (3) �••�SUFF014-c
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ELIZABETH A.NEVILLE �0' y�. Town Hall, 53095 Main Road
TOWN CLERK ; y 2% P.O. Box 1179
v. T i Southold, New York 11971
REGISTRAR.OF VITAL STATISTICS • O t
MARRIAGE OFFICER y �1 Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER %,-.049.1 41, #00 Telephone (631) 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. 2445 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 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 #R10-00-0107
Name Of Owner SCHEMBRI HOMES INC
Mailing Address 1 2042 NORTH COUNTRY ROAD
City St Zip WADING RIVER NY 11792
Property Address 1 2675 EUGENE'S ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 97.00 block 3 lot 20.003
Cross Street BANKS STREET
Building Permit Number Cross Reference:
Issue Date: 10/30/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
(1(1 5--
• o. \>)sUEFOt,�.cO
ELIZABETH A.NEVILLE /��= GZ�.c Town Hall, 53095 Main Road
TOWN CLERK ; y ; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS 1.1,0 PP? 1 Southold, New York 11971
MARRIAGE OFFICERy ! 1� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER =_ e./ jog 10,00 Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER •°.9
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: October 26, 2000
Transmitted herewith is a copy of application No. 2533 for a Cesspool/Septic Tank
CONSTRUCTION/ALTERATION 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.
4
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: Maintain required setbacks from adjacent wells, buildings,property lines and water
Bodies. EXCAVATION INSPECTION REQUIRED.
Signature
Dated `'
3
OFFICE OF THE TOWN CLERK �!' �FFOLK 2
TOWN OF SOUTHOLD ,�� J CQG Application No.a 5-3.3
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971 co;
^_'' ; Alteration
Telephone �Q .�'', $10.00 - Residential
0
(631) 765-1800 =��1 *�o'� $25.00 -Non-Residential
•
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. •
Fee .$
DATE AV(3)-40
APPLICANT NAME: 5e 4L-y►1 t3'/ /40 Al . c
APPLICANT ADDRESS: c(�
(I)1 N ,tic, 1: 1 ULA ,v.y( • '1 1 - ! a,
SEPTIC �ESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
IJL �
LOCATION. MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
• OWNER OF PROPERTY: jC l'7VM . 11 14-0 3&
OWNER MAILING ADDRESS: y�.- 'p ) . Q.)00(L.
tsl �l tuCrt�.-(l�
OWNER PROPERTY ADDRESS: diti j Curt.% 1A
TELEPHONE NUMBER OF CONTACT PERSON: c�c� -9(0-11
TAX MAP NO. : Section 100 Block ch C Lot arc 3
CROSS STREET: IA- i(S SfiR-CCY
BUILDING PERMIT NUMBER CROSS REFERENCE:
71,/ •
A.
Signature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
• I
/0-60 -_ -.:, 1:;..;._,,,-..., - ._.
mmo
JOB No. 00-238 ,,, ,,,, TAX I.D. No. 1000-97-03-20.3
•
MAJOR SUBDIVISION "FRANCIS GREENBERGER"
FILE No.9350 430193
O
'Q, LOT 2
OCC RES
AO WELL
!y 12
ve< \
N. N 81°43'00"E 27929'
\
10 --- - ---- \ - _
MGMf2 75,
otomm INATER ELEV 2.7 TOP aCONC
2�t343TTOY7LP S.7 COVER I SEPTIC
GRADE ABOVE 111.2 _
4 Sure '7*4 DEPTH WITH SEPTIC TANK 12.2 2y.
51 7 MrllIONPOOLE 3'INDEPTH _ 10 -_._ (11.21
ECWILIL•31014PIPEa BETWEEN L.P'S TOP a CONC COVER ( 110.21 - GAR 14.012 5 i 1 12.51 '?
10.2 W
-\
GRADE ABOVE LP 11.2 -" _.-- -4.-• ow I� PROPQSED -/ 0
_, Zs —— 0 s + 10.2 SINGLE FAMILY '' ^'
to
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(8.2,' a iNy 7$ (1211 r...1 I o _��_X ZONE X--
Cl)
• TEST HOL E
ZONE AE
—,
(10.2] (10.2]
a° Fy
17)
LOT 2 [8.21. [8.21
PROP09tD '
gokitoiNo �,� 141'
i•n gJ' Z•45� i
Z I Sg
PRO
pRoposED WELL WEU- A / '`..'
tAr 2 /, 7 cn 0 �
'— .-- o� `"'■
X X ,r
IC EASEMENT :I F
100' r N/F PARKER Cl)(l)
- g w VACANT r'
•
---__ s
I co m
_ — -
' ZtE101�
!r
'30"w 118.83' S 78.42'20"w 67.62
S76'50
EUGENE1S ROAD [ 49.5' ] 12.7 MLR COUNTY DEPARIMENTOFHEALTH SERVICES
12.1 PROW FOR APrROVAL-O! ON FOR A
rNGLZ FAMILY RESIDENCE ONLY
DATE I Z7-QCT ns REP.I�IOZT)-co--010`7 ' 1
APPROVED • e.. .4..i �dei
TEST FOR MAXIMUM L BEDR d
MS=MOS EXCAVATION INSPECTION REQUIRED --,�-
sUR!<ACE etty 82 FOR SANITARY ) E$fl13 YEARS FROM DATE OF APPROVAL
DY HEALTH DEPARTIIIIiNT
LomaNit
PLEASE NOTE1' . aAYEYCOURSE SAND ELEVATIONS Si?OWN HEREON WERE
r APPROXIMATED ED ER TOPOGRAPHICAL; Minimum distance betweenFd6�M'A No•36t03Co184G
l
x ESIMpSOIYECL/LY MAPS PREPARE "t'
D e OTHERS AND ARE, and lis to be 150 feet.
REFERENCED TO MEAN SEA LE`/EL DATUM.
FINE SANDI STONEsa ,
` WNIERN SANDSTONE Uneseitortad alwation or addition to this oocunont Is avloledon otSootion-7209—
al
200d the Now Yo_R MO Education Law. SURVEY OF: LOT 3
OetteLldloiw indicated herald shad nut aaiy to the penton for whom-it le moored
and anNe WOW the Tee Compeny;c;__nwrio Amoy noy end Lending MAP OF MINOR SUBDIVISION
h I INIont Med brewand*the aaNpneeie of the L0610 InallotIon or
Cogaes tittle doomed not bowies the proleseloners Inked wed or embossed PREPARED FOR SCOTT KAUFMA t
asci shame be atiukhored a wild tRn copy. -
rhedaa4 t a'ellilisimions lei Mason Berm elrecttires atne property Ines are EAST CUTCHOGUE, TOWN OF SOUTHOLD
tor aPaitomoat+d toe andlhelelbeiar a dot intended to gutis•the erection or
belie.PbtlIk pilot.IdantaR meek add lootobuildings,or any other SUFFOLK COUNTY, NEW YORK
The ae lshlfoa of ddhtof sir,*orale easements d Loved.I ants not show"we SURVEY DATE: 4/10/00 SCALE: 1"=50' .
not orwelMd
CERTIFIED ONLY TO: *,OP N iv!y
SCHEMBRI HOMES y DESTIN C GR.- 'F DESTIN G. GRAF
• -_---______________ �_ _ _ _ 11/rn `` LAND SURVEYOR
_ 'sty � .� (I♦
_—___-__
'Z' / i >3 Rosa
"tl i Rodry Paint,New York,11778
ry
_ By DESTIN G.GRAS N.Y.S.UC NO. 50067 'D�QO �'
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