HomeMy WebLinkAboutSchembri Homes (4) ELIZABETH A. NEVILLE ®�
Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
PPFREGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER � �® �� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �,_ t 4.„..•� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER _ 0�'
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2470 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 11772
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 # R10-00-0175
Name Of Owner SCHEMBRI HOMES INC
Mailing Address 1 2042 NORTH COUNTRY ROAD
City St Zip WADING RIVER NY 11792
Property Address 1 THE CROSS WAY
City St Zip WAST MARION NY 11939
Tax Map No. section 30.00 block 2 lot 20.000
Cross Street THE LONG WAY
Building Permit Number Cross Reference:
Issue Date: 11/30/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
< o,".$FFOLf _
a(--(
ELIZABETH A. NEVILLE �� OGtit
: Town Hall, 53095 Main Road
TOWN CLERK y 2 P.O. Box 1179
REGISTRAR OF VITAL STATISTICS 47$� Southold, New York 11971
MARRIAGE OFFICER :'` 4% Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER -,_�®� •#„,0' 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: November 20, 2000
Transmitted herewith is a copy of application No. 2558 for a Cesspool/Septic Tank Construction
Permit submitted by:
Schembri Homes
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:
2. 1ature
/I/vo/O 0
Dated
L
, k
t
OFFICE OF THE TOWN CLERK t'..11.C5.�FF UL v n� •:
TOWN OF SOUTHOLD l v '1 `Q ' Application No. �a `�st
FII7ABEIH A NEVILLE,TOWN CLERK �� 0 • �J►
P.O.BOX 1179 Construction f
SOUTHOLD,NEW YORK 11971 ; v T ; /
Alteration
Telephone 04• �Q���•� ' $10.00 - Residential
(631) 765-1800 = Ol ' $25.00 - Non-ResidentiaZ.-1
~0.� 0
��
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE ///�/v
APPLICANT NAME: -/ / &&0/ J10 hit 67-5 _—(,
APPLICANT ADDRESS: &T7.,; /6 C i() J7'// ZIM-
-/torn fi15/ r,.
SEPTIC / CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
,U 0-,�
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION� OR AL`T/ERATION:
OWNER OF PROPERTY: c f, ')22///3/ i A4- /4 .S 2G/C,
OWNER MAILING ADDRESS: : 9/7c). A) &)c)� xe9,,As
40,,mii)r, Ave // -77`1OWNER PROPERTY ADDRESS: 717 ,S.S Ll/ / -77`1
fi,l_S-7-77// /bA) .'V
TELEPHONE NUMBER OF CONTACT PERSON: 7>)- —996 V/
TAX MAP NO. : Section /®OO Block 3O O Lot
CROSS STREET: L G-DGZ/Co eev7
BUILDING PERMIT NUMBER CROSS REFERENCE:
. /
itYlk.. 4 .11/,/,..),./ •
Signat til of Applicant
I da---t---1"JZ_
RECEIVED BY : /
Town Clerk's Office
DATE: / // yZD�4O
/'
1
J.
JQB No. 00-44 TAX I.D. No. 1000-30-02-20
LOT 35 LOT 36 LOT 37
VACANT OCC RES PW VACANT
EDGE OF PVMT -- - - - - -�
THE CROSS WAY [ 60' ] 99.3 R=570.00' 9954
L=58.06'
_ __ __ _ __
R=20.00' N 68°14'00"E 17.04'
L=3142'
14 Al, 1/ 99.5 1:3
IX 99— �'
— TIE 80.00' . i 0 O
v, II R_rn LP
X LOT 20 I 60' LOT 18
In VACANT I SEPTIC VACANT
C) '
In I
z
--I 575
7.5'
PROPOSED w
10' b
SINGLE FAMILY
FF 1021
GAR 100 6
Z N LOT 18
N VACANT
4 0)
02o
o (0.
m
N
IN)
CO0
1 in
t f.Jt
NOTE
1] TEST HOLES ON FILE MAP SHOW CLAY
AND SAND WEST OF SUBJECT LOT.
2] LEACHING POOLS MUST BE BACKFILLED
WITH CLEAN SAND AND GRAVEL IN
ACCORDANCE WITH SUFFOLK COUNTY
.._...___.L-EALTH DEPT,STAN AR -.see+
SUFFOLK COUNTY DEPARTMENT T OF HEALTH SERVIC.5 ,
'
PERMIT FOR APPROVAL OF CONSTRUCTION FOR A t. �
i l 1 _-u
SINGLE FAMILY REGIDENCE ONLY Y r
,, • CJ
DATE S. KS. REF. No. _._
APPROVED_ 1124L s - -
FOR MAXIMUS] OF BED-OOP 982 m
EXPIRES THREE YEARS FROM DATE a 1;PPRO,5'1
S 69°48'40"W 75.03'
ELEV IN ASSUMED DATUM FILE MAP No. 6266 6/11/75
Unauthorized alteration or addition to this document is a violation of Section 7209
of the New York State Education Law SURVEY OF: LOT 19
Certifications indicated hereon shall run only to the person for whom it is prepared
and on his behalf to the Title Company,Governmental Agency and Lending
Institution listed hereon,and to the assignees of the lending institutions or MAP OF PEBBLE BEACH FARMS
subsequent owners
Copies of this document not bearing the professional's inked seal or embossed
seal shall not be considered a valid true copy EAST MARION, TOWN OF SOUTHOLD
The offsets[or dimensions]shown hereon from structures to the property lines are
for a specific purpose and use and therefore are not intended to guide the erection of SUFFOLK COUNTY NEW YORK
fences,retaining walls,pools,planting areas,addition to buildings or any other
Thesexiseon 6/29/00 SCALE: 1 40
n.
of right of ways and/or easements of record,it any,not shown are SURVEY DATE:
not guaranteed
CERTIFIED ONLY TO: 0',0 NEW
SCHEMBRI HOMES 4, J'Q,Q DESTIN G.GRAF
I
• TMC. Rts�F '� LAND SURVEYOR
ri
Alb kt;40
'- 73 Woodlawn Road
N fitpr: ,_ ,, Rocky Point, N.Y. 11778
`�a150067 516-821-3442
516-821-3442
By DESTIN G GRAF N.Y.S. LIC No. 50067 ,p �
Slo • •