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HomeMy WebLinkAboutKapassakis, G *of SO U7 - 0 � ELIZABETH A.NEVILLE +��� �� ; Town Hall, 53095 Main Road TOWN CLERK * * P.O. Box 1179 ar REGISTRAR OF VITAL STATISTICS � G Q � Southold,New York 11971 MARRIAGE OFFICER ; '� �O ,� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER l . Telephone(631) 765-1800 'rrV � FREEDOM OF INFORMATION OFFICER `CUU'^'+�,��� southoldtown.northfork.net �... ee OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 4311-R Residential X Non-Residential Fee $ 10.00 New X Existing Name Of Owner KAPASSAKIS, G & APOSTOLOU, G Mailing Address 1 230-81 STREET Mailing Address 2 City St Zip BROOKLYN NY 11209-0000 Property Address 1 955 CEDAR DRIVE Property Address 2 City St Zip EAST MARION NY 11939-0000 Owner Telephone No. 718-748-9760 Tax Map No. section 22.00 block 2 lot 43.000 Cross Street SOUTHERN BLVD Issue Date: 4/19/06 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) OFFOit ti ELIZABETH A.NEVILLE k� ,\�� Town Hall,53095 Main Road TOWN CLERK : P.O.Box 1179 REGISTRAR OF VITAL STATISTICS Southold,New York 11971 MARRIAGE OFFICER o� Fax(631) 766-6145 RECORDS MANAGEMENT OFFICER =_ ��,, Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER -- 41( „ ,' southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION OPERATION PERMIT CESSPOOL or SEPTIC TANK Residential @$10 I or Non-Residential @$25 Application No. 6 Permit No. 3 q R Owner Name GEo8GR V A PA551:1KtS GEORGE A P051-0 Lou Owner Mailing Address A30 - 531 s ree i- l3roc*tjn , J•Lf . I I aoq Owner Property Address q 55 CGA or D r 1 V e £ -- Marion , r3 L( 11139 Owner Telephone No. C 7`$) 74-(b-97(00 Tax Map No: Section a.0 0 Block a Lot 43 . 000 Cross Street S o ul-h e r n `V d Please check each that applies: New Construction Alteration to Existing System Residential t/ Non-Residential NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. (Locate building and system; give north arrow and approximate distance in feet from system to building and closest road. New construction may submit copy of survey with SCHD approval.) ge4 �`keltfah&ALO 313©106 �L•5igna o Appli ant Date Received by.1°.? ) a I” ' ,,,, i..� SpFFO[,rco ELIZABETH A.NEVILLE *' y�; Town Hall, 53095 Main Road TOWN CLERK o • P.O. Box 1179 H = Southold,New York 11971 REGISTRAR OF VITAL STATISTICS 0 MARRIAGE OFFICER `� �� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER `y4 c 1a�li��'TTelephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER •��,,�'� 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. 3199 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : SUFFOLK ENVIRONMENTAL CONSULT Address 1: PO BOX 2003 City St Zip BRIDGEHAMPTON NY 11937 Descripton of Proposed Construction or Alteration SANITARY SYSTEM FOR ONE FAMILY DWELLING. