HomeMy WebLinkAboutMeshover, Stephen ,
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ELIZABETH A.NEVILLE �'i oG# Town Hall, 53095 Main Road
TOWN CLERK o P.O. Box 1179
H Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ` 1 Fax(631) 765-6145
MARRIAGE OFFICER �,
RECORDS MANAGEMENT OFFICER = �p #„0” 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. 3220 R Residential X Non-Residential
Fee $ 10.00 Septic x cesspool
PERMIT ISSUED TO:
Name : ZOUMAS CONTRACTING CORP
Address 1: PO BOX 361
City St zip WADING RIVER NY 11792
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 #R10-00-0182
Name Of Owner MESHOVER, STEPHEN
Mailing Address 1 8701 KENMORE COVE
City St Zip ORLANDO FL 32836
Property Address 1 965 OLD ORCHARD LANE
City St Zip EAST MARION NY 11939
Tax Map No. section 31.00 block 7 lot 17.000
Cross Street MAIN ROAD
Building Permit Number cross Reference:
Issue Date: 9/02/04 Elizabeth A. Neville
Southold Town clerk
(TowN SEAL)
,I•,�O�OS11�F0e0;1/4
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ELIZABETH A.NEVILLE tG'j ` Town Hall, 53095 Main Road
TOWN CLERK H Z P.O.Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER Vy 1. I Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER ;'�O( .�� ��� Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER ,��� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
AUG _ 3 TOWN OF SOUTHOLD
TO: Southdlfl Tevdn Building Department A
FROM: Linda J. Cooper, Southold Town Clerk's Office
(.k
DATED: August 3, 2004
Transmitted herewith is a copy of application No. 3361 for a Cesspool/Septic Tank Construction
Permit submitted by:
Zoumas Contrg. Corp. for Stephen Mishoven
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
a6,4„ 02.j 421eNo c,G
Dated
A .
N
rib. . /•„i ofF04,
ELIZABETH A.NEVILLE 114/ �4 Town Hall, 53095 Main Road
TOWN CLERK � S P.O. Box 1179
jigi4��
REGISTRAR OF VITAL STATISTICS et)
Southold, New York 11971
MARRIAGE OFFICER ".V'O Fax Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER = "'� a0�'0 Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER =.'0� .0southoldtown.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. 33C,/
Permit No.
Applicant Name Z 0 i1 tuts (JO+•- 'r,k141 6-itf)
QQ
Applicant Mailing Address f,0 P Oho 3 6 /
(piaDi ' -- 11 V P./ . 1 / I7gZ
Septic Tank /XI or Cesspool
Brief Descr ion of Proposed Constru�tAion or Alterat' n /l
2 lel) 13v-142-
Location of Proposed Construc ion/Alteration:1II,,
Owner of Property: 5 h0/✓ /14 ki 0 lJO--
Owner Mailing Address: 6370 1 o,.it_ 6) v
d 0--4 J L° e`--k0 4- 3 1 g 3,6
Owner Property AddressNo 01.-f) 0 ILG@iA-a J-, -2--
14Coj\)
Name and phone number of contact person
Tax Map No: Mkt/
Section ? / Block 0 7 Lot /7
Cross Street /✓ f
NOTE: LOCATION MAP MUST BE SUBMITTED APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY/ H HE, 0 'PARTM L. APPROV
P// oy
— 3
I�llb:•- of A li
= pp can Date
Received by: (,(,,,,,_____9
SURVEY OF
'LOT 182
MAP OF
GARDINERS BAY ESTATES
SECTION THREE
OQ"�(jl FILE No. 5063 FRED APRIL 24, 1968
40- SITUATED AT
7D. • EAST MARION
lll• �. L TOWN OF SOUTHOLD
QC
23.5 p SUFFOLK COUNTY,. NEW YORK
t#,Xt.Q �� aTd 69,0 S.C. TAX No. 1000-31-07-17
ea\e p� `17 p� SCALE 1 =40
e. 0 \-- Or �� P JUNE 9, 2000
'�. \r \\\ ,,,1� PAUGUST 19. 2000 REVISED AS PER S.C.O.N.S NOTICE DATED 8/10/00
55 60 (C, \0a 1A ,1.0. $ \•�01 SW SOI. L P'' g OCTOBER 13.2000 REVISED PROP.SEPTIC lTaIEM
g',\ 6jc e\\ 546: p Qe
g 0 Ap d�` ` `� 05 7 ¢ AREA = 23,746.84 sq. H.
