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HomeMy WebLinkAboutSchembri Homes Inc (60) i.0 "' 00 ELIZABETH A.NEVILLE 11�0 l/y�' Town Hall, 53095 Main Road TOWN CLERKc -� r- P.O. Box 1179 • c/2 Z Southold, New York 11971 • REGISTRAR OF VITAL STATISTICS v Fax (516) 765-1823 RECORDS MANAGEMENT OFFICER MARRIAGE OFFICER ;`Otif �, Il Telephone (516) 765-1800 �= FREEDOM OF INFORMATION OFFICER '00 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1935 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 #R10-98-0128 Name Of Owner SCHEMBRI HOMES INC Mailing Address 1 PO BOX 163 City St Zip WADING RIVER NY 11762 Property Address 1 KAYLEIGHS COURT City St Zip EAST MARION NY 11939 Tax Map No. section 31 .00 block 4 lot 16.012 Cross Street MAIN ROAD Building Permit Number Cross Reference: Issue Date: 9/28/98 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) i /, lii•��� • oOffk� / �J co • ELIZABETH A.NEVILLE ,``1 ,- Town Hall, 53095 Main Road TOWN CLERK p ! 7 P.O. Box 1179 Z Southold, New York 11971 REGISTRAR OF VITAL STATISTICS '�� Fax (516) 765-1823 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER 414o � ,e Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER ��� �••... •4 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: September 15, 1998 Transmitted herewith is a copy of application No. ()2e262K for a Cesspool/ Septic Tank Construction Permit submitted by: 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. le"-G66`" Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: Si ature Dated i r , `T OFFICE OF THE TOWN CLERK ,1.' `FOLK p- TOWN OF SOUTHOLD �� 'Q = Application No.p,XQ Fi.i7ABETH A.NEVIILF,TOWN CLERK P.O.BOX 1179 L; Construction $/' SOUTHOLD,NEW YORK 11971 Z '_^ ; Alteration Telephone :---__,0m,'b $10.00 - Residential V (516) 765-1801 1 ; 0 $25.00 -Non-Residential ,1 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ DATE OiAl APPLICANT NAME: CIV (9-)'\'‘ APPLICANT ADDRESS: U 16 / ( &3 uuot I -yv` 1 (7 S A- SEPTIC CESSPOOL L.- DESCRIPTION OF PROPOSED ONSTR TION OR ALTERATION _A.,,,ticLa LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUrOMTER Ilyr:jo At. OWNER OF PROPERTY: , OWNER MAILING ADDRESS: / O - Iv ( LAJ. / - ,L., Ci. / ( 1 V--- OWNER PROPERTY ADDRESS: 1 4 al i TELEPHONE NUMBER OF CONTACT PERSON: ()_ ' --P ( TAX MAP NO. : Section ) Block b `/ Lot / C /'). CROSS STREET: Au, A) BUILDING PERMIT NUMBER CROSS REFERENC : Signature of Applicant RECEIVED BY: (Alf' 1 on Town Clerk's Office DATE: 9 - ,s. c • SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES PERMIT FOR APPROVAL OF CONSTRUCTION FOR A • DATE" LOT SINGLE pp FAMILY RESIDENCE ONLY p Yttca.,, t 12 Q n .NO.Rid-�8'4��a APPROVED �' <1/�''� © N. 78.09'40" E. 285.42' sP„ge FOR OF BEDROOMS F4 ssdr 2 z 1s : Q rye EXPIRES THREE YEARS FROM DATE OF APPROVAL tiro 'VIyo o i O P� w r. ZZ Mir '' 6” M ni I am family with the STANDARDS FOR APPROVAL A Z '^ Fii 0 6. AND COIETRUCTIOW OF SUBSURFACE SEWAGE N p o EL t7a `i w DEPOSAL SYSTEMS FOR SMLE FAMILY RESaEA ES n1 • LOT 0 r 6\ and wtabrde by the conditions set forth therein and on the prop' Q 4 60' (13 permit b construct. well k) ni T . R n ( N. "o✓oft. per.ve O Jo N. tri N O z` SURVEY OF PROPERTY y S. 78.09.40" W. EL �s s ,k EL. AT EAST MARION 288.09' Il ;, TOWN OF SOUTHOLD i/aca,) f SUFFOLK COUNTY, N. Y. 0 The locations of wells and cesspools LOT 1000 - 31 - 04 - 16.12 shown hereon are from field observations and or from data obtained from others. SCALE: 1" = 40' AUG. 20, 1998 AREA = 42,990 sq. ft. Suffolk ivedCERTIFIED TOS NANCY ANN JENSEN AUG 2 4 1998 1 RICHARD WAYNE JENSEN ANY Al TERArION OR ADDITION TO THIS SURVEY IS A VIOLATION _ ` OF Nf EXCEPT AS PER SE TPN 7209 OF THE 9-SUBDIVISION ORK 2E�LATION CERTIFICATIONS Dept.Of Heald)Services S \::\T,m ofr7/e HSADD M P OR COPIES FOR S MAPA SED SEA THEREOF SLUR EY`OCG Of Wastewater M t. MAIN ROAD �° cF (N Y.S. RTE 25) / , WHOSE SIGNATURE APPEARS HEREON. . .� �l ,�, S. LIC. NO. 496/8 ADDITIONALLY TO COMPLY WITH SAN.) LAW THE TERM ALTERED BY' �- k� w t� /,t MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY LOT NUMBERS ARE REFERENCED TO " H/GHPOINT WOODS" .7.""t"., l "' `v *, P.C. R SURVEYOR'S ARE T IN COMPLIANCE WITH THE"INSPECTED AND FILED IN THE OFFICE OF THE SUFFOLK COUNTY CLERK I . :4024, AS MAP NO. 10035. 1230 $ FET �. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM SOUTHO IP, /1971 .9R - 97R