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. REF #R10-03-0101 Name Of Owner KAPASSAKIS, GEORGIA Mailing Address 1 230 - 81ST STREET City St Zip BROOKLYN NY 11209 Property Address 1 955 CEDAR DRIVE City St Zip EAST MARION NY 11939 Tax Map No. section 22.00 block 2 lot 43.000 Cross Street SOUTHERN BLVD Building Permit Number Cross Reference: .3 0+vi 22 €di- Issue Date: 9/02/04 El ' abeth A. Neville Southold Town Clerk (TOWN SEAL) •. . / . . . 7 r . s i . i, r, SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES ° `, ia o -- f PERMIT FOR APPROVAL OF C(NSTRUCTION FOR A W d g h. SINGLE FAMILY RES' )INCE ONLY 1 3 g 1 0o a o' cit `� alt i DATE �� ��-0� HS REFii O,/?/�=D3—CLC)/ Q oc os APPROVED ../.G1Ai:!/�.. C 3 ati FORMAXIMUM Or: .,., .B:+i �� 0 MS EXPIRES THRI3E YEARS FROM DATE OF APPROVAL . A well MAP- �F t cn.c SUFF. CO /de Q W ii4".9) § i (e?) nt-44 3 \ CONDE Qo�t N/D/F 257.96 oW�` PI ttl4J 1CJ1► Q4a 1Z 43 14.c. . ______- _ v *:' -.k.p ., ,_ ,.., g wv Q O u 'i, —k----6 1 111 �\ -41�W o M _1 Act Qs!y 1103J 1 ki .s•1► lar' PPlt►"4 �_,,.1 '`�, 46 ti h V. o o 1 1 Pr°P. . 4 d' oon►��� cQ�` a 3 ilr eltovcway S —2ci)b 4.. c . k$ ";6.' 6 k --, • ... lir 6 F _________\ IP We , t r t g o 10.46•O0' ,. w e i 1 _�--`— N. j�R CED CI ig W i • ell`n o . \ °64/� C.P 15 Zd we// /, a J ^ l • to ,••••.-r--3":' fi „, } "++.f�` ;� ♦ � ; �ff;.y ..p "3 .4g sr3 :ti `, :[..:_ t� }{ w"`' o # ,fir , O Q :C-z R 1 2 VATION INSPE ®. ; 9 `4 e � la • o o FOR SANITARY - '7 a o .i cm:XI TH DEP - td�! l f24.00' NOTE,a ; `I .fo , x a d. 4 , W. LOT NUMBERS REE R-Ta` vii X , _ 4 S. 79.14'0° ire A UA VIEW PARK " /1 EES Ip1� ' '� SUFFOLK COUNTY CLERK'SOF E $` ,_'. ON JUL. 30, '/9T/ S MAP NO; S?/ : ' °v' LOT C) t Yht y Ade' , sOUTHEANN FVAIW -.4 o SURVEY OF PROPERTY . A T EAST Mo Al�7!ON _ �� & ,fi TOWN OF SOUTHOLD 3 :a a,. SUFFOLK COUNTY " NY. w C S Th&-loco/iops of Iw +r . C$55� 00/S Via* }aS�' "� s_ �'�'�`^" "k a `Ec ...:..n.,---,,,,,,,,,-- � ��. � ;'�,��'" shown here : . a r ,. yr ', ' ';., .\--'''?� tom'V •C @. 6 ' and or from Bolo. o from //�� t .464p...-_-____tr ,� y »w < _ f ,. of - .. . _ - olh .s. e ^ ' s�s.!�,, .•:it-,L�,r 1."..v ,ri%'. � -U'r> y� r::.;.� -'4,-g,.&,,,,.,,,,„„,;„ �c.; '.4 i} ;� r j`T. �- Nta IA',e 4.-':.`' '''"''741:- vc COUNTY F/LE' ' as tQ lies- r i4 = 32, 19 sqc ft, O. 7660• •= 'Ce c= ,i co ANY AL 7RA TIAN OR ADDITION TO. THIS SURVEY /S A VIOLATION 1.OF TION 7209 OF THE NEW YORK STATE EDUCATK*LANG EDF NE�y = s? EX T AS PER SECTION 7209 ALL CERTFICA TICWS .\ ko AN ARE VALID FAR 8 ThEREAF OIhC Y �c - .4't• ; 'XMP OR copes hE7 S�SEAL OF ThE SLFV YOR �` /, SJ�NATG OIL 41 �l N.Y.S. LIC. NO. 496/g z '..,•-.. " /79?-EC OY ` ,r >E +F_. pf63/1T65„ Lt:r TO COMP-YpnTH •? 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