HomeMy WebLinkAboutZoumas Contracting Corp (5) le" COELIZABETH A. NEVILLE I
e‘ •A Town Hall, 53095 Main Road
TOWN CLERK p P.O. Box 1179
y x Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax (516) 765-6145
RECORDS MANAGEMENT OFFICER %
MARRIAGE OFFICER ` Telephone (516) 765-1800
1
FREEDOM OF INFORMATION OFFICER "l '**,8"
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 21711 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ZOUMAS CONTRACTING CORP.
Address 1 : P.O. 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 #R10-99-086
Name Of Owner ZOUMAS CONTRACTING CORP.
Mailing Address 1 P.O. BOX 361
City St Zip WADING RIVER NY 11792
Property Address 1 SUNSET DRIVE
City St Zip MATTITUCK 1 NY 11952
Tax Map No. section 106.00 block 8 lot 5.002
Cross Street DAISY ROAD
Building Permit Number Cross Reference:
Issue Date: 10/22/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE ���� Gym Town Hall, 5309 airy Road
TOWN CLERK y :t , P.O. Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS o• Ply
MARRIAGE OFFICER
O � Fax(516) 765-6145
RECORDS MANAGEMENT OFFICERJ� a0��
�� 1 Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER '1 1 100
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: October 12, 1999
Transmitted herewith is a copy of application No. 2261 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.
Thank you.
vk_cL u
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following rgcommendations:
APPROVE
DISAPPROVE
Comments:
Signatu e o `
Dated
OFFICE OF THE TOWN CLERK MU(
TOWN OF SOUTHOLD ' Q Application No. �c�Li
ELIZABETH A.NEVILLE,TOWN CLERK '�1
P.O.BOX 1179 L; Construction
SOUTHOLD,NEW YORK 11971e
C=J rn ; Alteration
Telephone �y0,>f' �Q��' $10.00 -Residential
(516) 765-1801 (14 * �,.' �, $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 /(9/(/e,
APPLICANT NAME:
ZOUMAS tCTING CORP.
APPLICANT ADDRESS: "'P.O.Box 361
• Wading River, NY 11792 .
SEPTIC CESSPOOL ,Q
DESCRIP ION OF PROPOSED CO TRUCTION OR ALTERATION
F401/7 004 ( 4
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: ZOIuMe2eCpscCORP.
OWNER MAILING ADDRESS: P•O.Box 361
Wading River, NY 11792
OWNER PROPERTY ADDRESS: sc//(l S G T- ie( Ue
77-(67
TELEPHONE NUMBER OF CONTACT PERSON: 902-9 - '15 7
TAX MAP NO. : Section /404 Block_ Lot S; L
CROSS STREET: 4,,.4 A„p
BUILDING PERMIT NUMBER CROSS REFERENCE:
-.i1 Signature o
RECEIVED BY:
Town ' I-rk's Office
DATE:
50;F T.20.000 is
LOT ARES ,
FF a.. 33o : " .
6 31 o. WEL.L GROP. .THnr1 1 SP..fAin : FROMM Lwe
RECEIVED
. SUFFOLK COUNTY
NOW OR FORMERLY SL 199S
4A' � 1' 11= 15 ;1
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fd.stk. . i
�, TI�ROYAL OF CONSTRUCTION FOR A`t
TEST HOLE SINGLE FAMILY RESIDENCE ONLY i
W i
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(AS PER Cj' 1
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SLIFFcaL>< .°L' ie . r of it ct 5f ways and or easements
of record, if any, not shown are not-guaranteed.
6UAkANTEES iNDICATEO HiREON JOB NO. 9.9— 14 3 FILE Nd. T 15 F
Ne OFFSETS MR IIMENSIONi1 EHUL RIIN pxY TO TME PERSOM'1
,MOWN HEREON FROM TF1E � SURVEYED'FOR
PORPAWMi4M 7HE LIRIIEY. IS PRS
:TRUCTURES TO ATM'PRO►ERTf. RED, AND ON
OSE AND USE MO THEREFORE THE 11T45 `MI'p ,G
NMEN
RE NOT R•F FEN TO GUIDE T TUTION LISTED HEREON, AND TO
•ECTION OF PATIOS. PLANTING THE ASSIGNEES OF THE LrrpING
AL'S, POOLS• INSTITUTION. GUARANTEE'S-ARL ,,,R
*ANTONADDITION UNNOS
coparaucnoN. INt I1W TO usEE NT SITUATED AT:,M AT T I T VC K
1NAUTHORIZE• ALTERATION OR. •
{DortION TO TMIS.SNRVEY IS A OF THIS SURVEY MMP NOT TOWN OF SOUTH:OLD SE F F OL1C COUNTY'.N•Y
rl ww ryIIIKTION 72011 OF MOS MARINO THE ORbeM•OS'S,°SERAiQpTE 4 2 O " 19$8
&W. SMALL, NOT se aoNs►oERm ?o sr , SCALE 1 to,
AVal ..+a a r NOV TE
GUARANTEED ONLY TO 0.OF NEW i.. FILED MAP NO.
��� ,tRAN . TAX MAP NO.1 0-
00 ;'l0�6, .= 8''S,2��: (REF.ONLY}DISKS"- o �
Alb 09HAROLD F. TRANCHQM `JR.'p.C.
0� i." O• y LAND SURVEYOR
m , .z
Ai, SUCCESSOR TO WJLLIAM G. MEI'ER
`� " 1866 WADING RIVER-MANOR RD. WADING RIVER,
4° (moo itNEW YORK, 11792
N. •r' S1��SZa*4695
� RANCIION JR. PENN. / 5.E