HomeMy WebLinkAboutSchembri Homes Inc (55) offoul-
co
ELIZABETH A.NEVILLE y� GyA Town Hall, 53095 Main Road
TOWN CLERK c -� P.O. Box 1179
y ; Southold,New York 11971
REGISTRAR OF VITAL STATISTICSPrr
Fax (516) 765-1823
MARRIAGE OFFICER ,00 0�,I Telephone(516) 765-1800
RECORDS MANAGEMENT OFFICER �J .a
FREEDOM OF INFORMATION OFFICER1 *
' gig
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1995 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : SCHEMBRI HOMES INC.
Address 1 : P.O. 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 #R10-98-0103
Name Of Owner SCHEMBRI HOMES INC.
Mailing Address 1 P.O. BOX 163
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 44.029
Cross Street PHEASANT PLACE
Building Permit Number Cross Reference:
Issue Date: 1/26/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
lahh,
/ c 3
00 �OFF01/(
ELIZABETH A.NEVILLE .Z�� �l/y NTown Hall, 53095 Main Road
TOWN CLERK Z� c < P.O. Box 1179
k f/) Z ‘ Southold, New York 11971
REGISTRAR OF VITAL STATISTICS • �'1 Fax (516) 765-1823
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER ,` y O! 1. Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER � �1 * '#9"
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: January 25, 1999
Transmitted herewith is a copy of application No. 2075 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'r
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following re ommendations:
APPROVE
DISAPPROVE
Comments:
GJ�" '
2-
.— Signa ,�-
11 ')-< /q9
Dated
F
OFFICE OF THE TOWN CLERK , •' �`F��j�
TOWN OF SOUTHOLD •'' `'CQ "_ Application No.c e 7 b-
El I7ABETH A.NEVILLE,TOWN CLERK
Construction
P.O.BOX 1179 . i+
SOUTHOLD,NEW YORK 11971 rirt
Alteration
•, $10.00 - Residential
Telephone efi .��•
(516) 765-1801 - �l ,"' $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 5
APPLICANT NAME: 4 ,_i /
APPLICANT ADDRESS: 62,.O_ 4 f (e
L,u/: ' (( 799-z--
SEPTIC CESSPOOL
DESCRIPTION OF PROPOS RUCTION OR ALTERATION
3
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION R ALTERATION:
OWNER OF PROPERTY: (,� ,.J • ti
i. /►--�
OWNER MAILING ADDRESS: -{/Z/X `G_.S /4"•/(71L
OWNER PROPERTY ADDRESS: (limo ,„)-7(-----A-e
vairri „
TELEPHONE NUMBER OF CONTACT PERSON: /
TAX MAP NO. : Section Block U V Lot VY-
CROSS
STREET: ,� �
BUILDING PERMIT NUMBER CROSS REFERENCE:
ignature of Applicant
RECEIVED BY: /,
Town Clerk's 0 ice
DATE: /A 679
AUte%-7:1
�T 2.9L t o P.w l'°f"w,�
VA C�
4 4�-409-40 \,./ 1,✓o-4-,o0
4 ,1 .1,. '
ioT�:
L-E,�t-f I>,!G7 4' Deli-f
-C-x-flex. , (2) 'r 3' PEPT -
-C1---oAnn o4 Etc-Ii •P. A-T. £I,E-\/, G3.o
Cs¢oc. - / TRK- - 40. 0
0 17EE f tiAlr`I G ft.A4 ftmK. 1eThllh '
0
V O
J0
1
f GAUz. loo.o F-
0 coq ,
Z ....) AA1
qa,a
-if N.t-N,
hark L.-
(Do/ 1 I m �• • 1-P
---1- .. 13 r1',on i'� N
i /vtP P
.12.L---\/\ \ cia?7 ......
4-3-061-1-c) _ l,4,0o
I
EXCAVATION INSPECTION REQUW OA j ,S.
^
_1
FOR SANITARY SYSTEM
BY HEALTH DEPARTIV71,.JTi.
._._
SUFFOLK COUNTY DEPARTMENT OF HEALIVE—.
THE WATER SUPPLY&SBA AGE'ER1YIIT FOR APPROVAL OF CONSTRUCTION FOR A
DISPOSAL FOR THIS RESIDENCESINGLE FAMILY RESIDENCE ONLY
WILL CONFROM TO THE ST# S 49 O • ,.` .NO. A PAbtaik • o 1 3
ARDS OF THE SUFFOLK COUWPROVED ! Ir ff R_ �___.i`'e"
DEPT.OF HEALTH SERVICES. FOR MAXIMUM OF 4 t ,OOMS J U L 0 9 1998
EXPIRES THREE YEARS FROM DATE OF APPROVAL
�/A�IP� I A�uwtEJ -1.-M,, %, ,c _1 _ .. t �. ,__ , 81 ; :�,�pt •_U ;waiir,::..e 1
Unauthorized alteration or addition to this document is a violation of Section 7209 SURVEY OF: V--
Certifications
i _ e
of the New York State Education law.
Coniindicated thted tlerConpan run onlyr to the persongenyfr whom it is prepared 7\1 l ,�//// �,�/A4
and on his behalf to the Title Company,Goes of the Agency and Lending 61.// (�4�--CCiJ��,0
p,
Institution listed hereon,and to the assignees of the lending institutions or subse-
_...fr
quent owners. A A, ,(�
Copies of this document not bearing the professional's inked seal or embossed Aj l - {? p4O I
"L...a.. ••
seal shall not be considered a valid true copy. "/��// 1• i
The offsets(or dimensions)shown hereon from structures to the property lines are G, '
for a specific purpose and use and therefore are not intended to guide the erection of '✓/
fences,retaining walls,pools,patios,planting areas,addition to buildings or any other
construction. J.
The existence of right of ways and/or easements of record,if any,not shown are �� I/ /
not guaranteed. �'*,0" N ': DATE: "lief b SCALE: I 4o
CERTIFIED ONLY TO: •
y DESTh '•"'aim' DESTIN G. GRAF
LAND SURVEYOR
so i
�yy vw
By 4, a h ,\` 73 WOODLAWN RO••
DESTIN G.GRAF N.Y.S.LIC No.50067 . A ROCKY POINT,NEW YORK 11 '8 ci
TAX I.D.No. 1000-‘12-p4- 4-9-,2-41 ' I. • •I>t0,2,..\. PHONE(516)821.3442