HomeMy WebLinkAboutPapakstantinou, Demetrious ,I��,O�OttFF04
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ELIZABETH A. NEVILLE d�� �� Town Hall, 53095 Main Road
TOWN CLERK ; y P.O. Box 1179
REGISTRAR OF VITAL STATISTICS � Southold, New York 11971
MARRIAGE OFFICER � 4•4,
� '1� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �__ e! Ole Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER �SIN ��
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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. 2457 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : GENDOT ASSOCIATES INC
Address 1 : BOX 534
City St Zip WADING RIVER NY 11792
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF # R10-00-0324
Name Of Owner PAPAKSTANTINOU, DEMETRIOUS
Mailing Address 1 C/O PERRY TSAPOGAS
198 BROADWAY, ROOM 705
City St Zip NEW YORK NY 10038
Property Address 1 265 DAISY ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 106.00 block 8 lot 44.000
Cross Street DOGWOOD LANE
Building Permit Number Cross Reference:
Issue Date: 11/20/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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/� stEFOL, ; (-1 5 7
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ELIZABETH A. NEVILLE Town Hall, 53095 Main Road
TOWN CLERK y P.O. Box 1179
REGISTRAR OF VITAL STATISTICS
*%• � Southold, New York 11971
MARRIAGE OFFICER y* P.O.
� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER =_ �l .4 ,,• Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ��
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: November 2, 2000
Transmitted herewith is a copy of application No. 2545 for a Cesspool/Septic Tank Construction
Permit submitted by:
Gendot Associates for Demutrios Papakonstlatious
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.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments:
411/P.,
ZS
ignature
Dated
MAY 11 '9E 1. ':4.Fti SOUTHOLD TOM HALL :T1E ^E 1823
F.. 1
OFFICE oFMETOWN CLERK ,•''' Stf ULI( �lr Application No. d �'S
TOWN 4)F SOUTHOLD ,+
!Lzia,,,tI!1t,)1aSJ1.i$.'c WNir1,RRI ,i : Conitwiirtinn
P.o,aox 1174 ` ►..
soUTHOLD,NEW YORK 1197. � Alteration
`t' —
,: • $10.00 - Residential L
Telephone •_ Wj�� �;.►''- ` '
I
(516) 765-1801 -- $25.00 -Non-Residential
,,,...
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee '$ _
DATE J Da
APPLICANT NAME: { (}6 SCYDCi( a e-5'�4 C , .
APPLICANT ADDRESS: JJ�: � 1 J4 (, �I/A.4 J� f Z
SEPTIC V CESSPOOL
DESCRIPTIO OF PR.POSEG CONST UCTION O� ALTERATION
gO �° an .•w..1' ,1 t 1r4n - i,,/ �Q,AGhJi �. ! 1�4 ,,c i IFC.- 14
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONST 't CTION t R AL.T ATION j . A'PA�CS'Pv1 1 �'{
OWNER OF PROPERTY iki a6 d er/L r4 1' n Ar'_'1 J
OWNER MAILING ADDRESS: C- O ?-eq.ft,•,-11:2fl. 7115_111. e �Y�.70S
c� ,0_ I.topAi
OWNER PROPERTY ADDRESS ,4_'_ A-ISTY
' TELEPHONE NUMBER OF CONTACT PERSON: Ia2c1-(0 10 —...._
TAX MAP NO. : Section 06 _�.Block 611i_ R Lot_qI
CROSS STREET : ir4tiau 1,140LC. .
BUILDING PERMIT NUMBER CROSS REFERE 4E: A
___.. 1- -tura Applicant
RECEIVED BY:IL
�L / -
Town Clerk's O ice
DATE: 1 ( 7
5--1 O'6 _.
' - LOT AREA 20,125 SQ. FT.
• * F.F.ELEV• 45 0
GAR.ELEV• 3.5
•
. N
dwellings - public water
i
in (42.3) D Al SY ROAD (42.5)
Pws.D(Ir ei a LDu+Eno,4 OF e',p WArce-• rr\Ly__.
fd Id.
(42,5)mon. N. 71 ° 39' 20"E. 115.00' mon.
1
1
F.C.0.O'N ail I fence (42.8) 2 1 8.65' 0,�
0.4'W• �1 0
g p,r i2 .1�
F.C.03'W.
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EXCAVATION INSPECTION ED o
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FOR SANITARY
i •c II S4'3 r HEALTH I w J
g \T 2 PC
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ii.°
: F '''' -, , 4:13-' 1 - -__,.:
(40 0) 1 (40.5) `_'.: _ _
`, is 11 -
'a-• S.71• 39' 20 " W. 1 1d-stk. 1 1 5 .00' - c''
,
F.C.0.6'S 0.3'S. -
woodK fence - _
NOW OR FORMERLY I NOW OR FORMERLY E.... C)
SIEDZIESKI SIEDZIESKI �'
dwelling-well greater vacant
than 150'to prop• cesspool
i,. . IUs i,aenSiONS) GUA.ANIKS ,N,nU1W no..." JOB NO. 00 - 4 23 FILE NO.
-,OWN HEREON FROM THE SHALL RUN ONLY TO TM mem SUNSET KNOLLS
i EUCTURES TO THE PROPERTY FOR wn_M TE SWAY I PRI SURVEYED FOR
ATE A SPECIFIC pUR• PARED. ANO ON MS MALI TO
A.'i,^. USE AND THEPf.7RE THE ma COMPANY, 00M'RWAA4
r:oT ;NTE3.e, To :•u P,:E ;= TAE AI;<-NCY ANT LENDING NM. LOT NUMBER 44
::fiCN of FENCES, GOTAIK0FlO LOTION USTED HEPEON, AND TO
1?!:5, P01Y.S. rAT10-, ?:;N IWO RIZ h!,r,CNEES OF THE Lfi4DING '
AiFSf'r%N 10 *,_iEi,:riGG ra::rr.TiOM. GLIA ANT L MO MAP OF SUNSET KNOLLS SECTION 2
.....,'C:T(,i4Ct^,N.,EUE::ON. 1,cr T,4FiJ &D TO ALDITYJNA:
�T TITU TUTIQ,55 02 SUe$IQU£H5
M A T TI T UC K
aal:rri0 QED ALr:;,T.^;� 6R IN:, SITUATED AT
\;. ,OTE TO /I-IIS .DVYY IS A
a'TLA' sr:U.1N 7237 of rEof MAP NOT TOWN OF S O U T H O L D , SUFFOLK COUNTY ,N Y.hi hex Ivo( CTAE ED(NWObAEili:3 THE LAND SUVEYD,V3
Mk MOD SEAL CR EMEMEED SEAL8 - 29-2000
Wall NOT OE CONSIDER TO ON SCALE 1" = 30' DATE
FILED MAP NO. 5 4 4 8 DATE 4 - 9 -197 0
GUARANTEED ONLY TO
TAX MAP NO.10 00 -106 — 8-4 4 (REF. ONLY) DISK 223
HAROLD F. TRANCHON JR. P.C.
LAND SURVEYOR
1866 WADING RIVER-MANOR RD. WADING RIVER,
{^ '� )-` / ,. 4',.. NEW YORK, 1 1792
HAROLD F. TRANCHON JR.
N.Y. IC. NO. 048992 516-929-4695
PENN. LIC. NO. 21115-E