HomeMy WebLinkAboutSchembri Homes (2) ELIZABETH A.NEVILLE ��� d• Town Hall, 53095 Main Road
TOWN CLERK ` 2 P.O. Box 1179
013
` v i Southold,New York 11971
REGISTRAR OF VITAL STATISTICS % ®
MARRIAGE OFFICER �- y� �®0./ Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �__ ®,` � ��i� Fax
(631) 765-1800
FREEDOM OF INFORMATION OFFICER _ 1
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2492 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 # R10-00-0263
Name Of Owner SCHEMBRI HOMES INC
Mailing Address 1 2042 NORTH COUNTRY ROAD
City St Zip WADING RIVER NY 11792
Property Address 1 ROCKY POINT ROAD
City St Zip EAST MARION NY 11939
Tax Map No. section 30.00 block 3 lot 11 .000
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 1/10/01 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
••�ocgtfFO(,:c4G
ELIZABETH A. NEVILLE is6,3
4% ti: Town Hall, 53095 Main Road
TOWN CLERK ; co, P.O. Box 1179
v� �� Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER .. y �/ Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER =_ 491 .� „�i� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER �•1P
-... •'
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: January 5, 2001
Transmitted herewith is a copy of application No. 2580 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:
Yiature
/MD I
Dated
CA
1
4
OFFICE OF THE TOWN CLERK ••� '
TOWN OF SOUTHOLD ,,6%"°�FFOLkc(I:' Application No._ 5--3D
FI I7ABETH A.NEVII T.F,TOWN CLERK ,,� , -*
P.O.BOX 1179 _ Constructions/—
SOUTHOLD,
onstructionsSOUfHOLD,NEW YORK 11971 Zv • •rn
to $� Alteration
Telephone -V' Q��•�, . $10.00 - Residential
p
(631-) 765-1800 =. .1 �*��;,•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 //4/4/
APPLICANT NAME: s(?,L/L'7M' / , IoI/ S _-xi&
APPLICANT ADDRESS: 62044 ,r). & / V ( ,ri
illia11424 K /14, • x%0 21` //7 9c,,
SEPTIC /CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
Ain./ mom{
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 56/-ir01/ L/ / Oz31
OWNER MAILING ADDRESS:A9 c - /0. 660,077/ AA
V44f/J(D /1�=- /AL ) /9i //79a.
OWNER PROPERTY ADDRESS: /i9 /7 ( "04/UT ,&/ i
/ ,S- /e ms/ tO %U2 z) yciet
TELEPHONE NUMBER OF CONTACT PERSON:? -%*
TAX MAP NO. : Section/D60 Block .50 Lot 4 5�//, 6
CROSS STREET: fyj/7//it) A ,4 j
BUILDING PERMIT NUMBER CROSS REFERENCE:
/f14 -111)-1/ .
Signat % of Applicant
RECEIVED BY :
Town Clerk's Office
DATE:
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:`�� t ;; 25'RIGHT OF WAY 324.44' .4 i , -t.,r-A.,, ,
4/4-..- -: I>, 873,', :."-.,.. - - -• ' iv
' ' \ `' S 76°54'10'W 140.00' 25'RIGHT OF WAY, ,
POSED '
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WELL s'�,T — b
.c� LOT 18, 't10 LOT 19_ ' ' •
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ALL,DISTANCES"TO'WELLS AND CESSPOOLS , ',;-. •,, `
ARE BY LOCATIONS, FROM HOMEOWNERS, ;; r�c :,'W, i:�',' ��� 1D o o , ,• 1,
: -- ” `i
=1ELD = OBSERVATIONS, AND EXISTING a �:,,�€� !� I1.L� ./ /sir
SURVEYS. SINCE MOST ARE NOT VISIBLE ��� "I ., • -
THESE DIMENSIO•NS''ARE•NOT CERTIFIED. ' ' FOR w;,/,/_'..-:',1,°.,
�PIREB��'��i YE R FROr.9DATEOFAPP► �;
,. PLEASE:NOTE.. . �, 1 . ,, . 12
Minimum.distance•between well ' -,. " Oft PO 1SR� "
ess ool is to be 15 1S R ,,".•• , y.
and c P r _ :ic +oN: :a .'. . 1V ,
{N ASSUMED DATUM rv7 ' i:;', `'
" , _ ,`'�1..17PV IAV•V�VV _` t VS,,,4 4!}•�"
-• -Unauthoritedelberetion or eddifon tothis daaartent is a violation of Section 7209 • - ` _ f ".
dthe[ rrlfork5latie orrt SURVEY OF: O+� flit- • *t;
worts Indented f tt cm shatl tuna dytothe person for whom it is Prep red •L,-LOT" „
-and On his behalf to tta T hie Company 0o emmental Agency end Lending w_ ;
Institehons listed hetean,end to the a iQriees ot the Lending Institution or �Y' l':,,,'-`,. .i
IAI�..OFtTOI�: O ` . ;'`• ;A
Copies 4thisdocmfknt•notbaiting the-pnn overs inked seal or embossed
OF NE W ,. • seat shaa,Oot be considered ii WV*a oopy. EASE'All�kf 131 TOWN= sc u t ;
�,f, ' „ The oltkde I or dimertriOns k> hereorrtrom strictures to the property times are t.7:t;,
COUNTY 'YY"'-_i' ih -• - - -4"-,
y� DESTIN G.GRAF / Neila.:poate,'peNos_pfttinyateas,addition to buildings,many 4.'a ..
The eidsfertoe d right of ways andfor easements of record,if any,not shown are SURVEY ATE: 1 1 i 1' /00 S'�i�1�.E:„.„. cc not guaranteed
Z:3 `, CERTIFIED ONLY TO: = ,
=.'ate.. r.: ,'i
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�0 4i ENSE , ,,•.� 'co , - , SCHEMBRI'HOMES v � $ ` :�': ;
�qi f'' P"'. LAND:_SUR�f ' `�.•.fi.' a :-•,4. -
• • $S1 el P-. , ' , , . -----.-------- __ ' -----_ t',.•,-,',1 ",...- - G r,.. _'t •-'-f '
. F k .,fr ” . ._.__.—_ _. — 1014114442: ' '' - ` ' I `'-t L '- •
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_, �: „, : ,By DESt1N G�GRRAF,N.Y.S. LIC NO, 50067 l , ,-.-•' :';. i 1 .:; ;
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