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HomeMy WebLinkAboutOrfanidis, George ELIZABETH A.NEVILLE,MMC �� .�® '-.',-`:. �� Town Hall,53095 Main Road TOWN CLERK ter "4 P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS ; ' ' .fie Fax(631)765-6145 MARRIAGE OFN`10ER ? 9� s t.Y``f.�®t` f� . � i� Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER _ '�,,ie www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD RiEgENE TO: Southold Town Building Department APR 1 a 2816 FROM: Carol Hydell, Southold Town Clerk's Office BUILDING Deo DATED: April 8, 2016 TOWN OF SOUTHOLD RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4379 for a Cesspool/Septic Tank Construction Permit submitted by: Alinas Construction for G. Orfanidis 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: Final approval required from the Suffolk County Health Department Signature Pe-/ Dated . , ,•ff.: —;. ELIZABETH A.NEVILLE -0 i;.? ,, , .:,'*IA' Town Hall,,53095 Main Road TOWN CLERK -'' .-,,' , 1,-4 % C3 ! ' '1',1"- •%, P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICSxi;t4,-;,.:. , ,rri I, ' - : ,•V 0 Fax(631) 765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICERNAn.-- ,'" 0Telephone (631) 765-180 FREEDOM OF INFORMATION OFFICER . -- ,g, ' *-,-;'.!,' southoldtovvn: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.Le 7 peirnit-No........... Applidatit Name' /(L-A,2, 6"-Q4A-4-4,,,,- . .e,__ C,C . . -., •------- ,-. Applicant Mailing Address_ .Z.4' 3 g.-4 :2 `.-C ‘ ---- -- Septic Tank „.or CeiSPOOT Brief Description of PrOposRd Construction onAiteratiOn,Ui2cle---A-i Ce-A .,... —_.-, - — -- -s.- , c...c., _ _. _ _ . Location of Proposed Construction/Alteration: , OWner Mailing Address:4, /6°(-2 Owner Property Address;—1_„a_pc?..___./Y64.5d (_; t7_,M. 1w/c ,. . _.. Name and phone'number of contact person Pi_Cdc- _c3c't.,-k",=--S _C4_3 1 ) 9.2,,.7- ..cP 3 i Tax Map No: Section,:_ 7 7Block __,.5--- _ Lot / NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. 'NEW CONSTRUCTION REQUIRES SURVElLr, •;. .. [4,..., .f;',10 PARTMENT APPROVAL 97...deidemo - Received by: ,__ ____ ._ _ ..... Signature of A lica 'i lit- Date .-, -,-,,- -,--• =- --.- -,•-•-,,77,:------r-i-,--..-r-r•-7,e--_-•..--'r.c.-..•-•-"---'",,- ,-•... ...• ".-- ; ( .. .A;,, ,-,..;,--.:.t.,-,-1,-,--.7,:;;;;;--..,-,„,..c:I-7,P;,,,-',77-_•••":;-*--,_,.,7"-,,,77-..7,7;;Ir,":',7-7,111 ---,77-77-7-'11--_-,--:-7,77";-17=--,',"',',1-i-,,-_ ,,,-!....- ...2..; -- -,,,- ., - ; i,;,.„, • , , , , __ _ ' - :• -.•'•'. ••,,,,• „',"3-2".',•,*.'_',1'--,Pc'-;-.1;,--It' --"' '' - ''',__;_ .,,..,- ', l'•-r• . 'Or" . - _ r: • ,_ ,, , '' -'r"-"-'"-"---'r7--77-'-1; c r•-••, ',.. 1"....'''P'. ..;'•-IL-I •,:" .,--,.' '''•- f" ' - '",' :-.'", ie,--, 1 ,c,i, •:.-, "1_-(.-;t--.44R:._:j.,t,1-:,*1,;21),,',.:,?,,,6,' Sg it,FIA•F-,,;1'r/l':,••-._;"-i'-',y::','''.