HomeMy WebLinkAboutSchembri Homes Inc (13) , ',1F
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ELIZABETH A. NEVILLE x/44,I��,1� 'y� Town Hall, 53095 Main Road
TOWN CLERK •H - P.O. Box 1179
REGISTRAR OF VITAL STATISTICS v' ► Southold, New York 11971
MARRIAGE OFFICER :�1�iLQ � �' Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER = "'/ . , ,,0 Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER oi
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2324 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 #R10-00-0100
Name Of Owner SCHEMBRI HOMES INC
Mailing Address 1 PO BOX 728
City St Zip AQUEBOGUE NY 11931
Property Address 1 WATER TERRACE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 88.00 block 6 lot 13.025
Cross Street LITTLE PECONIC BAY BLVD
Building Permit Number Cross Reference:
Issue Date: 5/22/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE 0 _� Oa; Town Hall, 53095 Main Road
TOWN CLERK % o P.O. Box 1179
ti Southold, New York 11971
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REGISTRAR OF VITAL STATISTICS .F��� Fax (631) 765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER � y�Q! #D,.0.,, 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: May 19, 2000
Transmitted herewith is a copy of application No. 2412 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.
Thank you.
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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Dated
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OFFICE OF THE TOWN CLERK �� � �K/►
TOWNOFSOU '1
THOLD '' 0 COG Application No.
ELIZABETH A.NEVILLE,TOWN CLERK Q `
P.O.BOX 1179Construction
SOUTHOLD,NEW YORK 11971 ; p ; Alteration
Telephone ,y $10.00 - Residential
(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 5
/9 /0 6
APPLICANT NAME: 667- L;-X1/6/e/ /440/1,47S J7'
APPLICANT ADDRESS: /d . --7a 8
uc7a.c/L-- "..1y /79,
SEPTIC CESSPOOL 1/
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: „/../ -i9z �/
OWNER MAILING ADDRESS: f c. ,)( Id?
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OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: $76 ,101 37(
TAX MAP NO. : Section /Q0 a Block • Lot d 6
CROSS STREET: G/ TSL/ YG%Z'OtJ/C, Ag
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
c)/
RECEIVED BY: l
Town Clerk's ice
DATE: 6-// /C,
JOB No 00-27 TAX I.D. No. 1000-88-06-13.25
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LOTS 6,7,AND 8 VACANT
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101.5 WATER TERRACE [ 50' 1 100.1
S 39°14'09"E 120.00'
! R=25.00'
L=40.03'
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ELEVATIONS IN ASSUMED DATUM j
FILE MAP No. 9727 8/23/95
.nauthonzed alteration or addition to this document is a violation of Section 7209
5f the New York State Education Law.
2ertifications indicated hereon shall run only to the person for whom it is prepared SURVEY OF: LOT 23
and on nis behalf to the Title Company,Governmental Agency and Lending
institution listed hereon,and to the assignees of the lending institutions or
ubseque `0N1QfS MAP OF ANGEL SHORES
Copiessn
of of this document not bearing the professional's inked seal or embossed
seal snali
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