HomeMy WebLinkAboutSchembri Homes Inc (46) r info
�OFF04
ELIZABETH A.NEVILLE
I `Z`�� �Gy1; Town Hall, 53095 Main Road
TOWN CLERK p P.O. Box 1179
ti Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ; O j Fax (516) 765-6145
MARRIAGE OFFICER ` Tele hone (516) 765 1800
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER '� J , �
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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. 2068 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 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 #R10-99-0046
Name Of Owner SCHEMBRI HOMES INC
Mailing Address 1 2042 NORTH COUNTRY ROAD
City St Zip WADING RIVER NY 11792
Property Address 1 MC CANN LANE
City St Zip GREENPORT NY 11944
Tax Map No. section 33.00 block 3 lot 26.000
Cross Street SUTTON PLACE
Building Permit Number Cross Reference:
Issue Date: 5/10/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE �.ZO. l/y� Town Hall, 53095 Main Road
TOWN CLERK < k P.O. Box 1179
y Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICSFax (516) 765-1823
MARRIAGE OFFICER P ‘7$
RECORDS MANAGEMENT OFFICER 'y41O � Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 5, 1999
Transmitted herewith is a copy of application No. 2154 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:
ignatu
Si —I R e1
Dated
. OFFr4 OF THE TOWN CLERK ,,,', ,,,,,� _
Town of Southold �' �FF�.ircQ sy
Judith T. Terry, Town Clerk �` � Gym
Application No. Q
Town Hall, 53095 Main Road ;� Construction
P. O. Box 1179 Alteration
Southold, New York 11971
Telephone y0
p 1 $10.00 - Residential
� $25.00 -Non-Residential• _
(516) 765-1801 ,�
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
REGFIvcn
for
5
CONSTRUCTION or ALTERATION PERMIT MAY 1999
SEPTIC TANK or CESSPOOL (own Clerk Southola
Permit No.
Fee $ _ DATE v/99
APPLICANT NAME: C.)
APPLICANT ADDRESS: 20 � 'Pr
^ / • 0/W-t 9)—
SEPTIC CESSPOOL
DESCRIPTION OF PROPO ED C NSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR//ALTERATION:
OWNER OF PROPERTY : 4--- Lp`Z
OWNER MAILING ADDRESS: �4-J- £ ,4k-
OWNER PROPERTY ADDRESS: 374:741/-4.
TELEPHONE NUMBER OF CONTACT PERSON: ?G)-9 (
TAX MAP NO. : Section 53 B o k_ 0:3 Lot aco
CROSS STREET : ,�.� _
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY : tpo
lown
Y : own Clerk's Office
DATE: _ 1
4111
DISPOSAL FOR fi!C; <,F.-3 jENCE
-k- • WILL CONFROM TOTHE STAN1)-
" JOB No. 99-07 ARLTS UI- 1HE SUFFOLK COUNTY TAX I.D. No. 1000-33-03-26
DEPT.OF HEALTH SERVR;ES.
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100.5MC CANN LANE [ 50' ] 1oo.o U
V. 1 PUBLIC WATER i
T.i S 15°55'50"E 110.00' Z
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100.4 U 11X TEST HOLE 99,8 TIE 560.0' H
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100.7 101.3
SW BR FINE TO COURSE
SAND• 10%GRAVEL
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N/F BURT 17' . _
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": PW=PUBLIC WATER
>: ELEV IN ASSUMED DATUM
FILE MAP No.4021 4/27/64
Unauthonzed alteration or addition to this document is a violation of Section 7209
` d the New York State Education Law. SURVEY OF: LOT 10
,,,. „B Certifications indicated hereon shall run only to the person for whom it is prepared
and on his behalf to the Title Company,Governmental Agency and Lending ,
trtagbtbort listed hereon,and to the assignees of the lending institutions or MAP OF EASTERN SHORES
mof awn. .N', AT GREENPORT
Copies dthis document not bearing the professional's inked seal or embossed
seal shag not be considered a validtrue copy.
The offsets dor dimensions)shown hereon from structures to the property lines are GREEN PO RT, TOWN OF SO UTH O L D
°, Mr a specific purpose and use and therefore are not intended to guide the erection of
M ming walls,pools,planting areas,addition to buildings or any other SUFFOLK COUNTY, NEW YORK
R e> ofrigMdways and/oreasements ofrecordif any,not shown are Snot guaranteedURVEY DATE: 1/27/99 SCALE: 1"-40'
CERTIFIED ONLY TO: �kOFNLi }��
x` SCHEMBRI HOMES .g- DESTIN G.GRAF '
• - Tit- G.G F
-, „„..sir 0- LAND SURVEYOR
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73 Woodlawn Road
o LIC �. ;IP IF ' • ,. .� Rocky Point, N.Y. 11778
•By DESTIN G. GRAF N.Y.S. LIC No. 50067 '�.� ‘4 __•••
516-821-3442
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