HomeMy WebLinkAboutSchembri Homes Inc (7) ��,olii IIFFO(,(0
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ELIZABETH A. NEVILLE ��_ yt: Town Hall, 53095 Main Road
TOWN CLERK %H cz
Z % P.O. Box 1179
REGISTRAR OF VITAL STATISTICS �'%� Southold, New York 11971
MARRIAGE OFFICER .fi �1 Fax (631) 765 6145
RECORDS MANAGEMENT OFFICER �_�01 ��� 1 Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER % '/�.9"
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2466 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 # R10-00-0140
Name Of Owner SCHEMBRI HOMES INC
Mailing Address 1 2042 NORTH COUNTRY ROAD
City St Zip WADING RIVER NY 11792
Property Address 1 1055 SMITH DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 76.00 block 2 lot 31 .000
Cross Street TERRY PLACE
Building Permit Number Cross Reference:
Issue Date: 11/20/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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• ELIZABETH A. NEVILLE 4
.s% ?�: Town Hall, 53095 Main Road
TOWN CLERK ; y Z t P.O. Box 1179
REGISTRAR OF VITAL STATISTICS 0 Southold, New York 11971
MARRIAGE OFFICER .. y l��1�, Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER "01 ��0�ei Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER at
OFFICE OF THE TOWN CLERK ! 4
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: November 13, 2000
Transmitted herewith is a copy of application No. 2554 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:
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igturee
Dated
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• OFFICE OF THE TOWN CLERK 's C.10ULk i
TOWN OF SOUTHOLD ••..� QG=. Application No. ds-Yl
ELIZABETH A.NEVII J F,TOWN CLERKek
P.O.BOX 1179 :• Construction
SOUTHOLD,NEW YORK 11971 Z
Alteration
Telephone 0,� Q��•• $10.00 - Residential
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(631) 765-1800 _ 1 �,�o $25.00 -Non-Residential
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TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE 1/ %C)
APPLICANT NAME: (...":14,4/1.:) i 13,€, /'s .....t,„.
APPLICANT ADDRESS: '( /). elk)4% '� iC,0
b)A ri:� fih'- • /u/ /7 7902
SEPTIC t- CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 5e-lit-Z:7?-)/131Z/ AZE9. c;.S X C
OWNER MAILING ADDRESS: A)(6- ,(f. &V/✓i6/ /&?O4J
OWNER PROPERTY ADDRESS: /0 5^S Yjy 'ttt--
TELEPHONE NUMBER OF CONTACT PERSON: `-7 -)- - 6Y
TAX MAP NO. : Section /000 Block 074, Lot 0 .D - 3 /
CROSS STREET: n�/a/ /C /QC c
BUILDING PERMIT NUMBER CROSS REFERENCE:
Ale I
"AY/ 44/ •
Signatur_ if Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
SCHEMBRI HOMES INC.
3072
Southold Town Clerk 11/13/2000
Licenses and Permits Smith Drive South,Southold 10.00
•
,SCrIB.-Checking 3881 10.00
RESIDENCE
' RESIDENCE oq-
C LOT 101 SURVEY OF
SERVICED BY /OT
LOT 118 AND 1/2 OF LOT 117
MUN/CIPAL WA TER C)\' RESIDENCE TEST HOLE DATA; 4/26/00 IN
100 ��\ SERVICED BY PERFORMED BY : McDONALD GEOSCIENCE MAP OFGOOSENECK •
�P MUNICIPAL WATER
�2's` C� ` 16" co
BAYVIEW (SOUTHOLD),
o• of,�
V32 1 Z2 IP v rFINISHED GRADE TOWN OF SOUTHOLD
/FD 33' 0 '/\J/\\,\\\i� \\\//\\/� BROWN LOAMY SAND SM
POLEa aOTHE- d'O. m \/' 2' SUFFOLK COUNTY, N. Y.
