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HomeMy WebLinkAboutGoldner, Eileen die OFF04„.1/4 ELIZABETH A. NEVILLE t y-.4 Town Hall, 53095 Main Road TOWN CLERK t y 2 P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Oy Pr,•t Southold, New York 11971 MARRIAGE OFFICER Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER =�01 * `1►aO, Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ,,, ,�i" ���' 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. 3243 R Residential X Non-Residential Fee $ 100.00 Septic x cesspool PERMIT ISSUED TO: tame : ZOUMAS CONTRACTING CORP. Address 1: P 0 BOX 361 City St Zip WADING RIVER NY 11792 Descripton of Proposed Construction or Alteration SINGLE FAMILY DWELLING FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT Name Of Owner GOLDNER, EILEEN mailing Address 1 26 EDGEMERE ROAD city St Zip GARDEN CITY NY 11530 Property Address 1 JENNINGS ROAD :qty st zip 0000 LL-ax Map No. section 540.00 block 7 lot 3 cross Street HORTON LANE Building Permit Number Cross Reference: . ??,,,,./4, Issue Date: 1/26/05 Elizabeth A. Neville Southold Town clerk (TOWN SEAL) _ el' 4,,,0004:.,%,,,m ' 32--'T.) .ELIZABETH A. NEVILLE �� d` Town Hall, 53095 Main Road TOWN CLERK t yP.O. Box 1179 t Z REGISTRAR OF VITAL STATISTICS :O �',t Southold, New York 11971 MARRIAGE OFFICER 1. W i Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER ' cO! * 4. 0 Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER .. , ,•i" southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD 2 TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: October 20, 2004 Transmitted herewith is a copy of application No. 3385 for a Cesspool/Septic Tank Construction Permit submitted by: Zoumas Contracting Corp. 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: ..I ) # i- . _- 21 (4e407 el •••• Signature Dated N �,. pv COG ELIZABETH A. NEVILLE �•��`Z` y Town Hall, 53095 Main Road TOWN CLERK % q ..; P.O. Box 1179 ti Z ; Southold, New York 11971 REGISTRAR OF VITAL STATISTICS % w ^t MARRIAGE OFFICER : G 1� Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER ‘``y/o a0.0 Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER 1 �� ���' 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 70 or Non-Residential @ $25 Application No. 3 3 Permit No. Applicant Name ZOUMIAS CONTRACTING CORP. PO Bons 381 Applicant Mailing Address Wading River,NY 11792 Septic Tank / or Cesspool Brief Description of Proposed Construction or Alteration d ,-y D4 . Location of Proposed Construction/Alteration: Owner of Property: S.STQ.�. �r o kC..LDNQ/t-- Owner Mailing Address: a , g D fvn6 RG RA D CAR-t.61- cyr/ N.V. Il S30 Owner Property Address: J¢N N,N -..s )20 AO Name and phone number of contact person 'goy fa L✓nAJ3 9d 9-4S7o Tax Map No: Section $'y Block 7 Lot 3 Cross Street i-A,Pro n.) L4NE• NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEAL,DEPARTMENT APPROVAL — 0/2..csi Signature f Applic� Date Received by: blid/ii____:-.. • LOT AREA k' 20,66ySQ, FT. NOTE: LOCATION OF WATER MAINS AND ' AOJOINERS WATER -- : .