HomeMy WebLinkAboutMalikyan, Dikranuhi O.�,o 4%f FO(,��0
ELIZABETH A. NEVILLE • Town Hall, 53095 Main Road
TOWN CLERK - P.O. Box 1179
REGISTRAR OF VITAL STATISTICS �+' i Southold, New York 11971
MARRIAGE OFFICER :�4, � Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER '/Ql 'r&\'•06
a&'iTelephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER .9"
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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. 2359 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ZOU1v1AS CONTRACTING CORP.
Address 1 , PO BOX 361
City St Z'; WADING RIVER NY 11792
I)escripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEAD 'I SERVICES. REF #R10-00-0069
Name Of 0 trner MALIKYAN, DIKRANUHI
Mailing Aci;h-ess 1 1410 EAST 27TH STREET, APT 26L
City St Zi -. NEW YORK NY 10016
Property tddress: 1 BARLEY LANE
Caty St OU-r HOLD NY 11971
Tax Map Na. section 59.00 block 4 lot 5.012
:-ass 5tr :,l riREENFIELDS LANE
Building Pwmit Number Cross Reference:
Issue [)att. 7/07/00 Elizabeth A. Neville
"`- Southold Town Clerk
(TOWN SEAL)
•
I: irk 235
etio ...... N. il,„, 0 n II
ELIZABETH A. NEVILLE �0 20Qt;ovi, 'Hit11 53095 Main Road
TOWN CLERK y ? �, " P.O. Box 1179
REGISTRAR OF VITAL STATISTICS v' E (jr.,S ,�-i(
%la, ti --,A uthold, New York 11971
MARRIAGE OFFICER `.. le el�° ,v._._ `'" I.. Fax Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER ��! ,ar,�i elephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER _ •0e,
♦i 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 29, 2000
Transmitted herewith is a copy of application No. 2447 for a Cesspool/Septic Tank Construction
Permit submitted by:
Zoumas Contracting Corp.
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: iignature
Dated
OFFICE OF THE TOWN CLERIC �'' � ULI
TOWN OF SOUTHOLD ,.• � 'C Application No. ,2"/47
ELIZABETH A.NEVILLE,TOWN CLERK Q
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971 • v
Alteration
r411,
Telephone ,� Qr ' $10.00 -Residential
(516) 765-1801 �1 if 0,.' $25.00 -Non-Residential
• -- ,, ,,,,,
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
•
Permit No.
Fee .$ //
DATE b440fl
APPLICANT NAME:
ZOUMAS CikitACTING COiii.
APPLICANT ADDRESS: '>P•O.Box 361
Wadiigu Rivcr,NY 11792
SEPTIC ( - CESSPOO
DESCRIPTION OF PR POSED CONSTRUCTRN OR ALTERATION
i7 DWQ,/!.
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: LI ��( fl*K/t/ 41, r..ct
OWNER MAILING ADDRESS: 0).t(0 �,Qf�41 c-?V 59 /PL a6L.
oce.o `70At N.y_ /001-6
OWNER PROPERTY ADDRESS: 810tit.LC7 '
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section S Block___-� _,_,_,..„Lot f
CROSS STREET: 6:- --cEtu�/(GQS L
BUILDING PERMIT NUMBER CROSS REFERENCE: .
•nat qp. _- .
RECEIVED BY: ,IN
Tovin Clerk's Office
//
DATE: C' a9I 766
OT AREA= 41248 sq.It. .
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y LOT NO. 12 DRAINAGE BASIN
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F 154.82' (5I.3' I
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5. 21 5030 E. G,r1S}IiG_..WAieg ,CPN
LA- c (sa.8) BARLEY L Y LANE ($O'O1
12 P
A DWELLING-PUBUCVACANT
,-- • WATER
-j -200) .INDICATED . PROP WE14..
.'OTE:LOCATION OF WATER MAINS AND ADJOINERS WATER
•
SUPPLY BY OTHERS AND ARE NOT:.GUARANTEED.
JOB NO. 00-104 FILENO. GREENFIELDS AT SOU OLD
i, OFFSETS (OR IMENSIONE GUAKANTEES INDICATED Nbliftm -
HOWN HEREON PRIM TH MALL RUN ONLY TO THE MON SURVEYED FOR
TRUCTURES TO THE R6RoPERTY POR WHOM THE SURVEY IS PRIM
INES ARE FOR A SPECIFIC PUR- PARED, AND ON HIE WNW TO LOT NUMBER 14
OSE AND USE AND THEREFORE THE TITLE COWPONY, OQ
.RE NOT INTENDED TD.GUIDE THE TM AGO= AND UNDINU saS7.
RECTION OF PERCES RETAINING TUTION LIVID`AMON, AND TO MAP OF GREENFIELDS AT SOUTHOLD
-BALLS, POOLS, PATIOS, PLANTING THE ASSIGNEES OF THE LENDING
REAS, ADDITION TO BUILDINGS INSTITUTION. GUARANTIES
RANYOR�t00NB71RGTIOI• NOTTO
INSTITUTIONS OR SUNSCU AL SITUATED AT sOUTHOLD
;NAUTHORIZED ALTERATION OR OWNERS. TOWN OF SOUTHOLD-SIJFFO�.K COON Y N.Y.
4)01110N 10 THIS SURVEY 4 A
'IOLATION OF SECTION 7209 Of COPIES OF THIEI SURAY MAP NOT
HI NTN WORK STATE IDUCA1IC$ ,BEARING THE LAND SURV!YOR SCALE 1,, = 5p'. DATE 3-9^2000.
ATTR qE» SEAL OR EMEOEEID SEAL
*All Nar II CONNOIRID TO M FILED MAP NO. 6313 DATE 11-10-1975
_UARANTEED ONLY'TO TAX MAP NO. 1000-59-4-5.12 (REF. ONLY)DISK 215
HAROLD F. TRANCHO'N JR. P.C.
LAND SURVEYOR
1866 WADING RIVER—MANOR RD. WADING RIVER,
Fi _ /f NEW YORK, 11792
i ",..44)
� �'^^_ .Y. LIC. NO. 048992 516-929-4695
'iiOLD F. TRANCHON JR. PENN. LIC. NO. 21115-E •