HomeMy WebLinkAboutZoumas Contr (7) ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFOR~L~,TION 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
FROM:
DEC I 5 2004
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Southold Town l~uilding Department
linda J. Cooper, Southold Town Clerk's Office
DATED:
December 15, 2004
Transmitted herewith is a copy of application No. 3409
Pemfit submitted by:
for a Cesspool/Septic Tank Construction
Zoumas Construction - Lot 5
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
I have reviewed the application and location map of the project cited above and make the following
reconunendations:
APPROVE
DISAPPROVE
Comments:
Signature
Dated
ELIZABETH A. NEVTr,r,~
TOWN CLERK
REGISTRAR OF V/TAL STATISTICS
MARRIAGE 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 ~C or Non-Residential ~ $25__
Application No.
Permit No.
Applicant Name
Applicant Mailing Address
ZOUMA~ CONTRACTING CORP.
PO BOX361
Septic Tank'?O or Cesspool )o
Brief Description of Proposed Construction or Alteration
Location of Proposed Construction/Alteration:
Owner of Property:
Owner Mailing Address:
ZCU:,;A$ CONtRACTiNG CORP.
Wading R/ver, NY 11792
Owner ProperS) Address:
Name and phone number of contact person "~o~4~ ~,~M~- ~.~-~'~;70
Tax Map No: Section ~ff~ Block ~ ~t~/ol7. i7
Cross S~eet ~O~T~ ~ ~.~
NOTE: LOCATION ~ MUST BE SUB~TTED WITH APPLICATION. NEW
CONSTRUCTION ~QUI~S SURVEY WITH HE~TH DEP~T~NT ~PROV~
'F FL ELEV 28.0
GAR ELEV 26.0
NOTE LOT CLEWING SHALL BE LIMITED TO 1 ACRE
15.08'
i
, ¢26.0) ¢26.0)
~ R=25.00'
N 73'05'20'W
,305.61'
¢25.6)
NORTH
BAYVIEI ROAD
12-10-2004 REVISE SANITARY SYSTEM
CERTIFIED ONLY TO:
N.Y. LIC. No. 048992
HAROLD F. TRANCHON JR. PENN. LIC. No. 2115-E
JOB No. 04-262 RLE No. ZOUMAS CONTRAC'I~NG
SURVEYED FOR
LOT NUMBER 5
MAP OF ZOUMAS CONTRACTING CORP.
SITUATED AT BAYViEW
TOWN OF SOUTHOLD. SUFFOLK COUNTY, N,Y.
SCALE 1" = 60' OATE 10-15-2004
F~LED 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, 11792
631-929-4-695