HomeMy WebLinkAboutSchembri (4) /N;
ELIZABETH A.NEVILLE4� .r ��: Town Hall, 53095 Main Road
TOWN CLERK 9� x °;?.'r* .3 `• P.O. Box 1179
REGISTRAR OF VITAL STATISTICS 1.3 ..'< t'� °� �� Southold, New York 11971
MARRIAGE OFFICER : 1 ._ - � 1� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �__ C/�� �L e� �oi�� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ,•"
OFFICE OF THE TOWN CLERK
SOUTHOLD INCAISIIIIIWASUERTHINIBIDSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2603 R Residential X Non-Residential •
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : SCHEMBRI HOMES INC
Address 1 : PO BOX 728
City St Zip AQUEBOGUE NY 11931
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 #R10-01-0101
Name Of Owner PETER SCHEMBRI
Mailing Address 1 PO BOX 728
•
City St Zip AQUEBOGUE NY 11931
Property Address 1 ROCKY POINT ROAD
City St Zip EAST MARION NY 11939
Tax Map No. section 31 .00 block 1 lot 5.008
Cross Street ROUTE 48
Building Permit Number Cross Reference:
Issue Date: 6/27/01 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
'or 6903 -
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ELIZABETH A. NEVILLE �� a ,y Town Hall, 53095 V n Road
TOWN CLERK ; c) M P.O. Box 1179
REGISTRAR OF VITAL STATISTICS r' 1", 14117 Southold, New York 11971
ckt
MARRIAGE OFFICER d� .Ya "' � 1 Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �, �� ��1� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER 'vs' �1
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: June 11, 2001
Transmitted herewith is a copy of application No. 2692 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:
-�Signatur
(01 � � / 61
Dated
•
OFFICE OFTEETOWN CLERIC /�
r��EFOIKCp Application No.cfo
• TOWN OF SOUTHOLD /
ELIZABETH A PO ILLE1 TOWN9 CLERK :4. Construction
SOUTHOLD.NEW YORK 11971 •� rn: Alteration
Telephone 'at �[, �QY'� $10.00 -Residential
(631) 765-1800 1 4'�r''�, $25.00 -Non-Residential
TOWN OF SOUTHOLD •
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ (12-
�` T
DATE/� �
APPLICANT NAME: 3c/" •enib�/
APPLICANT ADDRESS: D CP.,
SEPTIC_CESSPOOL L .
DESCRIPTION OF PROPOS CONSTR ION OR TER,ATION
LOCATION MAP: Must be attached hereto before permit may be Issued.
LOCATION OF PROPOSED CONSTR TION OR ALTER TIO •
OWNER OF PROPERTY � �-e �
OWNER MAILING ADDRESS::er'vC� Pj` 7i
OWNER PROPERTY ADDRESS: ;r= `
7 4„ SI?.sr-
TELEPHONE NUMBER OF CONTACT PERSON: (j. 3i)
TAX MAP NO.: Sects C Block 0 1, Lot ry
CROSS STREET: G''er'
BUILDING PERMIT NUMBER CROSS REFERENe //
1
OP
Signature of Applicant
RECEIVED BY
COTown Clerk's Office
DATE: CY //I/C/
-:r
�'. :'. ' JOB No. 01-26 ;,t- TAX I.D. No. 1000-31-01-5.8 .
94•:;_s�, Y, - — L',;,-,1 c
1.
..i ;14
F. , LOT 23 A ,
VACANT LOT 22
OCC RES PW
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_ . 84 o N 76°54'10"E 140.00' s
4.
OEX r DRIVEWAY— 25'RIGHT OF WAY
57. . 1
_ _ _ _ _ _ _ _ _ _ _ _ _ _
' LP
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47,
47 LOT 25
.- O SEPTIC QJ�, OCC RES WELL
, M Z'n � WELL ,
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FF 86.7 �k '
GAR 85.2 ` 5o E:3S
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as LOT 26
� o VACANT
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h ; • S 76°5410"W 140^00 '\ .- Q ••
k, t' 1{ APPROX'15D N/E A.P.SEPENOSK{',JR. Q - r
;�v,: TO WEU. , , - ,,`.
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- O CA
1Qr!'' SUFFOLK COUNTY T�A 114ENirtF HEALtH*SERVICES ,�
P . • ' fes`FOR APPROVAL'OF CONiS UCTIoN OR A . ' '
w=T, - FAMILY RESIDENCE ONLY
ir.z - '� R>�.NO.
Y'k'''" "AP?RV.ED ' / 4- •,.
ky':' ' ' • FOR MAXIMUM.OF BEDROOMS �j,
=4r' (RES YEARS FROM DATE OF APPROVAL• �5� Z
p - •
.. , . , - - - , \ � .- , ' I �o�� ,
E' MP�4
- . ELEVATIONS IN ASSUMED DATUM -
. FILE MAP No.-8759 6/7/89 •
Unerdhonzekt,aiteration.or edd+tioa to ttusdpowitent-*s a violation of Section 7209•
tit the New-York State'education Law , 1 SURVEY OF: LOT 24 '
Certifiatt<ons indicate d het n shattrun orit9 to thperson for whom rt is prepared
[-:�,,,, ,and'on his behalftothe-TitleCoinPan0oVerrenerttafAgencyandLending , j • • '
r. frashtui�or�T�ted hereon sod m the ass�gnees�l a Lending insdiuhon at MAP OF EAST MAR ION-WOQDS- ,
s OF N�bi y subsertuent owners.• : - - - ," s -- •
i° �(� f'p -Copies aLthls do ,t.Qar_•aea the pro{ rs.inked t or embossed EAST MARION, TOWN-OF SOUT OLD •
,c� 9 -seershelt-not he amSdared a va�d hue copy - -
The otlsd$(t dfinefisions j spawn hereon from swctures to the;property hoes are
r DESTIN%�-G+RAF for aspecifiopurpose and use and therefore are.not-intended to guide the erection of SUFFOLK COUNTY, 1`� -
r
' ,
fences,-retaining watts,pools,patios,planting areas addition to buildings,or any other
Qnts of
n rThe o ores r shown areSURVEY DATE: 4/16/01 SC ►LE.
t
ence of right of ways ands seine record,if any not slto
r- - ref .., - r u not @1Y Meed •
'f' ,N'` ' yJQ I CERTIFIED ONLY TO
‘'t (CENSE ,r 5013E i ;
I/.,..T.:
;' O SCHEMBRI HOMES - DESTtN G. GRAF
4.. � `' LAND SURVEYOR .
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8��DESTlN G. L{C NO.50067
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