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HomeMy WebLinkAboutSchembri (3) ,I�,�eisofFlitit ELIZABETH A.NEVILLE �� �� Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 Southold,to, ze REGISTRAR OF VITAL STATISTICS t New York 11971 MARRIAGE OFFICER ` � �� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �,_ ®� 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. 2998 R Residential X Non-Residential Fee $ 10.00 Septic x Cesspool PERMIT ISSUED TO: Name : SCHEMBRI HOMES INC Address 1: 102 SANDPIPER DRIVE City St Zip RIVERHEAD NY 11901 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 #R10-00-0016 Name Of Owner SCHEMBRI HOMES INC Mailing Address 1 102 SANDPIPER DRIVE City St Zip RIVERHEAD NY 11901 Property Address 1 SHORE LANE City St Zip PECONIC NY 11958 Tax Map No. section 86.00 block 1 lot 4.011 Cross Street INDIAN NECK LANE Building Permit Number Cross Reference: - Issue Date: 2/18/03 Elizabeth A. Neville Southold Town clerk (TOWN SEAL) 11 ; n �'' iii :SAF FO( ��- ,ee(,(,�'Nq�\� 6 ?,, , ' a G G .3 ELIZABETH A. NEVILLE ���ti� �y _ _Tomin Hall, 53095 Main Road TOWN CLERK o �� Eb • r f "--�'` P.O. Box 1179 REGISTRAR OF VITAL STATISTICS : boutiYold, New York 11971 MARRIAGE OFFICER Fax� �� Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER �_ �a�.0 Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER �oil 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: January 3, 2003 Transmitted herewith is a copy of application No. 3119 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: Signature ature 49 Dated " ' ' " ' 1 OFFICE OF THE TOWN CLERK ,,, ,",,,,•,i, TOWN OF SOUTHOLD ••;'�c�V�FD�k/P _ PT T7ABETh A.NEVILT P,TOWN CLERK �• G y • Application P.O.BOX 1179 SOUTHOLD,NEWYORK11971 Construction V • r•l Alteration Telephone O"11-- �, $10.00 - Residential �— (631) 765-1800 � ' I��• $25.00 -Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION • for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ DATE / APPLICANT NAME: • r . / APPLICANT ADDRESS: �� ,�p4 .62• SEPTIC ,/"CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTER° TION: OWNER OF PROPERTY: 52�m OWNER MAILING ADDRESS: `3? 5 .44 OWNER PROPERTY ADDRESS: TELEPHONE NUMBER OF CONTACT PERSON: C-/"��L., TAX MAP NO. : Section glp Block Di Lot CROSS STREET: BUILDING PERMIT NUMBER CROSS REFERENCE: • 12i2 jli� '47e/ ignature of Applicant RECEIVED BY: Iek,k, Town Clerk's Office DATE: 11131102- . - . . - .. • '....•. , . , ,., " - . , • . , •,._ ., ,. . ,• , „ , .. - • ... , • --,. , •' = • ' ",, --.''' - .' ,' .^. ' . .0,0E,,ttr,,c, Noi,s,a:_a_, Ntw.. „ y0.. px... , :.., ..,.. ,..- • • . , . .- . . t ,,.... „"f i;:j44, , . ' , .. , • • . ) _ ., . . .. , ' • - - ' 1,- PLOT:-PLAN -01r- ,-.' .-. - '' ' - - : - .',--'-4 - .. , . . . . . , ' . • ... . , - 1 - - LOT 1 . . , ,, , , '),..JF,FOLK COUNTY'DEPAR1WENT OF kiTALTH SERVICES ... . . _ .. . . ., . ,',1',• ' • .: ,.. , , (4 .; ) .., , . ', . , , , , RICHMOND . SHOsilit- ES AT -PK:CONIC - „..... • ‘.,,- , _S.,‘...., t:) PER.M1T 17011 A.P..PROVAL OF CC).NSTRUCTION FOR A . ; 61NGLE FAMILVRESIDENCE 01\"LY . • , . r. i' '1•:• (. ru t4o.i'Vtg74' rkED444)1g):48E0(2Pi ??A-SIP,f-ii4rED''AT -• •• . . ... , .. , ..t. -. 2 2000 •'. a ID -Q 0- i fo . _ • .. • ,, ,; i . , urcti40ual-. • _. . . ,. . , _..: . .: . SUFF1-0°LiIK'',N-tFf' APPROVE g • ,, 1111, . .• • - FOR i' 'MUM OF .: :EDROOrtIS . N .. .. . .S},.C. TAX -NsatA,L'ELOD,.0...71-1 4:fi-!tt4; I. - - ' , , ' .••••!.il • R- 5-0.4! ' .,,, - • • :,,,,, L=3L^ 2 BIDCPIRES THREE YEARS FROM DATE OF APPROVALJA,'NtJARY 1 4, 2 ,1300 .. , $ , 1 AUGUST 18, 2opo A1et0 TOr'OGRAPHiCAL S1-.0:V.EY . , ".'• 11....................,.................—d.........6.64.4.11.i.orimollrmak..........1 . ., . . . AREA = 1„,264,22. sq,..."ft. , - - 0. 9O. , 0., , ' ,,,, • . , . , , ,. • • c, , , ..; • . , • , • , . . ; •• . 9., • ,-- . , • • , CS-• ../..*. • . _ - ' :' - ; . 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