HomeMy WebLinkAboutSchembri (14) OFFOth
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ELIZABETH A. NEVILLE Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS t Southold, New York 11971
MARRIAGE OFFICER �i r��, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER = 047 _• 0. Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER .9"
OFFICE OF THE TOWN CLERK
SOUTHOLD IMITIRINAgtEIRTRESIIIDSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2650 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 #R10-99-263
Name Of Owner SCHEMBRI HOMES INC
Mailing Address 1 2042 NORTH COUNTRY ROAD
City St Zip WADING RIVER NY 11792
Property Address 1 SHORE LANE
City St Zip PECONIC NY 11958
Tax Map No. section 86.00 block 1 lot 4.015
Cross Street INDIAN NECK LANE
Building Permit Number Cross Reference:
Issue Date: 9/07/01 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ZABETH A.NEVILLE '44 Town Hall, 53095 Main Road
TOWN CLERK ® P.O. Box 1179
REGISTRAR OF VITAL STATISTICS = Southold, New York 11971
MARRIAGE OFFICER O ®�����, Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER ��4V/ �sZ, "� f� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER — _ `z r' ipso
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: August 30, 2001
Transmitted herewith is a copy of application No. 2739 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 to 'on 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.
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Signature
2/ 1/3.07-
Dated
e -� 05 /
OFFICE OF TELE TOWN CLERK AFF OlK
ELIZABETH
OF SOUTHOLD '. Cr7l'� Application No.Q�
% IZABEH A NEVILLE,TOWN CLERK :
PO B0%1179 Construction
/
• SOUTHOLD.NEW YORK 11971 •
i Alteration
Telephone ��t'��: $10.00 -Residential
(63t) 765-1800 =y�1 s�,+�,��'� $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
eg7/10
F DATE
:
APPLICANT NAME: _5' � ,
APPLICANT ADDRESS: CP-
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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 CONSTRU N R ALT RA4,44
OWNER OF PROPERTY:
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS: `4
TELEPHONE NUMBER OF COAcT PERSON:fC (
TAX MAP NO.: Section Block t/ Lot V:11,..r
CROSS STREET: 3'
BUILDING PERMIT NUMBER CROSS REFERENC
Pi A
Signature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE.
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PLOT PLAN i
, LOTh�AP 011,5
'
RICHMOND SHORES AT PECONIC
' FILE No. 6873 FILED NOVEM@ER 20, 1979
il
JPGp�. SITUATED AD
`l PECONI'C
Y� �� + TOWN OF SOUTHOLD
��41 .''''s �Nb''IN s SUFFOLK COUNTY, NEW YORK
pQ eco v� St212 S.C. TAX No. 1000=86-01 -4.15
�� �� �O� �p meg+. SCALE 1"=40'
vwcP LP�� 0,, DECEMBER 21, 1999
v��� AREA = 27,398.03 sq. ft.
30.4 0 +
0.629 ac.
o e 0p r els so '
R (t \�. 'C0
50 cos
` :..N. ./..- NOTA
--'b 3.1 '< -‘
1+O 1. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM
�- 6 ° �' EXISTING ELEVATIONS ARE SHOWN THUS:_LID
y 2. REFER TO FILED MAP FOR TEST HOLE DATA.
O' -1 1p ;n `-- , • _ 3. MINIMUM-5$PTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1,000 GALLONS.
�. �A$' �¢� if) _ I TANK; 8' LONG, 4'-3" WIDE. 6'-7" DEEP
• ' 4. MINIMUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 sq ft SIDEWALL AREA.
° tis9 - 1- - 2 POOLS, 12' DEEP, 8' dfa
cop,
- - - -- _ OVA:PROPOSED EXPANSION POOL
ii,PROPOSED LEACHING POOL - •-.
„ E - LOT, 'S L V/74 PROPOSED SEPTIC TANK
0000 5. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
N 66 OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS.
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`:;r)L L COUNTY DEPARTMENT OF HHIEALTIH SERVICES _
�0- ,'Ext11D'FOR.APPROVAL OF CONSTRUCTION FOR A _
`�' • SINGLE FAMILY RESIDENCE ONLY ,
PREPARED,IN ACCORDANCEHRTH.THE MINIMUM
4:1r C STANDAAARODS FOR TITLE SURVEYS AS.ESTAOIJSHEDi-�pT['t SEP,, q r f® - Q 9 ",3 �� .. yY ��A BY 7S L IA$aE--IS�FiF?-gPnH AN STATE
!l�1 G d+. 'IL'S O,• ..I RV�CAI T1otLRE SUCH
12rATiON',,:'t, f,. i sra LAND -
,PPROVEI) .. .s 6�rZ,�r'� V� REQ W" ��� � Y ;1
FOR IMIAXIMUM OF, .BEDROOMS S � ;,PIKES THREE YEARS FROM DATE OF APPROVALo 4fftr.
SV Gt'el I '''' gi , .
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.T.S14M � N.Y S. Lic No 49666
UNAUTHORIZED'ALTERATION OR ADDITION .
TO THIS SURVEY IS VIOLATION OF
/ SECTION 7209 OF YHE NEW YORK STATE
EOUGAATiDf LAW Joseph A. log
egno
COPIESHELAND SU IS SURVEY RVEYOR'S INKED SEAL ONOT R.
EMBOSSED SEN.SHALL NOT BE CONSIDERED LandSurveyor
TO BEA VALID TRUE COPY
CERTIFICATIONS INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY ,
IS PREPARED AND HIS BEHALF TO THE
TITLE CoM0ANY. GOVERNMENTAL AGENCY AND Title Surveys - Subdivisions - Site Plans - Construction Layout
' LENDING INSTITUTION L'TSTED HERCON. AND >
�.
TUDOR ASSIGNEES
CERTIFICATIONS' RE NOTUITRANSFFRABLE PHONE (631)727-2090 Fax (631)727-1727 •
E EXISTENCE OF RIGHT OF WAYS OFFICES LOCATED AT MAILING ADDRESS
' AN SHOWN ARENOT GUARANTEED. ROANOKEN
.w+.r...r. �^ „ , , .. , I - -, t _ IVERH D, 1Y York 11901 Riverf, 1931
A D/OR_i:ASEMII`tiT6 OF RECORD, IF
•
Y NOT 1380 AVENUE
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