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HomeMy WebLinkAboutStekardis, Angelo (2) SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3298 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : ANGELO A STEKARDIS Address 1: 2805 WOODCREST COURT City St Zip PROSPECT KY 40059 Descripton of Proposed Construction or Alteration SANITARY SYSTEM FOR SINGLE FAMILY DWELLING. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. REF #R10-04-0045 Name Of Owner STEKARDIS, ANGELO Mailing Address 1 2805 WOODCREST COURT City St Zip PROSPECT KY 40059 Property Address 1 39595 MAIN ROAD City St Zip ORIENT NY 11957 Tax Map No. section 15.00 block 8 lot 16.000 Cross Street PLUM ISLAND LANE Building Permit Number Cross Reference: Issue Date: 5/18/05 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) r •• 3,g9 o; 3a1 ELIZABETH A. NEVILLE �� y� Town Hall, 53095 Main Road TOWN CLERK t y = P.O. Box 1179 REGISTRAR OF VITAL STATISTICS ,,� Southold, New York 11971 MARRIAGE OFFICER �4, 0. I Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER 0.1 * `�►1,., Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ,0" southoldtown.northfork.net OFFICE OF THE TOWN CLERK 2 5 TOWN OF SOUTHOLD ; 3 TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: February 25, 2005 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 3440 for a Cesspool/Septic Tank Construction Permit submitted by: Angelo A. Stekardis (RLB Construction Inc.) 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: Signature Dated ���lo`p8�FF04,: ELIZABETH A.NEVILLE ,,�h`1` ,Town Hall, 53095 Main Road TOWN CLERK ; P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER : O AtI Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER .. * a�00� 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 / or Non-Residential @$250 Application No. 3 V9 Permit No. Applicant Name I1 N( o A SA CO Applicant Mailing Address 2-90S W000citts-r (vet , Rug e c i K your R Septic Tank ✓ or Cesspool Brief Description of Proposed Construction or Alteration TLJr ‘54-hr y Pq'Y) &lig llin Location of Proposed Construction/Alteration: Owner of Property: A Ot/cw Tzici,2.os Owner Mailing Address: 20S Wono CiZ S1 Co,�rr-r P .osfte- . KY to�►5 q Owner Property Address: 3 q5 q 5 Moir)r) (n W • Ori°rte , Ny Name and phone number of contact person kU ( d n n l•i(u C-h oN • 51 I�•'ii a 9-!71.P.. Tax Map No: Section b15..0 D Block in ,0 0 Lot 0 , O D Cross Street 1.u w1 i s c_A,v G, NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL ,--. )4 , Sia SignatGre of Applicant Date Received by: -P/tiri.-esip 1INI-.cT 17£3 - , L or 179 I�`' 1 w ©. 80 , �/ I 6.h ( 2>%� ( ,, '� v _ rt. ,r yr ok,En1T By rHLL .Sfr.,N. - 6g.-c.. 3 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES v PERMIT FOR APPROVAL OF CO N F!OR A a` SINGLE FAMILY RESIDENC i Y P tit ,44' DATE /v/ V .HS REF.NO. ' O-OY eo .r , .� EDWIN Id r4 4' APPROVED I / _ _ /ki/4�4_ —s��lw2""- 21_ 1 * F s-MMAXIMUM OF lit ` • •• ` I. EXPIRES THREE YEARS FROM Mat •I APPRQV ' _. Vii. p1 �a 4•E I06,•87 , Prey �� C�1 #..1,..•ISA J s-`,06 . TBSTH0480ATA ..cif:( ! !a ","'AP - PLEASE NOTE p. . 5y,G , Oste: 11/19/03 Se O ,J o E A�EA I ie the applicant's responsibility to Dark brown loam nL f� _---_-- _ ; 19,�3t .F. CLi Ston adequate sanitary distance Brown silty sand B» °' "� O. 44•±AcI:E4 etween all water supply and sewage isposal facilities. V Brown tine to coarse mad SW 1 I• -------- 10.6' 7 Q r- ! Water in brown line to coarse sand SW , I • 1 17' ? 1110 'I W s J vl FF=170 11 ,, t, J 3 J+ C>F- I!o•O vj�hh ki. 1y(te W f.N,� 3s.o wi II, . Zo I z 7 ,h• h 4.7 1 -7 E rag:: ��� ° yfl w 41 t`E5• h47:.6" 7N x :0 ki 25_ 31 .00 41 _ �0 J ".C4 a� I X11 f0. Ot- je 111. ►STS 1 P�Y� 44 .87 e� Pvp �" w`•w 3 • \\_______:__________e40 Qul - • 6,..•,`•` rW��V / oc.,' © T ; 6 /GG vJ IDE) 10.3 f � �.� /i A ~ �o _' /0 • fi°rt go Q,e.. /� M ► s div f,,o•o 0----t Vii K �� sed ,, . fag . _.t 1 16° IPLAVCIWATION -11ASPECIM3 `Ab ii V _� 12 wic.�.s O` 2064 , "1 folt6. ./ I SURVEYED: tsI4v. 13, 2.003 TAX MAP I o©o - 015.E _ ,� ,�;► + _ a110.acs© SCALE : I : 40 7.2 ! ...................................................k..., MAP OF PROPERTY SITUATEAT. ®SC.I ENITUNAU!THORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A , A N D OLKT ON OF SECTION 7209 OF THE NEW -� O V' S1J YORK STATE EDUCATION lAW. ? TOWN Q F: '.. o v'I-�{o D cod'�•G e T' e/4 kfi . COPIES OF THIS SURVEY MAP NOT BEARING THE IAND SURVEYORS INKED 1 Q' I' SEAL.OR EMBOSSED SEAL SHALL NOT BE I �,) t . 3 CONSIDERED TO BEAVAI1DTRUE COPY. C Q U NTY O F: u F Fo L k-1 E.bJ y0 g- 2.7 c„ I ' 1 y GUARANTEES OR CERTIFICATIONS l INDICATED HEREON SHALL RUN ONL.YTO ' THE PERSON FOR WHOM THE SURVEY IS 21 BEHALF TO THE MAP OF: Dcsc . a��il� TITLE COMPANY.RED.AND ON H�GOVERNMENTALLeo�[,�T� AGENCY AND LENDING INSTITUTION �I` �o O50OaOUSTED HEREON,DING NSTITIUTION FILED: GUARANTEES R CERTIFICATIONS ARE f�a NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. NO PHYSICAL EASEMENT ON PROPERTY UNLESS NOTED. RECORDEDEASEMENTS CERTIFIED ONLY TO: OR RIGHT OF WAYS. ANY NOT SHOWN. ARE NOT CERTIFIED. ANIC7ELO STEk.°'2U15 WALLACE e BRYAN ALL STAsTE. Ai3) -reRL7- CORP, LICENSED LAND SURVEYOR 39 PAULA TA AVENUE . BAY'S*Nil 1170E a ( 047W 0 0. m