HomeMy WebLinkAboutMihalios, James of 0 4-0;
ELIZABETH A.NEVILLE t$h`1` �; Town Hall, 53095 Main Road
TOWN CLERK ; P.O. Box 1179
•
% Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ;O Fax(516) 765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER `.41* IaO�111� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER : 1 � �1x11
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2167 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : JAMES G. MIHALIOS
Address 1 : 32-25 190TH STREET
City St Zip BAYSIDE NY 11358
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 #R10-00-0128
Name Of Owner MIHALIOS, JAMES G.
Mailing Address 1 32-25 190TH STREET
City St Zip BAYSIDE NY 11358
Property Address 1 LLOYD'S LANE
City St Zip MATTITUCK NY 11952
Tax Map No. section 99.00 block 3 lot 4.001
Cross Street SOUNDVIEW AVENUE
Building Permit Number Cross Reference:
Issue Date: 10/25/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
os�FFOLt a l 7
ELIZABETH A.NEVILLE � 'Z, co
Town Hall, 53095 Main Road
TOWN CLERK I o - P.O. Box 1179
•
REGISTRAR OF VITAL STATISTICS v �PPP
,' Southold, New York 11971
MARRIAGE OFFICER Fax(516) 765-6145
y
RECORDS MANAGEMENT OFFICER ie a� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER = ' "* �.s0��
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: October 6, 1999
Transmitted herewith is a copy of application No. 2254 for a Cesspool/
Septic Tank Construction Permit submitted by:
James G. Mihalios
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
DISAPPROVE
Comments:
Signat e
lb /6,
Dated
.. n4 -
OFFICE OF THE TOWN CLERK ,'''stV utK _
TOWN OF SOUTHOLD ,�,OOUl COG Application No. yd7
FI ABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 ; b '. le Construction
SOUTHOLD,NEW YORK 11971 . p T ; Alteration
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Telephone VI. Qom,•' $10.00 - Residential ✓/
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(516) 765-1801 -_ ul ��,00. $25.00 -Non-Residential
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TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION J
for ��', qao► `O�
Jti,
CONSTRUCTION or ALTERATION PERMIT Q4 .), -3-
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE 9/Z8M
APPLICANT NAME: -Y-/fists G ////(4L/05'
APPLICANT ADDRESS: 3 .2-- - 2 5 /.'a S' / Y)-/i)(` /V6-( // 5"--P"
SEPTIC / CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
D a/ Fi-/-t/z. Y p�z.:5-z-e_/Al 6-
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: ,.�J,¢jjf'} 6-1 /P11-i4 /c 5-
OWNER MAILING ADDRESS: 3z -2- 5--- l4 S'< • S-7_,PL.
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OWNER PROPERTY ADDRESS: L L. D 6 4S L)
/r) 6-7`7`< z
TELEPHONE NUMBER OF CONTACT PERSON: 7/ 7 $5/p 2555
TAX MAP NO. : Section 9l Block 0 3 Lot �/. /
CROSS STREET: 5oaN 1/45 4,, /9z/e ,
BUILDING PERMIT NUMBER CROSS REFERENCE: (Nor 41--t3Cc )
1 '
,,
• ' Signa ure of Applicant
4_, S 4
RECEIVED BY: Giv
o n Clerk's Office
DATE: \r+ 1/,
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ti ��a�} NOTE
tgDattg �e'''''''
A PS e°
AREA = 37131 SO. FT. Young & Young, Land Surveyors
A °n SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF 400 Ostrander Avenue, Riverhead, New York 11907
p\' SUFFOLK COUNTY ON OCT, 16,1981 AS MAP Na 7019 516-727-2303
+gDung 1 FLeG VERTICAL DATUM=N C.V.DATUM(M,SL. 1929) Alden A. Young, P.E. A-L.S. (190E-1994)
u- OD°° --------------- -- -- - ------ -- Howard A. Young,Land Surveyor
(k \ _ Thornes C. Votpert,Aolesional Engineer
a 9,-, N John Schnurr, Land Surveyor
[t x1• ,e19 �a No
" 1 0, • �: HEALTH DEPARTMENT CERTIFICATION
(-I.o h � H `—SUFFOLK COUNTY DEPARTMENT CF/1FALTH SERVICES
n , tC°MkPERMIT FOR APPP.0 1 -l`()Y
'OeE ro - 's,. iFC;tA
•11 c11°14 Ce.11''P � `` I- -.�\N�'P��V �Snt, "'�� DATE U-E jT 1 t F. PIG-4�>-G'/,2gI
VpT st• APAP APPROVED
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N\t, \,° `Br,'Jet ��`�'G*IFOH�,I O �y��`S\ IFOR MAXUfUM O}� .D WM1fS
1 P4Ep�'" _ J ` 6 1�
-,,,,,,,u 05.2 log 44 � S�,yy�+ EXPIRES TH 6` OMAIt OF AP ROYAL
o; .� of N ,g0 ) pktI.?,--ICD^ —._- —
41 ay DEQ\. J' /p.7((Ii\\Y • WE HEREBY CERTIFY TO JAMES MIHALIOS,LILIANA
MIHALIOSOry_- J ( COMPANY OF NEW YORK THAT&FIRST AAMERICANTITLE
SURVEY
INSURANCE
r PREPARED IN ACCORDANCE WITH THE CODE OF PRACTICE FOR LANG
I
q_fZ, SURVEYS ADOPTED BY THE NEW YORK STATE ASST, •F
}8 .) t, PROFESSIONAL LAND SURVEYORS. ViAtiDSL
/^f 4,`. y.V�a / ac^A' / / ( 0 , SPP 09,
i (Mir
ppA' 00-- COTM1 \eP\_ JOHN SCHNURR,N.Y.S.L.S.N0.49517 \` '[O `1 •
5 °^� a Ba f A„ �i,,e`r' /HOWARD W.YOUNG,N.YS.L.S.NO. 45893�, •, •406
4°^ - s,r' ,P 11^C'9 S v7 OF
o . •., •�• - ��0O SURVEY FOR
JAMES MIHALIOS & LIUANA M:-
Suffolk
HALIOS
m .� a � LOT 1 "HONEYSUCKLE HILLS"
a. ,1 819 \310 / L
At Mottituck, Town of Southol
•o•� �,��` County New York
4,.1'y� 0.,,,u`" JC County Tax Map c"1.x: 1000 99 ,...,03 4.1
\ 56 Iso / °515. N1E'KPo
/,-r p R 1� TO SOUND YL TITLE SURVEY
AE m
■u MONUMENT.
Ou V roust. '°SR \ ✓ \...0O
A=st000 SET ✓ l0"e AMEND BUILDING PERMIT DATA JULY 20. 1999
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A-STARE FOUND 00)O \ - MAP PREPARED MAY 21, 1999
��2- Ex STN0 CAN fA,Rs > - —
—(112)— PROPOSED CONTOURS 'p J 1 ____ -_-- _-.._ -
I,20 _ERSTIN0 E01VO1�DN N � SCALE t' 50'
JOB NO. 99-0310
n (112.0) -PROPOSED ELI vn EDN \ DWG.N0. 990310 F
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