HomeMy WebLinkAboutZoumas Contr (4) ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
TO:
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Southold Town Building Department
Town Hail, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765~1800
southoldtown.nor th fork.net
FROM:
Linda J. Cooper, Southold Town Clerk's Office
DATED; December 15, 2004
Transmitted herewith is a copy of application No. 3411 for a Cesspool/Septic Tank Construction
Pernfit submitted by:
Zoumas Construction - Lot 3
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
APPROVE
DISAPPROVE ..
Comments:
I have reviewed the application and location map of the project cited above and make the following
recommendations:
Signature
Dated ~'/~ ~'/'~- '
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town H~I1, 53095 Ma/n Road
P.O. Box 1179
Southold, New York 11971
· Fa~ (631) 765-6145
Telephone (631) 765-1800
southoldtown.north£ork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
.APPLICATION
CONSTRUCTION or ALTERATION PERMIT
· CESSPOOL or SEPTIC TANK
Residential ~ $10 )~ or Non-Residential @ $25
Application No. _,,g 5tl/
Permit No.
Applicant Name
Applicant Mailing Address
ZOUMA8 CONTRACTING CORP.
PO BOX361
Septic Tank_.~7._or Cesspool
Brief Description of Proposed Construction or Alteration~
Location of Proposed Construction/Alteration:
Owner of Property:
Owner Mailing Address:
CONTRACTING CORP.
PO Box 361
........... ,,,v 11792
Owner Proper~ Address:
Name and phone number of contact person
Tax Map No: Section '~ Block
Cross S~eet
NOTE: LOCATION ~ MUST BE SUBMI~ED WITH APPLICATION. NEW
CONSTRUCTION ~QUI~S SURVEY W~ HE~TH~T~NT ~PROV~
Received by:~~' ~~pp~ic~ Date'
LOT N~EA - 82,606 SQ. FT.
>- FL ELEV 28.5
GAR ELEV 26.5
OPEN
NOTE LOT CLEARING SHALL BE LIMITED TO 1 ACRE
SPACE - LOT NUMBER 7 - VAC.~IT
('~.8. 0
c~ L.
CERTIFIED .ONLY TO:
HAROLD F. TRANCHON JR. PENN. LIC. No. 2115-E
JOB No. 04-262 IqLE No. ZOUMAS CONTRACTING
SURVEYED FOR
LOT NUMBER .3
MAP OF ZOUMAS CONTP, ACTING CORP.
SITUATED AT BA'f~E'W
TOWN OF SOUTHOLD, SUFFOLK COUNt/', N.Y.
SCALE 1" = 60' DATE 10-15-2004
FILED MAP No. 11166 DATE 10-01-2004
TAX MAP No. (REF ONLY)1000-79-4-P/0 17.17
DISK 2004
HAROLD F. TRANCHON JR. P.C.
LAND SURVEYOR
P.O. BOX 616
1866 WADING RIVER-MANOR RD. WADING RIVER,
NEW YORK, 1/792
631-929-4695