HomeMy WebLinkAboutKalapoutis, Pantelis t I�0"4,FFO/,'
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ELIZABETH A.NEVILLE = ' Town Hall, 53095 Main Road
TOWN CLERK O - P.O. Box 1179
v� Z
REGISTRAR OF VITAL STATISTICS
v, Southold, New York 11971
MARRIAGE OFFICER �Ofi �����,Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER � �Ql �ar.00.
Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
SOUTHOLD WASTEWATERUDISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2391 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : SCHEMBRI HOMES INC
Address 1 : 2042 NORTH WADING RIVER ROAD
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 #R10-00-0181
Name Of Owner KALAPOUTIS, PANTELIS
Mailing Address 1 191 PARKWAY DRIVE
City St Zip WESTBURY NY 11590
Property Address 1 THE LONG WAY
City St Zip EAST MARION NY 11939
Tax Map No. section 30.00 block 2 lot 11 .800
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 9/08/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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•11saFFou.e,G a 39
ELIZABETH A.NEVILLE Town Hall, 53095 Main Road
TOW1
N CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS �' Southold, New York 11971
MARRIAGE OFFICER :�4' � , Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER ; Q �a�',� 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: August 16, 20000
Transmitted herewith is a copy of application No. 2477 for a Cesspool/Septic Tank Construction
Permit submitted by:
Schembri Homes Inc.
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:
4
gnature
166
Dated
OFFICE OF THE TOWN CLERK es.�c�AFFOLIre
TOWN OF SOUTHOLD e QGy; Application No. - ((l)
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 Construction -�
SOUTHOLD,NEW YORK 11971 'T
Alteration
Telephone ,j, Qr�;1 $10.00 - Residential
(516) 765-1801 V
% 01 � 01 $25.00 - Non-Residential
,.,,,,,,
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE 7jto
APPLICANT NAME: 5G#6-192 /41105 ._z-z/-
APPLICANT ADDRESS: &'OVr3 ,U, 41,11/Uc,, 40_--71.) 49i5
/wG /9-44370 pY 1(75'0,1
SEPTICy CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LJ -"ke
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: f 7 2.-/S qc. U-PST?20'/151'
OWNER MAILING ADDRESS: /9/ T/Jfir-afi2/ 112eve
,vim--5T Aug./ ,Ci( /1-90
OWNER PROPERTY ADDRESS: /...07 ' Lev.) aid?
/5-4-S7 Arp4lL/a
TELEPHONE NUMBER OF CONTACT PERSON: ---5'6
TAX MAP NO. : Section /000 Block 3o-Oa. Lot /4-
CROSS STREET: "¢//c> /eco¢-t `c'y S ? as—
BUILDING PERMIT NUMBER CROSS REFERENCE:
/13f4
natur: f
/4/
J . licant
� pp
RECEIVED BY :
Town Clerk's Office
DATE:
lir:.
.1i. .
JOB No. 00-38 TAX I.D. No. 1000-30-02-118
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N/F ANDRE K. BIRTEN ET AL. VACANT
+1-101 S 13°0150"E 80.00' +f-101
I I SUFFOLK COUNTY Y DEPARTML4NT OF HEALTH SERVICES
' PERMIT-FOR APPROVAL C Pi'CONSTRUCTION FOR A
I SINGLE FAMILY RE'STDENCI;ONLY
11
DATE '--.161-("C.-) ES RE .N R �� -' ��- �'-J 1
��'i OVFD i -u .r----, -�
y �1V6TE i
1 FOR t AXLMUM OF BE. 007 S 1] TEST HOLES ON FILE MAP SHOW CLAY
AND SAND SOUTH OF SUBJECT LOT.
EXPIRES THREE YEARS 1:11')M DATE OF PROVAL 2] LEACHING POOLS MUST BE BACKFILLED
WIDTH CLEAN SAND AND GRAVEL IN
ACCORDANCE WITH SUFFOLK COUNTY
HEALTH DEPT.STANDARDS. I
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FF 101.8 - .
1 in
GAR 100.3 Ch
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PROPOSED cwn
10' 7.5'
SINGLE FAMILY Z.
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73
O
— SEPTIC LOT "G"
LOT 57 LOT 56 I — OPEN SPACE OCC RES PW
OCC RES PW VACANT
o (Fill OLP Z
65' z
co
Igm OEX 4
.73
I ELEC COVER TIE 2666.50'
99.7 0 99.3 m
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N 13°00'20"W 80.00'
EDGE OF PVMT
IIi
1 THE 99.4 LONG 98.6 WAY [ 60' 1 r
I
I PUBLIC WATER 1 r
I
LOT 44
ELEV IN ASSUMED DATUM VACANT FILE MAP No. 6266 6/11/75 1
..nautnoraed alteration or addition to this document is a violation of Section 7209 1,
of the New York State Education Law SURVEY OF: ,
certifications indicated hereon shall run only to the person for whom it is prepared LOT 55
and on his behalf to the Title Company,Governmental
Agency and Lending
institution listed hereon,and to the assignees of the lending institutions or MAP OF PEBBLE BEACH FARMS
subsequent owners.
Copies of this document not bearing the professional's inked seal or embossed
seal shall not be considered avalid rue copy. EAST MARION, TOWN OF SOUTHOLD
The offsets I or dimensions]shown hereon from structures to the property lines are
for a specific purpose and use and therefore are not intended to guide the erection of SUFFOLK C 0 U N TY NEW YORK
fences,retaining walls,pools,planting areas,addition to buildings or any other
construction
Tne existence of right of ways and/or easements of record,if any,not shown are SURVEY DATE: 6/27/00 SCALE: 1"=40'
not guaranteed
f
CERTIFIED ONLY TO: 4CF NEI,„.I1rr
SCHEMBRI HOMES ,cP 0,9 DESTIN G:GRAF
•EST ING.GRAF 'F LAND SURVEYOR
�� . _y Rocky Point,wnN Road Y. 11778
1 By DESTIN G. GRAF N.Y.S. LIC No. 50067
jO��'ENS'-50067 516-821-3442 I
sStON•L‘.