HomeMy WebLinkAboutLaoudis, Ted 0° 4 00
JUDITH
G �
JUDITH T.TERRY is� y1 Town Hall, 53095 Main Road
TOWN CLERK ; y P.O. Box 1179
• P t Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
iji �1 Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER 1
MARRIAGE OFFICER �f� **610° Telephone Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER '•v„ x.01
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1546 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : JOHN BERTANI BUILDER INC.
Address 1 : 1380 OAKWOOD DRIVE
City St Zip SOUTHOLD NY 11971
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. #R10-96-60
Name Of Owner LAOUDIS, TED
Mailing Address 1 23 VANBUREN COURT
City St Zip CRESSKILL NY 7626
Property Address 1 WATER TERRACE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 88.00 block 6 lot 5.000
Cross Street AVENUE OF TREES
Building Permit Number Cross Reference:
Issue Date: 9/30/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
ow IWO
OFFOUr
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JUDITH T.TERRY ,,r= 'f`�`� Town Hall, 53095 Main Road
TOWN CLERK ; y Z P.O. Box 1179
i Southold,New York 11971
REGISTRAR OF VITAL STATISTICS 411% Fax(516) 765-1823
MARRIAGE OFFICER y�AGEMENT OFFICER Sig %O.° Telephone(516) -1823 765-1800
FREEDOM ORECORDS F INFORMATION OFFICER '"-! , .�,' p
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
FP • 7
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: September 16, 1996
Transmitted herewith is a copy of application No. 1612 for a Cesspool/
Septic Tank Construction Permit submitted by:
John Bertani for Ted Laoudis
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
Comments: 7 , J2 , ,I (7 9b/
- /1,
Si.natur-����
-2
Dat- •
OFFICE OF THE TOWN CLERK •
Town of Southold ,'1r1 \\qWire• t
CJ - Application No. /G/4/07-.Judith T. Terry, Town Cleric �� G - —
1-own Ilall, 5305 Main Road = • �� ; Construction
P. 0. Box 1179 a: . r j Alteration
Southold, New York 11971 i�
Telephone =y0��0 � . d $10.00 -� + I 1•-
(516) 765-1801 _ 1 ' $25.00 -. Non-Residential
TOWN OF SOUTHOLD
• SOUTIIOL.D WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
• CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
•
Permit No.
Fee $
DATE Sep( /G A (2'F.6
APPLICANT NAME: J01( r py-47-4, tZieGG.2e>2
APPLICANT ADDRESS: (3,9-0 (j 7¢e ire (.( Z ua."
1 g 7( — -
SEPTIC !CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: • Must be attached hereto before permit may be issued.
LOCATION OF PRQPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: rt--77 (ie-Dint r S
OWNER MAILING ADDRESS: v&'43 i/Attit, ?U,f4mt Cozbei
•. . 07626'
OWNER PROPERTY ADDRESS:] 3o{A
TELEPHONE NUMBER OF CONTACT PERSON : 7( f /J gcf
TAX MAP NO. : Section Block o6 Lot 5—
CROSS STREET: E s pe,i,c,P,aci d
BUILDING PERMIT NUMBER CROSS REFERENCE :
/ Signature of Applicant
RECEIVED BY : r
own Clerk's Office
DATE; � QC •
w _
-., t,.-„„ . iii t�Sr&YiiEii�Sdi�i �. ,... ..::. ,.... ..,—.- c>. a ,.,_n=.• �,. ., m,.aw:w'i.;.a. .io. . ..,.,,,u.,„ ... r . , e m r.- r ri,w n I !i onI .I.i i.. u. . -o. .. i _Ui uun
1
IMO
/� SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES I !,
AREA = 33,000 SC]. /r FOR APPROVAL OF CONSTRUCTION ONLY
Siel V __NS. RE
DATE r. NO.
APPROVED
0 �� �/ lam /omirar with the STANDARDS FOR APPROVAL
AND CONSTRUCTION OF SUBSURFACE SEWAGE
�` //� 1• DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES
.99 e., C. and will abide by the condilions set forth therein and on the
J ,s permit to construct.
S
J� s l
e� s80j.
o'A./ J` WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS MUST
°p �� CONFORM WITH NEW STANDARDS DA'T'ED NOVEMBER 13,1995.
0.
C/
s s\ ` SUR VEY OF
�� LOT 27
‘p �� o� sy "'. "ANGEL SHORES"
„ Q-4. '' SUFF. COUNTY FILE N0.9729
0 AT BA YVIEW
O TOWN OF SOUTHOLD
M A SUFFOLK COUNTY, NY.
�` 0° 1000 - 88 - 06 - P/O- 5
-
do° Scale: 1" 40'
DoT SUFFOLK courrry DEPARTMENT OF t ,yt s vtcE3 ' 1996
e_ / 0`
PERMIT FOR APPROVAL OF CON4IRIlcflJN FOR A
G�FAMILY RESIDENCE ONLY
sa. DATE 23 /TC -91. -666 o
o,. P.
2o' APPROVED /l / e
4.
0
FOR MAXIMUM OF BEDROOMS
`oDt
. 0 EXPIRES'THREE YEARS FROM DATE OF APPROVAL
ME7I
6`900, \a `'' ?� ANY AL TES 1 OR ADDITION ro TIC SURVEY/S A VIOLATION A»A t' �F�
or JECTZW 7209 OF THE AEW Your STATE EDUCATION LAW, /•
e EXCEPT AS PER SECTION 7209-SW4On/ ON Z ALL CERTF1CArots
/ +
..���t
,;�,# �, ,"IV.Y.S. LIC. NO. 496/8
HEREON ARE VAD FOR nit's MAP AAD COPES THEREOF ONLY F t
SAD MAP OR COPES BEAR THE IMPRESSED SEAL OF THE SURVEYOR `�, �,,, �'
The locations of wells and cesspools WHOSE�TUYE APPEARS HEREON 0NIG�''' YO ,. P.C.
shown Hereon are from field observations1 s 761-``.0 0.
AALaITAGWALL Y TO COMPLY WITH SAV LAW of TERM 'ALTERED BY' 'O. : 9 e�, .k",
cm: or from data obtained from others. ALIST BE USED BY ANY AND ALL SURVEYORS UTILRAN6 A COPY
ELEVATIONS ARE REFERENCED OF ANOTHER SURVEYOR'S MAP. TEXTS SUCH AS 'INSPECTED"AMD I ' R ' ' TREET
TO AN ASSUMED DATUM. OUGH,=T0-DATE"ARE NOT W COAPUANCE 117TH THE L. M SO 0-L,'���� 1/971
95-211 (27)