HomeMy WebLinkAboutSchembri Homes Inc (8) i
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ELIZABETH A. NEVILLEOG'f� � Town Hall, 53095 Main Road
TOWN CLERK o P.O. Box 1179
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REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER : 4i �� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER ;'LIQ! �a� Telephone (631) 765 1800
FREEDOM OF INFORMATION OFFICER lig
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2386 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 #R10-00-0179
Name Of Owner SCHEMBRI HOMES INC
Mailing Address 1 2042 NORTH WADING RIVER ROAD
City St Zip WADING RIVER NY 11792
Property Address 1 THE CROSS WAY
City St Zip EAST MARION NY 11939
Tax Map No. section 30.00 block 2 lot 16.000
Cross Street THE LONG WAY
Building Permit Number Cross Reference:
Issue Date: 8/15/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
ipt
of kg F04 (.23 *
ELIZABETH A. NEVILLE Gyi Town Hall, 53095 Main Road
TOWN CLERK y t P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS p �� Fax (631) 765-6145
MARRIAGE OFFICER *,LL /RECORDS MANAGEMENT OFFICER '/Q ��of Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER INV S. 0
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: August 14, 2000
Transmitted herewith is a copy of application No. 2475 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:
ignatur
fir
Dated
•
OFFICE OF THE TOWN CLERK ''�' I OLK
TOWN OF SOUTHOLD t,,s COGy Application No. Vim :
ELIZABETH A.NEVILLE,TOWN CLERK
P.0.BOX 1179 Construction L
SOUTHOLD,NEW YORK 11971 =v rn t
Alteration
Telephone v,�� Q'�' $10.00 - Residential �--�
(516) 765-1801 : 'l 4' 0, $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 S,,/oo
APPLICANT NAME: S Cf/a77B,e/ #0 at (s-s _rxvC
APPLICANT ADDRESS: cWiy,1 A/. tea. i 4QI
.%7901
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
/tA314) eC,V.3Tie,(c 7 O
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION :
OWNER OF PROPERTY : �t L,rn11P.r/2,i ) L'
OWNER MAILING ADDRESS: ,pD , b14,c,
G(J /k/ce f(74
OWNER PROPERTY ADDRESS: /0i /S- 7774(--- C�1 SS u14/
TELEPHONE NUMBER OF CONTACT PERSON : --7,) > -9604/1
TAX MAP NO. : Section 1000 Block ,3O-0a Lot /(p
CROSS STREET: �"�L I acia W
BUILDING PERMIT NUMBER CROSS REFERENCE:
/
ignatu e o 'Appli ant
RECEIVED BY: tilL
L71 n Clerk's Office
DATE: ( 1 c/k r
-: No 00-42 TAX I.D. No. 1000-30-0216
Lot 41
LOT „CG RES PW
O 39 VACANT
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OCC RES PW ��� /�A 1
�/ L 60, 1 I ,
CR
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N 83027
1 971
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NOTE T-D-A
11 TEST HOLES ON FILE MAP SHOW CLAY O .
AND SAND SOUTH OF SUBJECT LOT. t-,
2] LEACHING POOLS MUST BE BACKFILLED
WITH CLEAN SAND AND GRAVEL IN
ACCORDANCE WITH SUFFOLK COUNTY
HEALTH DEPT.STANDARDS.
;UFFOLK COUNTY DEPARTMENT OF}EAL?H SEIcV ^ES 1
i
'PERMIT FOR APPROVAL OF COr I ucTior; FO ,A
61NGLE FAMILY RESIDENCE ONLY
.. _ --t." -f.. c2 HS REF. X10. _.�
FOR MAXIMUM OF. Li B ' 0 )MS 972 1
EXPIRES THREE YEARS FROM DAZE OF AFPROVAL97.8 ,
- S 83027'42„W. 77.73'
ELEV IN ASSUMED DATUM FILE MAP No. 6266 6/11/75
:nauthortzed alteration or addition to this document is a violation of Section 7209
I the New York State Education Law. SURVEY O F:
eitfu:auons indicated hereon shall run only to the person for whom it is prepared LOT 15
.na on nis behalf to the Title Company,Governmental Agency and Lending
sutotion listed hereon,and to the assignees of the lending institutions or MAP OF PEBBLE BEACH FARMS
,.;bsecuent owners.
..yes of this document not bearing the professional's inked seal or embossed
rACT nnAoink!_Tr1%A/AI nC Cnl ITl-1L1Lfl
o c" I
•
OO GP
G
NOTE
1] TEST HOLES ON FILE MAP SHOW CLAY CP
AND SAND SOUTH OF SUBJECT LOT. x.?
21 LEACHING POOLS MUST BE BACKFILLED
WITH CLEAN SAND AND GRAVEL IN
ACCORDANCE WITH SUFFOLK COUNTY
HEALTH DEPT.STANDARDS.
SUFFOLK COUNTY DEPARTMENT OF IP::A:LTH SERV ^ES
1i
' PERMIT FOR APPROVAL OF CONS F Lf 0 'ION FO
ANGLE FAMiLY 1 ESIDENC •ONLY
-o
SATE 1-;S REF. 0 --
APPROVED __-- -- 972
FOR MAXIMUM OF. I" BED' 0 AS
EXPIRES THREE YEARS FROM DATE OF APPROVAL97.f '42"
W
S 83°27 77.73'
- FILE MAP No.6266 6/11/75
ELEV IN ASSUMED DATUM
Unauthonzed alteration or addition to this dodument is a violation of Section 7209 SURVEY O F: LOT 15
of the New York State Education Law.
CertfichUons indicoted hereon shall run only to the person for whom it is prepared MAP O F PEBBLE BEACH FARMS
and on his behaK to the Title Company,Governmental Agency and Lendiny
Institution listed hereon,and to the assignees of the lending institutions or
Copies
owners TOWN OF SOUTHOLD
seal ll thisa document not bearing the professional's inked seal or ernoossed EAST MARION,
eal shall not be considered a valid tree copy.
The offsets[or dimensions;shown hereon from structures to the property lines are SUFFOLK COUNTY, NEW YORK
for a s,retaining
purpose and usentherefore eas aaddition to buildings or anyre not intended to guide eothertion of 401
fences,retammgwalls,pools,planting 6/29/00 SCALE: 1"-
Theeastion. SURVEY DATE:
The existence of right of ways and/or easements of record,if any,not shown are
not guaranteed .
CERTIFIED ONLY TO: A` O ''t` rod DESTIN G.GRAF
SCHEMBRI HOMES "I-
DESTI G•GRAF LAND SURVEYOR
_ •..,, ac
._, `' ° 73 Woodlawn Road_a Rocky Point, N.Y. 11778
IT* 1 #05111 516-821-3442
By DESTIN G. GRAF N.Y.S. LIC No. 50067