HomeMy WebLinkAboutSchembri Homes Inc y • /'/oil 3FFOL,�►c
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ELIZABETH A. NEVILLE • Town Hall, 53095 Main Road
TOWN CLERK % o - P.O. Box 1179
REGISTRAR OF VITAL STATISTICS v' Southold, New York 11971
� Fax(631) 765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER = el 4, ia/�.•�� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2801 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : SCHEMBRI HOMES INC
Address 1 : 20142 NORTH COUNTRY ROAD
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 #R10-99-0264
Name Of Owner SCHEMBRI HOMES
Mailing Address 1 2042 NORTH COUNTRY ROAD
City St Zip WADING RIVER NY 11792
Property Address 1 SHORE LANE
City St Zip PECONIC NY 11958
Tax Map No. section 86.00 block 1 lot 14.018
Cross Street INDIAN NECK LANE
Building Permit Number Cross Reference:
Issue Date: 5/17/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE lit
0 O* ; Town Hall, 53095 Main Road
TOWN CLERK y P.O. Box 1179
REGISTRAR,OF VITAL STATISTICS �$
Southold, New York 11971
MARRIAGE OFFICER `= ,tiL �����, Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER ;__"'/Ql .a.'•0 Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER _,�, ���,rrrr southoldtown.northfork.net
OFFICE OF THE TOWN CLERK , ^ F '._ __.n— ' f'� , ;1
TOWN OF SOUTHOLD " ' ? t ;
L APR I I ''J
1 i �
TO: Southold Town Building Department Fl DC, DEPT.
TO','."4 f- SOUTH ID
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: April 16, 2002
Transmitted herewith is a copy of application No. 2905 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.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: � ..
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Signature
117 3/0 L
Dated
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OFFICE OF THE TOWN CLERK �'����C fin
TOWNOF80UTHOLI) O ` CA QG Application NoasCL5
FT.i7ABETH A.NEVILLE,TOWN CLERK 0. .
�
P.O.BOX 1179 .G Construction v
SOUTHOLD,NEW YORK 11971o rn
ft: Alteration
Telephone 0,�� .0.9" $10.00 -Residential
(631) 765-1800 = �l
0' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT RECEIVED
APPLICATION APR 16 2002
for Southold Town Clerk
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE 3/3 / _-
APPLICANT
NAME: J (}L'2,J\- . ( N Al'k- -
APPLICANT ADDRESS: ri
(Al j 46Z-41I I 79)--
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSE CONSTR CTION R ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 3 � ki -
OWNER MAILING ADDRESS: )-0
jec,,),1*4-1/VC,
OWNER PROPERTY ADDRESS: .�-�•ii-T 1411111Fk-- —OAS + ,
,j-( itc.r.r
TELEPHONE NUMBER OF CONTACT PERSON: 9 �
TAX MAP NO. : Section g Block C7 l Lot 7Ir
CROSS STREET: } . L- //e-id
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
• PLOT PLAN OF
LOT 18
,
N
AMP OF
RICHMOND SHORES AT PECONIC
FILE N . 6873 Ftti.D NOVE/4111ER 20, 470
SITUATED AT
PECONIC
TOWN OF SOUTHOLD
4/40
L SUFFOLK COUNTY, NEW YORK
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04 *-404kr
S.C. TAX No. 1000-88-01-4.18
t 4.4ko - SCALE 1" 40'
DECEMBER 21, 1999
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.tAREA = 21,733.34 sq. ft.
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1. EILLYADZIARL AnOREVIZ" AN ihrtatEt) DATUM
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.I,• 2. REFER TO nut°MO, FOR TEST HOLE DATA.
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3, 1,11101.1:EPTC TAI4trAatES Sp A 1 TO 4 KNOW HOUSE 111.000 GALLONS.
4. mmaimmi trammmMo SYSTEM FOR A 1 TO 4 111E060061 HOUSE IS 300 got ft SOMALI,AREA.
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PROPOSED CARSION POOL
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PaorosE9 Ltecama POOL
PROPOSED SEPTIC TAME
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it. SS 5. :istmg= 01-voYelliSt DAATTID CESSPOOLS SHOWN HEREON Altt mom nue
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4 A SUFFOLK COUNTIY DEPARTMENT OF ilEALTH SERVICES
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4036 r\<"\ . lffibil.`4
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PERMIT FOR APPROVAL OF comemyersowson A , v„.,.-i > -
SINGLE FAMILY IZE8UX31k10E oNLy _
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DATE /2s---7-C)L---' 0 a
!.. 'am* . . — / i —0-Z-6' V copi1/20gtig=irtr%Roc 'Joseph A. Ingeglo
WrOMIGNEDERED Land Surveyor
APPROVED WAILA**00.41114Lits4401r. --.....--, ,
41
am& allirl!"627170020"1011Z
*0 no. Surveys - Subdisfsions - sit. Pions - Construction Layout
POE MAYEVIUM OF* :mi.P. • s *mg
4.7-r_ .,..4.41,..0,, . ,.., tien-
EXPIRES THREE YEARS FROM DATE OF APPROVAL
t . . ...,-''''' mos a . PHONE (516)727-2090 fox (5 t 6)722-5093
) AT gyi rs wit uoirs RIGHT Of WAYS °p
„:,,,,E.. .c. LOCATED JAILING ADDRESS
Ore Won Square P.O. Box 1931
Aquaboour. New York 11931 PlYerhood, New York 11901
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