HomeMy WebLinkAboutPappas, Theano (2) L 1
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ELIZABETH A. NEVILLE 10 �"� l
Q ; Town Hall, 53095 Main Road
TOWN CLERK ; * * , P.O. Box 1179
REGISTRAR OF VITAL STATISTICS G Southold, New York 11971
MARRIAGE OFFICER . 1 Fax(631) 765-6145
•RECORDS MANAGEMENT OFFICER ` 4 ��y I°,, Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER = �OUnI�, °II 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. 3328 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : YOUNG & YOUNG
Address 1: 400 OSTRANDER AVENUE
City St Zip RIVERHEAD NY 11901
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 #R10-04-0056
Name Of Owner PAPPAS, THENO
Mailing Address 1 1 LORETTA DRIVE
City St Zip SYOSSET NY 11791
Property Address 1 NORTH ROAD
City St Zip GREENPORT NY 11944
Tax Map No. section 33.00 block 5 lot 14.002
Cross Street MCCANN LANE
Building Permit Number Cross Reference:
Issue Date: 7/08/05 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
gi S0045,"
ELIZABETH A. NEVILLE ti0 4 Town Hall, 53095 Main Road
TOWN CLERK * *; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS % c/, ySouthold, New York 119714c•
MARRIAGE OFFICER `� �p r Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER `-,T COUNTY,��,•�� , southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
MAY 2 -( 2005 - TOWN OF SOUTHOLD
TO: Southoidr Tow. Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 24, 2005
Transmitted herewith is a copy of application No. 3471 for a Cesspool/Septic Tank Construction
Permit submitted by:
Robert Tast for Young &Youn2
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 /J
Comments: -k•-{/
Signature
Dated
10/x^.2 ',05, THU 13:17 FAX 631 765 6145 SOUTHOLD TOWN CLERK 2002
rrrrS�fFa��.c
ELIZABETH A.NEVILLE � �4" Town Hall,53095 Main Road
TOWN CLERK ; P.O.Box 1179
REGISTRAR OF VITAL STATISTICS rj,. Southold,New York 11971
MARRIAGE OFFICER 1, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER - �Q ,r'j Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER "� * ,�r 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 @ $25 Application No. �
Permit No.
Applicant Name • i.a, . L Chi
Applicant Mailing Address GA?+G
ete I f AM I t'ld
Septic Tank or Cesspool
Brief Descri'lion of Proposed Construction or Alteration 6.1Sicil ( cf"
• wt.lA
Location of Proposed Construction/Alteration:
on
Owner of Property: { i€4M0 Pa Wai
Owner Mailing Address:
S� ass{-+' N `r I1 /91
Owner Property Address: i4dalf g1
61-4ea , I")%.(
Name and phone number of contact person j2.4vt*ii,+ Gf L a S+
Tax Map No: Section Block Q 6 Lot A'•2
Cross Street __
NOTE: LOCATION MAP MUST :E SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES S ' r, WI H HEALTH DEPARTMENT APPROVAL
5 241cij
Sly ature of Applicant Date
Received by:
II'
\ Young & Young 1A1
e�\U� \ TEST HOLE 400 Ostrander Avenue, Riverhead, New York 11901 kgs
r. Ot\� OS \ Ey McDonald beoeuence 631-727-2303
N °y.� o ri0 PpipP as osn'�/oa O.o' Howard W. Young, Land Surveyor bug
�the pp,pp \ DARK Thomas C. Wolpert, Professional Engineer €4E
\ TheAn0 • SILTY LOAM Robert C. Tast, Architect x'
$. 1e111r� 0 (oL) Ronald E. Pfuhl, Landscape Architect x
�� F O i o, Douglas E. Adams, Professional Engineer X,,1
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W E \ SAND ..............1±EALTH DEPARTMENT USE
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` ` .W 2'��""11 3.0' reunopliaintuc
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: \ �b' 116p,3 p" 1�6 3�' ; o �" DEPARTMENT OF HEALTH SERVICES F
__\1-E tnOR APPROVAL OF CONSTRUCTION F10It A z
` �p a 11 i BROWN FINE
• 11 l_ TO COARSE
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8 2of \ • ' , — — — = i 9 �oRWoiv�EL 1INLE FAMILY RESIDENCE ONLY b
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t9=1 ` i O i •Z' vl� • NOo N AI \ 70{ tVlq�y . '�,000 r , �22 x �,Tr �MENT _ HOWARD W. YOUNG, N.Y.S. L.S. NO. 45893PA • . HWN00cd v. y• \. "",c—• Fee % _ --cr. ED R pIN �•�.o t \ o ���� 28' Zp0• 6- l .--�_ Pte."' LAND
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_ �o ., No PETER PAPPAS �
21, A\ %,'S' At Greenport, Town of Southold _
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0 \ Suffolk County, New York
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F '1°I i - County Tax Map b.
District 1000 Section ��
n"'T` ' 3� mock 05 Lot 14.2 iW
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AREA = 1.1380 ACRES MAP PREPARED MAR. 23, 2004 'On
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