HomeMy WebLinkAboutLolis, Chris • ,
OFFICE OF THE TOWN CLERK ��FF�(K`,
Town of Southold � OG
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road
P. 0. Box 1179 �:
Southold, New York 11971 O Ot.••�
Telephone "�., [ ,:
(516) 765-1801 '
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCT ION OR ALTERAT ION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 84 Residential X
Non-Residential
Fee $ 10.00
Septic Cesspool X
PERMIT ISSUED TO:
NAME: Inland Homes, Inc.
ADDRESS: Box 117
Mattituck, New York 11952
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
One Family Dwelling
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Chris Lolis
OWNER MAILING ADDRESS: 43-01 76th Street
Elmhurst, New York 11373
OWNER PROPERTY ADDRESS: Pebble Beach Farms, The Long Way
East:Marion, New York
TAX MAP NO. : Section 30 Block 2 Lot 116
CROSS STREET: The Cross Way
BUILDING PERMIT NUMBER CROSS REFERENCE: Pending
•
#60.0.4111143,
Judith T. Terry
Southold Town Clerk
DATE: December 18, 1986
(TOWN SEAL)
CFICE OF THE TOWN CLERK ,
'Town of Southold
Judith T. Terry, Town Clerk Application No.
Town Hall, 53095 Main Road Construction
P. O. Box 1179 Alteration
Southold, New York 11971
Telephone 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 $ 10.00
DATE December 17, 1986
APPLICANT NAME: IHINn H[VMRS 7N
APPLICANT ADDRESS: Box 117
Mattituck, New York 11952
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CON TRUCTION OR ALTERATION
/--
LOCATION
-LOCATION MAP: Must he attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Chris Lolis
OWNER MAILING ADDRESS: 43-01 76th Street, Elmhurst, N. Y. 11373
OWNER PROPERTY ADDRESS: Pebble Beach Farms
East Marion, N. Y.
TELEPHONE NUMBER OF CONTACT PERSON: 298-9696
TAX MAP NO. : Section 30 Block 2 Lot 116
CROSS STREET: "The Long Way"
BUILDING PERMIT NUMBER CROSS REFERENCE:
Si Hatay tzof Applint
Robert . Hi�
RECEIVED BY: �JJ A
ow% • rk s •ffice
DATE: •„
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TITLE NO. 76S-03 S5
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NOTE: 1
•=MONUMENT H1
A SUBDIVISION MAP FILED IN THE OFFICE OF,THE I
CLERK OF SUFFOLK COUNTY ON JUNE 1/;1971
AS FILE NO. 6266. 1 i
• 1
REVISIONS ,. YOUNG & YOUNG 1 ,'j I
400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK
ALDEN W.YOUNG HOWARD W.YO NG
PROFESSIONAL ENGINEER AND LAND SURVEYOR
LAND SURVEYOR, N.Y.S. LIC.N0,121145 N.Y.S.LOC.NO.45S a
SURVEY FOR: 1 -
UNAUTHORIZED ALTERATION OR ADDITION TO '
THIS SURVEY II A VIOLATION OF SECTION CHR/S 1,.01.1s.
,.OL/S
7209 of THE NEW YORK STATE EDUCATION
LAW LOT NO. 57 "PEBBLE BEACH FA f Naw ,.
. �
COPIES Of THIS SURVEY MAP NOT MARINO f +0N W. Vo7t
THE LAND SURVEYOR'S INRED,SEAL OR ` V
EMGOS$EO SEAL SHALL NOT SE CONSIDERED '' *__ _
TO BE A VALID TRUE COPE AT G AR N ' G . ' i
EAST MAR/ON c.i.- 60 ': '`-' A o
GUARANTEES INDICATED HEREON SHALL RUN --. LO 41 : 1 1
'ONLY TO TME PERSON FOR WHOM THE TOWN OF N I
SURVEY IS PREPARED,AND ON HIS GEHALF SOUTHOLD
•
TO TME TITLE COMPANY,GOVERNMENTAL
AGENCY AND LENDING INSTITUTION LISTED •or + - --
HEREON,AND TO THE ASSIGNEES Of THE SUFFOLK CO., N.Y. •,
"b
LENDING INSTITUTION. +IIARANTEES ARE - I •
NOT TRANSFERABLE TO ADDITIONAL • SCALE: " • DATE: C..1' P,1 +p+y
INSTITUTIONS 00 $L*$LQI*NT OWNERS. =40 OCT/9, X97• . , rIV64
SUFFOLK COUNTY .
•
DEPT. OF ;;EALTH
' RIVERHr ; ), ^Li. 11901 •
DEC I 12 58 PM '86 .
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SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES _ '
FOR APPROVAL OF CONSTRUCTION OF •
I . :\
Single Family Residence Only %,i, r
2DATE . REF. . E_ —(2-----22: *� a
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APPROVED
EXPIRES TWO YEARS FROM DATE OF APPROVALpm-
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I.
9.53 35 X94—
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THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD M
OBSERVATIONS AND/OR FROM DATA OBTAINED FROM OTHERS. W'
THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR T IS RESIDE INCCEE WILL
CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY�TM OF EAI,TH
SERVICES '
APPLICANT: — —_ Q '_TJj -.9-44-_,i— � ,e� - -
ADDRESS— —— vel /W► iq
——— ---— — — -81-5 westahatiiiNd-— — �,���— - ,
Box 117+Mattituck, N.Y. 11952