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HomeMy WebLinkAboutLivanos, John OFFICE OF THE TOWN CLERK c�VFFU(x`, Town of Southold 0�� Judith T. Terry, Town Clerk Z Town Hall, 53095 Main Road P. O. Box 1179 � ` Southold, New York 11971 O �O�•',, Telephone 1l t 0 �,,-� (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 130 Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: NAME: !linos Zervos ADDRESS: P.O. Box 2035 Orient, New York 11957 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION New one family dwelling with septic system COMMENTS - Septic system approved as per County Health approval. _ LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: John Livanos OWNER MAILING ADDRESS: 109 Nassau Blvd. Garden City, New York OWNER PROPERTY ADDRESS: The Long Way, Pebble Beach East Matron, New York TAX MAP NO. : Section 21 Block 5 Lot 12 CROSS STREET: The Strand BUILDING PERMIT NUMBER CROSS REFERENCE: Unknown 0011441111°Le. Judith T. Ter Southold Town Clerk DATES March 31 . 1987 (TOWN SEAL) c • 0000000 Fair 411k 14 . � f -G cr3 1,1H r7-1 v pk ® ;° '' `� Town Hall, 53095 Main Road • P.O. Box 728 N, , 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 March 23, 1987 To: Victor Lessard, Southold Town Building Department From: Judith T. Terry, Southold Town Clerk Transmitted herewith is a copy of application No. 132 for a CONSTRUCTION or ALTERATION Permit for a cesspool or septic system submitted by Dinos Zervos for John Livanos 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. oree4040;11117.11 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 - DISAPPROVE - COMMENTS: at � am Syi`14,4nek ti4d ._ limeXLIVIC QL(tAat5" \\(///1 Signature 3/34/87 Date a OFFICE OF THE TOWN CLERK Town of Southold Application No. /3--)-- Judith T. Terry, Town Clerk Town Hall, 53095 Main Road Construction P. O. Box 1179 Alteration Southold, New York 11971 Telephone Residential r (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 •$/U DATE `Yyk_ a.0)\987 APPLICANT NAME: 1DI 'NOS 2 R\JOS APPLICANT ADDRESS: (', 0 , Boy v_03S _ C321ENTl N .y• IIqS -7 SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION FO-ni.`► \.( dwell t A c\ S — Cessrp©o s LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: , j - 3 L.I VA1VOS OWNER MAILING ADDRESS: 10`i NASAL) C3L / C-9 IA RD EM c-ILSY 'N OWNER PROPERTY ADDRESS: f} LONG W A`/ PEBBLE f3E19C}4 F-AST Nt PrRioN N /• 111 3c TELEPHONE NUMBER OF CONTACT PERSON: 3a3 - 5r.0 TAX MAP NO. : Section Q I Block 5 Lot � L CROSS STREET: 1-1-}E STRA-ND L.Y�NE BUILDING PERMIT NUMBER CROSS REFERENCE: ri 2 SigrJure of Applicant RECEIVED BY: c2` c-tceu 4 " '' • _ RE ' "o.wn lerk's •ffice DATE: f,;�,'? 9 3 fc -^ C'rrl, Southold MAP OF P120P P121- '�' L.. SUr2VE<YEE) P02. . (LONE f., .i.'I Ckr3SA f kr iN1 4„/!v' f MAtal0 t ORD(k/A.R.Y ..+� 7 p �J1,V ►.?,.^ /N OF 4.100 .11-14(.N. N,Y AOS _ y - ;,` 14!; 7/ . // as("` C.VACANT'),-_ -.` ..---,/.,.----T '✓�'� 7•^.__..'-RSR a� 44 . /f/ \ \ , j!- " r,-' `'vvj ' ', (./ • • r 'N,,,,A-v • `2/ r :,...„,f:, 'j ' - 2 -- 1,4 rfi. .4, J, <� -- .„ / v4....1\ `) � ' / �1., Irl 47, �‘ !L� j ;-4OTL �i, ' \ � 6( ��.r• I: LOT UOQ LI.t. `, NU 1 _,NE POST '461239 1 ~ No:f IO SUFFOLK CO. HEALTH DEPT. APPROVAL H. S. NO. ���.P�1v % VG pts ZCRVOS .-N. P.o, Box ao35 0 RIENR- N.Y Itct57 TtE L1NE1 C5)6) 3'x"3 - a52b i-_ K 1\126'o21_E.L•j 12O.Q STATEMENT OF INTENT -H,GH ` -_r 0•�� THE WATER SUPPLY AND SEWAGE DISPOSt eg- SYSTEMS FOR THIS RESIDENCE WIt f(i ,pCONFORM TO THE STANDARDS OF Tt { _ r\+\/117,..‹Z‘ • SUFFOLK CO DPT. OF HEALTH, SERVICE �h A\ Q SUFFOLK COUNTY DEPT. OF HEAL' e5 ��0'N SERVICES - FOR APPROVAL C �. .. ��{(� CONSTRUCTIOT L `�' DATE: P H. S. REF,NO.: ? i C 4S 'vim �• �\%/.. 1 APPROVED: 60 ',► r, SUFFOLK CO. TAX MAP DESIGNATION: A� -'`�" DIST. SECT. BLOCK PCL. �: � „ ,------<:., - ICC - 21 5 - _. I. r2 s. (��1�} e� / OWNERS ADDRESS: %Of I`J05 ZE2VQ5_ 2.ESiDENKE} _P0,acne.cO35_. . �'6dR' I� O12tENT-f LY .i 1957 AREA' 43Ja5 F 55.-252b_.._.- 0 -.MONUMENT DEED: TEST HOLE STAMP ' -- — + k,nz: itnri-7d alteration er adttition to'1. i zurv,rir iv a Violation of Ef t^. . c.rti; .. 'n 7of th!.Woe Ya''.t o F;l',^,er.lon let... Cw.er of this eurvfy mss RAS burin, Talli .erun/eves en/e es Nked e!KRFIk r SEMI E41/V not be consideredCrm1 in JL vti„S 1rt'e COM. r: 'rt:nto,i ir.•:'ic,tod horizon Ma run a. ^r!'.. In?h^["mon for w.horn the Survey w' i7 ; .,ars+“.end on his eshalf to the c t'..'r•r.rlrtt(;Fry,t•Cv r.rnnn;C9 agency 073 F �� _ tt h r t,=r. . ^anon listed hereon and t I l. MA .:� b Elf':t-4 r J4.,, ice'' �. r F” t'' �_ id to t. ��as of the lending insN- -', 4 :.r tons era not transferable .''F:..__,. f f .:..J C.L4;} `C' t' F i IC`_ A....:..Nr'Af-` `•ttJ.-.:ter a 'Is _, stitutionae;subsequent 1 E :1::a 70 MEAP.1 .E"A LEVE:L. __ • .f. ofNEW Y � V O .j; ti ANS 'pf vi 00 4 ,4 G.c + cal RODE RICK VAN TUYL, P. . ,. ' co ..w.... L --t c, �F,I,s.4 Cgs SJ�a "% Fr LICENSED LAND SURVEYORS GREENPORT NEW YORK )CP `�.....�` �\