HomeMy WebLinkAboutSchembri Homes Inc (61) „N
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ELIZABETH A. NEVILLE ,ZO Gy Town Hall, 53095 Main Road
TOWN CLERK c .. P.O. Box 1179
2 § Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax (516) 765-1823
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER # `a��� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER � ��
64'”'ii• •01I,
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1933 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.
Name Of Owner SCHEMBRI HOMES INC
Mailing Address 1 PO BOX 163
City St Zip WADING RIVER NY 11792
Property Address 1 EAGLE NEST COURT
City St Zip LAUREL NY 11948
Tax Map No. section 127.00 block 6 lot 2.000
Cross Street WHITE EAGLE DRIVE
Building Permit Number Cross Reference:
Issue Date: 9/28/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
1ilik
100,
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•kWG Town Hall, 53095 Main Road
ELIZABETH A.NEVILLE t•,` yam►�%
TOWN CLERK % p -� P.O. Box 1179
y% Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ‘‘%?;‘, **',� Fax (516) 765-1823
MARRIAGE OFFICER `. 1
RECORDS MANAGEMENT OFFICER : �Ol �a� /�I Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER =�� .i��°�,,1
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: September 14, 1998
Transmitted herewith is a copy of application No. 2006 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. Cooper6S
* * * * * * * * * L*
I have reviewed the application and location map of the project cited above
and make the following commendations:
APPROVE
DISAPPROVE
Comments:
Si nature
Dated
MICE OF THE TOWN CLERK . � 4
TOWN OF SOUTHOLD ; Ql/ Application No. 66.'1,6
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 : t_ Construction v
SOUTHOLD,NEW YORK 11971
Alteration
$10.00 - Residential
Telephone
(516) 765-1801 - , „o' $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 7/P*
APPLICANT NAME: .� CLAN k\$'•/'''
APPLICANT ADDRESS: C'_ 41x' / 6 t
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kt2y.
SEPTIC CESSPOOL L/'
DESCRIPTION OF PROPOSE=STR TION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONST j,UC ION OR AL ERATION:
OWNER OF PROPERTY: S ��°,(",`-
OWNER MAILING ADDRESS: 5- ' "Y l 3
Cid
OWNER PROPERTY ADDRESS: 41(-- C/±
TELEPHONE NUMBER OF CONTACT PERSON: � 5r1?‘"/
TAX MAP NO. : Section 1 L7 Block ° C) Lot U
CROSS STREET: 0 > �)C
BUILDING PERMIT NUMBER CRO REFERENCE:
Signature of Applicant
RECEIVED BY: AL-1---Pct
T wn CTerk's Office
DATE: 9// (//9-T
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WILL CONFROM TO THE STAND- WOW., ��
ARDS OF THE SUFFOLK COUNTY TAS( I,OrS o I Avti
I II DEPT.OF HEALTH SERVICES. Q 02_fLe ISI h�„„t4d ciAl v/A
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Unauthorized alteration or addition to this document is a violation of Section 7209 SURVEY OF: 1.--o-r"
of the New York State Education Law.
Certifications indicated hereon shall run only to the person for whom it is prepared / 6
and on his behalf to the Title Company,Governmental Agency and Lending M/4'P op / 'tom I S II� . .-TA-r-.6.6
Institution listed hereon,and to the assignees of the lending institutions or subse-
quent owners.
Copies of this document not bearing the professionals inked seal or embossed 1./A1A L , TaWo o p '7�-T1 1 L
seal shall not be considered a valid true copy. 1— _/�) �v{.4
The offsets(or dimensions)shown hereon from structures to the property lines are / e
for a specific purpose and use and therefore are not intended to guide the erection of u � � hTY `�/ Oic K •
fences,retaining walls,pools,patios,planting areas,addition to buildings or any other
construction.
The existence of right of ways and/or easements of record,if any,not shown areOF VE
not guaranteed. ?�� '.j Y DATE: 41(o'q , SCALE: I "= so r
CERTIFIED ONLY T0: DESTIN G.GRAF
� i1/41-1-11-li
Gt{e,,,,r , • �, r �,, —•a DESTIN G. GRAFI ',,',',.','.''t 0 LAND SURVEYOR
AES\ %-
By i
Vi,S. irrlit i . ,\
. . 73 WOODLAWN ROAD
DESTIN G.GRAF N.Y.S.LIC No.50067 ..• -�✓
TAX I.D.No. 100 0 - I 1 - O - O AL ROCKY PHONIE(5 6NT, E 213442W YORK 11778
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