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HomeMy WebLinkAboutSchembri Homes Inc (48) 1 'of o��StFFOL,tcoG ELIZABETH A. NEVILLEy� Town Hall, 53095 Main Road TOWN CLERK p P.O. Box 1179 • CO) Z • Southold, New York 11971 REGISTRAR OF VITAL STATISTICSmy MARRIAGE OFFICER % d � Fax (516) 765-6145 RECORDS MANAGEMENT OFFICER = �f0 a0*' 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. 2077 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool 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 #R10-99-0070 Name Of Owner SCHEMBRI HOMES INC Mailing Address 1 2042 NORTH COUNTRY ROAD City St Zip WADING RIVER NY 11792 Property Address 1 AUGUST LANE City St Zip GREENPORT NY 11944 Tax Map No. section 53.00 block 4 lot 44.028 Cross Street PHEASANT LANE Building Permit Number Cross Reference: Issue Date: 5/25/99 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) 4010&- ��,mob FFO(,��~� ' ELIZABETH A.NEVILLE � .Zd l/,y Town Hall, 53095 Main Road TOWN CLERK c < >; P.O. Box 1179 y 2 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER 0 Fax (516) 765-1823 RECORDS MANAGEMENT OFFICER #/# ���, Telephone(516) 765-1800 FREEDOM OF INFORMATION OFFICER dr- { ago- OFFICE OF THE TOWN CLERK 4 " ;,, TOWN OF SOUTHOLD Tf3 Southol Town Building Department --PROW: Linda J. Cooper, Southold Town Clerk's Office DATED: May 13, 1999 Transmitted herewith is a copy of application No. 2163 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: Sig tune ^ �— Dated C OFFICE OF THE TOWN CLERK s'' �``t►f'OLK''-; TOWN OF SOUTHOLD ,�k v -OG Application No. a l(o3 FLI7ABETH A.NEVILLE,TOWN CLERK P.O.BOX 1179 C4. ; Construction SOUTHOLD,NEW YORK 11971 z 0 Alteration Telephone _ 0 iri $10.00 -Residential -�— (516) 765-1801 %- v4fAs *��►' $25.00 -Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for MAY 1 j 1999 CONSTRUCTION or ALTERATION PERMIT Iowa GlerK Joutpold SEPTIC TANK or CESSPOOL Permit No. oQ 0-7 7 Fee $ 9 DATE S�"�� f/ APPLICANT NAME: _5CID-IJ - C71e1.-‘-Lo' 2-1, ' APPLICANT ADDRESS: 01-0 '(.1-- ,,a (0":1 ---X° eaS til"- --. (-/r' '( / 7 9-2, SEPTIC CESSPOOL DESCRIPTION OF PROP SED CO ST CTION OR ALTERATION LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRCT ON OR ALTERATION: OWNER OF PROPERTY: , ( i OWNER MAILING ADDRESS: � '1,,i.-- b3 04a- 0 . (( Tg.G OWNER PROPERTY ADDRESS: V---1/0-L-k TELEPHONE NUMBER OF CONTACT PERSON: P1-9 —i----9 a/ TAX MAP NO. : Sect'on "5- 5 Block 0 `f Lot (/(7' CROSS STREET: c77 - BUILDING PERMIT NUMBER CROSS REFERENC ,./ // / /1 , / Signature of Applicant RECEIVED BY: ,. on Clerk's Office DATE: 611 3 7 7 THE WATER SUPPLY&SEWAGE r DISPOSAL FOR THIS RESIDENCE WILL CONFROM TO THE STAND- JOS No. AUG-26 MosOF THE SUFFOLK COUNTY TAX I.D. No. 1000-53-04-44.28 • - DEPT.OF HEALTH SERVICES. LOT 16 LOT 17 OCC RES VACANT PW '� �. 965 AUGUST LANE [ 50' ] 95.3 S 43°09'40"E 164.00' R=25.00 95.8 , 1=39.27 96.4EX 95.4 EX O O I TIE 303.00 w U. LP LP LP � — W 65 v1 LOT 27 U LOT 25 wl UNDER CONST UNDER CONST 3I G a SEPTIC , I— [99.31 —(99.31 I (99.31 Z PROPOSED 4T-- SINGLE FAMILY p 1 ' 70' .ems a 8 [98.51 FF 101.5 f 98.51 V r r 4 GAR 100.0 �' T "' t 16 N ij 8 tl tt .:^ z 7: LEACHING POOLS 4'IN DEPTH ) .1, +Q O EXPANSION POOLS 3'IN DEPTH t) s r-3 `v r Iti t 0 ;L_ t */1 ' ,4;98.0 97.8 71, 5 N 43°09'40'W 164.00' - r' r0 /livit (t-11 r. L `' A NJ ' LOT 32 LOT 31ICCCtS) Q OCC RES OCC RES Pw PW EXCAVATION`/ INSPECTION R�E'Q,UI- • ELEV IN ASSUMED DATUM FOR SANITARY SYSTEM 199.3]=PROP ELEV BY HEALTH DEPARTMENT FILE MAP No. 9107 6/3/91 Unauthorized alteration or addition to this document is a violation of Section 7209 of the New York State Education Law. SURVEY O F: LOT 26 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 Institution listed hereon,and to the assignees of the lending institutions or MAP OF AUGUST ACRES SEC 1 subsequent owners. Copseal this be notbearingthe cprofessional's inked seal orembossed ARSHAMOMAQUE, TOWN OF SOUTHOL seal shall not be considered a valid true copy. The offsets(or dimensions]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 SURVEY DATE: 3/10/99 SCALE: 11=501 501 not guaranteed. CERTIFIED ONLY TO: ,. OF NE'v SCHEMBRI HOMES I ' 1, -.--7',..------- � r��`�rPte,. DESTIN G.GRAF r ,'TIN• .(' 1AF LAND SURVEYOR Asira r!�, ",► s =>iv f. Woodlawn Road ••v" ,Q R ?cky Point, N.Y. 11778 By DESTIN G. GRAF N.Y.S. LIC No. 50067 a UCr~NS ' "' Ocj 5T6-821-3442 I1 f '