HomeMy WebLinkAboutDemetriades, Dino (2) o��FFot��D�
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Town Hall, 53095 Main Road
y0 • 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
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 348 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : HEDWIG ZERVOS
Address 1: P.O. BOX 2035
City St Zip ORIENT NY 11957
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED AND AS PER SUFFOLK COUNTY HEALTH DEPARTMENT
APPROVAL.
Name Of Owner DEMETRIADES, DINOS
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Mailing Address 1 1009 WASHINGTON AVENUE
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City St Zip OLD TAPPAN NJ 0000
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Property Address 1 PETTY' S DRIVE
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City St Zip ORIENT NY 11957
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Tax Map No. section 14. 00 block 2 lot 8. 000
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Cross Street BIGHT ROAD
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Building Permit Number Cross Reference:
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Issue Date: 6/02/88 Judith T. Terry
-------- Southold Town Clerk
(TOWN SEAL)
MAY 3 1 1988
BLDG.DEPT
TOWN OF SOUTHOLD �., �� Town Hall, 53095 Main Road
P.O. Box 728
" rib Southold, New York 11971
JUDIT11 T.TERRY
TOWN CLI?Ri:
TELEPHONE
REGISTRAR OF VITAL STATISTICS (516)765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
May 31, 1988
To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 352 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by Hedwiq Zervos for Dinos Demetriades
Please review the application and location map and advise if the
project has received Suffolk County Health Department approval
and if we may issue the permit.
Please complete the form below and return it to my office.
Thank you.
•
Judith T. Terry
Southold Town Clerk
I have reviewed the application and location map of the project
cited above and make the following recommendation:
APPROVE - k
DISAPPROVE -
COMMENTS:
Signature
G1 4 � �
Date
OFFICE OF THE TOWN CLERKO� MFF
OU'COG
Town of Southold y Application No. 3S�'
Judith T. Terry, Town Clerk .0
Town Hall, 53095 Main Road Ln Construction
P. 0. Box 1179 0 Alteration
Southold, New York 11971Residential��-
Telephone �
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee '$ b —
DATE mo_q 31 19 RZ
ENT -oma
APPLICANT NAME:
11 0 c;2O 5
APPLICANT ADDRESS: C0 9 �)o_S�%t v `1 O v� 0 P-1 8 !�S
/ o LTA m i PA t�) N EZ
ISE y .
SEPTIC V CESSPOOL_
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
CoNsTkvC T A D u E TAM 1 L J aME
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 'V)► NOS EME 1 CZI6 ES
OWNER MAILING ADDRESS:
0.� ers
OWNER PROPERTY ADDRESS: PE 1 i`l S I)121V t
F-T
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section 314 _Block Oa Lot
CROSS STREET: 'Bl G 0T Rc)H1_�)
BUILDING PERMIT NUMBER CROSS REFERENCE:
Sig ture of Applicant
RECEIVED BY:
Town Cle k's Officef
DATE:— ■- -�- 19AB
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SURVEY FOR
OlK COUNTY DEPARTMENT OF HEALTH SERVICEb DINO DEMETRmms A DESP/NA DEMETR/ADES
LOT NO. 4 ,"PE TTY'S BIGHT "
FOR APPP.OVAL OF CONSTRUCTION ONLY AT OR/ENT DATE A
/_, ( TOWN OF SOUTHOLD SCA. f
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HIS REF. \1 ' SUFFOLK COUNTY . Nt W YORK
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SURVE YOR S ,Nr f I. St A, (I' t MBnSSE0 SEA, yHA; O
NC•T BE CONSIOFkfD Tr; BE A vAL10 TRUE C-(-,c .
_ *.' :ARANTEES INLuCALf L` HEREON SHALL RUN )hlY T: Q `�
H DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR wMOM /HE SUk-If• ,S FREPAR[D r y`
AND ON MIS BEHALF
EST WATER MAIN _Ml ! *%OURTp -HE TITI E OM=E OF WATER, PRIVATE,' CPANv.GOvF RN
PUBLIC MEhTAt. AGENCr ANL ENDING IE COM AN, l ,S'ED
CO.TA%MAP DIST roeo 9tCtIpN Di4 BLOCK �2 LOT o� _ HERFON,AND TO IBE ASSIGNEES OF THE LENDING
fE ARE NO DWELLT$i sS WITHIII 100 FEET OF THIS PROPERTY INsTIrurION GUARANTEES ARE NOT TRANSFERABLE
THAN THOSE SHOWN HEREON. TO ADDITIONAL ,NSTITurIONS OR SUBSEQUENT
MATLR SWPLYAND SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE OWNERS
fNFORM TU THE STANOARDSOF THE SUFFOLK COUNTY DEPARTMENT * DISTANCES SHOWN Hf REON FROM PRC;PEkrY L NES r1 C a�J
.TH .SERVICES TO EXISTING STRUCTURES ARE FOR A SPECIFIC � N
AN T; PURPOSE AND ARE NOT TO BE USED TO i�lw�r.� I11-PAC T�tESTABLISH
14.rNx PRnPFPTV e 1 SE7
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