HomeMy WebLinkAboutSchembri Homes Inc (54) os OFFO(,t�0
ELIZABETH A.NEVILLEGym Town Hall, 53095 Main Road
TOWN CLERK I .< r P.O. Box 1179
�2 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax(516) 765-1823
MARRIAGE OFFICER Z
RECORDS MANAGEMENT OFFICER y4, ���� 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. 2001 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : SCHEMBRI HOMES
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 #R10-99-0004
Name Of Owner SCHEMBRI HOMES
Mailing Address 1 PO BOX 163
City St Zip WADING RIVER NY 11792
Property Address 1 ORIOLE DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 55.00 block 6 lot 15.033
Cross Street TUTH I LL ROAD EXT.
Building Permit Number Cross Reference:
Issue Date: 2/18/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE To. • all, 53095 Main Road
TOWN CLERK �i c -� Q M �• •.O. Box 1179
y C V _, ' , .ld, New York 11971
REGISTRAR OF VITAL STATISTICS • R` 5
MARRIAGE OFFICER ( (516) 765-1823
RECORDS MANAGEMENT OFFICER �y�0 �''e FEB R \ T 1 ne (516) 765-1800
FREEDOM OF INFORMATION OFFICER l�[ �` is
rFn h
OFFICE OF THE TOWN CLERIt
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: February 5, 1999
Transmitted herewith is a copy of application No. 2082 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 recom endations:
APPROVE
DISAPPROVE
Comments:
nature
ti , jc')�
Dated
4.0
OFFICE OF THE TOWN CLERKI'•�COJ j .
TOWN OF SOUTHOLD %%.Z. Application Application No.do (�2
ELIZABETH A.NEVILLE,TOWN CLERK i Q '�
P.O.BOX 1179 - Construction v
SOUTHOLD,NEW YORK 11971
c r 7 ; Alteration
Tele hone 0004. ��'� $10.00 - Residential
P
(516) 765-1801 -_.. '1 1'' ," $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
RrerIVcn
for
FEB 5 1999
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL town ClerK Suurnoia
Permit No.
Fee $
DATE 5—I vl
APPLICANT NAME:
APPLICANT ADDRESS: Po J Lo J
WcOi >nci TRwP r Ny
SEPTIC CESSPOOLV
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
Wu.) we l Ilr1c�
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 6chennlov'i l rye
OWNER MAILING ADDRESS: pQ bux
V\ind}nc, ik\)eV- I'
OWNER PROPERTY ADDRESS: \/C_,
TELEPHONE NUMBER OF CONTACT PERSON: ofact l5q(D1
TAX MAP NO. : Section 5 Block 04) Lot 15' 3 3
CROSS STREET: TJt'"ht k`
BUILDING PERMIT NUMBER CROSS REFERENCE:
,tet
ature of • •p ant
RECEIVED BY: (..)\ \ID5v(/L-- -1i2A"\t-QM
To n Clerk's Office
DATE: a Cj191
IJOB 98-59 TAX I,D. No. 1000-55.0045.33
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LOT 25 j
OCC RES PW , 1 -I
LOT 21 LOT 23
OCC RES PW OCC RES PW f't.E
S 80"35'41" 64.0?'
9171 I
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co
i THE WATER SUPPLY&SEWAGE
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DISPOSAL FOR THIS RESIDENCE cvW
WILL CONFROM TO THE STAND- A.
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ARDS OF THE SUFFOLK COUNTY P
DEPT.OF HEALTH SERVICES. 2 ,a$
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FF 100.2 .
HE
GAR 917.2
is I _.............77,..127::._ ..,54,
INGL Y 1 O .
' LOT 31
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: 'J . R=758.07 L:105.69 R.e�am
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ORIOLE DRIVE[50'1
ry PUBLIC WATER
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9,.� �' 'i:;,.1OCC RES PW LOT 36 LOT 37
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FILE No./M1 311,60 I
uwrrrep yyotalbn a addition to Ills Ooaanws O•■.bbOen a eeaae 7209
"ho Moo:ork b/l stall9 G8 Oho moon klsImmt.pawed SURVEY OF: LOT 30
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CERTIFIED ONLY TO: YO
_ SCHEMBRIHOMESIN� 9
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' 1 By METING.GRAF N.Y.S.LIC NO.50067 (�, ,
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