HomeMy WebLinkAboutZoumas Contracting Corp (10) . ELIZABETH A. NEVILLE �` � Town Hall, 53095 Main Road
'DOWN CLERK t V) Z $ P.O. Box 1179
REGISTRAR OF VITAL STATISTICS O Southold, New York 11971
%MARRIAGE OFFICER �yiJJ ir/ Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER : Ol � `1►�,,iTelephone (631) 765 1800
FREEDOM OF INFORMATION OFFICER ,0 "� 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. 3281 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
SINGE FAMILY DWELLING
FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT
Name Of Owner ZOUMAS CONTRACTING CORP
Nailing Address 1 P 0 BOX 361
City St Zip WADING RIVER NY 11792
Property Address 1 THE STRAND
City St Zip EAST MARION NY 11939
- ax Map No. section 300.00 block 2 lot 71
cross Street THE GREENWAY
Building Permit Number Cross Reference:
Issue Date: 2/01/06 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE ��� yd% Town Hall, 53095 Main Road
'TOWN CLERK i va Z ; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS :`Oy �.F,'�1� Southold, New York 11971
MARRIAGE OFFICER Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER \.01 * `1►aOi��/ Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER .....••'°°� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
JAN 2 0 • TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: January 20, 2005
Transmitted herewith is a copy of application No. 3425 for a Cesspool/Septic Tank Construction
Permit submitted by:
Zoumas Contracting
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: vir- — -41.F, �
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Signature
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Dated
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ELIZABETH A. NEVILLE ,``�` �y Town Hall, 53095 Main Road
' TOWN CLERK ' •
P.O. Box 1179
Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS v. �►� i
MARRIAGE OFFICER O •F' �� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER `--- ��/ Fax
(631) 765-1800
FREEDOM OF INFORMATION OFFICER - �'� " ���'��'� 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 X or Non-Residential @ $25 Application No.3`125
Permit No.
Applicant Name ZOUMAS CONTRACTING CORP.
PO Box 361
Applicant Mailing Address • Wading RAF,NY 11792
Septic Tank y' or Cesspool
Brief Description of Proposed Construction or Alteration
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Location of Proposed Construction/Alteration:
Owner of Property: Z,p v.M/1-S 6)M7i2,4•4 4« 611.?
Owner Mailing Address: p.0 Q o 3 6/
6i'4410/Nc. RVIA. Al.V //79 7--
Owner
—Owner Property Address: 'T'/-4 C 5.171,A-i-'O /4-T Aa-c. I r'4 4Mo
Name and phone number of contact person /V i c4 a c -5 - 9 GI-y S 7 0
Tax Map No: Section 3 o Block ". Lot 7 /
Cross Street 77-1G Gtie ed.)CN
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH H.. TH DEPARTMENT APPROVAL
-411111.111.11114/ / 3 9 r
j2)6,0 Sign•ture of-A.71 ' t Date
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