HomeMy WebLinkAboutConrad, Peter ,f,� eViFFOi,�c
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ELIZABETH A. NEVILLE t��= Gy •
Town Hall, 53095 Main Road
TOWN CLERK Oct, P.O. Box 1179
$ Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ‘`‘°O
� �� Fax (631) 765-6145
MARRIAGE OFFICERifil,Ql
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RECORDS MANAGEMENT OFFICER '/ 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. 2384 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 #R10-00-0071
Name Of Owner CONRAD, PETER & DEBORAH
Mailing Address 1 12 STORYBOOK LANE
City St Zip ST JAMES NY 11780
Property Address 1 595 ALBO DRIVE
City St Zip LAUREL NY 11948
Tax Map No. section 126.00 block 2 lot 11 .000
Cross Street BRAY AVENUE
Building Permit Number Cross Reference:
Issue Date: 8/15/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE ti,` Town Hall, 53095 Main Road
TOWN CLERK [LDS.:::::717.---4
. P.O. Box 1179
REGISTRAR OF VITAL STATISTICS % v' fl1 i .-Southold, New York 11971
MARRIAGE OFFICER
‘,.°44, S ,I Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER O! • '��I Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ,���
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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: August 9, 2000
Transmitted herewith is a copy of application No. 2473 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:
2._
nature
$ l / (b
Dated
• •
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OFFICE OF THE TOWN CLERK '1i, ��l 1 ULir
it
TOWN OF SOUTHOLD . e%
Application No.a7 7�
ELIZABETH A.NEVILLE,TOWN CLERK O `
P.O.BOX 1179 Construction L-
SOUTHOLD,NEW YORK 11971 Z `
Alteration
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tra
Telephone O,j� •
Q ; $10.00 - Residential v
(516) 765-1801 �! �� '
�� $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 871,- /Q
APPLICANT NAME: 5Ø ,i2/ AtO)r(S C:
APPLICANT ADDRESS: aO c4 /0.0R-771 e.6e)4 464'6
•(:)(0 ei- e)(6 ///
SEPTIC 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: ?p ex anck I eb reAK CO nrcL8
OWNER MAILING ADDRESS: I Z. 54-0r1 hook Lan e
S+ Jo,rnes WI II1F'O
OWNER PROPERTY ADDRESS: 5Ci5e A l hn D 1 v?.
Lrkvo(e l N
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section 12(o Block 2 Lot I (
CROSS STREET: y&9 ie-.
BUILDING PERMIT NUMBER CROSS REFERENCE:
ignature of Applicant
RECEIVED BY :
Town Clerk's Office
DATE:
TEST HOLE PA TA
(TEST HOLE DUG BY McDONALp GEOSCIENCE ON AUGUST 26, 1999)
ELEV. 16.9 SURVEY OF PROPERTY
73/4, 7 OAINC 990914 SANOr 1.0A14 OL SITUATED AT
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S ,. \ MORI LOWY SVC SY LAUREL
s'io- v4000°04,4,
..,41,„,_ •• .N 3. TOWN OF SOUTHOLD
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to
SUFFOLK COUNTY, NEW YORK
• . _ S.C. TAX No. 1000-126-02-11
Ai 'Ilitor f or .,
- . .
/20 ,
SP SCALE 1"=40'
-...,..... Ci/j7iii, "3 i' . • PALE MOM FINE
10 MEDIUM SAND
-............ . SEPTEMBER 21, 1999
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-. -. • OCTOBER 22, 1999 ADDED PROPOSED HOUSE
-.........
, • NOVEMBER 19, 1999 REVISED PROPOSED HOUSE
FEBRUNW 1, 2000 REVISED AS PER NYSDEC NOTICE
, ;4 ' --•
JUNE
- • 6, 2000 REVISED AS PER S.C.D.H.S.
$
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4- AREA = 23,405.29 sq. ft.
0.537 oc.
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S' 4.1144044!4Zt.
PINE TO MEOW SAM CERTIFIED TO:
ekakfekk.or .,---..,,,, DOWN STATE TITLE AGENCY, Inc.
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2. kINIMUM SEPTIC TANK CAPACITIES E109 A I TO 4 BESSOOM HOUSE IS 1.000 GALLONS.
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aro . 1 ""'11T'l .., 4; .., idlPERMIT FOR APPROVAL OF CONSTRUCTION FOR A
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aINGLE FAMILY RISIDENCE ONLY
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