----_--;;',_, ' -"''_ ,_,-,. .: '' Sdr ' nf"FR DWELLING Wit PROPOSF:D 2nd ST', 4 BEDROOM TC1AL DEEP. _... „„4-_-;- --; -,.„; /4,-,'4.;•-i-" r,j,",- . i,-:,- ,, , -'--;S. 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';' -' '.. 1.01.' 1 .:-''' I, r_"711'4 13-.i;,,,, r.IP I• -,' !. --; :•-t'Fpie brown•, -1,; e .r.` - '-• - '.' ••••• ,'-'-;.'- i I t '" : ' '-.;; L'•,'''';'-p- (- •-,., . :„a ., Rine sond 1.1, p.,' .- -.„ .-,-.` •1% _'' .,,.) 4 .F''. - ,T,',, ;•-1J, - ,, ..,,,;;;;,--'2";• •, •;•,. .--.,._:---• - • -" - II •f, HAROLD F- TRANCHON JP PC = - 1 .' , . .'-',_ ---'----:--,-";.1'- • -:---• ••"-•: I , .„.-,r) } i,... ,.,I• '-,' ' I•'• I' •„-4r..-,- ' ,1 •_ _ , • fr;V:j.,•:;‘••,...!, ••••- .. , -,• r,-.,--. • • • -- • .'-:t ; 1..,;.;-• ,-,-',,--,.,?„ -•,..---;;„, :•. ; , .., '•' :, 1.•-„•-.1- 1. ,,, . ,',-.• ,,,, , '•-• -r. .. ,-.. •y• •,-., .,,„ i•,-, -,-;_-i ' , `1:',1.I. - --1-:, l' ''" . -.. .. LAND SURVEYOR . ', , - 1 ... _.,, , - .•, „_-,_ ',;;,"-- - -''• 28* -" "'' • •i - --, If. -"- rr • 1%- •'' ' -'-' -- •• :' _ '- ,.' ''' • ''' I ' • ' '• ' ' i•.- .!..- .' -‘•Z,', i',. ' P.0, BOX 6'6 - r 'lF -11 .., , , ;;;1-,..,,,, ',-•3•.''''' '...,-''''-- --- ., r-' ' ' ' 1 .,"' • , :CiiiiiineCit.s::10-1;Water tncoi:intere_d '', , „ , • , ...:,.e: . ,,,:::-...:;, --1::-.••-.. :_::, 1866 WADING Rh/ER-MANOR RD WADING RIVER, -. p, 1 s, 'I . ,.,-, -11i: - FI. :',,.7 ;..• ' - .... . . . .,--- •3• ' ' ' - NEW YORK, 11792 . J i .. . ' .„---t- --1-t• -.. .t-,:',- ' -'„, -1-I2 ..,:ti 1_, ,. „ 1 ,, HARCLD F TRA .!CHLic .No. 048992 631-929-4695ON JR PEN\I• LiC, N . 2115-E .1 - "-1---- • -2,-. , . ..' --,...Z '-',,..-1,1;':. -,-,'; ,__z• i'..' .,'; . • L, : . • •,.., ,. , , . . „ _, . _9 • . ' , - ,.. 'ir, , :. ,- • ',-"--; --'-.) _ 4. , ._- .•.) „ „;-,- . . , ,„. •1 , ,, , ..• , . 1 1, _ , I 1'- 11 '' . ' 1- 1 -1 -,, ' " ,„ '1 ; -, - • 1 . p "1.1-`7''' - - '-' ' -1 1 1 I I ' ' r r •r - • •- r 1 1 - _-- -- - - - . _ , ..•., `., ''- . ' ' ' ' , , - , _ - , -,• - , .- . . . . I , " ' ' . • , . SUFFOLK COUNTY DEPARTMEMT or HEALTH SERVICES PERMIT Fon APPROVAL OF CONSTRLICTION FOR A - . _ _ I SINGLE FAMILY RESIDENCE 1DNLY -- , , • Abandonment ccar,irtils sg_n_cl.nry system must' be in PAR 3 0 AN k. comibrinanzo vi*.iLii dr,f,r,ir..,',.nicilt TeclCiy,,nnV,Submit DATE 1:,5 'iE7 No Rics-itc-ooa completed fora-,IVIATIVI-g0 as proof. i APPROVED e_ACUAAAA-QL.Ael/ta4-4.49., , 1 1 FOR IVIAM:Ilii OF 9 BEDROOMS - !EXPIRES THREE YEARS FROM DATE OF APPROVAL , . - -- - . - - , .,. SarTliterY SYCZ..".n t40 ba . ' I . - , , 1 iFnhstelled exact,as chown on approved survey. . . , . _ ._ , . , op -_ , ... 1, .• . .. . ... , 1 - • L, ! . I 1 .• - 1 . ' 1 , _ _, ,_ /•z , _ ...; ‘ . . I s , '-- , i - : • ; , > •, -. - .„. ,...,_, 1r •- I I, - ; . _ . . •-. , , , ' . , ' „, , , 1 I ,. i. „ - EXCAVATION INSPECTION REQUIRED , _ ____- . ,--- . 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