HomeMy WebLinkAboutSotiropoulos, Gus •,�%pF SOUryo -
ELIZABETH A. NEVILLE 1
1 '` l0 ; Town Hall, 53095 Main Road
YI TOWN CLERK * Sig , P.O. Box 1179
tva �r Southold, New York 11971
REGISTRAR,OF VITAL STATISTICS G Q ,1
MARRIAGE OFFICER '� �� �� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER e� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER �yC�V111�' 01� , 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. 3460 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : GUS & ZAHAROULA SOTIROPOULOS
Address 1: 273-A ROCKY POINT ROAD
City St Zip EAST MARION NY 11939
Descripton of Proposed Construction or Alteration
- INSTALLING NEW CESSPOOL
-FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT
Name Of Owner GUS & ZAHAROULA SOTIROPOULOS
Mailing Address 1 273-A ROCKY POINT ROAD
City St Zip EAST MARION NY 11939
Property Address 1 SAME AS ABOVE
City St Zip 0000
Tax Map No. section 30.00 block 3 lot 3.000
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 7/19/06 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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- ELIZABETH A.NEVILLE '` O : Town Hall, 53095 Main Road
TOWN CLERK * 1 P.O. Box 1179
va Southold, New York 11971
REGISTRAR,OF VITAL STATISTICS ; G 1
MARRIAGE OFFICER .. �1 Fax(631) 765-6145
RECORDS MANAGEMENT o�ec *A��I� Telephone (631) 765-1800
FREEDOM OF INPORMA�TION OFFICER uIJ fr , ,.f� southoldtown.northfork.net
•°
S OFFICE OF THE TOWN CLERK
\ , 3 t I! TOWN OF SOUTHOLD
•
vTO*,- A`ph - -Southold Town Building Department
......„
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: July 13, 2006
RE: Cesspool Construction Application
3Dfto
Transmitted herewith is a copy of application No. 3 2 for a Cesspool/Septic Tank Construction
Permit submitted by:
Zoumas for Gus and Zahroula Sotiropoulos
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: - - — -• _ _ , fie
i
27 -e---: 70e2111
Signature
D 7 /5/6'
Dated
10
_OFFICE OF THE TOWN'CLERK OCOFOut`+: A li cation No. 3(14
TOWN OF SOUTHOLD 0�. �G - pp
ELIZABETH A.NEVILLE,TOWN CLERK �� $10.00 - Residential
P.O.BOX 1179cri
SOUTHOLD,NEW YORK 11971 *.$ $25.00 - Non-Residential
Telephone :el � '
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
foreo ?V2aC7Db
C p P A-r to I otDMIT
mim
SEPTIC TANK or CESSPOOL
Operation Permit c ` ,..
Fee $ IQ . aa
DATE` it 7//I/O(
OWNER NAME: GAS Za 11 4:o� ti ,,SG� �r vj oU b )
OWNER MAILING ADDRESS: ) R [ eeel/ fa.,,) Raj
J IV s i too, 0.1/
OWNER PROPERTY ADDRESS: A°`1(01 P12,4) IQ'ct. Cc6/ '4'//A, ,JJ�
OWNER TELEPHONE NUMBER: ' / 4 71- y 0.1
TAX MAP NO. : Section 3d Block 3 Lot I
CROSS STREET: .
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool l New X Existing
Residential Non-Residential
LOCATION MAP: Must be attached hereto before permit may be issued.
(Locate building and system; give north arrow and feet
of distance, approximately, to building and closest road.)
1 1
Signature of Applicant
RECEIVED BY: 6- _ _ �`"
Town Clerks Office
DATE:
•
SURVEY OF LOT 13 C 7t/b /Y)/9 fl o O
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MAP OF EAST MARION 1^1OOt2 d -
FILED .NNE T. Igsq, FILE No. 815q �� '_
SITUATE
EAST MARION i / (� W , '' E
TOWN: SOU-MOLD ..,D E far'''.
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• MONUMENT FOUND \ I ''. 11 .':,F / tea nerea.e:ftnry ennt the
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ELEVATIONS REFERENCE SUFFOLK GOUTY TOPO MAPS / agency as lenar,�,t lwt�m ,„.e.m.
tot�wuo Otyo•irof bee b e o at tee m0tbtOan,
AREA = 52,213 S.F. or 1.200 Acres 6JOHN C. EHLERS LAND SURVEYOR
GRAPH•
IC SCALE I"= 40' \ 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 -
RIVERHEAD,N.Y. 11901
369-8288 Fax 369-8287 REF.-\\COMPAQSERVER\pros\05\05-345.pro