HomeMy WebLinkAboutSchembri (6) i;
ELIZABETH A.NEVILLE Town Hall, 53095 Main Road
TOWNL
C ERIC � ® ..,� v f;k: ,• P.O. Box 1179
REGISTRAR OF VITAL STATISTICS , a,.1 ;., k' FIP11 Southold, New York 11971
•MARRIAGE OFFICER . 1 Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER � "��11 Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER `mss' l
OFFICE OF THE TOWN CLERK
SOUTHOLD VANIFIBIMAMIRT -IDSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2615 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : PETER SCHEMBRI
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 #R10-99-0266
Name Of Owner SCHEMBRI HOMES
Mailing Address 1 PO BOX 728
City St Zip AQUEBOGUE NY 11931
Property Address 1 95 SHORE LANE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 86.00 block 1 lot 4.017
Cross Street INDIAN NECK LANE
Building Permit Number Cross Reference:
Issue Date: 7/24/01 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE ��A.. . #�; Town Hall, 53095 Main Road
TOWN CLERK - % P.O. Box 1179
REGISTRAR OF VITAL STATISTICS %00 • � Southold, New York 11971
MARRIAGE OFFICER • 4 ' o' Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER =__Oi +old' Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER 2f,
r��
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Depaitment
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: June 29, 2001
Transmitted herewith is a copy of application No. 2703 for a Cesspool/Septic Tank Construction
Permit submitted by:
Peter Schembri
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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Dated
•
OFFICE OF THE TOWN CLERK .�'OC,��f01``►
TOWN OF SOUTHOLD ��• ` LA 4QG Application No. a`30-7)
Fl WABETH A.NEVILLE,TOWN CLERK O .
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971v ' T
• cn r Alteration 1
Telephone �,y Q ' $10.00 - Residential ✓
(631) 765-1800 �l �
,, $25.00 -Non-Residential
TOWN OF SOUTHOLD •
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION • 9ECEIVIED
for JUN 2 9 2001
CONSTRUCTION or ALTERATION PERMIT
veirialka town Clerk
SEPTIC TANK or CESSPOOL
Permit No.
Fee •$
DATE VJ`
APPLICANT NAME: P-CTerz SChffm b2
APPLICANT ADDRESS: p.0- -&-x 72�
. tom ►q3f •
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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•
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERAT, ION:
• OWNER OF PROPERTY: ��l tII4► leS
OWNER MAILING ADDRESS: _6 (, 12
u-Qbs?st,O
q5- - � 11 �
OWNER PROPERTY ADDRESS: `1�
TELEPHONE NUMBER OF CONTACT PERSON: (CP4) 1D--D--q(p4)
TAX MAP NO. : Section 110 Block ( I Lot 4' 17
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
//
Signature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
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- • SURVEY OF
' LOT 17
MAP OF
,:i RICHMOND SHORES AT PECONIC
• FILE No. 6873 FILED NOVEMBER 20, 1979
•
2Q /� SITUATED AT
LoT %� - PECONIC
' —.' TOWN OF SOUTHOLD
/ SUFFOLK COUNTY, NEW YORK
✓� �q6•b. S.C. TAX No. 1000-86-01 -4.17
�,EA .13
r, SCALE 1"=40'
// S�R� c,P'� r'o ,IULY 24, 2000EREVSED 1AATEER SERVICE
R'E o,
\ AREA = 22,971.96 sq. ft.
L'''' 0.527 ac.
. \ c-0
670
\ co
I- j 2�
'I•33;,... A�/
, \ /
0
. \ \ 0 NOTES
,
1. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM
_ �- �.--' 3 EXISTING ELEVATIONS ARE SHOWN THUS-14.7
\\ \ , " O 2 REFER TO FILED MAP FOR TEST HOLE DATA
' \ �.= /" 3 MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1,000 GALLONS.
\ � / S _ 1 TANK; 8' LONG. 4'-3" WIDE, 6'-7" DEEP
\ ,re 4 MINIMUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 s Il SIDEWALL AREA
\ \� \ �`f" r: 1 POOL, 12' DEEP, 8' die
Q
\ 6Q• ,•� ----/-7.-
"I
,• �. - PROPOSED EXPANSION POOL
\ / �,__-\---`/^�' �o O� % PROPOSED LEACHING POOL
0 1 \ �/ \ \ 000 1-+-.
y oo.
' \ p�\. \ Ri / V/i911OPOSED SEPTIC TANK
\ Q \t- \ '-" - • - 5. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
- ..
\9 � �1 ,(i�j• � � 4 UnxxvArlOrT AND/OR DATA OBTAINED FROM OTHERS.
14' S,II,FOLK CO DEPARTMENT OF HEALTH SERVICES
� \ON � � t
/ j
- " ?ERIblI'TT4'OR APPROVAL.OF CONSTRUCTION FOR A
-
NRG VALy REST n N PREPARED IN ACCORDANCE WITH TFC WMMOM
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• \ 1 Or nEla 00 �;��I ��: �,:
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- �� d`�°' — THREE YEARS FROM DATE OF APPROVAL t c4-- ' ` , / ,
7:4 „�p9G / v pGp�t EXPIRES �� � �i
.„. IA'
% U h N Y.5 Uc No, 49668
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TIt si�RERiEv Is 'A Iv,ounoN oomoN
_ -
cSECTIOEDUCA07209 OF THE NEW YORK STATE
T •COPIES OF THIS SURVEY MAP NOT BEARINGJoseph A. Ingegno
pL (,,.."-----\
THE LAND SURVEYOR'S INKED SEAL OR
SI Land Surveyor
or
EMBOSSED SEAL SHALL NOT BE CONSIDERED
�1i, TO BE A VALID TRUE COPY
'� y', CERTIFICATIONS INDICATED HEREON SHALL RUN
_ r� ONLY TO THE PERSON FOR WHOM THE SURVEY
f 1 TVITLE COMPS GOON HIS BEHALF TO THE
-
OVEERNMENTAL AGENCY 4110 Title Surveys — Subdivisions — Site Plans — Construction Layout
- - •. - //` \ LENDING INSTITUTION LISTED HEREON. AND
TO
E CCESI£RTIIFFICATIONS THE OF RNOT NG TRANSFERABLE
R NLS71�LL PHONE (631)727-2090 Fox (631)727-1727
\ TI18 EXISTENCE OF RICHT OF WAYS OFFICES LOCATED AT MAILING ADDRESS
AND/OR EASEMENTS OF RECORI), IF
- ANY, NOT SHOWN ARE NOT'GUARANTEED 1380 ROANOKE AVENUE P 0 Box 1931
:1' - RIVERHEAD, New York 11901 Riverhead, New York 11901-0965
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