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HomeMy WebLinkAboutKotsos, Gus , ym JUDITH T. TERRY : Town Hall, 53095 Main Road ''� ; TOWN CLERK : p rrrk • P.O. Box 1 179 REGISTRAR OF VITAL STATISTICS •W Southold, New York 11971 MARRIAGE OFFICER 0 , Fax (516) 765-1823 ������ Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 929 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : GUS AND MARIE KOTSOS Address 1 : 32-46 71ST STREET City St Zip JACKSON HEIGHTS NY 11370 Descripton of Proposed Construction or Alteration NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES ON 10/28/92. Name Of Owner KOTSOS, GUS AND MARIE Mailing Address 1 32-46 71ST STREET City St Zip JACKSON HEIGHTS NY 11370 Property Address 1 ROCKY POINT ROAD City St Zip EAST MARION NY 11939 Tax Map No. section 21 .00 block 3 lot 24.000 Cross Street STRATMORS ROAD Building Permit Number Cross Reference: Issue Date: 11/09/92 Judith T. Terry Southold Town Clerk (TOWN SEAL) q d-r.' 1''O CO ... � ! JUDITH T. TERRY % • !� Town Hall, 53095 Main Road TOWN CLERK : p T P.O. Box 1179 REGISTRAR OF VITAL STATISTICS .tin `W �` Southold, New York 11971 MARRIAGE OFFICER ‘u0,4,4111 0 �- 1 Fax (516) 765-1823 =_',y0 ��� �� Fax (516) 765-1801 1 • OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: October 29, 1992 Transmitted herewith is a copy of application No. 953 for a Cesspool/ Septic Tank Construction Permit submitted by: Gus and Marie Kotsos . 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. Thank you. ,,, .c'}eZct Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE D( DISAPPROVE Comments: w• $,�,, , 0 I CA. liu,,ut k .w.-Ls., �r a' 0-A I a,Z4`qo... R�CEI{IFp .��V dam. �a�o 4.�� p r, Signature ` / 14,:, , 10\ 3 c3\N i__ Town Cler. Dated 4 OFFICE OF THE TOWN CLERK cOFOLA: Town of Southold \, p Judith T. Terry, Town Clerk Application No.Qcf-?j Town Hall, 53095 Main Road a!µ Construction tri P. 0. Box 1179 e):, o `°' Southold, New York 11971 • 0.. Alteration Telephone "(// z � Residential (516) 765-1801 Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT . SEPTIC TANK or CESSPOOL Permit No. Fee .$ DATE APPLICANT NAME: (s-td►5 a- frVhg le" KoTSt)S APPLICANT ADDRESS: SEPTIC CESSPOOL ✓ DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION ink Finn i L4 LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: 6 •1- viNARtic. KOTSbS OWNER MAILING ADDRESS: jo C.401 eat/VT IZOltb S-C gpel //370 WNER PROPERTY ADDRESS: 5-AMC f Q, • TELEPHONE NUMBER OF CONTACT PERSON C�1S)�}'17'1"I"]f'/0 19 -,x % 1)(* I boa- *AI- TAX MAP NO. : Section 44•1•••4104 Block O 3 Lot of • CROSS STREET: BUILDING PERMIT NUMBER CROSS REFERENCE:.. • Signature of Applicant • RECEIVED BY: f 0.2 Town Clerk's Office DATE: "Y i —. $VPFOLK.OQ HEA6114 SKRiv, y r E • nt In a ilc•iciat .• svntt�'?ry (b$ �1i • T _ frla+ • i between aft w,ter supply and sewage r t. SIS Gt_F FAMILY DWELLING ONLY ... I b tw gat ( ,riftt .�^ s T�' , �F • -- :Y� EX IRES `: YEARS FROM DATE OFAPPRO`fAl, r—i I - sTx�lEN+fEf++ cS�tNY wT .:., THE WATER SUPPLY AND SEWAGE DISPOSAL ll SYSTEMS FOR THIS RESIDENCE WILL ffl -' CONFORM TO THE STANDARDS OF THE`1 1 SUFFOLK C DEP OF,HEALTH SERVICES. t kf -4- 51 s d, ,, c 7AF-"!•, ► 'iAM,B':".F APPLICANT j y =� _ -- - SUFFOLK COUNTY DEPT. OF HEALTH1 ' _ ::Ef'ntl?)SYSTEM., 44.: t SERVICES — FOR APPROVAL FOR '1 FrpM ,'.IT•:14EN^�Mt-Y Y \ �7 CONSTRUCTION ONLY , sP,._ A'-i'/2 �. DATE: , Al© -2 x,2%2 �, - 1 �� r H.S.REF.NO.. APPROVED: rf 13 4- ,�. ` I I SUFFOLK CO.TAX MAP DESIGNATION: . ,t. U (7, Promo, �? p / , sii �r� vT� DIST. SECT. BLOCK PCL %., .J., 1 cD IS loci:, :�! 3 24 1- (1! (� ��� OWNERS ADDRESS: c! t'• N. r 2 1... C L _.._a�_ 2' Cri b cF 7 ST tTt2EEr. , 4.1,01\..i.: ` / / r t u. .c' 'res,- .€ / ter` — a — r, ?f -,¢fib 3�5 /yJ/t/1lF l[O!SOS , l (V wEu a vrlc 1 l• i u'. / L uwi�vA�uet.e 1 DEED: L.-030 P. 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