HomeMy WebLinkAboutSchembri Homes Inc (45) ,�":494
ELIZABETH A. NEVILLE �� COGy.04 Town Hall, 53095 Main Road
TOWN CLERK c .4 P.O. Box 1179
Z ti Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax (516) 765-1823
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER 44'fp c& Telephone (516) 765-1800
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FREEDOM OF INFORMATION OFFICER �.a J
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2220 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : SCHEMBRI HOMES INC
Address 1 : PO BOX 163
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 #R10-99-0245
Name Of Owner SCHEMBRI HOMES INC
Mailing Address 1 PO BOX 163
City St Zip WADING RIVER NY 11792
Property Address 1 1605 MC CANN LANE
City St Zip GREENPORT NY 11944
Tax Map No. section 33.00 block 3 lot 23.003
Cross Street SOUND DRIVE
Building Permit Number Cross Reference:
Issue Date: 12/28/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
G 4.
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, DEC 2 E oil nN FFO(�'C
ELIZABETH A.NEV T LK,,— � - Gy : Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
l' e qty t'SOUTH }�
REGISTRAR OF VITAL STATISTICS ; /'� Southold, New York 11971
MARRIAGE OFFICER Fax(516) 765-6145
RECORDS MANAGEMENT OFFICER �f0 �0 �o Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER _ 019..,
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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: December 22, 1999
Transmitted herewith is a copy of application No. 2308 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:
r/Signat e
7'
Dated
A.
•-• OFFICE OF THE TOWN CLERK es������/•••••••,���
OCOULq Application No. 02,30Z
� �
TOWN OF SOUTHOLD
ELIZABETH A.NEVILLE,TOWN CLERK 0
P.O.BOX 1179 ; !� Construction (x:
SOUTHOLD,NEW YORK 11971 p r=C ; Alteration
*';
Telephone ,j� $10.00 - Residential
(516) 765-1801 =��1 4' $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
APPLICANT NAME: 5ctei,,,,t
APPLICANT ADDRESS: ga-4,- G
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED NSTRU TION OR ALTERATION
i
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION :
OWNER OF PROPERTY: C,�� - ch-4-6
OWNER MAILING ADDRESS:
1GaS
OWNER PROPERTY ADDRESS: Yn C ((ice,x___, 44
eal
TELEPHONE NUMBER OF CONTACT PERSON: % 92-4 cc6,
TAX MAP NO. : Section 3 3 Block 03Lot a 3. 3
CROSS STREET: O ��
BUILDING PERMIT NUMBER CROSS REFERENCE:
ignature of Applicant
RECEIVED BY:
TowC�^ller��',,ss Office
DATE: /e:2---/e_7262.,/7 "/
JOB No. 99-56 TAX I.D. No. 1000-33-03-23.3
I :;JFr OLK COUNTY DEPARTMENT OF HEALTH SER�J.�.^E S
',
.7.R T FOR APPROVAL OF CONSTRUCTION FOS:A
1 SDI LE FAMILY RESIDENCY ONLY
• —,ATE \ -U _GVA HS REF.NO.R 1 O—'3 q. 0 a `/S.---
.PPROV r6 D...,.�,r, yr A.
FOR MAXIMUM OF.a.__BEDROOMS
SOU N P-C 4. 4i-THREE YEARS FROM DATE OF APPROVAL
TAX LOT 40.1
OCC RES PW co \--
0
TAX LOT 23.2 rn TAX LOT 7
VACANT VACANT
N 74°0410"E 160.00'
106.3
109 5 N 106.9
0
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DRIVEWAY ()
(f)
Z 0 TAX LOT 8
Z
WATER SERVICE CA Z OCC RES PW
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o o m TAX LOT P
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40, O Cil
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1087
1065
1045
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TAX LOT 24
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ELEVATIONS IN ASSUMED DATUM
FILE MAP NO. 4021 4/27/64
Unauthorized alteration or addition to this document is a violation of Section 7209
of the New York State Education Law. LOT 13
Certifications indicated hereon shall run only to the person for whom it is prepared SURVEY O F:
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 EASTERN SHORES AT GREEN PORT
subsequent owners.
Copies of this document not bearing the professional's inked seal or embossed GREENP0RT, TOWN OF SOUTHOLD
seal shall nOt be considered a valid true copy
The offsets(or dimensions J shown hereon from structures to the property lines are
for a specific purpose 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
not guaranteed.
SURVEY DATE: 11/23/99 SCALE: 1"=40'
CERTIFIED ONLY TO: ,��OF NEi�ryO
SCHEMBRI HOMES INC y�P 9,,, DESTIN G.GRAF
DEST1 G.GRAF
Nrd LAND SURVEYOR
:r o
�1 y
z ^ .:.w i¢ 73 Woodlawn Road II
N. moo; �eao Rocky Point, N.Y. 11778
By DESTIN G. GRAF N Y.S. LIC No. 50067 ;Q p 516-821-3442