HomeMy WebLinkAboutSchembri Homes Inc (40) �,„iii 0�-
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ELIZABETH A. NEVILLE ��`l`O Gym; Town Hall, 53095 Main Road
TOWN CLERK i c P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICSW r t!
MARRIAGE OFFICER
Q � Fax(516) 765-6145
RECORDS MANAGEMENT OFFICER �44/ �Ov/ Telephone (516) 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. 2159 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : SCHEMBRI HOMES INC
Address 1 : 2042 NORTH COUNTRY ROAD
City St Zip WADING RIVER NY 11791
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 #R10-99-0167
Name Of Owner SCHEMBRI HOMES INC
Mailing Address 1 2042 NORTH COUNTRY ROAD
City St Zip WADING RIVER NY 11791
Property Address 1 805 NORTH DRIVE
City St Zip MATTITUCK NY 11952
Tax Map No. section 106.00 block 6 lot 23.000
Cross Street NORTH DRIVE
Building Permit Number Cross Reference:
d" Jcci!(.0 / '
Issue Date: 10/01/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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�0 �0� O. Town Hall, 53095 Main Road
ELIZABETH A.NEVILLE t 'lam ,%
TOWN CLERK % p L P.O. Box 1179
y Z Southold New York 11971
REGISTRAR OF VITAL STATISTICS ;0 Prr; Fax (516) 765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER `�y� a• 11 Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER --.7491. * 1 11
#4 0•.
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: September 21 , 1999
Transmitted herewith is a copy of application No. 2245 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 Z
DISAPPROVE
Comments:
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11221gCq
Dated
... .
" idFFI-CE OF THE TOWN CLERK
^^
' . Tnwn o[ Southold
Application No.
Judith T. Terry, Town Clerk ~
Town Hall, 53095 Main Road Construction
��____
P O. Box 1l79
' ' 46c I
Alteration
Southold, New York 11971 1-20 --- ---�+
$l0. 00 - Residenda| .^�
Telephone ��0* ' �--'------
( 5l6) 765-1801 67 ��u �- " $25 . 08 - 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 $____________
DATE �� ~- �^ Y
_--»" _--__-' -___-__'_ -
APPLICANT NAME:
' -
APPLICANT ADDRESS: a_c. _J_._ 410-
tio
_ D_----_--_-_-- __-_-_-- __-__.'_ -__ _- -' --
SEPTIC CESSPOOL K~~~~
DESCR| PT|ONOFPROPU DCONS RLkCT|ON OR ALTERATION
------ -' -------'
_ ___ _ __ -_-~_---_-_-.-___-'- __-___-�_�' -_'_'_- __--
L0CAT|0N MAP: Must be attached hereto before permit may be issued. ^
LOCATION 0F PROPOSED C \c0;411
OWNER OF PROPERTY : _�
OWNER MAILING ADDRESS : 1L-t- (_- PtL .L)ó
---��yl��---- ---- ---- -'--- -----'--'------
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OWNER PROPERTY ADDRESS: 4 -
_-_-__-______-_'__--____-_ _
444'--_-_'-- ___-___'---'_--__
TELEPHONE NUMBER OF CONTACT PERSON :
TAX MAP NO. : S�� m � L° ~ Lot - -�3
CROSS STREET : 1
BUILDING PERMIT NUMBER CROSS REFERENCE :
__-t-_-_-- _' --_--
al
/gnature or Applicant
RECEIVED BY : GUAJlii-'
lerk's Office
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+ _
DATE:
SLRvEY OF LOTS # 33, 34 .$ 33
' MAP OF "SHORE ACRES" 91,
FILED JANUARY 3, 1q14
ASFILE # 41 lb ' - 6
SITUATE: MATTITUGK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NY
erl of:t
SURVEYED 08-06-99 Land Now or Form y
SUFFOLK COUNTY TAX # Mattitilck Holding
1000 - 106 - 6 - 23 Co. Inc.
vacant
N85°42'00"E 74.67 888°05 10 E 132.63'
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Brown Loamy 2'
--------------- Sand SM
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SUFFOLK COUNTY r pARTME*:T t F IFE2.1.T"I FLP:.ICE'S Pale Brown fine
/ I to Coarse Sand SW II
PERtvt7;FC:<f.PFROVAICarrCON "; UCTION F012 A
S jN..:....:.FEAAM:LY 1`:I✓ .1:1_,CliC''ONLY
DATE 3:2-5:111 N.;RE I'll. d ...q-0 &? 11'
CERTIFIED TO: A i-P3(1VE _..._ _ `.r1 _ ....A.4.�%� TEST HOLE
FOR MAX:.:'' MOF1• SMS McDonald
DONALD REESER Geoscience
EXT:RES THREE YEARS FR•M 9 ATE OF APPROVAL
NOTES: C.' ,//, OF
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AREA = 35.040I S.F. OR 0.50 ACRE *i f� d *',
TOPO LINES INTERPOLATED FROM �n Q
COUNTY TOPO MAPS i \ 4
,,,f 4. JQ.Jp' .. ,... . .� .
,. .b LAND 23 vI
JOHN C.EHLERS LAND SURVEYOR
N.Y.S.LIC.NO.50202
1 GRAPHIC, SCALE 1"= 40' 6EAST MAIN STUFF
__ _ .11901
_-- � 369-8288 8'u RIVPRF�AD,N.Y1190187 REF.D:VOBS\99-219
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