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HomeMy WebLinkAboutBernard, Charles ,c 1FFOL j. ELIZABETH A. NEVILLE ,�� y1` Town Hall, 53095 Main Road TOWN CLERK y Z $ P.O. Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS ;Gy BVI? Fax (631) 765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER : O.1 sig Doi Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ,os' 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. 3252 R Residential x Non-Residential Fee $ 100.00 Septic x Cesspool PERMIT ISSUED TO: Name : 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 ame Of Owner BERNARD, CHARLES d'ailing Address 1 34 MAPLE STREET City St Zip WALTON NY 13856 Property Address 1 CYSTER AVE city St zip SOUTHOLD NY 11971 Tax Map No. section 700.00 block 9 lot 13 Cross Street OAKLAWN AVE Building Permit Number Cross Reference: gic-iegfk2 Issue Date: 1/26/05 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ilr , 7 . 252. /Or ,.., �s11FF0(�►co;G;ELIZABETH A. NEVILLE �d` Town Hall, 53095 Main Road TOWN CLERK tcia Z $ P.O. Box 1179 • AI t REGISTRAR OF VITAL STATISTICS % O Southold, New York 11971 MARRIAGE OFFICER .. y� 0�.,I Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER : Ol $�,,1 Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER . so °. southoldtown.northfork.net 8 2004 OFFICE OF THE TOWN CLERK i,� -- TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: November 5, 2004 Transmitted herewith is a copy of application No. 3394 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: v d''' iaillNiKevetta.el 77/4:1e.?„,g, r Signature ///Vo:K Dated . �'/�� eve G Town Hall, 53095 Main Road ELIZABETH A. NEVILLE �' y. , P.O. Box 1179 TOWN CLERK • : c4 _ ; Southold, New York 11971 REGISTRAR OF VITAL STATISTICS Fax Fax (631) 765-6145 MARRIAGE OFFICER 04„, 0� ��� Telephone (631) 7654800 RECORDS MANAGEMENT OFFICER I01 Jig -0„, FREEDOM OF INFORMATION OFFICER �•• Telephone 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. 3314 Permit No. Applicant Name ZOLJMAS CONTRACTING CORP. PO Box 361 Applicant Mailing Address Wading jam,NY 11792 Septic Tank p or Cesspool )© Brief Description of Proposed Construction or Alteration 2 rAm it y ©GvL//s w Location of Proposed Construction/Alteration: Owner of Property: 91C a.1✓A 14) 2 Cali.12.14-0,. 6-144-LN 4No QP-Tn,CtA 4td14 G4+^1. Owner Mailing Address:34 MA pt-E- Vr e,C&T W A l-Toni / N. t/. /9856 Owner Property Address: Cc/ STE it 4 ti 6A1 L.i 4. AT S o v i4 o c.A. Name and phone number of contact person Nlc(. Zo vv Ai A4 - 9 a9-Lt S 70 Tax Map No: Section -lop Block 9 Lot /3 Cross Street 014L,LAWn1 4W-N u A • NOTE: LOCATION MAP MUST BE SUBMITTED W H APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY W H HEALT ►,EPARTMENT APPR VAL . ./Al I /f( Or (Al1416 , . Signature ‘ \. 1 ate Received by: • r LOT ATEA _ 14,556 SQ. FT. TEST HOLE NOW OR FORMERLY :S1.1'• by ReOgn.(d Oevesione. :; -,. c LST-soo+►. DWELLING - PCA3Lic v rE R 1 Brown loam OL , Brown silty sand SA 4 Brown AT ML 'r' N 42'37'10 'E ' 80,4 ' �- IPE Pole brown floe ,. - ,at' Ito medium sand (51.8 , �� (51.6) sr ' e-Ail I Fon* _ z od, MIN r IT to c, se; I / J N 3 / ,,Ca/,o/ F sT � . 2 E CD 4 \05:/?'' —r+4, 0 7Z1 I W 19.81. 1"—N �.\ 7 Fri a Lt 58.8' r r o -< r - . Wy' rn PROP. o ", Z ,N I I o DWELLING I j` z 1 ( i3 1 garage '—I \ -► \ c r- 1/11 acovere l porch 12,- p 0 Z . C a- ) i 1 TH • oIt, rn 21 W ® VIE U.. (51.0) I `Q (51. 0) I 27.69.' t FD I S 82'37'10'Vl 114,09' FD I II MON MON existing water main (50.1) C US TER A t1 r� o ENT OF HEALTH s �vr s '17,r, 4r.:C 7C:'1'FO NOTE: LOCATION QF WATER MAINSLf..,‘`' 'A I:; ._, :ate t !�':,Y' AND ADJOINERS WATER SUPPLY BY .,- OTHERS AND ARE NOT GUARANTEED. 1(7 0/ ,, ,,, ,. -7.-- j1,-"-- ,__.:i0 ON,� 7 I.L DWELLING-PLBLIC WATER" j -- 1 117E VORRO fO:OF moir OF*W3 MD OR 0011311E11130011311E1113 ; :, ' . ;< ,i>Cr APPROVAL OF ROXP L Y, war MORN war OLIVWBEED. --__ __.__ __ IF AN THE OFPTLEI3 (OR 0111011101111)awwl HB1fC11 MOM DIE E1R1011111 s To THE PROPERTY UN011 ME POI A MEMO PURPOSE MD talc FAND iiiME Nor JOB No. 04-335 FILE No. 838 F MUM TO OUJDE THE emenvl OF RIM R1i MING MULL POOLS, PATO, KAMM MEM.SO0111O11 10 eLJLL00700 OR ANY ODER 00NR11MJOt1ON. SURVEYED FOR UNN.117.101112ED ALTEMTION OR 47001110/1 10 THIS SLINKY a A$AOL/d1ON OF MOTION Ms OF THE Mt YORK SORE EDLJLJ111ON L . %Low er,= 01010AIFD HERON 14*LL NUN ONLY 10 THE MOON FOR*NOM THE SITUATED AT SOUTHOLD sumer I P11ePAREO.IMO ON Hs I!@Y�f TO THE 1111L OL1IMIANY, ORIBINLDnAL AM'NCY JWD LOCOS MERTUnON LOPED HEREO11, AMD 10THE MORIMS OF THE LO 011101100N.ALMRm Ng NOT 1/WISPOVAILE 10 I00100010L rannnlowe TOWN OF SOUTHOLD, SUFFOLK COUNTY, N.Y. OR SAIREQUaIT MEM. a=WY MM, Jar eMMO 11!• IURNLYot+'s 110037 _EAE.oR SCALE 1" _ 30' DATE 8-12-2004 COPIES OF TH EMPOnn10 SAL MILL.NOT RE COM 11D 10 ME A ALIO TRUE OOPY. FILED MAP No. DATE CERTIFIED ONLY TO: TAX MAP No. (REF ONLY) 1000-70-9-13 DISK 2004 9 ZOUMAS CONTRACTING CORP. ' SUNRISE ABSTRACT HAROLD F. TRANCHON JR. P.C. LAND SURVEYOR , P.O. BOX 616 (lig^�'.� i.--!� (. 1866 WADING RIVER-MANOR RD. WADING RIVER, NEW YORK,.'11792 HAROLD F. TRANCHON JR. N.Y. LIC. 04-8992 88 E 631-929-4695 •