- ANQ ARE NOT GUAR'ISS LR COUNTY DEPARTMENT OF HEALTH SERVICES • PERMIT t<OI PPROVAL dy��F(CON�T UOTION FOR A , � :r k�.'l.iv �,e >!2�,5I?�?rNC1t',©1�r1LrY 'v- g0 - 04- " 14 DATE /% H� I{. 1�1G APPROVED _ ---- --- . DWELLING RMERLY C. wei WELL - GREATER NOW OR FIS 4�pA�CIb'�;y1�7F��I3r,DROGMS DWELL NG - WELL THAN 150'FROM EXPIRES THREE YEARS FROM DATE OF APPROgilli PROPOSED SANITARY SYSTEM \•5P - Fro N. 48°53'40" E. 135.00' PIPE 1�� (38.51 .b FD '�95 ito it LO 1 � K 1WWFOLE 15D'to Wail .4 IAn ncg� MAP OF •: •- -, HILLS well 50' 0 0'- Topsoil a / 5. ,__. ' Loom - I s.T; SO/0 NV/ Sand J M W • I ' zt cc co 2 CD 41'1 ChpG ZJzJ • G fr OW OW -J i + ? OD 35t �; w Z. «1 o .4. i;-.) 0 In r a• I§ wl Z al1- -- z 46': 'w"� 0 T.H Q) aI d FD. 1 a O PIPE . (40.7 1 (37.6') PIPE 145.00' I '_ . 48'25'00" W 135.p0' __._ _Q%istl g ^water moan _ _.._ — -- — — JENNINGS 6 ROAD °► The existence of right of ways and or easement:, A o h of record, if any, not shown are not guaranteed; c N.) 'r— LOT NUMBER 7 LOT NUMBER 6 DY, c w011 DWELLING- WELL VACANT Q r Com- •.. NPFEErs (OP 0 MENSIGNSp GUAkANTEES INoitAIto ,,....,... JOB NO. 04-2(2 FILE NO. ' OANRI` S MOWN HEREON PROM Tie $HA11 RUN ONLY TO THE MSC* !T1OCTURETt TO THE PROPERTY POR•WHOM T}iE SURVEY IS PRs SURVEYED FOR 1I ARE POR A Ip tPic PUR PARED. •AND ON 14Ib REHALP i OSE AND UN AND THEREFORE THE IMO'COMPANY, DOWNPOURS LOT NUMBER 4 NRE NoT mew TG GUttz THE TM AGENCY AND LRDNG K4 TI MAP OF OAKRID.G'E HILLS MICRON OF FENCES. RETAINING TUTION LISTED HEREON, AND TC MINA GOOLE PATIO* PLANTING THE ASSIGNEES Of THE ,LENDING ' yy(�A��,, ADOfIION TO Slit/DINGS INSTIJUTION. GUARANTEES Alit GRAbfITOTilatC10P151AliCJlOP1 PiOT TRANSTERABLE TO ApOmONAL INSTITUTIONS OR .I U UEQUEN` SITUATED AT SOUTHOLD fMAUENORMED AsTIRATION OR OwNEU ,. 4101AWOMON 110 71D1t OP T suavTY A TOWN OF SOUT( 0LD - SUFFOLK COUNTY, NEW YORK S�RON TED? W CO . .COMMOF THIS SURVEY MAP NOT MI MRII KIRI STATE 0UCATIQM BEARING THE LAND SURVEYOR'SMAL INKED seat OR EMOOSSeo MAL SCALE 1" = 30' DATe 6-1-2004 SHALL NOT OE CONSIDERS) Try BP a wit,"'mt,r,er- FILED MAP NO. 3355 DATE: 4-30-1962 GUARANTEED ONLY TO ZOUI4tAS CONTRACTJNG..CORP, _ ' TAX MAP NO. IOOQ - 34. - 7 - 3'. (REF. ONLY) DISK 245 .>lt•ISE.ABSTRACT L,L.C. -. ' L HAROL n.r. F. TRANCH d ..1R P.C. LAND SURVITOR 1.1 (-1 ..�- 1866.WADING RIVER-MANOR •RD. WADING RIVER,,,,AS F ,"--,47,9„ NEW YORK, 1 1792 LIG. NO. 048992 ' 'HAROLD F. TRANCHON JR. PENN. Uc, NO. .21 15-E 516-929-4'695 Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 10/20/04 Receipt#: 0 Transaction(s): Subtotal 1 Septic Permit- Construct- Resid. $10.00 Check#: 4857 Total Paid: $10.00 Name: Zoumas, Contracting Corp Pob 361 Wading River, NY 11792 Clerk ID: JOYCEW Internal ID: 101364