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Home My WebLink AboutKougontakis, Petros �� 0�FF01K4OG iJUDITH T. TERRY Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Cl� rri Southold, New York 11971 MARRIAGE OFFICER VO e./� Fax ( 16) 765-1823 V 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. 761 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : JAMES E. FITZGERALD, JR. Address 1 : P. O. BOX 617 City St Zip CUTCHOGUE NY 11935 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 7/24/91 . Name Of Owner KOUGONTAKIS, PETROS Mailing Address 1 1700 EAST 55TH STREET City St Zip BROOKLYN NY 11234 Property Address 1 R.O.W. OFF MAIN ROAD City St Zip ORIENT NY 11957 Tax Map No. section 14.00 block 2 lot 30.005 Cross Street BIGHT ROAD Building Permit Number Cross Reference: Issue Date: 9/25/91 Judith T. Terry Southold Town Clerk (TOWN SEAL) . ,r', I''.' / / / o��FFo�,�oG ' o ' JUDITH T. TE !�/, :G Town Hall, 53095 Main Road TOWN CLERK 1 C MOVIE V E 1=-- Z P.O. Box 1179 REGISTRAR OF VITAL s c — : Southold, New York 11971 MARRIAGE OFFIC VO �„ o Fax (516) 765-1823 ,\I. � SEP 1 T 1991 _4.91 Ak 1 ,� Telephone (516) 765 1801 Ic %�.�ii/ii° 1 OPVICE.bF THE TOWN CLERK TOWN OF SOUTHOLD To: Southold Town Code Enforcement Officer From: Linda Cooper, Southold Town Clerk's Office Dated: September 17, 1991 Transmitted herewith is a copy of application No. 781 for a Cesspool/ Septic Tank Construction Permit submitted by: James E. Fitzgerald Jr. for Petros Kougontakis . 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. Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: q,A jbrON6i} Cy) %44.‘04.1 tit4A nL& OA g. 0e- � M 1.14-�it . tr-h 1 I a►A`alb \CA:40.,44. cV(211.4 oa.g....N Signature 4:%\ \11\\ Dated • • • •• , OFFICE OF/THE TOWN CLERK v-IF0/A- • Town of Southold �, :r �A r'•"� `. Application No. ?sj Judith T. Terry, Town Clerk =� . Town Hall, 53095Main Road 4,.; Construction ✓ P. O. Box 1179 c.nt.: Southold, New York 11971 �czs Alteration 7°1Telephone �1 x[ N -1(9 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 $ DATESCrtTRUCTI APPLICANT NAME: , 4 VVl 4S APPLICANT ADDRESS: (-p c(0V 01-- SEPTIC %,--.CESSPOOL I DES RIPTION OF PROPOSED CONSTRUCTION OR ALTERATION �r V '� vt• . Invele r., 061,1/0 LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONUCON TION OR ALTERATIl`� : K OWNER OF PROPERTY: �a �►Cw r i OWNER MAILING ADDRESS: E. ' I / S� �� NI) ala 3Y OWNER PROPERTY ADDRESS: , (G1 1�G1; TELEPHONE NUMBER OF CONTACT PERSON: ¶ 73/ 58q) TAX MAP NO. : Section /6/ Block Lot e • CROSS STREET: --- —' 62-"g'(. BUILDING PERMIT NUMBER CROSS REFERENCE:.. �n. €441410 .z • r 3- Signature • TApp •.ant RECEIVED BY : 1) , W Town Clerk's Office DATE: c` l 9 ..„........._ . . -0411'41k""4•• - r , ' • ' -- . ‘.'' . . - ' • - ''Ir''4 e ..k,-,'' • 'e." SUFFOLX CO.HEALTH DEPT APPROVAL :, -' ' . . , i '.; ..',.; -' - •''',•-:',4-t.V.I,,,444•It'siZ'.„01 ',,-, , . .%. , H 1 NO - -"•••........m..-....,- I: cr2OPERTY ,...,, . .. Jr,.,..„4,..;,.....t.,.....,.., ...-::.•-.--._..,...,,... , , , . „s....,...,,• .. , - . „ . . • .,. :;i•...7','.-- „ . ., •..... .......:'4.....,.',..,A:144f.t-.',;':.-...., : :....., ,a.•.....,,,,,,.., . , ._ . ,...,,,,,,,,,,, . , ., ...'4--..\. E T'E:.) . FQR, ' " - '- -: ''''' *-'' :,-41,x.4-m"-A'avoitor r-,;',-;.,,i,.- -,-....- --.• 4.,,,,l.,..,w-_,-4„,- :,--, ..,..i ., -' ,....-,.;, ,,,,,,....14.,--.1,_;-.,.: , .4 . ,'4. ,, PET: --'''---) ivOUGENTAIelq - . . ,..: ,, .- . _; , .., .,, ,:„.,_,...,„,,,..,:‘::;_,,,,,z , . . : — ,,v, ....,„, ..