HomeMy WebLinkAboutRaptis, Vassilios , co
JUDITH T.TERRY �i Town Hall, 53095 Main Road
TOWN CLERK t P.O. Box 1179
177 t Southold,New York 11971
REGISTRAR OF VITAL STATISTICS ‘14b
MARRIAGE OFFICER Fax(516) 765-1823
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RECORDS MANAGEMENT OFFICER : ( �► �i� Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER �� ,0"
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1431 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : INLAND HOMES INC.
Address 1 : P. O. BOX 117
City St Zip MATTITUCK NY 11952
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. #R10-95-0139
Name Of Owner RAPTIS, VASSILIOS
Mailing Address 1 C/O INLAND HOMES INC.
P. O. BOX 117
City St Zip MATTITUCK NY 11952
Property Address 1 MCCANN LANE
City St Zip GREENPORT NY 11944
Tax Map No. section 33.00 block 4 lot 10.000
Cross Street SOUND DRIVE
Building Permit Number Cross Reference:
Issue Date: 1/10/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T.TERRY ;,off < % Town Hall, 53095 Main Road
TOWN CLERK t H Z I P.O.Box 1179
i # Southold,New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER y Fax
0 Fax(516)765-1823
a ��
RECORDS MANAGEMENT OFFICER O! Ali + ,10 Telephone(516)765-1800
FREEDOM OF INFORMATION OFFICER „ •si'°
OFFICE OF THE TOWN CLERK - )1"'-` - L a
TOWN OF SOUTHOLD t
.SIN — 2 19916
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office r(1W�pF SolE1�T
_. -- .§9 HO n
DATED: January 2, 1996
Transmitted herewith is a copy of application No. 1487 for a Cesspool/
Septic Tank Construction Permit submitted by:
Inland Homes, Inc. for Vassilios Raptis .
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 rr
Comments: ,Gll/ f ( cA /YO- is--
Si nature 4'1— '?),, ,e..er._
//0sit-
Dated
•
•
GFFiCE CF THE TOWN CLERK cVC("U(,('v
Town of Southold G\, , `Or
Town Clerk ,!'r : r.; �`v � Application No. t '± 7
Judith T. Terry, ,,,,
Town Hall, 53095Main Road c ,.�,4„ 1-X;.:: Construction 17
P. O. Box 1 179
Southold, New York 11971 em''• Alteration
Tele hone 'e71 z %- Residential
P
(516) 765-1301 " Non-Residential
• TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
•
• for•
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
•
Permit No.
Fee .$
DATE 12/11/95 •
APPLICANT NAME.: Inland Homes Inc . •
• APPLICANT ADDRESS: pp Box 117,Mattituck,N.Y. ,11952
SEPTIC CESSPOOL ##
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION .
New Single Family Dwelling •
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: McCanns Lane,Greenport
OWNER OF PROPERTY: Vassilios• Raptis
. OWNER MAILING ADDRESS: pQ Box 117,Mattituck ,N.Y. ,11952
OWNER PROPERTY ADDRESS: Mccanns Lane,Greeinport
TELEPHONE NUMBER OF CONTACT. PERSON: 298-9696
TAX MAP NO. : Section 33 Block 4 Lot 10
CROSS STREET: Sound Drivv
BUILDING PERMIT NUMBER CROSS REFERENCE:..
Signature of Applicant
RECEIVED BY:
gwn Cleric's Office
•
. RECEIVED. •
DATE:
JAN 2 1995
•
Town Clerk .Seethold
, . .
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(VACANT)
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MAP OF . .PROPERT '
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TOWN CIF SOUTHQJ,..,1) ; We,
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Nef POST, Nam,
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.. , , SUFFOLK CO. HEALTH DEPT. APPROVAL.
H.S. NO. r
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•
SINGLE FAMILY DWELDAM
TGE ONLY At.
EXPIRES THREE YEARS FROMOF
STATEMENT OF INTENT
THE WATER SUPPLY AND SEWAGE DISPOSAL
SYSTEMS FOR THIS RESIDENCE WILL
CONFORM TO THE STANDARDS OF THE
SUFFOLK CO. DEPT. OF HEALTH SERVICES.
(SI
• APPLICANT
SUFFOLK COUNTY DEPT. OF HEALTH
// SERVICES — FOR APP OV L FOR
I! CONSTRUCTION ONLY (L 9 )�
DATE:
H. S. REF. NO.: 6/ QS— 013?
1i APPROVED: / +
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IOCAL 0,'�N SUFFOLK CO. TAX MAP DESIGNATION:
/ AREA s 16,384 'S.F. DIST. SECT. BLOCK PCL.
O PIPE
__---- ILO Q33 4 tO
a ctTAk E OWNERS ADDRESS:
I49-aO 3QTH.AVENUE
FtUSHING.NY. I0
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DEED: L. N/A P.
l �_,., S. I EFEI TO .MAP OF E iTEr t.4 ORES- TEST HOLE STAMP
It,,) THE SUFE CO.C,.ERk'S'OFFICO .AS • ulh &WNW s +er "`y .
to this-- �^= ----�+ Section 720e of the New York Stat!
i' NY). 4021. Education yaw.
--..--J) • Copies of this survey map not beafkp
T'O U 1ry f`E FE RS TO ME...ssN SEA LEVEL, Me land surveyors Inked seal of
embossed seal shall not be considered
b be a valid true copy.
7I jE�411INC3 HOMES OQ PUBLIC WATER SUPPLY. .i
C,uarantcosindicateereonshallnet
}► only to the person for whom the survey
0 ,{ m prepared,and on hie behalf to the
�`` R'Ea ]� h Ue company,9overnmenfat agency and V
�aa�� n tt4��� tthe ilisted hereon and
�" t 9 Y iV�' .,6 to the assignees of the lending hall.
at
` *� / to Ion.add Guarantees are not transfesubsequent my Ypa tko ble
to additional kutMWone oraubequatt
Z ..J _ SEAL
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SFO LAND SUPfr
LICENSED LAND SURVEYORS
GREENPORT NEW-YORK •