HomeMy WebLinkAboutSchembri Homes Inc (39) of FO4c;
ELIZABETH A. NEVILLE 1, �0\' Town Hall, 53095 Main Road
OGy.ki.
TOWN CLERK o -� P.O. Box 1179
t y Z Southold,New York 11971
REGISTRAR OF VITAL STATISTICS Zv- Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER
MARRIAGE OFFICER � ��� � � Telephone (516) 765-1800
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REEDOM OF INFORMATION OFFICER
• 01/6
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2028 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
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 #R10-99-0029
Name Of Owner SCHEMBRI HOMES INC
Mailing Address 1 PO BOX 163
City St Zip WADING RIVER NY 11792
Property Address 1 CEDAR DRIVE SOUTH
City St Zip EAST MARION NY 11939
Tax Map No. section 31 .00 block 3 lot 11 .019
Cross Street MAPLE PLACE
Building Permit Number Cross Reference:
Issue Date: 3/04/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
' l ,,,,000_� a Oa
ow
ELIZABETH A. NEVILLE } yo � . 'Town Hall, 53095 Main Road
TOWN CLERKo P.O. Box 1179
• c4 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS • vO
MARRIAGE OFFICER • $ Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER 4* al'�� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER 1, �`•�0
tip•'' el
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: March 3, 1999
Transmitted herewith is a copy of application No. 2108 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:
nature
31 3194
Dated
,die II
Mk*OW MX TOWN CLERK
° '€.
TOWN 01,801/1"801,8 ; ., = Application No. Q/. .
EU�A.MMUS.�vNCLERK
P,a�lf� .. , M Construction I-----
SOUTHOLD,
SO T TOL D,raw V=11971
r. A Alteration
Telephone ,
4 $10.00 -Residential 1—
(516) 765-1801 ° r` $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 ) /V/1
APPLICANT NAME: Cil ( fc4O"A '
APPLICANT ADDRESS: / 6_ / /6 3
c, / /N/'— lt7cL
SEPTIC CESSPOOL (–/----
DESCRIPTION OF PROPOSE ONST CTIO OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: S CSG '" ( •
OWNER MAILING ADDRESS: $ - -& af ''*.
OWNER PROPERTY ADDRESS: OC. �d- c- j
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section 3 / Block 03 Lot / / -/9
CROSS STREET: ,# ,2
,---,-(_.
BUILDING PERMIT NUMBER CROSS REFERENCE:
y"4 fri
Signature of Applicant
RECEIVED BY: § C. t.�
Town diaries—Office
DATE:
/969/9
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—11,3 N---°*81TAX I.D.No.1000-31-03-11.19 i .
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SUFFOLK COUNTY nziyamour OF 141,711 SERVICES
I THE WATER SUPPL &SEWAGE FERMTT F(M APPROVAL OF CONSTRUCTION FOR A
DISPOSAL FOR THI RESIDENCE SINGLE FAMILY DPAIDENCE ONLY
INILL CONFROM TO E STAND- DATE g-r-qi ...REF vie: hi- 0.1...„.., .i.
ARDS OF THE SUFFOLK COUNTY APPROVED /it*. , A, ak _
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EXPIRES THREE YEAVaitait.DI, *t n.t!VAL
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Iii ELEVATIONS IN ASSUMED DATUM
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