HomeMy WebLinkAboutSchembri (6) ELIZABETH A.NEVILLE i °� Town Hall, 53095 Main Road
TOWN CLERK ; ; P.O. Box 1179
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�, Southold, New York 11971
REGISTRAR.OF VITAL STATISTICS �� Fax (631) 765-6145
MARRIAGE OFFICER = ill f1
RECORDS MANAGEMENT OFFICER �1 i�®��� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER -- ,r��� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2775 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 #R10-02-0039
Name Of Owner SCHEMBRI HOMES INC
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 21 .00 block 6 lot 5.000
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 3/21/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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_, ELIZABETH A.NEVILLE �iI G0�; Town Hall, 53095 Main Road
TOWN CLERK ` ® 1 % P.O. Box 1179
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REGISTRAR OF VITAL STATISTICS
rrr tSouthold, New York 11971
MARRIAGE OFFICER
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RECORDS MANAGEMENT OFFICER -__®i ',®��� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER _ ,D�, southoldtown.northfork.net
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OFFICE OF THE TOWN CLERK ,;^ 'r--� "- - i` '
TOWN OF SOUTHOLD1 C�` i�1AR 0 �� `R k�!
TO: Southold Town Building Department \ '3l~<y ' m;`1Q�
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FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: March 14, 2002
Transmitted herewith is a copy of application No. 2873 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: (.71'.
APPROVE
DISAPPROVE
Comments: c,'
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Signature
® 05-7‘2_
Dated
Of-Fla OFVIE TOWN CLERIC '' K�
CONI. ^'��
TOWN OF SOL/MOLDLD •
/.•�C �Gy�� Application No.�� l
ELL-t13NE
ETN A VILLE,TOWN CIBRX
PO.BOX 1179 I- Construction
SOVMOID,NM YOP.X 11971
t v ". , i=rt t Alteration
Telephone Or O��•' $10.00 -Residential f
.,(63t) 765-1800 (7'1 P.." $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ �j54/001-.s
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DATE)
APPLICANT NAME: v�sgv " �6'�� //rJ �
APPLICANT ADDRESS: I aAsna,v, -fid
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SEPTIC CESSPOOL X
DESCRIPTION PROF' 6`CONSTi�CTION OR ALTERATION
ON
LOCATION MAP: Must be attached hereto before permit may be Issued.
LOCATION OF PROPOSED CONST UCTIIOONN OR ALTERATJON:
OWNER OF PROPERTY: , XJ K/�Y��iI�^� /�O
OWNER MAILING ADDRESS. ,�/o Cw 4 e•
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OWNER PROPERTY ADDRESS: 9 ^
TELEPHONE NUMBER OF CO A T PERSON;
63/ . •-�J-q
TAX MAP NO.: Sections I 06, 9-'B ( —oc�
CROSS STREET: eta y 0 ° F ! <00
BUILDING PERMIT NUMBER C OSS REFERE CE:
Signa] re of Applicant ,
RECEIVED BY:
11IiLl�,TLk( Vown erk's Office
DATE:
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1 JOB No; 02-08 TAX I D. No. 1000-21-06-05ii
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PROPOSED PROPOSED
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3,a ELEVATIONS IN ASSUMED DATUM FILE MAP No. 8759 6/7/89 �
- I ' Unauthorized alteration or addition to this document is a violation of Section 7209 i
of the New York State Education Law SURVEY OF: LOT 5
Certfications'indicated hereon shall run only to the person for whom itis prepared
i and on his behalf to the Title Company,Govemmental Agency and Lending I
Institutions listed hereon,and to the assignees of the Lending Instrtutwn or MAP OF EAST MARION WOODS
F - subsequent owners i
�.pF NE{y jO Copies of this document not beanngthe professional'sinked seal orembossed EAST MARION, TOWN OF SOUTHOLD 1
seal shall not be considered a valid true copy
19,x_ The offsets[ or dimensions]shown hereon from§tructures to the property lines are y DESTIN G.GRAF for specific purpose and use and therefore are not Intended to guide the erection of SUFFOLK COUNTY, NEW YORK
fences,retaining walls,pools,patios,planting areas,addition to buildings,or any other
.-, construction - --- — --- ----- — —
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noet xistenguarantced right of ways and/or easements of record,if any,not shown are SURVEY DATE: 02/10/02 SCALE. 1"=50'
-Z ;'";,e • s CERTIFIED ONLY TO:
' It NS;405c07 yJ i SCHEMERI HOMES DESTIN G. GRAF 1
4, 9Q PSC LAND SURVEYOR I
' ;,� -- 1 - - - - - -- 1
73 Woodlawn Road
a Rocky Point,New York,11778 i
531 821 X442 ,
- By DESTIN G GRAF N.Y.SLIC NO 50067
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