HomeMy WebLinkAboutSchembri (12) ®SVFFO� ,-
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ELIZABETH A. NEVILLE � I �° Town Hall, 53095 Main Road
TOWN CLERK ; y z P.O. Box 1179
REGISTRAR OF VITAL STATISTICS � Southold, New York 11971
MARRIAGE OFFICER `� �,iL �����, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER "v/® tool Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ���
OFFICE OF THE TOWN CLERK
SOUTHOLD AysfiNMosTriftrALERDSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2711 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 #R10-01-0230
Name Of Owner SCHEMBRI HOMES INC
Mailing Address 1 2042 NORTH COUNTRY ROAD
City St Zip WADING RIVER NY 11792
Property Address 1 2737 ROCKY POINT ROAD
City St Zip EAST MARION NY 11939
Tax Map No. section 30.00 block 3 lot 6.000
Cross Street ROCKY POINT ROAD
Building Permit Number Cross Reference:
Issue Date: 12/17/01 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
'IN,
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ELIZABETH A. u, BLDG.DEPT. ���� II '��; Town Hall, 53095 Main Road
TOWN CL DI'K -.' ° IF S UT .0 i __ i :� , P.O. Box 1179
t
REGISTRAR OF VITAL STATISTICS Southold, New York 11971® Fax (631) 765 6145
i MARRIAGE OFFICER `� sjet� `��1',
RECORDS MANAGEMENT OFFICER =__7QliNg ��®i�� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER _ ���� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: December 13, 2001
Transmitted herewith is a copy of application No. 2806 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: '1
APPROVE
DISAPPROVE
Comments: ,_.-- f _ _
i
/ ._. .
Signature ,i
42% 73/19/
Dated
.y
_ OFFICE OFT ETOWNCLERK ".CgV0(I(
TOWN OFSOULHOLD ,\. Dy= Application N
NIL
PLIZABEn1A N5V1L1E.TOWN CLERK
PO BOX 1179 �'� ; Construction
SOUTHOLD.NEW YORK 11971 ;p rn'
c.n •
n Alteration
Telephone �.,_'O��'o ����F�' $10.00 -Residential
(631) 765-1800 11 ���,,�'� $25.00 -Non-Residential
TOWN OF SOUTHOLD •
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ / / 3/0/
DATE
APPLICANT NAME: S �ll�i yyuzS'3
APPLICANT ADDRESS: �C�()L/`-yZ7. ( CD d
V Vod i!'1 111 ✓ I (((-79oZ.
SEPTIC CESSPOOL /
DESC IPTION OF PROPOSED CON TRUCTI N OR ALTERATION
/V(G� ( QJ"l 1/
LOCATION MAP: Must be attached hereto before permit may be Issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: - c� r/lam 1 frit Y �.., �(�
OWNER MAILING ADDRESS: p-/-� �, C V `
W2 Ir-1q ,�ivq- ) I)-79c ..
OWNER PROPERTY ADDRESS:al 3-7 I OQ ?-l-•
teA
TELEPHONE NUMBER OF CONTACT� PERSON: (343 q(z4, 1
TAX MAP NO.: Section /Oa') Block3O —C43
.-06,
CROSS STREET: OG1(.•1 ?-«
BUILDING PERMIT NUMBER CROSS REFE`ENCS: /
Ir p
tt:
1.1L <r
Signature of Applicant
RECEIVED BY: /(‘
wn Clerk's Office
DATE: V I^li .'��61
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1. JOB No. 01-51 TAX I.D No. 1000-30-03-06
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LOT 11
UNDER CONSTRUCTION LOT 10
PROPOSED
WELL
X N 76°54'10"E 140.01' +/-96
i +/-96 1 \P
-
* PROPOSED }
', WELL 1 DORVE`NPY 25'ROW
i \ 50' ?R°V°- • - -
i I
i
FF 98.5
20 �
GAR 97.0 20, l '
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S>4, ?O,p LOT 13
C!F OSF� I • VACANT
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`('-.5 - I ' SEPTIC I M ,
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LOT 14
II PROPOSED WELL FRONT YARD
1 PROPOSED SEPTIC REAR YARD
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50'
. 300.00' o
+/_97 S 76°54'10"W 140.00' +/-96
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OPEN SPACE
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ALL DISTANCES TO WELLS AND CESSPOOLSSu l{C0Ut ►Y r����, TMENT o EALTH SERVICES�A
ARE BY LOCATIONS FROM HOMEOWNERS, ;Mir FOR APPROVAL OP CONSTRUCTION FO w
FIELD OBSERVATIONS, AND EXISTINGSINGLEFATiii€a1RECID NCEO LY
SURVEYS. SINCE MOST ARE NOT VISIBLE
THESE DIMENSIONS ARE NOT CERTIFIED. o� � r-�. ,i .wir•D.. 0/4 06)5.. 0
DATE
S5:(.
R 25\ 414a-Mel - `
APPROVED /.
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I \d'Wk � @�{T �I 14�.0 zf' rr. .-1�!,��q '��5 �'.f��/,�9��. �����
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ELEVATIONS IN ASSUMED DATUM FILE MAP No. 8759 6/7/89
------ --------- -- --
1 Unauthorized alteration or addition to this document is a vtolation of Section 7209
of the New York State Education Law SURVEY OF: -
ICertifications Indicated hereon shall run only to the person for whom it is prepared LOT 12
and on his behalf to the Title Company,Governmental Agency and Lending
Institutions listed hereon,and to the assignees of the Lending Institution or
I ' � NEW YD subsequent owners g MAP OF EAST MARION WOODS
e., � �,` I Copies of this document not bearing the professional's inked seal or embossed EAST MARION, TOWN OF SOUTHOLD
— DESTIN G.GRAF 1 seal shall not considered a valid true copy
The offsets[ or dimensions I shown hereon from structures to the property lines are •
�y for a specific purpose and use and therefore are not intended to guide the erection of I SUFFOLK COUNTY,NEW YORK
r ..-.,4,,,
.A:\.- ., fences,retaining wafts,pools,patios,planting areas,addition to buildings,or any other
"'` r -,-,. construction
't W 1 The existence of nght of ways and/or easements of record,it any,not shown are SURVEY DATE: 10116/01 SCALE: 1 -504- •.,
,�.. cr
NA S4
not guaranteed -
I N #ascto� yJ CERTIFIED ONLY TO:
,Vii, ;_ ',, �. I DESTIN G. GRAF-
'' 7 l',..-is SCHEMBRI HOMES LAND SURVEYOR
• ��;r G 1 30 10,E£ I 73 wood[awn Road
t Rocky Point,New York,11778
l/ 1 ..-1,i,/:,:;
r` - - - - - - ;--- -- - - - - - - -- - 631-821-3442 - _.,-,
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By DESTIN_G_-GRAF N Y S LIC NO 50067