HomeMy WebLinkAboutThemelis, Nikolaos ;7O��-0 ;
ELIZABETH A. NEVILLE �'_ y1: Town Hall, 53095 Main Road
TOWN CLERK ; y Z P.O. Box 1179
1 Southold, New York 11971
REGISTRAR,OF VITAL STATISTICS G ��
MARRIAGE OFFICER �� y �1 Fax(631) 765 6145
RECORDS MANAGEMENT OFFICER �_ OI $,a0Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER •
d11
•
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2416 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 #R10-00-0209
Name Of Owner THENELIS, NOKOLAS
Mailing Address 1 14 SEREIN COURT
City St Zip MUTTONTOWN NY 11791
Property Address 1 PARK VIEW LANE
City St Zip ORIENT NY 11957
Tax Map No. section 15.00 block ---5 lot 24.022
Cross Street RYDER FARM LANE
Building Permit Number Cross Reference:
Issue Date: 9/28/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
C91--(/G
CD:
of tle :42:1
ELIZABETH A. v� 20CE?
NE �� _ Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
crA
REGISTRAR OF VITAL S - F , j Southold, New York 11971
MARRIAGE xOFFIC scsj ,;. y �. •S Fax (631) 765-6145
RECORDS MANAGE M "� """""'_1O! •0,11.
,,•' Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ••• .0'1°1
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: September 26, 2000
Transmitted herewith is a copy of application No. 2504 for a Cesspool/Septic Tank Construction
Permit submitted by:
Shrembri Home for Nikolaos Themelis
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:
Signature
Dated
,
OFFICE OF THE TOWN CLERK c�HL/C
TOWN OF SOUTHOLD �• \,O C�Gfi, Application No. oifli
ELIZABETH A.NEVIILE,TOWN CLERK Construction
P.O.BOX 1179 • 1-.
SOUTHOLD,NEW YORK 11971 : p
ctI Alteration
Telephone
_`'O ,, $10.00 -Residential
(631) 765-1800 =-��1 */ti> $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE 945/00
APPLICANT NAME: .,v /ei #006- ..2: -'a
APPLICANT ADDRESS: PO*? /CJ. L(Jil//UG /elL7� 44b
lift L'72.) ...1 " c�
SEPTIC ISSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
,t //10/14 dO,us /CAT7 0,c.)
LOCATION. MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: 7-7,)
OWNER OF PROPERTY: /A0L/903
OWNER MAILING ADDRESS: /y S��G�N GUc12T
;v ac) /.i 79/
OWNER PROPERTY ADDRESS: PrH,4_,„,
TELEPHONE NUMBER OF CONTACT PERSON: "?-,). -% (//
TAX MAP NO. : Section /Dad Block /5- 05 Lot a
CROSS STREET: /eVB
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signa"ure of Applicant
RECEIVED BY: AL
Town Clerk's e
DATE: 7/a ere/
:4.44.:,,,,,,!..,,..4,‘
r -r... ' b'W"'.n'#i - ` ,z= �¢,rs S C� -� " }i ,,. a d _ '�7 V fia� '. ' + }�,<y; ',";;r1„, k a ;,;^ t{, + i
A.•
JOB No. 00-56 TAX l.f�. No 1OOO 15 24,22 �` �
n= 3 ,
...47.---.*-- -zie • ,,
•
tor f7/
CNT
o Lt'
SOS
LOT 167 LOT 178
WELL W S 11'0¢,soa
OCC RES
E '7$53. 4DCC IC R
SEPTIC REAR YARDO
SEPTICNREARGARNER YARD OF PROPERTY
_ 98.3
ISOARAD
ius
NJ
PROPOSED
05)
WEU.
Sv.
WELL
Ui I
8 FF 101.06 O
in
GAR 9856
in
co
N.
s5sci W
• 1
N
U�
sFFrlc. ''
• LOT rzRF. 5 _
DkNNEWAY OCC RES
WY
SEPTIC.REAR YARD
0
917.1 ` Q..
iii
LOT 168 -
VACANT N
X r A
r`
VI
N ° "� 221,"iv"ivS
p1.4 y
PLEASE OTE .
