HomeMy WebLinkAboutSchembri Homes Inc (22) ? FOLN040
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ELIZABETH A. NEVILLE 14 Town Hall, 53095 Main Road
TOWN CLERK ` o P.O. Box 1179
W Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax(631) 765-6145
MARRIAGE OFFICER �y ,
RECORDS MANAGEMENT OFFICER � �Ql �4001 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. 2250 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 #R10-99-0013
Name Of Owner SCHEMBRI HOMES INC
Mailing Address 1 PO BOX 163
City St Zip WADING RIVER NY 11792
Property Address 1 BROOK LANE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 79.00 block 5 lot 16.005
Cross Street REYDON DRIVE
Building Permit Number Cross Reference:
Issue Date: 3/01/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE ,��h� y�; Town Hall, 53095 Main Road
TOWN CLERK � o - % P.O. Box 1179
REGISTRAR OF VITAL STATISTICS t` *. 0 Southold, New York 11971
MARRIAGE OFFICER �i Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER #Ql la.ii• Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICERilli .0
FEB 2 3 nO j
�
..i OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: February 23, 2000
Transmitted herewith is a copy of application No. 2338 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 applicati n and location map of the project cited above
and make the following reco mendations:
APPROVE
DISAPPROVE
Comments:
ignatu -
g
Dated
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OFFICE OF THE TOWN CLERK 1,h1',`�`�C,/C OL fr•,�.
TOWNOFSOUTHOLD ,�����1{ ��KCD� Application Noa33�
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 •� Construction c.
SOUTHOLD,NEW YORK 11971 m
t: Alteration
Telephone ,�� �Q�'�;�, $10.00 - Residential
(516) 765-1801 _ �l 4�,,0� $25.00 - Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION QECEIIVED
for FEB 2 3 2000
CONSTRUCTION or ALTERATION PERMIT **amok' Town Cork
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE l ff
APPLICANT NAME: CA.Ovij
APPLICANT ADDRESS: 40 407( ( (p
W fr0(- / 7 )-
SEPT I C CESSPOOL ✓�
DESCRIPTION OF PROPOSED CONS RUCTI NOR AIrTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONST U TI N R ALTERATION :
OWNER OF PROPERTY:
OWNER MAILING ADDRESS: f i / •
10 .4 / / A,/i (29 -
OWNER
/i (2r-OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section -7 9 Block (..9`> Lot
CROSS STREET: ,, , ))(-
BUILDING PERMIT NUMB '" CROSS REFERENCE:
47 /
Signature of Applicant
RECEIVED B
own Clerk's Office
DATE: p2 �` J r` O
OSCI... - SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES 1
PERMIT FOR APPROVAL Old COIF ? UCTION FORA ' #
• \ .- ANGLE FAMILY REsIDENcE z N1.,Y t
E"+► DATE 1 2 -5,c( HS REF. O. 1210 -q C- Cao 1 3
3 �a0
Q @' Q Nei. 0 l'"
APPROVED
y
•45- MAXIMUM OF II-a R••MS
f
Is 'Zr EXPIRES THREE YEARS FROM DATE OF APPROVAL
.99 Q.. ,`,r
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1,...631101,
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o F/F�F LOT
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/ . r-L- $14t\ '')110„
P.
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DWELLING i I
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am familiar with the STANDARDS FOR APPROVAL 017E N
AND
CONSTRUCTION OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAMILY RES1OENC
L. ES
and wit abide by the condltlons set forlb therein and on lb. SURVEY OF
permit 10 constract. -
LOT 5
"MAP OF REYDON COURT"
FLED SEPT 17 1987 MAP NO.
EA T BA YVIEW -� `�
The /oceans of wells and cesspools TOWN OF SOUTHOLD
shown hereon bre from fled obserralions SUFFOLK COUNTY, N.
and or.from da/a obtained from others. 1000 - 79 - 05 - 16.5
EtevaTIONS ARE REFERENCED , SCALE r= 40' ,r,
To AN ASSUMED DATUM DEC. 30, 1998 c_rl
JAN. 7, 1999 ( prop. bee.' I
• AREA = 40,844, sq. ft JAM 12, 19991 WO
• 4, 2040 sak i .. .
v.s ,, Q ' (.R Y. A , a a Fit�1V \. \P4kt "`O G�OsC7 �tar�o I 1.
oor
s , _; s £ ,- s a S• a a l;IF.i z ,/!'
#: •s'` .:of 77 r„,,-
.1! .,. -� , .i' N.Y.S. LIG Na 49618
N . it* / . 414x.
} 1' rto CtMI K sx7NSitryAlr TFl O ( !�-�I Ak (6 iJ 76w�5 + 1797tlr i0'6YANY AI , 4,4 "'"` •° IND 62 B�
�� T,. '" .. gi.' j' STREET
fl;, ,.Y. 11971
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