HomeMy WebLinkAboutKarlin, Philip ofFOu
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ELIZABETH A. NEVILLE e= Gy� Town Hall, 53095 Main Road
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TOWN CLERK P.O. Box 1179
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v, n� Southold, New York 11971
REGISTRAR OF VITAL STATISTICS . 4 �1 Fax (631) 765-6145
MARRIAGE OFFICER �� y �
RECORDS MANAGEMENT OFFICER �__"'/Ql . •ii Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ,•��1 �
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2323 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 #R10-00-0088
Name Of Owner KARLIN, PHILIP & SHELLY
Mailing Address 1 PO BOX 1005
City St Zip MATTITUCK NY 11952
Property Address 1 SOUTHERN BLVD
City St Zip EAST MARION NY 11939
Tax Map No. section 22.00 block 1 lot 13.000
Cross Street CEDAR DRIVE
Building Permit Number Cross Reference:
Issue Date: 5/22/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
, a
d 3
_ ' w MAY 18 2000 , 'ps ,'�
ELIZABETH A.NEVILLE- i!,a�• • 'jd Town Hall, 53095 Main Road
TOWN CLERK .' C % P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ; t $
MARRIAGE OFFICER Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER =y�ol iNg 4),... Telephone
Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ���
, .•0i
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 18, 2000
Transmitted herewith is a copy of application No. 2411 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:
nature
jige
Dated
OFFICE OF THE TOWN CLERK •���0���{ U�K`►O� Application No. a
TOWN OF SOUTHOLD ,�0 /(-
ELIZABETH A.P.O.BOX E,TOWN CLERK Construction v
.BOX 1179
SOUIHOLD,NEWYORK11971 ; Alteration /__
t.�'Q r $10.00 - Residential ✓
Telephone ----'400 1�� �'�,,,.
(516) 765-1801 = 1 ,.0. $25.00 - Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION :t=V
for --�
CONSTRUCTION or ALTERATION PERM f MAY 1 $ BOO
I
SEPTIC TANK or CESSPOOL Lsticritrtrard own �r� c
.v. r e
Permit No.
Fee $ DATE S/W, !7
APPLICANT NAME:
ZOUNIAS,CONTRACTING CORP.
APPLICANT ADDRESS: •:,'.'t P.O•Box 361
Wad;119 River, NY 11792
SEPTIC X CESSPOOL p .
DESCRIPTION OF PROPOSED CONST JCTION OR ALTERATION
�i 'lllc, .� JL(1/ 1
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION :
OWNER OF PROPERTY : P`iic,(f 14410 5J1F,-Lu' KA-fttlA)
OWNER MAILING ADDRESS: P.0 &o 100 .( 4'J4luc..4,
OWNER PROPERTY ADDRESS: ' 0-7- AND Ceo// OnrvP
Cis MA^r oa 0(i) o i..0
TELEPHONE NUMBER OF CONTACT PERSON: 6 3I- 5c S
/ 7O
TAX MAP NO. : Sectioned Block _ I . ,Lot 4013 =J
CROSS STREET : �rkt✓t.^- Soo Jt 0, 2tPD CDJ Dm vv.-
BUILDING
.-BUILDING PERMIT NUMBER CROSS REFERENCE:
re of A,• .lican
RECEIVED BY:
Town Clerk's Office
DATE:
•
LOT AREtt 36,949 sq. It. NOTE: LOCATION OF WATER MAINS AND ADJOINERS
F. FL. ELLV.= •42 o WATER SUPPLY BY OTHERS AND ARE NOT GUARANTEED.
GAR: ELEVA 40 0 a •ELEVATIONS FROM FILED MAP. RECEIVED
SUFFOLK COUNTY
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Z000 —8 AN U:
DEPTNAY OF HEALTH SER`10E54S
OFFICE WASTEWATER hi 1
ravo'
sA
0°< WELL
P SOUTHERN BOULEVARD (35.5)
P - f40.01
MON. N. 86.49'20" E. 186.46' F FD
(40.5) I (311..0
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IDSUFP01, C �DEPARTMENT OF SERVICES
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PERMIT FOR '#R(QVv►L OF CONSTRUCTION FOR A
DATE
SING 1►ENCE ONLY
N. 88616'20rs".'
c o HS REF.Pio:&P....-.--(2 (4°.°)
4c o) wat
213.22 AC7TaqL
�!'-/ 213J4' MAP
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_ 50.0' —
APPROVED •- ¢
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FOR MAXIMUM OF BEDRC $OR FORMER_Y DZENKOWSKI
EXPIRES THREE YEARS FROM DATE OF APPROVAfLCANT
co
nt OFFSETS (OR IMEnSIONb) GUAMANTEES INUNAIEU naRnvn JOB NO. 00-126 FILE NO. AOUAVIEW PARK
,MOWN HEREON FROM THE SHALL RUN ONLY TO NE MOON
ITRUCTURES TO THE PROPERTY FOR WHOM THE Its PRE. SURVEYED FOR
INES ARE FOR A MOM MR- PARED, AND ON HIS SSW TO
'OSE AND USE AND THEREFORE NE TIIIE COIIKWi'. LOT NUMBER 12
um Nor STD GUIDE TAL AGENCY AND WNW. imps.
'SECTIONRETAINING TUTION MAP OF AOUAVIEW PARK
N Poon, o1‘T10E, p�q TTIi ASEIONEea as THE 't�IDRW
AREAS. ADDtHON TO BrdWI j • INSTITUTION. bUARAII!lff�CANRt
AbITOISIRC+a1�JOICN. INSTITUTIONS it M
a QNB. SITUATED AT EAST MARION
14141 41012 jpp�. ••• • t� .,.. ,.• TOWN OF SOUTHOLD-SUFFOLK COUNTY N.Y.
HE NW MR IIOM110N y» �. • � , .;AIL
�. .,. ... _. . � t�rtx oowelClltm m 0E
SCALE t" = 40' DATE 4-4-2000
/;r�'fr�L FILED MAP NO. 5621 DATE 7-30-1971
GUARANTEED ONLY TggP O
�.TRAN C �Q� TAX MAP NO.1000-22-1-13 (REF. ONLY) DISK 216
v
yo HAROLD F. TRANCHON JR. P.C.
Qo ,,:, , z} LAND SURVEYOR
1 kt$00 F: •
Q• 1 866 WADING RIVER-MANOR RD. WADING RIVER,
f/,& ..L (
F' �— . '2 O04ii1 • .ONEW YORK, 11792
OCA *ITVNO: 048992 51 6-929-4695
HAROLD F. TRANCHON JR. - - , i. LIC. NO. 21115-E