-" _ _ . . -. . . \ —;,- .c., .q,,.: ri........, , ' :,,, STATEMENT OF INTENT ,.:•,/:..1 , .,•:.„ THE WATER SUPPLY A N0 SEWAGE 011kPOSAL.• 7 -It ,.:, '.,, •. pie ,,....r• :1...... ..',r,=,...f«-7::., SYSTEMS FOR THIS RESIDENCE--'WILL 7-..:441,4 oF sOu71-10:-0, NY, ,. /z," - :•••,!-='' .4 '.' ' 1)? -sr'S-•• ,, •••,'''.1•,',2,•'-1-r- • ODNFOR TO THE STANDARDS OF THE 7 I , ' , . • . ,.. ,. :i--.. .,. Ii.4%,.:4),0-..,, ,•,, ',.talt.g-,,, mOIE ' '. et "..--..."•', ,,---;..„-,,, ,,,,,, t-A--x„, , , SUFf• • aj DEPT/OF NEALT7N_SERVICES. LEii,65.„1.7--- en -`.e,:-\,, - • •-••• ,,,,, ',,- re betoe,i_-• ., - -..: ,,,,, .. ,,.... , .. ,. APPLICANT SUFFOLK cuiThry ',r,,,,:T , .-)F ...,c AITN SERViCiii i - Ctifein-- be 15v . • L:.. ' . ' —..___c:= ==---------- , • ' ..0„ : . i . WI-41°111 0 kS W , • '- " ., ••'• 'It'' ' SUFFOLK COUNTY DEPT. Of HEALTH , N Of , . ' and cess2 1 \ . --'•,,:...i',' • ,; 'P 'k - ,.. ,. SER VICES - FOR APPROVAL.t..ROI 1 , '. ''- ';‘. , . .!‘ /'' \*° -rh_ ,'' CONSTRUCTION ONLY .*--• _:,,,,:l......y.2. scALe 601'.1. -' . - . ' ' ' '4'';' t ''' 14•. ;',. N S . REF II10.. A4FA.4,-,08 43,F, . . , \ * -` -' . .'ie ' '1%.,...-1°S • APPROVED: 1 E.XPIRLS ;WO foAh'S rRilt.,• ,', M. APPROVAL '-'74. 1-42- -- --B2--t-'''.11,1 -)** /. , 6(7 9 9(/y '10,W- TIE LtINg i • / . . i 0 , ,__ 4 , i, .,':i:' -', .:".., .13.14-0.4„e_ata,.. .. /. . ,...,.Cvoke-Ami) • --,' '40,,- . -\\:. -,,,,.• ‘•:e•::,• •,..''',,,•.2--';;•'•_ ' - •• --surrou(co TAX MAP DESIGNATION: DIST. sEcT. staxic ra.. .. • ,.. • . -- 1 . ' . ,- •iv , -:'., .. ,..,.4 -,',.:.;;.-„f -., 000 " ,4 . -,-2 a • " - •30.5 ,, , .. OWNER1ADORE . . , . , , . . .., .. _ ' ,• .,,,V. „*)',.. :,.2°;\.: , L. ,: -:.-• ,.., , -, ' :"' f5P-0244LYht,tvt fijad--•. . ;.i;‘•' ' . L.._..... t ) , oo, `s, , - 1) , 4- '4,,,-&\\.\ v-- , ‘' .,-- ,-.; ,. ' '-.:.;,,..;..- . -\\ .'‘ ,. . ..,,v, •-' . ..-:-..-.--;-,,:,•. -.,-,,- 4'+ ,i3 . Li:. %. ' • ',0- - _ - , , • .. . , • ,\, ,. / , ,..... . , ,..... ,; it, i 7t8-627-7780 \ "6\ \ , -6 'a%:4P'°' .t41 -( -,:'- SIS• ‘f' . ocLr' , ' .. ' •-•'-':!!.,...'''''.E'''f'4.::4.1':.'... .';:".-' '.,' '(19 'Cfe ,' , . .c. 'A- , ,.....t7, . — ' DEED L. -s, - --- i TEST HOLE ' P. - ,,y--6.1.-„ . -.., ,,..i.,,., '•.-,. . STAMP -t•\ .' ,.,- . A ,,' •'- 4+ .e"'4..,,,"--';,...,::.•".., ,,!,,'. ' \ ---1', \ •F3' 0 •tAri_e". .4(... .S, / ' - . . . . t. ...8.71/ \:\ \......i/".. 0. -)".:. . • e. ..-;:-.?,,,,. 2_ $2.40-,_ - (to ,/ I ' /;(4".7,- .' .Q/;-_' ‘•.'"','. -,e.';,.•_•;:". ..'...,' '',',':.`?!5`11,-;,., ,..,,,'::;''''-;:::'7.;,...- . 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S:f.1111V. -44);;,:e..,..:-.1:::',.: ..,.,'. .:-.:,,,z,.,,,';0,;`,),:„i-41:!7-?r.,-*..."1,„.',T.,;40,,,e-.:,;- ,', 0 ,"'s.--- .r. - . .',-.:,(:;-. '''''"'"" '• ' . . ''''.i ' . 4.• if;..,# . - .. .046CAUT) •1,', '1, ' . : , • ';'" ::.-'-',.`:' ''''''•-.', . 'MAP AMENOEC4.4.11.) at' rtv"---1:' 7*-' ":-''' • '7"-: ' ,' - \' • -'N E ' ' ' 1 . = • JUN 7 1991 . 0 - . '' ''?•'-'„ .:'', L .• 'I s' .::..,:i. :‘,....-:.. .t.f_f,-.- ‘'-.... •:-14., •.....,,,, :. -;...„ .7,'.,:,...,. ,,. ,: ,,,,;,,,.„(,,r.,-v-4:1,„ . ,„ ., . . . '''' ,' 4'.. ' '''''REQuiftED ,..: ' --,,,Iiir''Ilk-')ti..."44.4:?:141,81srtIrtree .s. "'-'1*::t- .—74 .4. ..14' :.2- i'''‘`. ... . l'''-'7«. .f';..t' ' ::.'..... . • 2 r+4q.1'' . .1 ' L2 APPROVAL. • w,..-.5,1;421W•10:1",-,,,, . - - — '• -• T-y .•ii 2,,,....„'.. " .1 '1 :!. ,",...' 0**'•: , ''.... r...." ,ar.„:,..Low , "'31.61%5K. 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