HomeMy WebLinkAboutMavrogiorgis, Stelios ELI. ZABE, TH A. NEVILLE
TOWN CLERK
REGISTRA/t OF VITAL STATISTICS
MARRIAGE OFFICER
~RECOHD~. ~.~1~_ AGEM~NT OFFICER
F~i~EDOM'OF ~/~6c~f,A~ro~- O~Fr c~a
To}.vn Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.northfork, net
TO:
FROM:
DATED:
Transmitted herewith is a copy of application No. 3331
Permit submitted by:
1-Iarborview Homes for Stelios Mavrogiorgis
~i~i.~ - ~ 2')~4 OFFICE OF TI-I~ TOWN CLERK
TOWN OF SOUTHOLD
Soutfiold To~ Building Department
Linda J. Cooper, Southold To55m Clerk's Office
Jtme 8, 2004
for a Cesspool/Septic Tank Construction
Please review lhe application and location map and advise if the project has received Snffolk County
Health Department approval and if this office may issue the permit.
Please complete the form below and return il to me.
Linda J. Cooper
I have reviewed thc application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: ~
F~,~ZABE'rii ~. NEVII.LE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS lvIANAGE1VI~NT OFFICER
FREEDOM OF nXlFORNLkTION OFFICER
Town Hail, $309§ Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown,northfork.nei
OFFICE OF TI-I~ TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD %VASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential ~ $i0
Applicant Name
X or Non-Residential ~ $25 __
t{arborview Homes, Inc.
Application No.3~ ~;
Permit No.
Applicant Mailing Address 1706 C.R.39, Seughampton, NT 11968
Septic Tank x or Cesspool X
Brief Description of Proposed Co.nstrucfion or Alteration conseruce a 2 seory
4 bedroom one family cwelling
Location of Proposed Construction/Alteration: .
Stelios ~avrogiorgis
Owner of Proper~f
21-66 37th. Street,Astoria,
O~wner Mailing Address:
NY 1110.5
5765 Bergen Ave%, Mattiguck
Owner Property Address:
Richard 0ppedisano-287-0772
Name and phone number of contact person
Tax Map ~No: Section 1 13 Block 2 Lot 14
Cross S~reet corner of Bergen Ave. ~ Cox Neck Road
NOTE: LOCATION MAP MUST BE...$~MIT~ED ~ APPLICATION. NEW
CONSTRUCTION REQUIRES SURV3EY ~FFH ItEgJLTH/DEPARTMENT APPROVAL
~ Si~9~e o f A~'li~ant / l~ate '