HomeMy WebLinkAboutSchembri Homes Inc (12) �, ..
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ELIZABETH A. NEVILLE ����_� Gy� Town Hall, 53095 Main Road
TOWN CLERK C P.O. Box 1179
y = Southold, New York 11971
REGISTRAR OF VITAL STATISTICS 1,�
45
MARRIAGE OFFICER :� 1,iL �1 Fax(631) 765-61-1
RECORDS MANAGEMENT OFFICER = '/Ol Jig �a-,'i� 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. 2316 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : SCHEMBRI HOMES INC
Address 1 : PO BOX 728
City St Zip AQUEBOGUE NY 11931
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 #R10-00-0099
Name Of Owner SCHEMBRI HOMES INC
Mailing Address 1 PO BOX 163
City St Zip WADING RIVER NY 11792
Property Address 1 WATER TERRACE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 88.00 block 6 lot 13.0214
Cross Street LITTLE PECONIC BAY LANE
Building Permit Number Cross Reference:
Issue Date: 5/12/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE ���= 4 ;
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OFFICE OF THE TOWN CLERK Ges.IC)�f OLK
TOWN OF SOUTHOLD �� '
CQG Application NQ YG
ELIZABETH A.NEVILLE,TOWN CLERK 4 Q . i
P.O.BOX 1179 _ _; Construction (��
SOUTHOLD,NEW YORK 11971 z p rT ; Alteration
Telephone O,y�o ������ $10.00 - Residential
(516) 765-1801 = 1 $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE 5 he
APPLICANT NAME: cSC Y), /5/6/ '/29"1L 5 G
APPLICANT ADDRESS: O, .66/ 7c? p1
ii4)1 cciL u/ //9 3/
SEPTIC CESSPOOL /7-
DESCRIPTION
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONST CTION 0 ALT=1:
OWNER OF PROPERTY: A__
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OWNER MAILING ADDRESS: \la 6171 / t 5
W \g___. ly'� 1 74a—
OWNER PROPERTY ADDRESS: w f S
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TELEPHONE NUMBER OF CONTACT PERSON: ( q, / - Ql - 5' ,
TAX MAP NO. : Section /00 0 Block qY Lot 0 (0 - / 3. a 7
CROSS STREET: kriThe.i f -co,cf/C, 6,g/ <, /-ix-A:-
BUILDING
, x-A:-/
BUILDING PERMIT NUMBER CROSS REFERENCE:
/ /
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Signature of Applicant
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RECEIVED BY • L_,(
—'Towr� Clerk's Office
DATE: �j� (b /� ())
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JOB NO. 00-26 TAX I.D. No. 1000-88-06-13.24
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LOTS 7 AND 8 VACANT '(
1111101M. LOTS
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\ 101.2
S 39°14'09"E 15.00' 100.1
N R=350.00'
\-'97.96 100.9
R=25.00'
L=40.03'
100.4 \ \
EX p 1. 2.\
TIE 254.96'
Ex o I I m vA,CN14
�/ LP , 65' 1`
73
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m LOT 23 LP73
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-0 VACANT SEPTIC 25' N
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Z., PROPO AMILY
SINGLE 01
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3 LP 4'IN DEPTH
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ELEVATIO IN ASSUMED DATUM
• FILE MAP No. 9727 8/23/95
Unauthorized alteratioh or addition to this document is a violation of Section 7209
of the New York State Education Law. SURVEY OF:
Certifications indicated hereon shall run only to the person for whom it is prepared SURVEY V C TLOT 22
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 ANGEL SHORES
subsequent owners.
Copies of this document not bearing the professional's inked seal or embossed
seal shall not be considered a valid true copy. • BAYVIEW, TOWN OF SOUTHOLD
The offsets[or dimensions]shown hereon from structures to the property lines are
for a specific purpdse and use and therefore are not intended to guide the erection of SUFFOLK COUNTY, NEW YORK
fences.retaining walls,pools,planting areas,addition to buildings or any other
construction
The existence of right of ways and/or easements of record,if any,not shown are SURVEY DATE: 4/18/00 SCALE: 1"-50'
not guaranteed. •
CERTIFIED ONLY TO: ���E N ►;,y
SCHEMBRI HOMES co,4. ,. _, GARAF DESTIN G.GRAF
r--� ,,• LAND SURVEYOR
z `'ii _ 73 Woodlawn Road
k. A , L. Rocky Point, N.Y. 11778
By DESTIN G. GRAF N.Y.S. LIC No. 50067 516-821-3442
su�na��.