HomeMy WebLinkAboutZoumas (4) ELIZABETH A. NEVTLT,E
TOWN CLERK
REGISTIL~R OF VITAL STATISTICS
IVIARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Mall, 53095 Main Road
P,O. Box 1179
8outhold, New York 11971
' Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown,northforkmet
~'-~~ ~ . ,,,7,, OFFICE OF THE TOWN CLERK
' .~A,~ ,./f.r-~b~TRUCTION or ALTERATION PERMIT
A~/"' '~' ~' ~ CESSPOOL or SEPTIC TANK
Residential ~ $10 or Non-Residential ~ $25 Application No. ~
Permit No.
Applicant Namc
Applicant Mailing Address
ZOUMA8 CONTRACTING CORP.
PO Box361
Owner of Property:
Owner Mailing Address:
SepticTank)~ or Cesspool, ~w~
Brief Descrfption of Proposed Construction or Alteration ·
Location o f Proposed Construction/Alteration:
Owner Prope~t~ Address:
Name a_nd phone number of contact person
Tax Map No: Section ~_~ Block
Cross Street r,.~ ~ T~¢,. ~'7"~_ O./L~.,
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURV~X/WlTH HE~ARTMENT A~PROVAL
Signature of Applic~ /Da{e
Received by:
' AREA : 31,159 Sq. Ft.
'L. ELEV. = /~ ~'
~. ELEV. ,~,6
NOTE: MAXIMUM CLEARING OF LOT 15 LtMilt. U IV uoTo.
LOT NUMBER 26
5.58
WA-~ER TEBRACE
LoT NUMBER 25
" "/ o zl / nL ,
~UARANTEED ONLY TO
N,Y. [lC. NO. 048992
CEDAR POINT WEST LANE
JOB NO: 00-354
SURVEYED FOR
LOT NUMBER ~2
MAP OF ANGEL SHORES
FILE NO. ANGEL SHORES
SITUATED AT EIAYVIEW
TOWN OF 50UTHOLD, SUFFOLK COUNTY, NEW YORK
SCALE 1" 50' DATE 9-26-2000
FILED MAP NO, 9729 DATE 8-23-1995
TAX MAP NO, 1000-88-6-13.34 (REF, ONLY) DISK 193
HAROLD F. TRANCHON JR.P.C.
LAND SURVEYOR
1866 WADING RIVER-MANOR' RD. WADING RIVER,
NEW YORK, 11792
516-929-4695