HomeMy WebLinkAboutSchembri Homes Inc (43) ofFour
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ELIZABETH A.NEVILLE I �y1�` Town Hall, 53095 Main Road
TOWN CLERK I p P.O. Box 1179
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Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ; �'�� Fax(516) 765-6145
MARRIAGE OFFICER ` Telephone (516) 765 1800
RECORDS MANAGEMENT OFFICER `� /IJO Ol�, P
FREEDOM OF INFORMATION OFFICER *r/`rote.
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2176 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : SCHEMBRI HOMES
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 #R10-99-0148
Name Of Owner SCHEMBRI HOMES
Mailing Address 1 2042 NORTH COUNTRY ROAD
City St Zip WADING RIVER NY 11792
Property Address 1 WILLOW DRIVE
City St Zip EAST MARION NY 11939
Tax Map No. section 31 .00 block 3 lot 11 .020
Cross Street CEDAR DRIVE
Building Permit Number Cross Reference:
Issue Date: 10/22/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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o ELIZABETH A.NEVILLE •='1' Gy�`; Town Hall, 53095 Main Road
TOWN CLERK % p _ % P.O. Box 1179
REGISTRAR OF VITAL STATISTICS v. Ivy w Southold, New York 11971
MARRIAGE OFFICER : 0Fax(516) 765-6145
RECORDS MANAGEMENT OFFICER :-66 atlt• 0 Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER =.'� ase
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: October 15, 1999
Transmitted herewith is a copy of application No. 2263 for a Cesspool/
Septic Tank Construction Permit submitted by:
Schembri Homes
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:
igna'tu
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Dated
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OFFICE OF THE TOWN CLERK ,�'' ��%OLK n
TOWN OF SOUTHOLD Oi`O� 441.
Application No. �(v�
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 = Z Construction
SOUTHOLD,NEW YORK 11971 . FT ; Alteration
Tele hone 0O Qui., $10.00 - Residential
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(516) 765-1801 = Ol � „'. $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 (h / 15/ 90
APPLICANT NAME: „C,jjef✓y) b-t ��`�
APPLICANT ADDRESS: 20\12, f' COVITt-rLi P-6
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SEPTIC CESSPOOL V-
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: SC-hfLnh(i eLj
OWNER MAILING ADDRESS: 6119"
OWNER PROPERTY ADDRESS: W l 11 CPL) DY VV C
ei r rl(3Y)
TELEPHONE NUMBER OF CONTACT PERSON: tj 5q(01
TAX MAP NO. : Section 3 I Block 0 3 Lot 11 . 2 0
CROSS STREET: Cc cur Tri
BUILDING PERMIT NUMBER CROSS REFERENCE:
Q
lg ture of •,.pli--nt
RECEIVED BY : F
Town L"T ' ice
DATE: �� �� `7
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SECTION TWO, INC. e
tLE No. 7716 FUR JULY 11, 1994
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TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
V4c.441. S.C. TAX No. 1000-31-03-11.20
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