HomeMy WebLinkAboutZoumas Contracting (6) //� iii
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JUDITH T.TERRY 4�_ 'y�\ Town Hall, 53095 Main Road
TOWN CLERK ; y P.O. Box 1179
u• 1 �� Southold,New York 11971
REGISTRAR OF VITAL STATISTICS O *- •
MARRIAGE OFFICER
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Fax(516) 765-1823
RECORDS MANAGEMENT OFFICER =�O.( �'aQ,1�� Fax
(516) 765-1800
FREEDOM OF INFORMATION OFFICER �
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1660 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : ZOUMAS CONTRACTING
Address 1 : 17 DEERFIELD DRIVE
City St Zip WADING RIVER NY 11792
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. SCHD REF. #1110-97-0057
Name Of Owner ZOUMAS CONTRACTING
Mailing Address 1 18 DEERFIELD DRIVE
City St Zip WADING RIVER NY 11792
Property Address 1 ALDRICH LANE
City St Zip LAUREL NY 119148
Tax Map No. section 125.00 block 1 lot 2.021
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 5/12/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T.TERRY �.. 1 4 TELEPHONE
TOWN CLERK `�`���'• (516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 5, 1997
Transmitted herewith is a copy of application No. 1740 for a Cesspool/
Septic Tank Construction Permit submitted by:
Zouman Contracting •
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:
RECEIVED
MAY 8 1997 Signat e
Southold Town C[ x p
OFFICE OF THE TOWN CLERK ,,,,'"'""''••,,
Town of Southold �.'' ctff Olk�. / 7 d
Judith T. Terry, Town Clerk ,k'�S (V Application No.
Town Hall, 53095 Main Road Z Construction
P. 0. Box 1179 : c rn , Alteration
Southold, New York 11971 . %s1
Telephone ,jj'y0 ��Q�,,'�� $10.00 - Residential
(516) 765-1801 -_ 1 � ,��'r $25.00 - Non-Residential
i
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE .5/574 7
APPLICANT NAME: 2ov M . ¢>A4INAcg1(<./y
APPLICANT ADDRESS: ,(�
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cv'#q D/A,G ;'‘a N-cr. / 1 7.17 "Z-
SEPTIC CESSPOOL ✓
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
N €.m-) " $.t6\. 0
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 20 vlr.4� Co 4-n41.,C-4(el
OWNER MAILING ADDRESS: ( � QQ�t.I. ��' D2ty
w G-- /NJ-Y. 1 ( '7 g 1-
OWNER
OWNER PROPERTY ADDRESS: fz t ca. G
v.�c.c_
TELEPHONE NUMBER OF CONTACT PERSON: ) 9 ,. 9X76
TAX MAP NO. : Section /000 Block /6).(— I Lot 02. .4./
CROSS STREET: /1141^- S►d'K�
BUILDING PERMIT NUMBER CROSS REFERENCE:
rte-- 11111111
-
Signatur_ pp
RECEIVED BY:
Town Clerk's Office
DATE:
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PERBd11"T FOR AptsbovAL OF CONNT>RUC'1lON FOR A
a' 1E FAMILY • . . 11 QM.Y
DATE ,i /%% i w,,,, . i 1 , - - . A
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APPROVED _ _. ,v
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EXPfl E,S THREE YEARS FROM DATE OF APPROVAL
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:i -arises- ot auTe MloN$1 GUARANTEES INDICATED HEREON JOB NO. 97-50 ,
FILE NO. LAUREL ESTATES ;
*NOIIIN MORON NOM TIER OWL NUN OW 10 TIE MON
AITIMPCluRTS TO THE POMPOM TOR OMNI 111E SURNT IE IO- SURVEYED FOR i
ARE IO! A MOM PUB- !MID. NO ON IN MOLE 1O
NO IRO AND .11R ON NNE 1111E TOIMWIY. 004iMWIR1
NOR MOOS 10 O1RDE DIE TAL AGENCY NO WONG NSW LOT NUMBER 12 1
OF MM.
RIUNIINO. 1U110N LISTW IINEON, ANO 1O
Arw1R.IpolE► M110E. IIANIIN° TME AUTIONN U THE IE ARC MAP OF LAUREL ESTATES EAST,S EC.1
,. Eu ADDITION TO =WINGS INSTITUTION. GUARANTEES ARt
t> IK1N NOT TRANII�fRAW TO ADDITIONAL
INSTITUTIONS OR RUISEQUENT SITUATED AT L AU R E L
;,�EpPIpNISAIIERI UO'ALTERATION OR OWNERS.
talo 1111E CONCTl 7EEi at Coma Of IIRE SURVEY kw NOT TOWN OF SOU T H O L D, S U F FOLK •CVt, T Rye:• N .y,.,'. .
NE am.' p
P ..YORK STAN.111110.11014111110.11014MARINO THE LAND SURVEYOR'S ,
• INKED UAL OR MOM SEAL SCALE 1” = 50' DATE 2- 2 5 4
#41b SHALL NOT M COIIEiDIIIEO TOM I;
AV t` ..7/.
FILED MAP NO. 7870 DATE 4-4-1 905 '1'
UARANTEED ONLY TO l
` ` TAX MAP NO. 1000-125- 1- 2,21 (RE*-COLT)1 ,t 4.
1,• _ HAROLD F. TRANCHON JR. P.C.
ti MAR 4 1997 LAND SURVEYOR
Suffolk Co SUCCESSOR TO WILLIAM G. MIIIER. t
7 i
y Env,*
of Health 1866 WADING RIVER—MANOR RD. WADING 1111' . a
ental Protection
F"'�"�� NEW YORK, 11792
_ _ _ _ ._•_ .Y. LIC. NO. 048992 516-929-4695
•