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Home My WebLink AboutSchembri Homes _ 9 ,,,,iii, of/ agFOL4' ELIZABETH A.NEVILLE ;®e Town Hall, 53095 Main Road TOWN CLERK _ y P.O. Box 1179 w i Southold,New York 11971 REGISTRAR OF VITAL STATISTICS ® '� MARRIAGE OFFICER �� Fax(631) 765-6145 .f� RECORDS MANAGEMENT OFFICER �,�®,� 144%„.01 Telephone Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER �� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2501 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : SCHEMBRI HOMES INC Address 1 : 2042 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 # R10-00-0008 Name Of Owner SCHEMBRI HOMES INC Mailing Address 1 2042 NORTH COUNTRY ROAD City St Zip WADING RIVER NY 11792 Property Address 1 WESTPAHLIA ROAD City St Zip MATTITUCK NY 11952 Tax Map No. section 113.00 block 10 lot 15.004 Cross Street COX'S NECK LANE Building Permit Number Cross Reference: Issue Date: 2/06/01 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ,,•,oli,;s®S11FF0`,�ee ELIZABETH A.NEVILLE �� to: Town Hall, 53095 Main Road TOWN CLERK H = 1 P.O. Box 1179 REGISTRAR OF VITAL STATISTICS 1,� Southold, New York 11971 MARRIAGE OFFICER t Fax Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER � -.1% Telephone Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER •_ � OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: January 24, 2001 Transmitted herewith is a copy of application No. 2589 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: ure i/z40 , Dated s toy ,,,,,..,,, • OFFICE OF THE TOWN CLERK ,,et..C5`` V at,1 `Qf n� = , TOWN OF SOUTHOLD , U G Application No 93 F!J7ABETH A.NEWTI F,TOWN CLERK • P.O.BOX 1179 z Construction ✓ SOUTHOLD,NEW YORK 11971 Alteration / Telephone ,f' X471, $10.00 - Residential V/ (63t) 765-1800 -= .1Aid• $25.00 -Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for gECEIIVED CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL JAN 2O01 ..,rum own C9erk Permit No. Fee •$ _ DATE 1/ /0/ APPLICANT NAME: vQ{/L'h bed /ION APPLICANT ADDRESS: D((c)-- ICU- C_Dc,) tAinkq R iA--b tj A-bi,eo R'L ttAb 1)4 1.179 SEPTIC /CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION Veit) coi937720c)77 04) LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: 5a#4-r 844' ll1 OWNER MAILING ADDRESS: DOCOs jO . 6O6 4-( RAJ (.Um loco P.((L'1Q) / i ( (( -7 d OWNER PROPERTY ADDRESS: kur Cu( j P/4-0-L ( E M ;CA/ TELEPHONE NUMBER OF CONTACT PERSON: — a"?,- 9(U / 000 TAX MAP NO. : Section 11-3 Block , ;J O' Lot 1 c, CROSS STREET: @riz.VS 1UL e—/C L ALA?: BUILDING PERMIT NUMBER CROSS REFERENCE: t*- -44/ Signat Ili of Applicant RECEIVED BY : Town Clerk's Office DATE: ........ ..,,,,,,,.:,,..,:.,•,•4.....,k1D,,-;:,,,,:...--,',:- A•-:'?•i•it;i",'4',.,z24,.. -- . .•. •• . •',- '',IA/e.'q,:,..,.:',-,,:-,"-e,-,.:!'4",' .elf'..,',h le,;,.,:ffl',e.'P.,,,..‘-.•--,;,..,•;,. ,, ;".4.').:'1.;'::), C1.:t'$Nt:,;?)f.t:IV':;. ^):%3r.2-1.:''''':= 44.0:1',W,^ 0,;::' .-'' ,,-•:, :,,' '-..,':',.-2::,,''', :.,6'. 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' •'THE,MOS IENICC,oriFRIpHr-:OF•WAYS.AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. ;:: ''Z''.,v,'.,:::!^"s,..,-',•' . . iM(1,iSURVEY;WAI-PRIPARED':IN ACCORDANCE WITH THE EXISTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED BY THE NEW YORK STATE -='-',ASSIXI4T ION-Qr.:PROFESSIONAL'LAND. SURVEYORS. : - ,. ,,,,.?_-, ;;;•,;,;3!"-...,- 4„'...',,...4$;,;-'4.,f.,,e_zi.,i.:,;-,, , 4ANY; L1'ERATION'.OW:ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY ...INAPI.N0T,EIEARING'4HCCAND,SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. NO OFFICIAL OF THIS STATE., OR,..0F. ANY,'CITYi4COUNTY, TOWN OR VILLAGE THEREIN, CHARGED WITH THE ENFORCEMENT OF LAWS,'.ORDINANCES OR REGULATIONS SHALL ...•`"ArCet*Pte OR APPROVVANY;;PLANS OR SPECIFICATIONS THAT ARE NOT STAMPED. CERTIFICATIONS INDICATED HEREON-SHALL RUN ONLY TO THE PERSON ' • - * ma EVISi•.PREPPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND,LENDING:INSTITUTION LISTED HEREON --',"'FailtANDI!Fl-TMtiFitlE,AJURSIGkie,,,..VE.,,c'krj-THEilL'END'ING, INSTITUTION, ;CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS ''.., •,...‘•e',1,-;'(,:,-.!-,-..ar-A,',1‘ft'— . i,,,,,e.v.r, SUP001.KCOUNT1,-. r;TAX •MAP DIST. 1000 r,SECT: 113 EILK: 10 LOT:15.4 . ' '''''''''' 'Mc--1`-"ftt;',''-'.',' ''''---,;4:---;4:X.14.-;;:x..'''-'47;i::f.;°:„, - .:', • , - 1 BURTON - . •,, .„,....,„ 4,,-,,,,,,,,......,4„...,,,,....,•,,,,,,,,i,,-„,„,,, . ,,,, ,,, , • JANUARY 25. 1 927 ' .MAPNO -1751;4, 4,<.,,,e`.:4::,.:-.d.:," , ,, - DATE. - ''•BEHRENDT . ,...3--...„,,...„•, 1-:,,,,c,,,,.,0-„, ..:,„...,„10,$.45,94,„„,,,,,,,,,,,-.,,,„_ . , •,',3,,fiiiii;',...-Elii'- eiia:/-1,;Mii0or.;95 AND PART OF' PENN AVENUE . 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