HomeMy WebLinkAboutSchembri (7) r I��#1,ktFFOLit
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ELIZABETH A.NEVILLE ������ Town; Hall, 53095 Main Road
TOWN CLERK ® P.O. Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS ® Fax (631) 765-6145
MARRIAGE OFFICER mfi �. �1
RECORDS MANAGEMENT OFFICER ;_ 1 T t tip Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER •_ � ,���� 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. 2780 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 #R10-02-0038
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 4.000
Cross Street ROUTE 48
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 .0,.$,,,v���41 - till Town Hall, 53095 Main Road
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TOWN CLERK ` y - P.O. Box 1179
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$ Southold, New York 11971
REGISTRAR OF VITAL STATISTICS V G 47$ Fax(631) 765-6145
MARRIAGE OFFICER ``#'0 `O�1e0 Telephone (631) 765-1800
RECORDS MANAGEMENT OFFICER 1
Alli FREEDOM OF INFORMATION OFFICER ---•••,--..,•••''‘ southoldtown.northfork.net
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f !NV) , . , ,\ OFFICE OF THE TOWN CLERK
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TO:' '' •-Southold Town-Building Department
FROLVI,;. - Linda J. Cooper, Southold Town Clerk s Office
DATED: March 18, 2002
Transmitted herewith is a copy of application No. 2880 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:
APPROVE
DISAPPROVE '
Comments: �. ��*- e. 3
77‘e--4.1:9,4 Zie'1„)
Signature
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Dated
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omce Of Town CLERKCLERK '' FEOIK
TOWN OF soun7oLD Application No V
ELIZABETH A NEVIIIE,TOWN CLERK
• _ P0.80%1179 Construction 1�
SOVTAOLD,NEW YORK 11971
S -
• Alteration
Telephone ' =Y�.j 0 $10.00 -Residential
.,(63t) 765-1800 • %'-�61 * ;,�'� $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT /.
APPLICATION RECEIVE,®
for y
CONSTRUCTION or ALTERATION PERMIT � A ® 2002
SEPTIC TANK or CESSPOOL SoU¢b®Id r®
Permit No. � Clerk
Fee $
• DAT / /f
APPLICANT NAME: - 1211111L ,"
APPLICANT ADDRESS: ‘4", 1111
SEPTIC CESSPOOL ( /
DESCRIPTION OF PROPOS CONSTRUCTION OR ALT RATION
/VA.) Cr
LOCATION MAP: Must be attached hereto before permit may be Issued.
LOCATION OF PROPOSED CONSTRUCTIONORALTERATIO
OWNER OF PROPERTY:
OWNER MAILING ADDRESS:
(fir - ,, .%` ?q4—4
OWNER PROPERTY ADDRESS: "C ,LA— •
TELEPHONE NUMBER OF CONTACT PERSON: 7 a--9 ^ �
TAX MAP NO.: Section Block a Lot 471
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
I /f
ignature o Applicant
RECEIVED BY:4.41)(7
Town Clerk's Office
DATE:
JOB No. 02-07 TAX I D.No 1000-21-06-04
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OPEN SPACE
= zi FARMLAND
c,-.' W_`-' N 76°54'10"E 140.01'
f, 1
41111 i 104.0 102 0
4.
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DWELLING
d ¢ SEPTIC FRONT YARD
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, 75'
I DRIVEWAY 0
I 25'ROW N 76°54'10"E 471 81' 0
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100.0 S 76°54'10"W 150.00' 100.0 l\o -<
25 ROW
LOT 5
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PROPOSED
DWELLING LOT 6 Z
PROP WELL SOUTH PROPOSED —1
; _ " END PROPERTY DWELLING
PROP WELL SOUTH
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SUFFOLK COUNTY DEPARTMENT O;' rIEALe d-3 SERVICES
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I PERMIT FOR APPROVAL OF CONSTRUCTION, FOR A
SINGLE RAct16LY RESIt)ENCE ONLY 1
D t7' r.. NI 1) -oa. -° 03 / 1 251
APPROVED �' - „- ? N gOND
I 1\t
F�^ ❑❑ A• h WETI:DROOMS 1
1 P'�� 6ri.�t.�.➢ Eyy1 YEARS
OFrr FROM a r' �+ !
EXPIRE$ TREE nH EARS 6 ROM DA.t E OF.✓n 1'�P liar VA
- - ELEV IN ASSUMED DATUM FILE MAP No. 8759 6/7/89
Unauthorized alteration or addition to this document is a violation of Section 7209
II of the New York State Education Law , SURVEY OF. LOT 4
I Certifications indicated hereon shall run only to the person for whom it is prepared
! and on his behalf to the Title Company,Governmental Agency and Lending MAF OF EAST MARION WOODS
Institutions listed hereon,and to the assignees of the Lending Institution or
subsequent owners ! I
Copies of this document not beanng the professionars inked seal or embossed EAST MARION, TOWN OF SOUTHOLD
seal shall not be considered a valid true copy
OF NEW I-
.
offsets[ or dimensions I shown hereon from structures to the property lines are
.�Fi j'L. I for a specific purpose and use and therefore are not intended to guide the erection of SUFFOLK COUNTY, NEW YORK I
,`� 9 fences retaining walls,pools,patios,planting areas,addition to buildings,or any other
— DESTIN G.GRAFt I construction
The ewstence of right of ways and/or easements of record,if any,not shown are I SURVEY DATE: 02/10/02 SCALE: 1'1=501 I
i t SC j noEQuaranteed - -- ----- ---- •------ - . - - . .- - -- .. - --
____ .- ___. - ---_ ---- --__ _. ,
g r la
-, .. CERTIFIED ONLY TO:
'' 2. DESTIN G. GRAF
u rs SCHEMBRI HOMES
o LI sta-cg.ic e.7 c, LAND SURVEYOR !
..413 ,a•. 73 Woodlawn Road
� Rocky Point,New York,11778
GY.S. --- `' .-- - 631-821-3442- _ - -- - -- - ---J
By DESTIN G RAF N YLIC NO 50067 I