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Home My WebLink AboutCocheo, Anthony ' O�OS�fFO��-c OG ELIZABETH A. NEVILLE �� yj Town Hall, 53095 Main Road TOWN CLERK y Z P.O. Box 1179 REGISTRAR OF VITAL STATISTICS O � Southold, New York 11971 MARRIAGE OFFICER y � �� Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER O! � `1►a Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTiiOLD WASTEWATER DI5POSAL PERMIT CONSTREICTION QR ALTERATION PERMIT SEPTIC TANK Or CESSPOOL Permit No. 3246 1� �esidential x �or.-Res;dential i=�e $ 100.00 Septic Cesspoci x r'�RMIT ISSIsED T0: Name : ZOUMAS CONTRACTING C�RP �ddress l: P o �ox 361 ��ty St Z1p WADING RIVER NY 11792 oescri�ton of Proposed Construction or alter�tion *,ING�F FAMILY DWELLING ��aNAL APPROVAL REQUIR�D FROM THE SUF�OLK COUNTY HEALTFi LEPARTMENT ��ame Of 4wn�r COCHEO, ANTNONY & LUISE ------------------------------ ��ailing Address 1 2190 STARS ROAD ------------------------------ ------------------------------ r1�y $� Z1� EAS� MARION NY 11939 -----�--------------- -- ---------- :}r�opert�, A�dr�ss �. SAME ------------------------------ ------------------------------ �y;ty st z;p 000a -------------------- -- ---------- �'ax �iap �vo. secti on 220.00 bl ock � 1 ot 22 ------ --- ------ t;'ross Street RQUTE 25 ------------------------------ �,�ild;ng p�rmit �umber Crdss Reference: ��;`t�t� '�.,�r�'t�' �� ---------------------------------- �ssue aate: 1/26/Q5 Elizabeth a. Neville -------- Southold Town Clerk (TOWN SEAL) -- - -- -- . , 3�� r • O��S�FFOI,�cOG ELIZABETH A. NEVILLE � y� Town Hall, 53095 Main Road TOWN CLERK v�a Z P.O. Box 1179 REGISTRAR OF VITAL STATISTICS O � Southold, New York 11971 MARRIAGE OFFICER y • �� Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER ��l � �►aO Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD ,i � n;,,"� 2 6 'LvU TO: " ' Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: October 22, 2004 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 3388 for a Cesspool/Septic Tank Construction Permit submitted by: Zoumas Contracting Corp. for Anthony * Louise Cocheo Please review the application and location map and advise if this office may issue the permit. Please complete the form below and return it to me. Thank you. * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: � APPROVE DISAPPROVE Comments: .�� , ��v C:..e�'"�G � Signature �"� Z�_ � � Dated � � t � � � qyOSu�FD(�►C ELIZ�ABETH A.NEV'ILLE ti`�` �G«y� Town Hall,53095 Main Road Tp�� , P.O. Box 1179 y �e Southold, New York 11971 REGISTRAR OF VITAL$TATISTIC3 v Rt MARR.IAGE OFFICER '��, � �`� Fax (631} 765-6145 RECORDS MA.NAGEMENT OFFICER �Ja �� Telephone (631} 765-1$00 FREEDOM OF INFORMATION OFFICER 1 � �` southoldtown.northfork.net 4FFICE OF THE TOWN CLERK T4WN OF SOUTH4LD S4UTHOLD WASTEWATER DISTRICT APPLICATION C4NSTRUCTI4N or A.LTERATION PERMIT CESSP04L or SEPTIC TANK � � �� Residential @$10� or Non-Residential @$25 Application I� , Permzt No. Applicant Name Z4uMAS CONTR�4CTIN6 CORP, Applicant Mailing Address , ' w�,� w��_ Septic Tank ar Cesspool Brief Description of Propased onstruction or Alteration � �r �. �,�uc.� ' � Lc�cation of Proposed Canstruction/Alteration: Owner of Property: �w7`�N,��vI St C oG,EI�� Owner Mailing Address: c'�/90 S r !� M r� Owner Property Address: �Ti4R.,�i�A�l!S ��A-�T M�Q R.