HomeMy WebLinkAboutSchembri (11) ®c11FF0[4
ELIZABETH A.NEVILLE Town Hall, 53095 Main Road
TOWN CLERK ; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS '* Southold, New York 11971
MARRIAGE OFFICER `� mj�®iCis �1�, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER � 1 iii Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER
.�'. ����
OFFICE OF THE TOWN CLERK
SOUTHOLD '1111007111)TA9ClERTHCEIRDSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2628 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 #R10-01-0116
Name Of Owner SCHEMBRI HOMES
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 7.000
Cross Street ROUTE 25
Building Permit Number Cross Reference:
Issue Date: 8/08/01 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
r -;.• ill OFFOIA, --... a (La ;
ELIZABETH A.NEVILLE 1"1y� Town Hall, 53095 Main Road
TOWN CLERK % ez . % P. O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER `� �,SL �����, Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER "'/RI 1‘.41° I. Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER �O.
_
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD j 1`__', F r 1; I "
p
TO: Southold Town Building Department I '
i 31
FROM: Linda J. Cooper, Southold Town Clerk's Office 1 - —- '
BLDG. PEP T
TOM4 QFSOUTr-ALJ J ,
DATED: July 25, 2001
Transmitted herewith is a copy of application No. 2716 for a Cesspool/Septic Tank
CONSTRUCTION/ALTERATION 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: Maintain required setbacks from adjacent wells,buildings,property lines and water
Bodies. EXCAVATION INSPECTION REQUIRED. .Y.gnaturSe
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Dated
OFFICE OF THE TOWN CLERIC ,.�''��FF OLK
TOWN OF SOUTHOLD :� CDS Application NC:7142
ELIZABETH PO BOV1 .X 799OWN CLERIC Construction
SOUTHOLD,NEW YORX 11971T
Alteration
•
Telephone �[,������'� $10.00 -Residential
(631) 765-1800 %--74:0/- 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 $
•ATE
APPLICANT NAME: . %/
JD
/
APPLICANT ADDRESS: .2-0
M ( 7')-
SEPTIC_CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION ALTER• • ,`'
4
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONST ION ALTS ATIO4_,""
OWNER OF PROPERTY: lC/`` `` �C ���
OWNER MAILING ADDRESS: �j�
/
/6"-"711/0iy
OWNER PROPERTY ADDRESS: �// ,/yt -%
TELEPHONE NUMBER OF CON"3
PERSON:
TAX MAP NO.: Section 3 V Block 10 3 Lot c, 7
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY:
Town Clleerrr Is Office
DATE. //
w '
I
JOB No. 01-24 _ TAX
__I.D. No. 1000-30-03=07
� • TAX].07 7 _--_ ---^-------- -TAX LOT 8
. SEPTIC REAR YARD(NOT FOUND I SEPTIC REAR YARD I NOT FOUND] _
• — TAX LOT 10.1 TAX LOT 11 ��
APRIROX 90'TO REAR LINE OF HOUSE - APPROX 70'TO REAR LINE OF HOUSE AREA
OVER 75'TO HOUSE
WELL WELL IN HOUSE
_ ` AREA WELL
AREA
SEPTIC REAR YARD
I
. 91.8 916 ROCKY POINT ROAD [ 50' ]
S 8°30'00"E 140.00'
92.0 , 91 8 APPROX 655'TO TIE 1453.77' \5.
I HYDRANT[PW]
— — — SEPTIC IO
AREA .)
90, a 150 RADIUS— —
PROPOSE 1
WELL - ,
-
34'
70
PROPOSED ..SINGLE FAMILY
.0 FF 94.8
GAR 93.3 . [e •
tt r.
Minimum distance beeen well
^ :nit cesspool is #o be";50 feet.
SEPTIC ' p
v
J
' -LP • O EX N
0) WELL
aDAREA
~ _— q50'RAD
W ,
O
d' ..c0
t--
OPEN
OPEN SPACE Z
[FARMLAND]
\g.
t
N 91.0
94.2
N 13°05'50"W 139.55'
A" LOT 17 PROPOSED
�
'"�•1. I VNIVIMPARTMENT OF CALT H SERVICE' SEPTIC AREA
`•' foRA,noY1i OF CONST uCTION FOR A
0 _
S1NSLS F*srn R€S$DENC ONLY
Dots liwaf 'o. A.z. -or roll, ,
_- r ,y fon IIIsocaM OF .mow :nit J+i 1R�•.
EXPIRES THREE YEARII; i4Ri VP." - •:'=•.°'.1_
`•,%�-�1 •*• •• • • • • •• • •••EtEtVecIONS IN ASSUMED DATUM FILE MAP No.8759 611/89
Unauthorized alteration or addition to this document is a violation of Section 7209 SURVEY OF:
of the New York State Education Law LOT 15
Certifications indicated hereon shall run only to the person for whom it Is prepared
and on his betialito the Title Company,Govemmental Agency and Lending MAP OF EAST MARION WOODS
. Institutions listed hereon,and to the assignees of the Lending Institution or
subsequent owners
O�. Copies-atm document not beanng the professional's inked seal or embossed EAST MARION, TOWN OF SOUTHOLD
N,
seal shall not be considered a valid true copy.
4w The offsets( or dirnensione]shown hereon from structures to the property lines are
,c -. for a specific purpose and use and therefore are not intended to guide the erection of SUFFOLK COUNTY, NEW YORK
- 5 DESTIN O.GRAF fences,retalmng walls,pools,patios,planting areas,addition to binldings,or any other • '
construction. SURVEY DATE: 4/16/01 \'' GF
r �'I.' O The existence of rght of ways andlor easements of record,if any,not shown are — ---^--—— ' —— -- — ±SALE:';' 50
_� w CERTIFIED ONLY TO: =' ' 7 ' '-
�� SCHEMBRI HOMES DESTIN G. GRAM_-, 0?
- �, LICE E#OSib3$7 4 -.----..___._-- ----- --_-_._---_...._---------- -• ---- ------------ - -- - -
o ® LAND SURVEYOR-5 .,r,,,:-
w.k "4` :`i ------------------__--------------- — -------_____------ 73 Woodlawn Road L .
f
--- — — Rocky Point,New York,11778 c:.'..i-v-, .>
_CS — — —---- ---- — 631-821-3442 %,`r
~ - �g By DESTIN G.GRAF N.Y.S.UC NO.50067_
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