HomeMy WebLinkAboutZoumas Contr (3) ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEN~E_i~T OFFICER
FREEDOMOF iNFORMATION OyFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.nort hfork.net
[3~_C ~ 5 20~/~ i OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
T~.' ..... Southold Town Building Department
FROM:
Linda J. Cooper, Southold Town Clerk's Office
DATED:
December 15, 2004
Transmitted herewith is a copy of application No.
Permit submitted by:
3410 for a Cesspool/Septic Tank Construction
Zoumas Contracting - Lot 4
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 remm it to me.
Linda J. Cooper
I have reviewed the application and location map of the project cited above and make the follo~ving
recommendations:
APPROVE
DISAPPROVE
Comments:
Signature
Dated
ELIZABETH A. NEVI/J.~
TOWN CLERK
REGISTP~R OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS M~NAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 153095 M~dn Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 766-6145
Telephone (631) 765-1800
southold~own,northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
_APPLICATION
CONSTRUCTION or ALTERATION PERMIT
· CESSPOOL or SEPTIC TANK
Residential ~ $10 ~ or
Applicant Name
Applicant Mailing Address
Non-Residential ~ $25_ Application No. ~ ~l ~)
Permit No.
ZOUIU. S CONTRACTING CORP.
Po Box361
Septic Tan~_~or Cesspool__.~
Brief Description of Proposed Construction or Alteration~
Location of Proposed Conslraction/Alteration:
Owner of Property:_
Owner Mailing Address:
Owner Prop¢~t',) Address:
i:u,J .,:,_~.S CONTEACTING CORP.
PO S:x 3gl
Wading ~ver, NY 11792
Name and phone number of contact person
Tax Map No: Sectior _. _ 7 ~ _ Block .¥ Lot_ ~_/O /7,17 /-~
Cross Street
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
LOT ARF_A=,B2,6..,t5 SQ. FT.
F' FL ELEV 27.5
~R ELEV 25.5
NOTE LOT CLEARING SHALL BE LIMITED TO 1 ACRE
-./
2_:.
¢2~.o)
N 87'41 °29"W 298.36'
LOT NU~ 5 -- VAC~rr
ONLY TO:
JOB No. 04-262 FILE No. ZOUMAS CONTRACTING
SURVEYED FOR
LOT NUMBER 4-
MAP OF ZOUMAS CONTRACTING CORP
SITUATED AT BA'YVI'EW
TOWN OF SOUTHOLD, SUFFOLK COUN'i'Y, N.Y.
SCALE 1" = 60' DATE 10-15-2004
FILED MAP No. 11166 DATE 10-01-2004
TAX MAP No. (REY ONLY)1000--79-,I- P/O 17.17
DiSK 2004-
HAROLD F. TRANCHON JR. P.C.
LAND SURVEYOR
P.O. BOX 616
1866 WADING RIVER-MANOR RD. WADING RNER,
NEW YORK, 1/792
631-929-4-695