HomeMy WebLinkAboutSchembri (8) QIFFobr
ELIZABETH A. NEVILLE �10 G'y Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
0804
REGISTRAR OF VITAL STATISTICS M Southold, New York 11971
MARRIAGE OFFICER :
ANIN
A" #i i OF FOLA• ''s... ):2 1
ELIZABETH A. NEVILLE toy�� ,,, *A: Town Hall, 53095 Main Road
TOWN CLERK % o ='e P. O. Box 1179
% y = Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER `� 1i �����, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER -___7Ql �a®O.
Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ,� southoldtown.northfork.net
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OFFICE OF THE TOWN CLERK _
TOWN OF SOUTHOLD --
,_,
TO: Southold Town Building Depaituient i $ 2002 !i
FROM: Linda J. Cooper, Southold Town Clerk s Office T. A• -3=
- , 0t-n
DATED: March 18, 2002
Transmitted herewith is a copy of application No. 2881 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: r _ 1,/�C'i1''&
-( $a".- ,r7"°"'‘'-I 6 17 I-r"1-''-;
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Signature
d3 /.0./4 L._
Dated
s of1CY OF THE TOWN CLERIC .''c�(:F OlK ` 2��
'`d TOWN OF SOUTHOLD �•'� COGS: Application Nov
EI�A86THA NEVILLE.TOWN CL2R1C
P.0 BOX 1179 :S t Construction �—
soLrruOLD,NEWYOItX1197I .p t `•V, t
• Alteration
.�
Telehone , %'Y�f O�,•� $10.00 -Residential V
P
N(631:) 765-1800 • �l ..)%s 00 $25.00 -Non-Residential
TOWN OF SOUTHOLD .
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
RECEIVED
APPLICATION
for MAR 1 8 2002
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Southold Town Clerk
Permit No.
Fee $
• DATE --3/:),(4-1 o 0-
6 "..�r
. _ .•
APPLICANT NAME: __AirAmor- AIL_ Ma _ ,; G
APPLICANT ADDRESS: A J!V S1
. v 1 )vr,r A w 1/ -761. ._.SEPTIC CESSPOOL�C /
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION t•oa^i
LOCATION MAP: Must be attached hereto before permit may be Issued.
LOCATION OF PROPOSED CONST_ CTION OR ALT RATION: / "
OWNER OF PROPERTY: ,�-, CLJ!
OWNER MAILING ADDRESS: t (/�(.r I ' 7q
- )i'- i )\/-- ANA/1
OWNER PROPERTY ADDRESS:Z...0--' I , , ' //11/%_ ..- •AO,/a yfJ
TELEPHONE NUMBER OF CONTACT PERSON /��t
/� 9R9-0-96/
TAX MAP NO.: Section / Block Lot 3
CROSS STREET: ',L Pot"r •
BUILDING PERMIT NUMBER CROSS REFERENCE:
t /,di, ie%71-'-_'1
Signature of Applicant ,
RECEIVED BY:
Town Clerk's Office
DATE:
... , „.. ,.
. ,
- —--
JOB No. 02-06 TAX I.D No. 1000-21-06-03
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OPEN SPACE
FARMLAND
- .
, N 76°5410"E 150.00' .
- .
, 102 0 101 0
,
, . ...-
50'
WELL FRONT YARD
1
150'TO PROP SEPTIC
PROPOSED 14
WELL LOT 1 A'
0- PROPOSED
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_ DWELLING
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(10-1 25'
. 25' c14-- s„..‘GLOT 2
OAQ`;140-\-1.-- 1 C-‘ PROPOSED
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DWELLING
I TIPPIP -- 11
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WELL FRONT YARD
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I • Oj‘ 150'TO PROP SEPTIC
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LOT 4
PROPOSED 75
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'DWELLIN'G
PROP WELL NORTH
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ENDF LOT - . - - , •-
,.. - ' 25'ROW N 76°5410"E 321 81'
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A
990
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$76°541-10"W 150.00' V
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LOT 5 25'ROW ; 1
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PROPOSED .'- WELL FRONT YARD X1 . 1
'T. ' •
'DWELLING „
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LOTS 15CY TO PROP SEPTIC 0 I_,
. - PROP WELL.SOUTH , ,-.., .
END OF LO'T PROPOSED 4 1 _
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' ' ', ' DWELLING , PK
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PROP,WELL SOUTH LOT 7
. , END OF LOT - PROPOSED (0
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SUFFOLK COUNTY DC-PARTMENT OF HEALTH SERvicEs .
-
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PERMIT FOR APPROVAL OF CONSTRUCTION FOR A ---i
.!.. : •
SINGLE WAMII„Y RESIDEMCE' ONLY
:
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1 0
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' ' 1 i_W,7?.--3 cb be• fs',n., ni,7.1:: TC/0.. ,_,LL2,..„_c:261:_c212,37 .1
- _ ...,..:±._....... -,...., r-,k,
FOR .NIK::IMUl.'1 Ctr; btz,Dat.s0r4S .
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' EXPi RES THREE YEARS FROM DATE OF APPROVAL '.: op 2.6\
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. : ELEV I1 ASSUMED DATUM FILE MAP Ng 8759 6/7/89
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Unauthorized alteration or addition to this document is a violation of Section 7209
, of the New York State Educationlaw SURVEY OF: LOT 3
, . certifications,Indicated hereon shall run only to the person for whom it is prepared
and ion his bellelf to the Title company,Govemmental Agency and Lending
Institutions listed hefeani-and to the assignees of the Lending Institution or MAP OF EAST MARION WOODS
• subsequent owners - , .
-, -, Dooms of this document not bearing the professional's inked seal or embossed EAST MARION, TOWN OF SOUTHOLD
,,
—seat shatt.notoe considered a valid'true copy
OF NE li,ko -•, The offsets I or dimensions I shown hereon from structures to the property Imes are
SUFFOLK COUNTY, NEW YORK
DESTIN GGRAF , far a specific purposeand use and therefore are not intended to guide the erection of
fehoes,retaining walls,pools,patios,'planting areas,addition to buildings,or any other
7---
. , construction,
The f4Ostence of right-of ways,and/or easements of record,if any,not shown.are SURVEY DATE: 02/10/02 SCALE: 1'1=50'
N1.*- , not.guaranteed. __. , - _
- -- -- ------
CERTIFIED ONLY TO:
. ,
, SCHEMBR1HOMES DESTIN G. GRAF
4
, LAND SURVEYOR
' ' - '------ - 'PO I •
._. ._
73 Woodlawn Road
Rocky Point,New York, 11778
-
.
631-8213442
ByDES11N G.GRAO N Y:S 116NQ.,50067
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