HomeMy WebLinkAboutAthanasena, Loukas .Ch
` • Town-Hall, 53095 Main Road
" � P.O. Box 1179
Southold, New York 11971
JUDITH T. TERRY % TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
October 27, 1987
Inland Homes Inc.
315 Westphalia Road
Mattituck, New York 11952
Re: Loukas and Mary Athanasena
Cedar Drive South
East Marion, New York 11939
Enclosed herewith is the Construction, Alteration or Modification
Permit for a Septic Tank or Cesspool System for which you applied.
Please be advised that each owner of real property operating an
on-site sewage disposal system, such as a septic tank or cesspool must,
prior to such operation, possess in the name of the owner an Operation
Permit for the system. The Operation Permit is issued by the Town
Clerk's Office.
The fee for an Operation Permit is ten dollars ($10.00) for
residential use and twenty-five dollars ($25. 00) for non-residential.
Please have the owner complete the enclosed Application for an Operation
Permit and return it to this office along with the proper fee.
For your general information I have enclosed an Informational
Bulletin regarding the Scavenger Waste Laws adopted by the Southold
Town Board. Should you have any questions pertaining to either permits
or the Scavenger Waste Laws, please do not hesitate to contact this
office. We will be glad to assist you in any way possible.
•
Very truly /ours,
%roes 4...441417.....
Judith T. Terry
Southold Town Clerk
Enclosures (3)
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OFFICE OF THE TOWN CLERK cgFeUri,
Town of Southold O OG
Judith T. Terry,, Town Clerk
Town Hall, 53095 Main Road 8
P. O. Box 1179 . , �.`
Southold, New York 11971 O ��`
Telephone of [ ' ,
(516) 765-1801 '
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 241 Residential • X
Non-Residential
Fee $ 10.00
Septic Cesspool X
PERMIT ISSUED TO:
NAME: Inland Homes, Inc.
ADDRESS: 315 Westphalia Road
Mattituck, New York 11952
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New Single IFamily Dwelling with Cesspool System
APPROVED as per Suffolk County Health Dept. approval
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Loukas and Mary Athanasena
OWNER MAILING ADDRESS: 416 7th Street
Fairview, New Jersey 07022
OWNER PROPERTY ADDRESS: Cedar Drive South.
East Marion, New York
TAX MAP NO. : Section 31 Block 3 Lot 11 .4
CROSS STREET: Willow Drive •-
BUILDING PERMIT NUMBER CROSS REFERENCE:
di farther„pm
Judith T. T ry
Southold Town Clerk
DATE : October 27, 1987
(TOWN SEAL)
P
OFFICE OF THE TOWN CLERK
Town of Southold
Judith T. Terry, Town Clerk Application No.
���
Town Hall, 53095 Main Road Construction
P. O. Box 1179
Southold, New York 11971 Alteration
Telephone Residential
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTIIOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. A (4/
Fee $ 10.00
DATE___Qober 26, 1987
APPLICANT NAME: INLAND HOMES,
APPLICANT ADDRESS: 315 Westphalia Rd. , Mattituck,_N. Y. 11952
SEPTIC CESSPOOL X
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
1— Family dwelling
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Loukas & Mari_ Athanasena_____`
OWNER MAILING ADDRESS: 416 7th Street�Fairview, New Jersey 07022
OWNER PROPERTY ADDRESS: Willow Drive, Cedar Drive South
East Marion, N. Y.
TELEPHONE NUMBER OF CONTACT PERSON: 298-9696
TAX MAP NO. : Section 31 Block 03 Lot 11.4
CROSS STREET: 4
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of ppli • . r
RECEIVED BY: 4..4,:a6
Robert E. Hiltz
Ra Town erk's Of ice
DATE: 1.7
Town Clerk &WWI
— _ The water supply & sewage disposal'sys- '' . : r
• SUFFOLK COUNTY DEPARTMENT OF '11H SERVICES } ���� terns for this residence will conform to the
WILLOW DRIVE �O
FOR APPROVAL OF CONSTRUC '' C NLY standards of the Suffolk County Depart-
�� ment of Health Services., .
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R DATE (042/4 2 REF. NO.
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.•, APPROVED 316 Westphalia /
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(Vacant) CPd il�ip MARS. •
FR( ) DATE OFv R! OVAL MAP OF
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Prepared in accordance with the minimum
O standards for title surveys as establishes t7
aD the L I.A.L S. and approved and adopts
ct for such use by The New York Stats lane
oC. 0.' Title Association.
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> i z 2 0' Wide Drainage Easement °D (;,c) 0; D
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THE LOCATION OF WELLS AND CES f1OWN HEREON ARE FROM HELD ' M' '�:lle) -
OOSERVAiIONS AND OR FROM DAT ( `)4ED FROM OTHERS. SOOT • •, N.Y. II 971
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