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Home My WebLink AboutKavakalpalidis, P i o�S11Ff0�,�coG ELIZABETH A.NEVILLE �� Town Hall, 53095 Main Road TOWN CLERK y Z P.O. Box 1179 REGISTRAR.OF VITAL STATISTICS � Southold, New York 11971 MARRIAGE OFFICER y O!� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �0�( �a Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3133 R Residential X Non-Residential Fee $ 10.00 Septic x Cesspool PERMIT ISSUED TO: Name : P. KAVAKALPAKIDIS Address 1: 23-16 CRESCENT STREET City St zip ASTORIA NY 11105 Descripton of Proposed Construction or Alteration SANITARY SYSTEM FOR ONE FAMILY DWELLING. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. REF OR10-03-0125 Name Of Owner KAVAKALPALIDIS, P. ------------------------------ mailing Address 1 23-16 CRESCENT STREET ------------------------------ ------------------------------ City St zip ASTORIA NY 11105 -------------------- -- ---------- Property Address 1 935 ROCKY POINT ROAD ------------------------------ ------------------------------ City St zip EAST MARION NY 11939 -------------------- -- ---------- Tax Map No. section 31.00 block 1 lot 5.003 ------ --- ------ Cross Street MAIN ROAD ------------------------------ Building Permit Number Cross Reference: ---------------------------------- issue Date: 1/29/04 Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) �SUFF01/r 3 3� ELIZABETH A.NEVILLE �� y Town Hall, 53095 Main Road TOWN CLERK o P.O. Box 1179 y Southold, New York 11971 REGISTRAR OF VITAL STATISTICS � �' MARRIAGE OFFICER y � Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �Q! �a0 Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: December 19, 2003 Transmitted herewith is a copy of application No. 3268 for a Cesspool/Septic Tank Construction Permit submitted by: P. Kavakalpakidis 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. Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: Signature Dated i t o��S11Ff0(,�-�O ELIZABETH A.NEVILLE �� G.y Town Hall, 53095 Main Road TOWN CLERK p P.O. Box 1179 C** Southold, New York 11971 REGISTRAR.OF VITAL STATISTICS MARRIAGE OFFICER Gy �� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER0 TeleP hone (631) 765-1800 FREEDOM OF INFORMATION OFFICER O'� �a southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @ $10 or Non-Residential @ $25 Application No Permit No. Applicant Name �- ' ' � k b s Applicant Mailing Address 23 —16 W Qs C.ao&r S (Pq- 1 N K ///o Septic Tank-)(—or Cesspool Brief Description ofPro d Construction or Alteration Location of Proposed Construction/Alteration: Owner of Property: 1<41,44i h1-5 Owner Mailing Address: 6V S L1 n� , f f l!Go 5- pp Owner Property Address: '1J� nc�C LI ��" -PC E �j o-ei'm Name and phone number of contact person Tax Map No: Section G 3 j Block 6 00 1 Lot Cross Street MyNM Q NOTE: LOCATION MAP UVYH tan WITH APPLICATION. NEW CONSTRUCTION REQUIRES H DEPARTMENT APPROVAL f\\ Z1 B l�Date Received by: LOT NUMBERS REFER TO "MAP OF EAST MARION WOODS" FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON JUNE 7, 1,989 AS FILE NO. 8759. SPACE" ,.OPEN T CA VAN 336,63 -�ROPOSEI OE I N' 511( FND vR� E� 31 EST HOLE p ? Dark brown d slUy loam OL r Li { 1' o m t m 7-. Brown silly r sand SM p a Brown sandy N o 3� sin ML r P► C� N 9' � W w WATER 5 6.54"0"W LOT Z Pu Pak brown E� 31 . W jr4 P tine /o NG coarse sand p1�V�L�-� With IOx � �r gravel SW r _j l 7' DRIVE INA Y �Roposco 75; WE�L > Pop !Z "/lam �--1 O '1' CD M u�U) PIPE M Tl- Is 05 3(),2 EL. L-P 328.23 DZ LOT PU8L1C 2 N k0OR A WATETwr LLING WE TE CA vil s n,.p 1,,PpvOVAL ,Pp,--IIAL L-xplic. 's s uns, DA-TFOF I ,kXoi NEW yo A# -'o "t4vw 4r Y.S. LiC. No. 49678. S, P.C. (6 FAX (637) 765- 1797 P.0. 7230 TRAVELER STREET 03_211 SOU THOLD, N. Y. 11971