HomeMy WebLinkAboutGregory, Scott e,,
ELIZABETH A. NEVILLE Town Hall, 53095 Main Road
TOWN CLERK o P.O. Box 1179
ti
v, n� Southold, New York 11971
REGISTRAR OF VITAL STATISTICS _ �� Fax (631) 765-6145
MARRIAGE OFFICER 1i 1
RECORDS MANAGEMENT OFFICER � Ql '0,0°
0 '0° Telephone (631) 765 1800
FREEDOM OF INFORMATION OFFICER _ 1
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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. 2347 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ZOUMAS CONTRACTING CORP.
Address 1 : PO BOX 361
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 #R10-99-0130
Name Of Owner GREGORY, SCOTT & CHRISTINE
Mailing Address 1 1406 NORTH WINDSOR AVENUE
City St Zip BAYSHORE NY 11706
Property Address 1 1275 WHITE EAGLE DRIVE
City St Zip LAUREL NY 11948
Tax Map No. section 127.00 block 9 lot 20.000
Cross Street RAILROAD DRIVE
Building Permit Number Cross Reference:
Issue Date: 6/20/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
- Lr, 073 92
III \,0 CQ _a
ELIZABETH A. NEVILLE _ G'y JUN ( 9 vn Hall, 53095 Main Road
TOWN CLERK o P.O. Box 1179
• •
• y • CLOG. Gt,,TSbttt old, New York 11971
REGISTRAR OF VITAL STATISTICS 0 ��I TOW�1 01=SOU rI-y f„riFax(631) 765-6145
MARRIAGE OFFICER II
RECORDS MANAGEMENT OFFICER � Q ���II Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER 0���'�,I
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: June 19, 2000
Transmitted herewith is a copy of application No. 2435 for a Cesspool/
Septic Tank Construction Permit submitted by:
Zoumas Contracting Corp. for Scott and Christine Gregory
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 r
DISAPPROVE
Comments:
ignatur
la o-1
Dated
• OFFICE OF THE TOWN CLERK es��,.� vour n� 6
TOWN OF SOUTHOLD ,'��`�o C��i�: Application No. �
FI 17ABETH A.NEVILLE,TOWN CLERK y
P.O.BOX 1179 ; }� Construction /.!
SOUTHOLD,NEW YORK 11971 =
% Alteration
Telephone
`. 0� , or�. $10.00 - Residential
Tele
(516) 765-1801p - 0l * 0•0'.r
$25.00 - Non-Residential
— ..,,,,,,
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ 617./70 DATE 0
APPLICANT NAME: Z •QUP ,CANTRACTiNCcoral.
APPLICANT ADDRESS: ".P•o•Box 361
Wadiiy River, NY 11792
SEPTIC CESSPOOL,
DESCRIPTION OF PROPOSED CONSTRU TION OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR�LTEIRATION
OWNER OF PROPERTY : Sco - -t- ,�.s eft•."v /UL4,..m..7
OWNER MAILING ADDRE : I oce 0. _ji..),-„,,c . ajyk.
OWNER PROPERTY ADDRE�S : (A)4( ,/,_ E4G.G e A,Q,(v:.. / i✓ 14i/t4 L-.
TELEPHONE NUMBER OF CONTACT PERSON : %)- —c(-C-70
0
TAX MAP NO. : Section id- 7 ___ Block _,,. ,_ ,Lot . a'O_
CROSS STREET : • g-410120A0 0 (L.( uv
BUILDING PERMIT NUMBER CROSS REFERENCE:
, 01111111111111
Signa . .ii licant
RECEIVED BY:
/,, T w�n^ erk's 'ce
DATE: 1�' ! 9 O"
.OT AREA 41893 S0. FT. NOTE---LOCATION OF ADJOINERS WELL AND CESSPOOL BY OTHERS
FF..EL.._ 780 AND NOT GUARANTEED
'GAO. EL 4..0 / •
SUFFOLK COUITTY DP" T 4 O HEALTH SERVICES
FERRO?FORA , .VAL OF CON$1 kVC TION i10 A 11.13 i',';; 0 't
M 1 !0: 02
S . AMI(LY* CIC ONLY r
6DATE 0 Irr.
FOR MAXIMUM et ' •• (76.1)
EMUS Z : . .. .• 41 DATE OF AP>PROYAL
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(67.2) (74.0) 0 (73.3)
S.57.26'18"W. 216.80
The existence of right of ways and or easementb
8 of record, if any, not shown are not guarantee-
1+ LOT NUMBER 21
We,..,_ 0
• DWELLING c , -
1Ee oFPeas PN :11 *3f °"1:1$ INDISATtp JOB NO. 99-244 FILE NO. GOLDEN VIEW ESTATES
DOWN NiRiON PROM 1Ml NWl RUN ONIY TO 111E
TRUCTYRES TO THE PROPERTY PM WHOM THE SIAM IS
NIS ARE FOR A SPECIFIC PUR• PARED, AND ON NIS SEEM€ 14 SURVEYED FOR SCOTT GREGORY
Ow AND USE. AND THERIPORE 'ME ME DOAAPANY, OOVERNAAETI
E NOT INTI.DED 10 OUIDE THE TAL AGENCY NC LENDING INTO- LOT NO. 20
RICTION OF FENCES. RETAINING TUTION LISTED HEREON, AND TO
:ALLS, FOOLS..BIAS. , ITTON TO BUILDINGS NSTING THE TUTION. GGNEES UAR NTETHE LENDINGAMAP OF GOLDEN VIEW ESTATES
*ANY OTHER CONSIRUCDON. NOT TRANSFERABLE TO ADDITIONAL.
INSTITUTIONS OR SUBSEQUENT
NAUTIRORIIIN ALTERATION OR OwNERS. SITUATED AT LAUREL
.DOmON 70 THIS SURVEY IS A
IOLATION of SECTION VIOL Of U$ISS OF THIS SURVEY MAP NOT TOWN OF SOUTHOLD - SUFFOLK COUNTY, N.Y.
HE NEIN YON( STATE EDUCATION BEARING THE LAND SURVEYOR'S
W. INKED SEAL OR EMBOSSED SEAL
SMALL NOT BE CONSIDERED TO el SCALE 1" = 40' DATE 6-2-1999
S U A R A N T E E D ONLY TO FILED MAP NO. 7770 DATE 8-30-1984
SCOTT` H. GREGORY TAX MAP NO. 1000-.127-9-20 ' . (REF. ONLY) DISK 170
CHRISTINE A. SCHNEELOCH HAROLD F. TRANCHON JR. P.C.
FIRST AMERICAN TITLE INSURANCE COMPANY OF N.Y.
LAND SURVEYOR
SUCCESSOR TO WILLIAM G. MEIER
((/��/_ 1866 WADING RIVER-MANOR RD. WADING RIVER,
`moi. --cJ�^ R+► NEW YORK, 11792
,ARCLDif"Al
N.Y. IC. NO. 048992
F. TRANCHON JR. PENN_ LIC. NO. 21115-E 516-929-4695