HomeMy WebLinkAboutKatos, Michael •
Town Hall, 53095 Main Road
• %seOi P.O. Box 1179
40,
Southold, New York 11971
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JUDITH T.TERRY •� �.= TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1707 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ROB STROMSKI
Address 1 : ARCHITECNOLOGIES
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-97-0097
Name Of Owner KATOS, MICHAEL J .
Mailing Address 1 23-14 38TH STREET
City St Zip ASTORIA NY 11105
Property Address 1 SUMMIT DRIVE
City St Zip MATTITUCK NY 11952
Tax Map No. section 106.00 block 1 lot 41 .000
Cross Street MIRIAM ROAD
Building Permit Number Cross Reference:
Issue Date: 7/31/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T.TERRY � � G'y11 Town Hall, 53095 Main Road
TOWN CLERK % y P. O. Box 1179
Southold, New York 11971
•
REGISTRAR OF VITAL STATISTICS O ��
MARRIAGE OFFICER `�y �� Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER ��16,( *boo'
i Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER -� 016e
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: July 29, 1997
Transmitted herewith is a copy of application No. 1776 for a Cesspool/
Septic Tank Construction Permit submitted by:
Rob Stromski for Michael Katos
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.
Thank you.
Linda J. Cooper
* * * * * *
I have reviewed the application and location map of the project cited above
and make the following recom endations:
APPROVE
DISAPPROVE
Comments:
ignatu
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Dated
owittuto
1 1-FI COF TI IE TOWN CLERK �/O
E 5\\V NO(
own of Southold COQ A i plication No. / 77,6
Judith T. Terry, Town Cleric +� I 1
Town Itall, 53095 Main Road8 '» Construction
P. O. Box 1179 • --
Sotithold, New York 11971 Alteration 7.. -_ _.__. _.
4.
6.( Residential
Telephone 1
(516) 765-1001 J'nrri1 Non-Residential
•
TOWN
T.OWN OF SO U T I I O L U
SOUTIIOI_U WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCT ION or ALTERATION PERMIT
SEPT IC TANK or CESSPOOL
Permit No.
Fee $
DA Hi
APPLICANT NAME: 11_l:G .>`..�.._.___..K� 5 �n.t__.. 'rJIb SyrQwlS ...Ar.c.Orev,o ji1'�
74-
APPLICANT ADDRESS: 2. 1 3.0. SAsla C _ l Nos--
04 v CESSPOOL MQ¢1(�"\I�� /�a�Z
DESCRIPTION OF PROPOSED CONSTRUCT ION OR AI_.TERATION
LOCAL ION MAP: Must be attached hereto before permit may be issued.
• LOCAT ION OF PROPOSED CONSTRUCTION OR A
LTERATION :
OWNER OF PROPERTY : fr I C�QC:..L-1 4 — --- --
OWNER MAILING ADDRESS: ArFa+
- - - ---
OWNER PROPERTY ADDRESS: 5"11/!/.1 `
TELEPHONE NUMBER OF CONTACT PERSON : 4 ± �4
TAX MAI' NO. : Section IDS Muck 4 Lol ZV-//Zcf
CROSS STREET : _ y9 ►9L
V ' r .C_
BUILDING PERMIT NUMBER CROSS REFERENCE : ;
4
lure of pp icanl
RECEIVED 1.3Y ncEivED_..
Town Clerk's Office
DATE: JILL 2-94997 -
Southold Town Clerk
•
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ALL SURROUNDING DWELLINGS USE PUBLIC :WATER •
P.O. Ser 589 3760 tvprres Drive south
PROPOSED GRADING SI TUA TF. Ar Pfilm tVe,tbury N.Y. 11390 Islendia N.Y. 11779
AND DRAINAGE PLAN 6) d??-3369 (316 J42-9292
MA TTI TUCK ' gam i ,4,ezz-ries ret( 54214219
LOT 7 Q • TOWN OF Sou THOLD J ..r, ,_._.�, S .
MAP OF SUFFOLK COUNTY, NEW YORK s_•1,'11_4', ''r-`-1-,:wit__,c,Tr-,11,41 ',;1Ittf '111::�►'it-3• :I
"CAPTAIN KIDD ESTATES 1" - 40' FEB. 21, 1997 s r ' 1 ' "e y rchitRcts planners R
4�f0/9701
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MAP NO. 1672 _ REVISIONS: S/2 97 REV. Dt►£LL. c„..,..,. ti
FILED 1/19/49 6/+f 7 REV. DRIVE. Fey °Ailli• ' '
6/'10/97 REV DRIVE �Ft t1 100�.
JOB NO. F4100 • REV DMEIL.
S C. T.m. DIST. 1000 SEC.1,06 BLK. 01 'LOT 41,48 /, / ' - E. R I , P.E.,L.S. NO. 49694