POLE r-
AOA
11)0' TO v Os
ssPooL •T 118
III PALE BROWN FINE SAND SP SURVEYED FOR : SCHEMBRI HOMES, INC.
O
8 O'iL� CESS'OOL
-Ty P/O LOT 102 9.5'
v RESIDENC
(5) SERVICED B)" FM# 1663
��
' MUNICIPAL WATER FILED NO V. 22, 1948
s�
h� ZONING R40
8 CESSp pO 's WATER IN PALE BROWN FINE SAND SP
8p,
--I) ',. ' \ FD
IP FOR S.C.D.H.S.USE ONL Y
r \ PROPOSED • , C• F SUFFOLK COUNTY DEP.' R- `,iE N T OF I- ':LTH 2 'R"../ICES
SEPIC TANk PROPOSED
TEST �3, sSAp TAX MAP NO.
HOLE /� 3 BEDROOM 8 �� 9? PERMIT FOR APPROVAL OF CO'•�'C ` Ur' IOi'ti FOR A 1000-076-02-31
ril PROPOSED �� \ RESIDENCE SINGLE FAMILY Cis': D_,i�c., CN-4,Y
CESSPOOLS 2 STORY N
—�� l- — o* DAM 1° -`1_cr c) HS REF.NO. t21 O-0.0-o t,40
RESIDENCE \ SURVEYED 24 APRIL, 2000
RESIDENCE ,
PROPOSED
0� APP'ROVED_ SCALE 1"=20'
SERVICED BY •O 5 1• 50% EXPANSION % 4./�k 0 FOR MAXIMUM OF_�f I? 4•OMS
AREA= 9,048.885 SF
MUNICIPAL WATE" OR
/ >> Q EXPIRES THREE YEARS FROM DATE OF APPROVAL
/ / 0.208 ACRES
FD
_` caw 5,\ \ j o / P/0 LOT 117
/ VACENT GUARANTEED TO
LS, / (C)'/ `G
o� 15�k 4 �O. / c`-`14,C4.
(- 69245".t(1)
SCHEMBRI HOMES, INC.
5`'P0X -Q� Q/�P FIRST AMERICAN TITLE INS. CO.
6' �g� / Gy C ' NORTH FORK BANK& TRUST CO.
��5 4, /
6 SURVEYED B Y
G �s.. GUARANTEES INDICATED HERE ON SHALL RUN
O \ ONLY TO THE PERSON FOR WHOM THE SURVEY STANLEY J. ISAKSEN, JR. 1
RESIDENCE IS PREPARED, AND ON HIS BEHALF TC THE
777LE COMPANY, GOVERNMENTAL AGEACY, P,O. BOX 294
//1J LENDING INSTITUTION, IF LISTED HERE•N, AND
SERVICED BY 'ry TO 1HE ASSIGNEES OF THE LENDING INSTITUTION. NE SUFFOLK, NY 11•,6
MUNICIPAL WATER �V\ , \ ADDGUAITIONAL INSTITUTIONNIEES ARE NOT TRANSFERABLE
OR SUBSEO('_NT OWNERS. 6 1-734-5835
i;Al✓
UNAUTHORIZED ALTERATION OR ADDITION TO THIS /1Pli 1 /
(i.(4..2SURVEY/S A VIOLATION OF SECTION 7209 OF NOTE: 1. 31 AUG., 2000 REV SANITARY, WATER SVC. �i •'
THE NEW YORK STATE EDUCATION LAW.
27 JUNE, 2000 REVISE SANITARY, SHOW ADJACENT OWNERS. LICEN=E LAND '• R YOR
RESIDENCE 0/ ' ` 3. 21 SEPTEMBER, 2000 REVISE SANITARY NYS IC. NO. 4' 73
SERVICED BY , , COPIES OF 1H/S SURVEY MAP NOT BEARING
THE LAND SURVEYORS EMBOSSED SEAL SHALL
MUNICIPAL WATER NOT BE CONSIDERED TO BE A VALID TRUE
COPY.
00C901
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