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Home My WebLink AboutMavrogiorgis, Stelios (2) / ,,,,,,,,,,,,,,, ,4s • ELIZABETH A.NEVILLE _�� G- ; Town Hall,53095 Main Road TOWN CLERK 1 o P.O. Box 1179 co) Z Southold,New York 11971 REGISTRAR OF VITAL STATISTICS r MARRIAGE OFFICER `� �i �� , Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER = �Q! jig $b •6 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. 3190 R Residential x Non-Residential Fee $ 10.00 Septic x Cesspool PERMIT ISSUED TO: Name : HARBORVIEW HOMES INC Address 1: 1706 COUNTY ROAD 39 City St Zip SOUTHAMPTON NY 11968 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 #R10-04-0062 Name Of Owner MAVROGIORGIS, STELIOS Mailing Address 1 21-66 37TH STREET City St Zip ASTORIA NY 11105 Property Address 1 5765 BERGEN AVENUE City St Zip MATTITUCK NY 11952 Tax Map No. section 113.00 block 2 lot 14.000 Cross Street COX NECK ROAD Building Permit Number Cross Reference: Issue Date: 9/01/04 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) , ,�o��SUFFO�,�co, J� I ciO ELIZABETH A.NEVILLE 0G�d •: Town Hall,53095 Main Road TOWN CLERK ; y Z P.O. Box 1179 REGISTRAR.OF VITAL STATISTICS G v► Southold, New York 11971 '� MARRIAGE OFFICER y �g Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER \_N1 `ao iii Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER ,.�'� southoldtown.northfork.net kuU4 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD RECEIVED TO: Southold Town Building Department AUG 302004 FROM: Linda J. Cooper, Southold Town Clerk's Office Southold Town Clerk DATED: June 8, 2004 Transmitted herewith is a copy of application No. 3331 for a Cesspool/Septic Tank Construction Permit submitted by: Harborview Homes for Stelios Mavrogiorgis 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: • Cj Signature Dated >r " _ ___ ___ ,.....,, ELIZABETH A,NEVI LE 'I ,` Town Hall, 53095 Main Road , TOWN CLERK 1 P.O.Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS ' Fax(631) 765-6145 MARRIAGE OFFICER , RECORDS MANAGEMENT OFFICER O�'11�� Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER =_1 Ai *Doi southoldtown.northfork.net OFFICE OF THE TOWN CLERK M TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @$10 X or Non-Residential @$25 Application No.33 3) Permit No. Harborview Homes, Inc. Applicant Name Applicant Mailing Address 1706 C.R. 39, Southampton, NY 11968 Septic Tank X or Cesspool X ' Brief Description of Proposed Construction or Alteration construct a 2 story /f 4 bedroom one family dwelling Location of Proposed Construction/Alteration: _ Owner of Pro Stelios Mavrogiorgis ply: 21-66 37th. Street,Astoria, NY 11105 Owner Mailing Address: Owner Property Address: 5765 Bergen Ave'. , Mattituck Name and phone number of contact person Richard Oppedisano-287-0772 . Tax Map No: Section 113 Block 2 Lot 14 Cross Street corner of Bergen Ave. Cox Neck Road NOTE: LOCATION MAP MUST BE ED WI H APPLICATION. NEW CONSTRUCTION REQUIRES SUR.` HE T: 1 ' PARTMENT • ' 'ROVAL A�• All - ,' ') 0 /Si7 e of Applicant l ate Received by: "CA"14-L1. SURVEY OF CERTIFIED TO:HARBORVIEW HOMES,INC:- __ - LIBERTY SAVINGS BANK,FSB LOT 3 OMNI TITLE AGENCY MAP OF ROSEWOOD TES AT JOB N0.2004-230 SI TUA / EAI FILE :JA 5U40 Q�NEW Y FILED:JANUARY 24, 1969 SCR 00N4 °q� REVISIONS:ADD ADJ. MATTITUCK WELLS/SAN.W04/2004 l' :, 4'1 , TOWN OF SOUTHAMPTON 1 w r1"`;" SUFFOLK COUNTY,NEW YORK y .iA ' ii + S.C.T.M.DIST. 1000 SEC. 113 BLK.02 LOT 14 V-4,-, 2 a. p,0�at�' 20 10 0 20 40 60 80 100 120 140 160 180 LICENSE NO. 0LAND Su • •• SCALE:1'=40' DATE:APRIL 8,2004 HANDS ON SURVEYING 46 NORTH ROAD HAMPTON BAYS,NEW YORK 1�' 11946 17- SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES TEL(631)-MARTIN D. HAN:(63 S___ -1329 • HAND L-&.__ __ _._ _ , PERMIT FOR APPROVAL OF CONSTRUCTION FOR A LOT AREA:20,502 SQ.FT.=0.471 ACRE SINGLE FAMILY RESIDENCE O�j Y ELEVATIONS HEREON REFER TO APPROX.MSL DATUM WELL TEST HOLE A7�le-o'-_.10 fi 2 AND ARE THE RESULT OF ACTUAL FIELD MEASUREMENTS DATE �' -r -S• _: N•• - �' NO SURFACE WATER EVIDENT WITHIN 300' APPROVED Iar1 J ' a 4 , FOR MAXIMUM OF 1+ B' . •MS i SA NITTAARY EXPIRES THREE YEARS FROM DATE OF APPROVAL I . .0.'.' DORSEMENTS IMPROVED �. IMPROVED SANITARY LOCATION AS SHOWN ❑ I WELLLOCATION AS SHOWN WELL LOCATION UNKNOWN SANITARY LOCATION UNKNOWN LOT 4 `' ' 01 -.---2r t:\ x uLOT 5 Z .g ip cn 89.04 - - � v wEu XE ' P ` ` ' c;.'la . o\ m . c/ � / / ED PRopOS �X 22 ` \ C/ 1r � _ \ \C Z otoN / w � u79.6'`, \$ gcV ED rTv nt pRo�_� ,KG ,Pma /, � /$, \ Zos 0019I n~mm s K /I % _ R I \\,.?„2—_ PROf� DWLA/` ' ; `11I\ 4: ris BWlaooM N,sa+, - CNBERG awam" i •ox � i. 1.14cN •-' „//il 4, „,r, - 0 E_, A � C�1 z i