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HomeMy WebLinkAboutAndreadis, Nicholas & IreneELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER ,~~Of SOUly~ r~t '~ ~O OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO• Southold Town Building Department FROM. Linda J Cooper, Southold Town Clerk's Office DATED• May 13, 2008 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631)765-6145 Telephone (631) 765-1800 southoldtown.northfork.net r__ MAY 14 _ , - __ Transmitted herewith is a copy of application No. 3799 for a CesspooUSeptic Tank Construction Permit submitted by: Nicholas & Irene Andreadis 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 * + + + ~ r ~ I have reviewed the application and location map of the project cited above and make the following recommendations: /~ APPROVE I// DISAPPROVE Comments: Signature U ®~ / 6@ Dated ' ELIZABETH A NEVILLE o~gOFfO(,~co `Z` G . y ~ TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER N y, h:j ~ ~ `~ y~J 0~ Q! y ~ FREEDOM OF INFORMAT ION OFFICER ~ ///~~~ J ~+` ~ OFFICE OF THE TOWN CLERK ,,~1 TOWN OF SOUTHOLD ,'` ~ SOUTHOLD WASTEWATER DISTRICT G APPLICATION Town Hall, 53095 Main Road P O Box 1179 Southold, New York 11971 Fax (631)766-6145 Telephone (631) 765-1800 southoldtown.northfork.net CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @ $10_ or Non-Residential @ $25 Application No. J~~~ Permit No. Appllcant Name yCl7n ~a i ~- ~CIG ~d Y4°c~~iS Applicant Mailing Address ~ Syc ca incr-~ ~~2 Ui-e~, He <% n. y i/ s ~/ ~ Septic Tank or Cesspool X Brief Description of Proposed Construction or Alteration ~'LC-cam ce-u,z.P,~~-c Location of Proposed Construction/Alteration: Owner of Property >7-rtd ~~ ~!~ s Owner Mailing Address: ~o ~k ~ 7 Inx N( c+- rL{z ~ c ~< Owner Property Address: Name and phone number of contact person Tax Map No Section /U (o Block U~ Lot Z Cross Street NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH~TH DEPARTMENT APPROVAL / .. - .~ ~ Signa re of Applicant Date 1-J~ Received by V ` `~ LECe1o N ~_~-.-_s-_-__~ cmuro mxlwn uxc NOTE ALL rf~$ B' OIA AW ABOVE OUfSOE dF TfE Af~A aF MPROVBAENT WLL NOT BE REAOV® VrN710Ur APPROVAL fRCN TIE (": ^~000N1°I'"""~ TOWN aF SOORICL0. (w.o} rinam avnc wxr ncwim vs mososmsmeixr W E xsn rwmuosnrwr~ua~w wa m e~wveox vaa p PR%V49 W~NFiL RH nlGFlfOfAllil B'AI1 S` SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES PERMIT FOR APPROVAL OF CONSTRUCTION FOR A SINGLE FAMILY RESIDENCE ONLY DATB~ ~~ t~~ H•S. R F. No. ~~©\~ APPROVED \r" ~°~'"~ FSEDROOMS FoR MAXIMUM ~F FxRIRES THREE ti EARw 4~~ Olv) DkTF OF Al~'ROVAL Y FINE TO MEDIUM SAND SP ~` \ ~,5~•.\\ ~~ k`~ c.-t,S~o~. ~ ~~ moo,\~a,.~U.,~ :n 1 "'',~ SANITARY/WATER CROSSINGTQE~~'~ .,1 ly l a' . 7, C• '`I 1 ~ ~,1' p nn* 1 LOT O MAP OF SHORE ACRES FLED JNi $ 1941 FLE NO. d1 9NATE: MATTI111CK, TOWN OF SOUTHOL- SIFFOLK COINTY, NY s7EEa.K cou+TV IEPLTIi oar ~ No R1o-0a-0201 str+vEY rFOradAraN raa~ FROM srsvEY PREPARED aY lari c, ENF2,S LAro am1EYOR oar®1z-3o-os SFFOLK COWtt iAX MPP NO 1000-106-0b-25 ELEVATIONS R<FHt To Ncw~29 AREA OF PROPHiTY 418075E OR 0959 AC TEST BORING DATED 01-20-06 IIIG