HomeMy WebLinkAboutDiVello, Terri Ann " ���
i �FFO�
'��O`OS �f'ee
•
ELIZABETH A. NEVILLE '���� Gy Town Hall, 53095 Main Road
TOWN CLERK C P.O. Box 1179
‘`‘?4
' Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ♦ p .. %% Fax (631) 765-6145
MARRIAGE OFFICER : 4#*)
i �1
RECORDS MANAGEMENT OFFICER � '/Ol *�eI� Telephone (631) 765 1800
FREEDOM OF INFORMATION OFFICER � ,�������
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2382 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 #R10-00-0029
Name Of Owner DIVELLO, TERRI ANN
Mailing Address 1 3376 WICKHAM AVENUE
City St Zip MATTITUCK NY 11952
Property Address 1 1010 TUTH I LL ROAD EXTENSION
City St Zip SOUTHOLD NY 11971
Tax Map No. section 55.00 block 6 lot 15.047
Cross Street ORIOLE DRIVE
Building Permit Number Cross Reference:
Issue Date: 8/15/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
7.77
T----70 ra n •00, ....„......
"- J3 3-.L .___
. _
_m Ea0� opo coa `
ELIZABETH A.NEVILLE �� 0 1.,4\ Town Hall, 53095 Main Road
TOWN CLERK 7 c* - ii P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ��� Southold, New York 11971
MARRIA E OFFICER : 4. ���� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER '/�! 40*�i� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER .0��8,��
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: August 7, 2000
Transmitted herewith is a copy of application No. 2471 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.
Thank you.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE
DISAPPROVE
Comments:
'gnature
fl 'gib 0
Dated
'
OFFICE OF THE TOWN CLERK ,s• ►Utk /
TOWN OF SOUTHOLD 04. • C8,* Application No.p2
17
FLI7ABETHA.NEVILLE,TOWN CLERK i a 4 t Construction �1
P.O.BOX 1179 .6 `
SOUTHOLD,NEW YORK 11971 0 T
Alteration
tri
Telephone �Q�•i� $10.00 - Residential r�
(516) 765-1801 l �,,."
-- $25.00 -Non-Residential
• -
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATESitV
APPLICANT NAME: ZOUMA.4,CANTRAMING CORP.
APPLICANT ADDRESS: zP•O.Box 361
WadiIiJ River,NY 11792
SEPTIC CESSPOOL /
DESCRIPTION OF PROPOSED CONSTRUCTION
OR ALTERATION
�0✓l y /C/tJrl /7 OGve6//.
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 'Mitt 4-", .Dia c L L v
OWNER MAILING ADDRESS: 337 6 (,vicid///gM A-v it
OWNER PROPERTY ADDRESS: /0/0 'U(/-t/Gc_ le014-D 661-
TELEPHONE NUMBER OF CONTACT PERSON: 902,9- yS70
TAX MAP NO. : Section S Block 6 Lot /C: 9 7
CROSS STREET: D 2- O L(- D t?tv 6--
BUILDING PERMIT NUMBER CROSS REFERENCE:
ignatur- • Ap• 'cant
RECEIVED BY: /12_
Town Clerk's Office
DATE: g'/'?/'C �
Lot AREA 2Q000 sq. ft.
r: , 1:L c\d 74.5 ' LOT NUMBER 561 03
�i CLEV i2.5 ' m LOT NUMBER 45
pvlr•,_1.N c.,
p,ue�►c. wR ATgZ z VAC A.►. r
\o' CESSPOOLS IN FRONT Y z 1 Y \4S%Q
- U J
O
c-
>
s ( 70,c)
TUTHILL ROAD EXTENSIO ANON INSPECTION REQUIRED
MIOARY SYSTEM
OARTMENf
FD
01,0) S.34°03'40"E. 100.00' MON
4. • -
't5. • Cgs5p0D(-
C5 a
-0
N WIJ 0 — — e0
G >
N
O. J 31) NTS CFa�f'00L_
IL
I J
O (;1,.1
` J
0 -: I (72.5) I
A
v
a
H
rs° o>.rc cour v SERVICES
z y Pic l'T FORIRPP�tOVAL OP C�O1 UCfl0N! A gi
sINCLR PAM1LY RITSIIIPN ONLY '
1- - f , 4-
0 p 3 0 DATE !� l'f I c)° 1 (Lt O -v'- c ).0
0
yr
oci
APPROVED 01111111101111M41.0111•4011. r
POR MA . IUM OIs. 't BEDROOMS Wii
�fPIRES THREE!YEARS FROM DATE OF APPROVAL z �`
co
I V
0 J 0_
,, p LLJ w
r: �
., �.� ,,.. yJ c I I U
(� 1.4.; /FD 3 '� -
STK
M a N N
cc a t0 (0
CO LA
WLO
j \� g t U )
to
cr
Z , a Z N
i FD
F- S7I'6) (72.0) MON
113
-J 2 g N.34°03'40"W. i F.C. �' — 100.0 Q -
-a 0i Ns`7 1.5' W. 1.7' W.
- #t1LW to x
(--)/ � DRAINAGE AREA
4-13-2000 ADDED PROP. WELL
r1t •OFFSETS (OR +AIEN$1ON$ GUAkANTEES INDICAT A) nkh9v+v JOB NO. 00-25 FILE NO. HIGHPOINT MEADOWS
.HOWN HEREON FROM Til MAL. RUN ONLY TO ENE MOPE SURVEYED FOR
;I T RUNES ARS>FOR A PROP .MIA AND ERTY ON HES NNW TO LOT NUMBER 41
OSE AND
USE ninerati
INTIK ED AND Tai AGENCY AND
ME COMPANY,
NMAP OF HIGHPOINT MEADOWS SECTION 3
,RECTION OF MEM RETAINiHG TUTION LISTED 446E10N, AND TO
NAILS, FOOLS, PATIOS, PLANTING THE ASSIGNEES OF THE LENDING
AREAS, ADDITION TO BUILDINGS INSTITUTION. GUARANTEES ARE
*AMMER ITON. NOT TRAMMING 10 ADDITIONAL SITUATED AT SOUTHOLD
INSTITUTIONS OR SUSSEOUENS
DORSO OTO DT ALTERATION OR OWNERS. TOWN OF.SOUTHOLD, SUFFOLK COUNTY, N.Y.
.D01110N TO THIS SURVEY IS A
IOLATTON OF SECTION TS09 OF Cows OF TH6 SURVEY AMP_NOT
�•NRW "'GRIT STATE EDUI'ATION RDING �u SCALE 1" = 30' DATE 1-22-2000
UAL EMBOSSED SEAL
64ALL NOT BE CCNSIDESED TO BE
4 v41 Iron,,c MI"' FILED MAP NO. 8912 DATE 3-19-1990
GUARANTEED ONLY TO TAX MAP NO. 1000-55-6-15.47 (REF. ONLY) DISK 212
HAROLD F. TRANCHON JR. P.C.
LAND SURVEYOR
1866 WADING RIVER- MANOR RD. WADING RIVER,
_ /' —,, NEW YORK, 11792
N.Y. LIC. NO. 048992 516-929-4695
tA1t1A1 11 C TDAtJPLAIU 112 rsrktu , Lr wtA 7711G_C.