HomeMy WebLinkAboutZoumas ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS ~AGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.nor thfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO:
FROM:
DATED: October 20, 2004
Transmitted herewith is a copy of application No.
Permit submitted by:
Southold Town Building Department
Linda J. Cooper, Southold Town Clerk's Office
Zoumas Contracting Corp.
" 2 0 2i i
3385 for a Cesspool/Septic Tank Construction
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 re. tm it to me,
Linda J. Cooper
I have reviewed the application and location map of the project cited above and make the following
recommendations: j
APPROVE
DISAPPROVE
Comments:
Dated
ELIZABETH A. NEVIIJ.E
TOWN CLERK
REGIST~M% OF VITAL STATISTICS
M~RRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
P.O, Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential ~ $10 n or Non-Residential ~ $25__
Application No. ;~3 3 ~
Permit No.
Applicant Name
Applicant Mailing Address
ZOUMA~ GONIRAGIING CORP.
POSox361
Septic Tank_~or Cesspool._,F__
Brief DescrilStion of Proposed Cons.traction o_r Alteration
Location of Proposed' Construction/Alteration:
Name and phone number of contact person _W,o~' ~__0¢,¢~ c),,l. 9'_. ¥ ~- 70
Tax Map No: Section $'q Block '7 Lot ~
o. oss Street . .f/o_ ro
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALT. H'DEPARTMENT APPROVAL
Signatur~e f Applic~'-%-...~ Date'
LOT AREA ~ 20,664;~LS~. FT,
DWELL.lNG
WELL - GREATER
THAN [.50' FROM
PROPOSED
5AN~ARY SYSTEM
AD, JOINERS WATER
AND A~;~E NOT GUARJ
~LK CO~ DEPA~ l mem~ ~
PE~ ~rO~ AppROVAL OF CONS~UCTION FOR A.
~NC:,M, %~,~LY ~SIDENCE ONL~
NOW O~ ~ )RMEaLY C. ~[~JM OF.~BEDROOMS
DWEU
E~l~ ~E ~AP.S ~OM DA~ OF ~P
N. 48'55'40" E.
1,50' to wel!
35'
· 48'25'00" W.
-- -~xisT~g
water main
58,8/
Pe.o ¢~
x.
'X
137.6'1 roPE
b
JENNINGS ROAD
Ii'he existence of right of ways and or easement,~,
elf ~cord~ if any.~ not shown are not guaranteed;
LOT NUMBER 7
9W~LUNG - W~LL
!I.~IA$ ¢ONI'RAC~'JN S C 0~,
JNRISE ABSTRACT LJ-.C.
~ROLD F. TRANCHON JR. pENN. LIC. NO. ZlHS-E
LOT NUMBER 6 ~ _c~..~
SURVEYED F~
LOT NU~R 4
MAP OF OAKRID~ HILLS
SITUATED AT £OUTHOLD
TOWN OF $OUTHOLD - SUFFOI2K COUNTy. NEW YDRK
SCALE !" = 50' DATE G-I-~OO4
TAX M~ NO. IOOO- 54 - 7- 5 , (R~.O~LY) DISK~5
HAROLD F, TRANCHON
LAND ~'UR~YQ R'
18~6 WADING RIVER-MAN~ R'D. WADING RI~ER,
NEW YORK, ] t792
5 ~ 6- 9 Z9-.469:5