�o� Name and phane number of contact person 'SoNn� o ti N+ctc �au�A-� Ta�c Map No: Section ?Z,• Block � Lot 2 2- Cross Street �U�'�. c�.� NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH TH DEPAR.TMENT APPRUVAL 0 2 �y Sign e of Ap Da e ^��Pived by. ��G�-/ / z z- o`t� .. ... . �., , :, � ... ,... . .,. ..:. �'f I hBiii il I .. .� .,... ..m.e+a.a:... iii Y f i Wn u f� i� �� r�iu`f uuy i��W��a�rk�m •s �e� . ...�e�eol m� . ... ..., . �r�maa.� a : . ,. . . . �l3�l�llVl11 �i ��e�a ��_ u �....r. �� a � � u--i�9o��l4�!w�w�Wa+w��r�sw+,�a _ �o_ �„ ��, a,��d:u� ai��i��.iu�uu,,�s��ci��,.�+r1��r�Vu.��'1r.l.lr � , I SU��Y O� LOT I� N � M,�i� O� SOU1�GI�ST Y�lO0I7S S�GTIOI�I ON� �. W � � E �iL�n .�u� a, ia6a �it� �o. �3i� �at �� 51 TU�T�: �ST M�RI ON � TOY�I: 50UT�01� dwelling S JVI T 0�7� IJVV� I 1 � 1`l 1 � �e� 3� � „ ig8.23 ��.:;�,��. fl SURVEYED 02-24-03. � �9�42�� ' `� ``'\"�� \ � �•r PROPOSED HOUSE 06-21-2004 � � 'ic 1�� 9 HEALTH DEPT. REVI510N 10-IS-2004 �9- We�t �, � - -- _ -i �`� � �9- SUF�OLK GOUNTY TAX # O� �. � -- -- �� 9 O 1000-22-4-22 + A� e1 3p __ ____-' - � �� < SU��OLK GOUNTY DEPT. O� 9 e�.3�' -� ho�e --- -- (� 9 � 9 HEALTH SERVIGES # RIO-04-OII� -s � �� , �� ' Q �" 9 -� W � C•, �i • yy O � �v �,',ERT�IED T'O: °� � �� 5 3 �hicago�itle Ins�e CompanY � � �s o L° 1� �� 5O `� 9-s , � . � 0 � �o �an� � , �s o Q � � � � � N Va .. �A , � 9 -n � ,� „� 4G � Q � �o „ i 5T• , 9 ,-..� � � �, . - p � c:_::s � pPOggL1 1 t.. = 1 �.A �SoPY.iG � C".-7 . . . � 3 P�oPdrSv WQy 35 __ _ � � . .. � � �� __ Tes� "Hole j � ►� 1� __----� el.3r � NicDona Id � � � �i �ild'�n9_e^ve�oP_e_ -'' /�/ aio�9 Iine o -L 5%26/Z004 8 '_ - ' - N' enLe W�� P `� � + L�.1 Bro o� Loam � / r= a-o..� g. �9- ♦QQ + t,-`- si� sr+ 1�yC� �m / �(��,(��11w iQ7�� CA 3.5' V` \= ,(�04?/ T� � Pole �� el.3�� ero�� + �� Fme 9 e�.3�' N �:� , ro � �' N d�,,1e I I ing �� _a � ;� Lot �(� W�w �� - Fxwel � W� o._....�...�,_...__.,......,. ,_..�. _...,� .,��s Cr.��r�t �i::V{GE5 i� � t"J�Y1��.��.�`r�fRt� }��i`!1h�'di��t� Y �r � � PEFc��ff7 �OR APPR01�'�.3.�F C•Otd�i�I.tii:~:CiF3 �OFt l4 .� -�y SINGLE �AE.4i�Y �E�IL?EtvCr v��.'}..'!` O � 'uw�tMrizoa o�[erotron or mallon to o wrvay l� � 9- `�.f� [] L /''� ��\\j —C y - 11 I,� �v r o.,�y a iee�e ia,e�yay�ai i�a � ` vblat On o(sectbn 1309.sW-dMibbn 3 of Me � lbr1 YOrk$tule EducOtbn Law.' 'i 1"3�'i'� �: �- 1�9 ��'.r. 11�P r �V• � � 'Only eapbe from eM aigknl ol Nb swvey NOTES: '6 � N /� �—^�t\�''� ��d.�w m a��o��,d�.e�� I �� [�Y\ ��G1` �-^r� — a�aryae eeai einn be �m�ee w be void tr�e � , � � �a��L ��• i •ce��xKouo�s�a��ee ne�oo�e��ry uo��is p PIP� FOUND �� f: �',�lA?�4"r.^�'i.i 9F �_,_,,,,_B��QOM� �»y^�PreprxedY�occmdacewl4+Nae� � yu,g code or r.�iwe ror�a,e s�.�y5 oeooiee ' by fM Nen York State Aesxbtbn af WoleS�io%1 � � Lwd° eyora. 5aM wrtNKotbm eho��rvn rnly � ' b Un parson Iw nMm the eurvey ro pr�ed, Ili EX�'1i�ES i 4iFi�.L-;`�'EI�R5 FROWI ��i�E QF APPROVAL �;�y�'��,b��e�� fi �� ELEVATIONS RF�ERENGE SUFFOLK GOUNTY TOPD MAPS � b Ihn assk�neea of Ihe IeMing blMu[bn LerGf¢o- �. �wn o-e ro�✓�n�a�e�e m mm��i�snw�w� AREA = 20,5�0 sf or 0.4� acres JOHN C. EHLERS LAND SURVEYOR � 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 GRAPHIG SGALE I"= 30' RNERHEAD,N.Y. 11901 369-8288 Fax 369-8287 REF.-\�Ip server\cnPROS\03-129.pro �„�. s,�,� , ..,.,..,��,�,-�r , "