Minimum distan a between well
and cesspool 7'to be 10 feet
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES k 0T , ,5.
}
PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
LOT 169 r, .: a
ow REs
SINGLE FAMILY RESIDENCE ONLY
DATE �" .5. FIEF. I�O.R/4MO0-' W .
I
APPROVED
FOR MAXIMUM OF FaOx-' =E. `OOMS
EXPIRES THREE YEARS FROM DAT • APPROVAL.
ii
YD�F
EXCAVATION INSPECTION REQUIRED . N•
FOR SANITARY SYSTEM ,'� �.' ; �7- `
BY HEALTH DEPARTMENT Rs2moi "° -< . --..7?,--:!'.-, -:�' ' , m.
y
4K. ,tats.T a, n•.
jry�it C.'J cy.:
r VA1 QN8 $A8SUMEO OAT1 A I1 � t i�174�
iJl+�a�tBdaMtlg4a�rlddMialA�tA�s Ilks�lal�la�at8ratiog-l�DB -'''''t":-.4-....:.?"f;:'-.,;,%`;',;•'7,,...` 7"', ti P ,,, :�_f
asaeNor a�arya�r.���,yt, toe l y 'SURVEYS. �Z�;,Z, i ".,y-�.., - 7'.
� dtweidon-W,..",,,, A - 0 M' _It it .' ,. --Q? *i*��fj N? ;y 4^r•� lA w :
Osita lYC.bd+M•~ Wq.too 4 AWt10 end t pct �tA, ee ',el.*,
. e
.14 im iwaatM�lro�d bl>r aad s�-this �� c5'° *Y�,, +�0,'` r.
�yF NEW ew�w �r�o.,--. -.+ M-Itir• cw�► r,„, t ¢ '
.« T
•
,..
�� YO m•wit:a # + oin+�aiaur.+x�+ni► +rw-J.,-d � a y
Q' 9 taf� 011eatRpo� 10014Qt1Ad ,...".'iiiin� 11 tII1.M.41fplt /�� �rYY � ' e9
FSR*"�'lA..• .� A. • .y.c"'`� � v t L+.L 1 .•t
y� DE 0- G.GRAF NMR IP M4 f € Ii
''yy 77.',j �y It ':yam i ;47,, W..f O r• * �a 4
NH��� a4^ ''',Z...-47'e':
ryr.� ��atl4adx. n 'h!` „]!� �M.!".I � e:: s'..' y a4i�.' �M -
r ��� ..:� %.� �', • w'.. r :t .�+ r ,S' ry,1,�4�r-en.#a*k{" .102
,,.-7-,-,;;';',„:.;,,,,'
'� z Y'^' -Ax^�'` �''" �g
Z � /�� `M;S���� r� :•�'spy ,;a t a < }, M �.r� -�� � ;1,'"?.` 1 :48;e4:-,7'5 _`v'' ,74:*.
.�"�~ '.
N� CENSE 1:-' „ ' t `-�" .. ' '!Q 5 ;,b �tyl{Q ' , „Y-' •;'''",,
,f:''''
"''ab, t::
�( K t i' A t ' i�[�R 7 �.,*,!_,> �.� N `..MME. `Y
•
YY �J
90sSI0NP►��'P •-
-
: fig 4 j
wVt v
I7!"$` ', .' a � , ^ ter .t° '` : �
c N.Y.$' s:v0O67 ,. ., � ,.1 T4xx+. 4 ,' r tr
...,,,,„..„_ ,...g, a .,, 1 :. „,,...„-...:,,,,,,.1,-,...: .1 r4C �
r s 1-e.
r '� „,,I.,....,,,,,-, :,,,4,;4,--,-:.., '0�'” ,.. �rav >:r.
" CM dtil. P-`'' 3'a �' ;w`:' -
45 L
`^" �+ 2 r#�i *ate..$ t+yr, i>�}; 'v , .'.....k,
' " ' A4af^ 4 . s.. .a "Y .: ,f ,,