HomeMy WebLinkAboutLangevon, Patricia • e"iii__.__•
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ELIZABETH A. NEVILLE ���,_ y� Town Hall, 53095 Main Road
TOWN CLERK o P.O. Box 1179
y Pit
= Southold, New York 11971
REGISTRAR OF VITAL STATISTICS �
MARRIAGE OFFICER :� �i Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER --_ ��1
��� i� 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. 2319 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 11702
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 #R10-00-0047
Name Of Owner LANCEVON, PATRICIA
Mailing Address 1 1865 BURNETT STREET
City St Zip BROOKLYN NY 11229
Property Address 1 3755 DELMAR DRIVE
City St Zip LAUREL NY 11948
Tax Map No. section 125.00 block 4 lot 3.000
Cross Street EMMA DRIVE
Building Permit Number Cross Reference:
Issue Date: 5/15/00 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
ti Z
::. n� Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax(631) 765-6145
MARRIAGE OFFICER l$
RECORDS MANAGEMENT OFFICER �,_WQl 4Y.0 Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ����
i •°°°
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 12, 2000
Transmitted herewith is a copy of application No. 2407 for a Cesspool/
Septic Tank Construction Permit submitted by:
Zoumas Contracting Corp for Patricia Langevon
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 rec mmendations:
APPROVE
DISAPPROVE
Comments:
�gnatur
Dated
OFFICE OF THE TOWN CLERK f 0�K
TOWN OF SOUTHOLD ,��' O ,`'C). Application No. y0 7
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 _ .=GConstruction 4/
SOUTHOLD,NEW YORK 11971
o rn ; Alteration
tts
Telephone ,�,f, � ��' $10.00 - Residential
(516) 765-1801 : Ol o- $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 /11700
APPLICANT NAME: MAUS CONTRACT:: 3
P.O. Box 361
APPLICANT ADDRESS: Wading River, NY 11792
SEPTIC � CESSPOOL
DESCRIPTION OF PROPOSED CONSTR CTION OR ALTERATION
rib"i oWr.`i..
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: -Pnrottefil L-1414-611D 141
OWNER MAILING ADDRESS: oar 804./1 54.," aforp, A/.7 j/.tay
OWNER PROPERTY ADDRESS: 3 7S O ,P7,4,t D21€'t
N• y
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section 1 Z<" Block -i Lot
CROSS STREET®I J€M4,t JJl�uL. P9 cAjocvlia..4 EIMM1% DV('
BUILDING PERMIT NUMBER CROSS REFERENCE:
RECEIVED BY: RECEIVED
Town Clerk's Office
DATE:
MAY ?f
Southold Town Clerk
IT AREA = 24,700 50.FT.
F.ELEV. .47 1.3•S' •
R, ELEV.= • 5 I•'S - \i '
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4.
LOT NUMBER 28 IR
DWELLING - PUBLIC WATER C .PI:xa`
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LOT NUMBER 26 - N0\d'f
TEST HOLE DWELLING - PUBLIC WATER
AS PER FILED MAP CLe( NZiVb- r^
0 Top soil �Q+I
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Loam .
.,..,.y� i .r:, -'Trrl^
3' --- birFFOLK C avy.fl• DErAR' eterOr Pao I
1r MR lenttOV"cu►t�a °N ' A .
Sand a small �� ii Y��r Y
amount of grovel t °L •ENCU / .^ �Q u��-,. ;
202tan It;.
DATE
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13' — AP1"ROYEI7
Fine sand
7�1
14' FOR StAXT►OM Or• -
EXPIRES01414
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THREE YEARS FROM milli*PritOvAt
"*:C7-20D0 AACEO PROP ViELL_
JOB NO. 00 - 55 FILE NO. LAUREL COUNTRY`'ESTS:
OFFSETS (OR WINSIONi GUAKANTiES iNoiGATtu ncRcvr,
NNN HEREON FROM SHALL SHALL - : Y TO I4st SURVEYED FOR
_JCTURE$ TO THE PROPERTY KAr ,xK rvEi 4,404JY 1
- ARE FOR A MOM PuR- MHO, A CF+ Au Nag& to LOT NUMBER 27
AND UEE AND THEREFORE THE TIME CV, "? r` MAIC OF LAUREL COUNTRY ESTATES
NOT INIRCED TO GUIDE THE TAL AGRe CY AK) LG++K714n* NO-
BION OF FENCES, RETAINING TT,ITION LIBTIS.) rgSECCXd, AN) TO
11, FOOLS, PATIOS, PLANTING THE A3SIGVE4 OF DIE Lip404+4G
AS, ADDITION TO BUILDINGS INSTITUTION. GUARANTTN$ AkE
ANY OTHER CONSTRUCTION. NOT TRANSrtwLB TC) AMTIONAL SITUATED AT LAUREL
INSTITUTIONS OR 4Ubst4'UEN1
AUTHORIZED ALTERATION OR OWNERS.
'IIION TOOTHIS SURVEY 15 A TOWN OF SOUTHOLD,SUFFOLK COUNTY,NEW YORK
+ATION OF SECTION 7209 OF COPIES OF THIS V.:4ATLY MAY NOT
tea WORK STATE EDUCATION BEARING THE LAND SURVEYOR'S SCALE 1,, = 40' DATE ' 2 - 15- 2000
INKED SEAL OR EMBOSSED SEAL
SNAIL NOT BE CONSIDERED TO B! FILED MAP NO- 5486 DATE 6 - 22 1970
U A R A N T E E D ONLY TO TAX MAP NO. 1000 - 125 - 4 - 3 (REF. ONLY) DISK ZR
HAROLD F. TRANCHON JR. P.C.
LAND SURVEYOR
1866 WADING RIVER-MANOR RD. WADING RIVER,
/ NEW YORK, 11792
lect.,,,,d F � � N.Y. L C. NO. 048992 516-929-4695
-ARO D F. TRANCHON JR. PENN. LIC• NO. 21115-E