HomeMy WebLinkAboutKokkinos, George ,,,,iiia•...
JUDITH T. TERRY L Town Hall, 53095 Main Road
TOWN CLERK : p rZ P.O. Box 1179
tJ's �� Southold, New York 11971
REGISTRAR OF VITAL STATISTICS V �,' Fax (516) 765-1823
MARRIAGE OFFICER _ �//r �0 �� Tele hone (516) 765 1801
RECORDS MANAGEMENT OFFICER ' �(/ ' i�r� P
FREEDOM OF INFORMATION OFFICER ‘ i01,10r
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 44 N Residential Non-Residential X
Fee $ 25.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : GEORGE KOKKINOS
Address 1 : P. O. BOX 229
City St Zip PECONIC NY 11958
Descripton of Proposed Construction or Alteration
ADDITION OF TWO OVERFLOW POOLS TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED DISTANCES FROM ADJACENT
WELLS, BUILDINGS AND PROPERTY LINES. EXCAVATION INSPECTION REQUIRED.
CALL THE BUILDING DEPARTMENT (765-1802) TO ARRANGE INSPECTION.
Name Of Owner KOKKINOS, GEORGE
Mailing Address 1 P. O.BOX 229
City St Zip PECONIC NY 11958
Property Address 1 PECONIC LANE
City St Zip PECONIC NY 11958
Tax Map No. section 74.00 block 4 lot 17.000
Cross Street ROUTE 48
Building Permit Number Cross Reference:
Issue Date: 12/23/93 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T. TERRY z Z �G Town Hall, 53095 Main Road
TOWN CLERK tt p T • P.O. BOX 1 179
REGISTRAR OF VITAL STATISTICS '` Southold, New York 11971
MARRIAGE OFFICER •yQ` . V. el Fax (516) 765-1823
—TU �1D r� Telephone (516) 765-1801
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD '', \\ DEC I O
TO: Southold Town Building Department TOWN OF SOUTHOLr
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: December 10, 1993
•
Transmitted herewith is a copy of application No. A1110 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
George Kokkinos
Please review the application and location map and advise if this office may
issue the permit.
Please complete the form below and return it to this office.
Thank you.
Ge,cLw
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE - EXCAVATION INSPECTION
REQUIRED
DISAPPROVE -
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COMMENTS: �," ' .,J -
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Signature
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Date
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OFFICE OF THE TOWN CLERK ,,,,,,,,,,,,,,,,
Town of Southold .4'''c =_
Judith T. Town Clerk Terry, l/ Application No.//� ,
�
Town Hall, 53095 Main Road _ z . Construction
P. 0. Box 1179
Southold, New York 11971 ct� rill Alteration
Telephone �:� $10.00 - Residential
(516) 765-1801 1 �' $25.00 - Non-Residential!
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ S roc
DATE �L 1 \ O \ � $
APPLICANT NAME: q (), \Lt. I v o_s
APPLICANT ADDRESS: r c7 P C( f L0 'v+ IL J y
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
/ /
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: C C o n 4�L 1 o ► pS
OWNER MAILING ADDRESS: Q (7 17 0/ 22 l� 2Liovll L ! . y
OWNER PROPERTY ADDRESS: Q � c,., t I � p
TELEPHONE NUMBER OF CONTACT PERSON: 6 S' c / Z S- (C (-L-
TAX MAP NO. : Section 1 Block 6.1
Lot / 7
CROSS STREET: g
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY:
Town Jerk's fice 111-42.'
DATE: /o2//0/
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COMPANY 'OF NEW YORK
TITLE N0. 605 S 1672 ,
PECONIC ABSTRACT , INC. PECONIC SURVEYORS
GEORGE KOKKI NOS
(1516 ) 765 .- 5020
P. O. BOX 909
MAIN ROAD
\ SOUTHOLD, N.Y. 11971
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