O'.00 j^� ,,�r��� '0 /-� ( 41 A 0.545 oc.
y>�oQ *w \a� , \ 182 •.,d
- /i3J��DVpPF� tIOt O ` CERTIFIED TO:
gST9p F It
/ // j \ 0 p TITLE Now RH8000 1661EALTH LAND RLE INSURANCE COMPANY
-6 ,o N \S O 9 0•. fy� 9�,% o. p. STEPHEN MESHOVER
.40 #P,- d 6'`- / \ 135 P SUSAN 8. MESHOVER
'd . S.- N / ,5,6 ///1//
3.
4 ___1
2 / 'S arc=
i• :'21.' ,, _ 16.1 ' fT^6• 1.ELEVATIONS ARE E TO All MAWR 061W
1 _
Y1• COSTING kIEVAiIOIIS ARE AMEN TMS 10.0
9 �' Q l'3� ,a. dl��/ 2.07th TO PAID MAP FOR TEST 401E DATA.
hO '1 '.-_ �"31� / I S YNRNM SEPTIC TANK CAPACITIES FOR A 1 10 4 ELROW Ig05E S 1.000 GALLONS.
EP
�� ��. '• - __ _ 4.MOW LEACHING 510104 FOR A 1 TOE 4 000Y 10115E S 300 F ft SIOLVIALL AEA
-� _F 2 FOOLS;0'DEEP,r sa
I'S.O:. - - MVO=E2PMMA POOL
•
�C7 / VyE \�y ,RO.D0E9 MACAW.00.
-A"NRS - /" `�.(P.+\\ TSS ®POMPOM SERE TANK
�1"-• o t V S.11E LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FO04 Ansi
O ORSEINATONS MO/OR DATA MATED IRON OTHERS.
/ 150'
.� !"0OPF PLEASE NOTE r- o m
150 *c7 41.x.
11CIWSW
-it is the applicant's responsibility to j E STAMM FCR WE `�
19]. 1111E Al�W10R1 (�1ANSiO .
I, stolx oocrNn DEPARTMRNT of HEALTH SERv[CEs maintain adequate sanitary distance , m o MT- .
` • 4 0 PERMIT FOR APPROVAL OF CONSTRUCTION FORA between all water supply and sow=A. :Oil
obtN ti i£ ANGLLE(FAMILY a�SIDEPNCE OON/LAY disposal facilities. ; t 9\�;rc 1 �'
o DAFri
TE IV•-� liS .,,. D r _Am � lJ 1� -SCI: _� %CJ
7 - 1 - 7: C11
r APPROVED '' I .n .. ' �,} -7.---.." .. =1
MAXIMUM1 '6(% Les LwCNo. 49668
FOR �4:,414,,,.1WARTIME°ALIENION ON MINI/
10 NOS SURVEY S A MOM OF
SECTOI INIL Y YOLK STATE 3 N.,
EXPIRESTHRFEYEARS FROM DATE OFAPPROVAL �,�„E ,kP,�R�,� J, seph A. Ingegno
z' M'A'M"'�"�SOL IR Land Surveyor
'af ..••-.•• a TOLE®WD HO i E OOIOOfld
A °ERI690648 MEM 10®1 MM.NM
ONLY 10 11E POISON FOR WM M>A0065
B TIMM ANO ON 14 MALE 70M
4 "imu MOINES9RwwEt'4°'No Ado Survey!-Subdivisions - ELPM N F - CONNNA-6o1 Wo1A
10 WE MOINES OF INE LEJpR RS11-
Wlldl.CEIIINGONN ME Nm 1WVBEAABIE_ PHONE(631)727-2090 Fox(631)727-1727
NORTH LANE
11E EXISTENCE OE NOW E WAYS OFFICES LOCATED AT NMl1C 5000055
ANO/OR EASEIADRS OF WOW.E
ANY.NOT SHOWN ARE NOT O11M1AANTEEO. 1380 ROVOOKE 54011E P.O.Box 1931
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%VERHEAD•N»Yak 11901 Rivwhood•Nor Yak 11901-0965
20-32