HomeMy WebLinkAboutSchembri Homes Inc (58) �� tFFOL4-
ELIZABETH A.NEVILLE y� �l/. Town Hall, 53095 Main Road
TOWN CLERK c -� r P.O. Box 1179
Z N Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS �' Fax (516) 765-1823
MARRIAGE OFFICER Z 4% Telephone O 76 -1823 00
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER - 01 4 " ' P
-of
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 19148 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : SCHEMBRI HOMES
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 #R10-98-0115
Name Of Owner SCHEMBRI HOMES
Mailing Address 1 P. O. BOX 163
City St Zip WADING RIVER NY 11792
Property Address 1 AUGUST LANE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 53.00 block 4 lot 44.027
Cross Street PHEASANT PALCE
Building Permit Number Cross Reference:
Issue Date: 10/19/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
,,ii S�FFOL,( = l TV7
• \p cQ -
ELIZABETH A.NEVILLE $h`Z` Town Hall, 53095 Main Road
TOWN CLERK p .� P.O. Box 1179
cf,
ti 2 Southold, New York 11971
O
REGISTRAR OF VITAL STATISTICS 1 Fax(516) 765-1823
MARRIAGE OFFICER � t ��,�� Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER : �Ql 111°
FREEDOM OF INFORMATION OFFICER 01811���
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: October 7, 1998
•
Transmitted herewith is a copy of application No. 2025 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 ture
6 / i 3 /QQ
Dated
• •a.
'OFFICE OF THE TOWN CLERK Oc3��F
�� �(�''
TOWN OF SOUTHOLD , CSG Application No. 2
ELIZABETH A.NEVILLE,TOWN CLERK `
P.O. BOX 1179 $10.00 - Residential
SOUTHOLD,NEW YORK 11971 $25.00 - Non-Residential
Telephone i
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
•
� A s rcr,000
PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $
DATE 101 (.0 / 98
OWNER NAME: 50AembrI
OWNER MAILING ADDRESS: pe 1b3
WadcP>rver.
OWNER PROPERTY ADDRESS : • i ' _. •0 ' r IYe ACI�yCG=Sj— /
ASO c,7`1(79 C,4
OWNER TELEPHONE NUMBER: Ca. Ct ALA
TAX MAP NO. : Section 53 Block 04 Lot 4 4 . Z1
CROSS STREET: y L VhegseYIt Place
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool r/ New 1/ Existing
Residential Non-Residential
LOCATION MAP: Must be attached hereto before permit may be issued.
(Locate building and system; give north arrow and feet
of distance, approximately, to building and closest road. )
ignature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE: ( C., 77/? ?---
JOB Flo..' AUG-25
THE WATER SUPPLY&SEWAGE
DISPOSAL FOR THIS RESIDENCE
. WILL CONFROM TO THE STAND-
;
ARDS OF THE SUFFOLK COUNTY
D
(moo I IS (-o l i Co N.0. DEPT.OF HEALTH SERVICES.
VA \
AUGUST S T LANE [50 ] wa- `- o
4o,� ��.�1
S 43' 09' 40" E 164.00' �'cts
m. 1 AO
‘1)h %o 1 �` ' 1) : J TIE=467'
.,°5 o• w
\, L.,42. . Vilp I-,P
CD
il <
co,` i o J
IS
o — 50' — .42i S o' — Lri
ui 4(6iit‘ 4.)-1/ 41 N
N /A-i F—
Gs4iZ 100,60 Z
loss Q
LOT 26
cn
EXCAVATION INSPECTION REQUIRED ' \Ai.-- Q
FOR SANITARY SYSTEM
LOT 24 BY HEALTH DEPARTUENT w
VAS _
w
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICE o 0_
O N
N PERMIT" FOI"{ APPROVAL OF CONSTRUCTION FOR A
3TNGLE FAMILY RESIDE=E ONLY o
DATLAU 18 �ir. __ . NO.l j ..0 -4-
.4. oil ED-4-
.4. APPROVED _.....91741111414.....46.2.. • to
Z FOR MAXIMUM OF __ :E' •OMS
EXPIRES THREE YEAKS FROM DATE OF APPROVAL
N
N 43' 09' 40" E 164.00'
lioT 3 L 1. 91-- 3 \
o� - h
()i.e.-- ,
I 0¢2
or,e'' /OM=TO TM'comma s A voualom°"E°""a' SURVEY OF: LOT 25
csmsiuma Oorwlra HoroON Tr�ALL Nw ONLY 10 nc.PTONNO FOR MHON rr■PREPARED MAP OF
INNITIURON LSNOfL '�°O 10 THE�INOMOSAS $flTAMDiUO OR
AUGUST ACRES, SECTION 1
CORM Elf 11$oocoMI1 NOT KAMM TME MORM NM.MEN REAL ON MOOR= ARSHAMOMAQUE, TOWN OF SOUTHOLD
!FILL SWI NOr OE=MOOED A WLC T*.(COPY.
,HE OP rp rrE ra re" Noce Mar
uarEuLCO 10 ERE MOPE""1"97
a ANE SUFFOLK, NEW YORK
rON A rmric ANO ANo tHEAEPOIt AN[Nor ELIDEJED m aAOE 111E eoN oP
FENCES.REMAINS wLLR POOLS.PAflOL,PIM=ME"190011E 10 MEM OR ANY OTHER
THE EbsreHCE OF Neff OF wn AND/OR EMMONS OE MEMO.F Ni!.NOT SHOWN ARE
NOT NUARIMIETL
Oi 1131J z s DATE: a tg pj SCALE: 1"=40'
Q.. J
CERTIFIED ONLY TO: 0, DESTIW _u.��' DESTIN G. GRAF 5-ii
•
' /7L F-k cwt�r21 --�v„'�
�7 Ise �' LAND SURVEYOR
LI,,,di \
BY: vi, i 1. ' 4. 73 WOODLAWN ROAD n
DESTIN G. GRAF N.Y.S. UC No. 5T%� �p R' KY POINT. NEW YORK 11778 `,
TAX I.D. No. 1000-53-04-44.27 ' 'Se • ,L PHONE (516) 821-3442