HomeMy WebLinkAboutKouvaris, Eleftherios ,soc)IFOIIreil
.4. Town Hall, 53095 Main Road
JUDITH T. TERRY /"•••
TOWN CLERK ; p r= P.O. Box 1179
REGISTRAR OF VITAL STATISTICS • Southold, New York 11971
MARRIAGE OFFICER *64,4, Fax (516) 765-1823
`O ������ Telephone (516) 765-1801
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 849 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : ELEFTHERIOS TERRY KOUVARIS
Address 1 : 888 GRAND CONCOURSE
City St Zip BRONX NY 10451
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 1/2/92.
Name Of Owner KOUVARIS, ELEFTHERIOS TERRY
Mailing Address 1 888 GRAND CONCOURSE
City St Zip BRONX NY 101451
Property Address 1 925 MAIN ROAD
City St Zip EAST MARION NY 11939
Tax Map No. section 35.00 block 2 lot 16.000
Cross Street SHIPYARD LANE
Building Permit Number Cross Reference:
Issue Date: 6/014/92 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
JUDITH T. TERRYTown Hall, 53095 Main Road
TOWN CLERK : p P.O.t=r Box 1 179
REGISTRAR OF VITAL STATISTICS .to �► �, Southold, New York 11971
MARRIAGE OFFICER y0 ," Fax (516) 765-1823
Ago ��� �� Fax
(516) 765-1801
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OFFICE OF THE TOWN CLERK ,'
TOWN OF SOUTHOLD - 2
199?
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To: Southold Town Code Enforcement Officer L . ,C
From: Linda Cooper, Southold Town Clerk's Office
Dated: June 2, 1992
Transmitted herewith is a copy of application No. 873 for a Cesspool/
Septic Tank Construction Permit submitted by:
Eleftherios Terry Kouvaris •
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.
6ife_..---p,a_,.4__._
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE X
DISAPPROVE nn
Comments: 4'.0 Aft.STA.¢-(1.t.ea ^a g,.C.[',,,c lKo,s, (' i i-..
cltA41,01.9 La Az. Alk 0 2., 'qvloolg. .11Z
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Signature
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Dated
'
tIF#ICE OF THE TOWN CLERK ' CON' - -
Town of Southold
Clerk Application No. P73
Judith T. Terry, Town
Town Hall, 53095 Main Road Construction
P. O. Box 1179
Southold, New York 11971 te, p,„„,„
I agt , Alteration
Residential
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 $ JO
DATE e3.--ci Ist I,2_•
APPLICANT NAME: , 0
1 '
APPLICANT ADDRESS:zps, ar_istiv" ccena-est
1-3zi5tti y /l/ loct,r,
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATIONAiE
.
c.
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY:
OWNER MAILING ADDRESS: c441a..._
*OWNER PROPERTY ADDRESS: o2 93- Yr)ex...4,7— 42e,
TELEPHONE NUMBER OF CONTACT PERSON: 741 72-Ai 2/ ?.
TAX MAP NO. : Section Block t. Lot 2. . r .
CROSS STREET:_75W/17 'ED jog iv_F
BUILDING PERMIT NUMBER CROSS REFERENCE:.
Sig ture of pplicant
RECEIVED BY: /
own ries • e
DATE:
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