HomeMy WebLinkAboutKlip, Peter 4. 4
,,1' ,'S�fFO(�c
, o
G`;
JUDITH T.TERRY �i��� y1 Town Hall, 53095 Main Road
TOWN CLERK ` y i % P.O. Box 1179
‘It '
1 $ Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER %41* #v
Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER %'--_ Rl * *.a,10° Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER ....'"'•••,.... .0.1
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1515 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : ZOUMAS CONTRACTING
Address 1 : 18 DEERFIELD DRIVE
City St Zip WADING RIVER NY 11792
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR NEW SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. SCHD REF. #R10-96-0059
Name Of Owner KLIP, PETER AND JUDY
Mailing Address 1
City St Zip 0000
Property Address 1 SOUND AVENUE
City St Zip MATTITUCK NY 11952
Tax Map No. section 141 .00 block 3 lot 1 .001
Cross Street FACTORY AVENUE
Building Permit Number Cross Reference:
Issue Date: 8/06/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
4011
5- �...
OFF Ofr
y
JUDITH T.TERRY ��� t Town Hall, 53095 Main Road
TOWN CLERK N = P.O. Box 1179
rrr
REGISTRAR OF VITAL STATISTICS � 1� Southold,New York 11971
MARRIAGE OFFICER �+ Fax���1�' Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER ,.. 0/ ` ,,,� Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER ,••��
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: July 24, 1996
Transmitted herewith is a copy of application No. 1580 for a Cesspool/
Septic Tank Construction Permit submitted by:
Zoumas Contracting for Peter and Judy Klip
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 recommendations:
APPROVE
DISAPPROVE /D 90 .3J,
Comments: p, -- SCd1?,(//e-,—(.57
•
_ Ad; ,
Signatur naAirr
OFFICE OF THE TOWN CLERKto" ""•., /
Town of Southold 1•''��c5\FFD(/(C� Application No./ ✓`o U
Judith T. Terry, Town Clerk •� �� .t 4.
Town Hall, 53095 Main Road • •° .; Construction
P. 0. Box 1179 •
Southold, New York 11971 �_ yc••,' Alteration
Telephone • $10.00 - Residential L/
(516) 765-1801 �Ql (;� $25.00 - Non-Residential
. Se ,
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE 7 43/9 6
APPLICANT NAME: au rt44,s. Gz P-cll Ac-rlti
APPLICANT ADDRESS: / �Qe=rf—1�_Q ot/ O ii✓G '�(vP
SEPTIC y CESSPOOL ,o
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
S A m{7, D wa O
z.\
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY : e-2- 4-40k A CJD ,-4 y� 1=LI P a 48•-utyg
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS: `S OG/.v GEJ (J F
TELEPHONE NUMBER OF CONTACT PERSON : L/ r7 0
TAX MAP NO. : Section / Block 3 Lot ,< /
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE :
ANL
Signature o app
RECEIVED BY : �(
Town Cle k's Office
D A T E 02_c� b _ •
_ rt
, i ,„,...,..!_,,,_.._.„-err:i1-,,-7r.--:,.,•••,..,,,,-•:--- '
•
S FFOL.K C ALT . i,
•
` ♦ ♦ . . S • i • 4 ;,,,,,...,,,,,,,,,,..::•:.,..1.,\::-.
♦ V ,. :
•
• OF P ' Nikih- *;-..,,-".,:-„,'-. 11.--1'.1-: 1 ..:.,':,:-',.-:'.:-.'-':-.-:...-:.'''''-'1;,... .
Q4PECTY
•
... . .
s53CZVEYEDR0Z
, ,„,. . .,. i,,., ..,,,,,4,. ..
. .,. ,.. , .
yp
VLIPP
yt ,
,o4 .,'-,----., 4 ..';',---!-Ni0•-'-t...t-",i'....-4.-14,-'-‘;;•. ." '
..p .
,
r.
••"!:Ai''''!''1;i;
•
fy , � �. ER �rC
. -0rt.Y _.. v ,i .,- 7 at..
, _. .. r. �... �,.: :. i.t,14. .. ._t.',::-'..,„
, _. ,. .. :: ,. ... .. , -. ,� `csc^.
f r:
..x..: Y..>.. -.�... _. _ ',. .. '..4,,,,,,:,
`.e ` ':, _.. ,. .t. 1. ..
•
,
,...;tf'";?-':4":;.s--.-.--,-.--44'-:';-'.-- - , .- '• . -;V:;..-,:;..;.,' "..7 , i: . 4:,...-,..?..,
V
.4
CO.•
TRX'hrt i
_ 1 s L tS' ,
,
r , ,A :
I it �,rAy4r
{
,.T _ _
�a.
+ t
QV
T
! -(ems "LE
DEED- L.�EL:�$
p
r,
11{`}' -, rG3,T q "`evr,Ay
#sajj : �
"lithe WwYbk
� {�,t x
Q L
.. _. , :. -, �•' � ,t7atfissgf>NfxwhrilrR
_ the land matt
i f I�S.i VY �+�/� 1..1 QQ.---�- r+Doesad IIOI�OOIIKiA�3
mos ava6dbue*VW -
• �•fl ry arameesitfdkamsdtlwaanttAdaxs
,rN to the person for Wien surer' .
SCH.t#.!D h £ t2E '' LEV1 14 5 REFER ME�At3 SEA LE1/c�.
soeaared and ort his embattle
.�♦ t9N:G•apanY.Oove a0"1111r+
•
t�C«g atsti orlon tistatt emcnatd-
fo ti,4 z::ignev.s of Ili fending iu5 `_
3 to .Vu anises are not Van{1afa0y
r
SANS)
tsadr�4ntirsstltwioneasubetpfwtt
r .
z
E �t:a4 _
r
1/4S
N� j
4
SY3TEM8 MU9'P AS.SUREYE(� JUN 8 P ti,r•
t
YAIYD SWAGE g o
q►A'j'ER SUPPs+ D � R 13,I99S.: ROD 1 VAN Tu P.G r _ o iuj. `,
WTTS
NEW ANDARDs DATED NO i
CONFORM ST #
x a . .
:. a__ is «. .<. 4y _-
ya' `
,.. ,.«..i r. ar.,._ . F, . ,•,'''
,......: .. -.. ....n.'q,.i , t.. .. :: -_.. . s.., _ ..., s t -. .:moi_ u3'
.-. ._ ,.. k , ,...-.*�' ,,,::ems -
•
.. ,� .., --,:i.,1-'.:.:::',-;.."; :. . , » �.,- N ,� ,, ,as � ,,� �' � ., .2 ;:a.:4.-.1:...-
.. Y,
•
•
: : . -, rt .,: .. .... >, .x,s .*�.,,._ ,.. 4 -.....-�a ... -_ r amu-.
.:'.. .. .z..1,,.. ' 4b r. ,...-:. . ... .. , . -,9.p� :_ .,._ -h 'nE.
,
� , . , ..u"v . ...r t, +'>.�.-.-. ib nw..4-_-r.wt m;r?„ .tom-dW�,C. �t ',..:•:,,•;..7,.
v�"