HomeMy WebLinkAboutPapadopoulos, Argirio I I'
ELIZABETH A. NEVILLE 4,/1 %\ Town Hall, 53095 Main Road
TOWN CLERK o • P.O. Box 1179
H Pry
Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS tO1�
Fax(631) 765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER ‘A—_ D �a �ei Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER _ rI�
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2295 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : DAWN & PETER HEARD AS VENDEE
Address 1 : PO BOX 356
City St Zip PECONIC NY 11958
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 #R10-00-0050
Name Of Owner PAPADOPOULOS, ARGIRIO
Mailing Address 1 154-11 28TH AVENUE
City St Zip FLUSHING NY 11354
Property Address 1 970 KENYY'S ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 59.00 block 3 lot 17.004
Cross Street NORTH ROAD
Building Permit Number Cross Reference:
Issue Date: 4/14/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE �� ¶ Town Hall, 53095 Main Road
TOWN CLERK • o - • P.O. Box 1179
CO) rrt
Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ��
MARRIAGE OFFICER : •fi . $1 Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER =_ Ol *ai,'i� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER _ ,0
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: April 7, 2000
Transmitted herewith is a copy of application No. 2383 for a Cesspool/
Septic Tank Construction Permit submitted by:
Dawn and Peter Heard •
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 i..
DISAPPROVE
Comments:
9./1 ...
nature�J
tido /op
Dated
4
OFFICE OF THE TOWN CLERK .'' c 3$3
' OL 'CQ
TOWN OF SOUTHOLD %' Application No.
ELIZABETH A.NEVILLE,TOWN CLERK %,64,
P.O.BOX 1179 •A; Construction
SOUTHOLD,NEW YORK 11971 i
Alteration
Telephone \-V,j► �ir $10.00 - Residential
(516) 765-1801 -_ Ol � ,''1 $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION --
for RECtit,
w ED
CONSTRUCTION or ALTERATION PERMIT APR
2000
SEPTIC TANK or CESSPOOL aO'44711440 ._ilmeh Cly
ttI
Permit No.
Fee $
DATE 6 �a C
APPLICANT NAME: M QWYI -eer mri
,/enol ee.,
APPLICANT ADDRESS: 're." - S` �r + 1�O 35
- - / '7 1 cisg
SEPTIC CESSPOOL !/
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
N /76-1
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: A)n1 Y 1 O
OWNER OF PROPERTY: f°t_p a d DpGv,I OS ,4. C `•:i _-S
OWNER MAILING ADDRESS: °,,, • +i' — . 16C-f- I1 0 g
F I oar
OWNER PROPERTY ADDRESS: 70 fukil,S
TELEPHONE NUMBER OF CONTACT PERSON: to -9 A
SiX MAP NO. : Section 5-1 Block 3 Lot ) 7, A/
CROSS STREET: N oc ko4
BUILDING PERMIT NUMBER CROSS REFERENCE:
iSOLIWO-- 0"13t-tei)
Signature of Applicant
RECEIVED BY: `� I�
T wn Clerk's Office
DATE: �l� ,rr1
SURVEY OF PROPERTY
AT SOUTHOLD
S5 ,
TOWN OF SOUTHOLD '�►
SUFFOLK COUNTY, NEW YORK / / .' "
1000-59-03-17.4 / / j-/ s
SCALE: 1 =60 0
FEB. 16, 2000 �'415.1"-../.---'
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6C i f 41df SUFFOLK COUNTY D°EPi MENTOiF LTH SERVICES
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QPC I PERMIT FOR APPROVAL OF�ON FOR A
/ t. C. y0 •- �" it '` �'1� FAMILY RESIDENCE ONLY
/ %%47 /"/ / �0fib' 11,""ri'' gam• cp ,e/Dod o,�o
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/1\ FOR MAXIMUM OF BEDROOMS F2y
8. , c.
/ / // BMUS THREE YEARS FROM DATE OF APPROVAL 3 rntm
4f-69., e`�h r„ ' 0 cyA4 E -0 �CA�A�ION t
1t .S , s, / �Z� v� i
s, / _1 � ✓r' r
/ � ,�
NSPECTION REWIRED
s„ � S g • CERTIFIED TOr
i° aft `kis,. 1� PETER D. HEARD
yes t ' °• / DAWN E. HEARD
G 9'rn °rP ' \ COUNTRYWIDE HOME LOANS, INC.
vert \ PECOMC ABSTRACT, INC.
lft.1,Pf. Ika \ . ” FIRST AMERICAN TITLE INSURANCE CO. OF NEW YORK
�340
., i/ I am familiar. with the STANDARDS FOR APPROVAL
t S.,. AND CONSTRUCTION OF SUBSURFACE SEWAGE
6.-,eIO z `if e ��fy s<,, DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES?' �' Z- e ;,
. and will abide by the conditions set forth therein ard
fie' c ;� /'
on the permit to construct.
C"
-, -a The location of welts and cesspools shown hereon are
°`oe`' o -C __ M' from field observations and or data obtained from others.
Qe
/ Elevations are referenced t. - - - sumed datum.
• Y ./ �P\i.Of •NEW p
AREA = 80,065 sq.ft. 4Q� O4
/ ' S IC. NO. 49618
r ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION• 33.74' ,-
.E I C ;t,.,"ca URS
OF SECTION 7209 OF THE NEV YORK STATE EDUCATION Law. 4 X63 65 ��,J',"� •X(631) 765-1797
t EXCEPT AS PER SECTION 7209-SUBDIVISION 2 ALL CERTIFICATIONS O0 Lot numbers refer to 'Map of Subdivision Made for 4
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF Argirios Pepadopoulos & George Maragos Filed in the P. I. :e -I. i:,
' SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR Suffolk County Clerk's Office on Sept. 13, 1986 as 1230 '1; 4 L6W ' T 10 0_ If n a
VHOSE SIGNATURE APPEARS HEREON File No. 8612 CI7IITH I $ ..'7' 1
' e CERTIFIED 03/23/00