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ELIZABETH A. NEVILLE 'h`1` yam►`�` Town Hall, 53095 Main Road
TOWN CLERK p P.O. Box 1179
% x Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Al 1
• O Fax(516) 765-6145
MARRIAGE OFFICER ` e hone (516) 765 1800
RECORDS MANAGEMENT OFFICER O 1 P
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FREEDOM OF INFORMATION OFFICER
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2178 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 #R10-99-0152
Name Of Owner ZOUMAS CONTRACTING CORP.
Mailing Address 1 P.O. BOX 361
City St Zip WADING RIVER NY 11792
Property Address 1 YENNECOTT DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 55.00 block 6 lot 2.000
Cross Street BOISSEAU AVENUE
Building Permit Number Cross Reference:
Issue Date: 10/22/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
. . 111
ELIZABETH A.NEVILLE • � Gym Town Hall, 53095 Main Road
TOWN CLERK i p '� P.O. Box 1179
REGISTRAR OF VITAL STATISTICS �y Southold, New York 11971
MARRIAGE OFFICER '� 1� Fax(516) 765-6145
RECORDS MANAGEMENT OFFICER =41* a0�1111 Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER ..' 0,."
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: October 18, 1999
Transmitted herewith is a copy of application No. 2266 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.
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
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Dated
,,,,,,. .... ,,
OFFICE OF THE TOWN CLERK '''' a ��
CAVOLK
TOWN OF SOUTHOLD ,�.`�p CSG Application No.a66,
ELIZABETH A.NEVILLE,TOWN CLERK :\
Construction
P.O.BOX 1179 � a
SOUTHOLD,NEW YORK 11971 ; Alteration
Tele hone y� $10.00 - Residential
P
(516) 765-1801 42 '> x$11)/' $25.00 -Non-Residential
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TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
uU1 1 b 1999
APPLICAT ION
I UWII 61efft Juuulu10
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE 1D ) (8 95
APPLICANT NAME: ZOWNPAS CONTRACMS
APPLICANT ADDRESS: P.O. Box 361
Wading River, NY 11792
SEPTIC/ CESSPOO
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
e_ )4,t4 74/
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY:
ZOOMS CONTRACTING CORP.
OWNER MAILING ADDRESS: P.O.Box 361
k
Wading River, 1 Y 11791
OWNER PROPERTY ADDRESS: 54j'14- (—
TELEPHONE NUMBER OF CONTACT PERSON: 96 5's7°
TAX MAP NO. : Section 5.59
Blocki :‘ Lot p2
CROSS STREET: OI 5- C
BUILDING PERMIT NUMBER CROSS REFERENCE:
ignat�:l;.•licant
RECEIVED BY ..
�i
own Clerk's Office
DATE: V \ 41 �,�
LOT ARES = 27,541 SGA. FT.
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(24q) : MT•+ Y DEPARTMENTP NUMBSdRVICES
T,. S. 88.5T30" W. 15 .7 '
T FOR APPROVAL OP;4ONN'RUCCTION FOR A
1 FAMILY REM=ONLY
DWELLING DWELUNV - , . %
PUBUC WATER PUBLIC WAT:�IIr �/, �`,..4.\
� ��-A"
• I �.
rr
1��Y
l7DIIRR3 mut YEARS"Wm DATA OP AP*OVAL
.t OFFSETS (OR IMENSIONS) GUAKNNItte nv n,..nil... .,.n.' JOB NO99-231 FILE NOYENNECOTT` RK
MOWN HEREON FROM THE SHALL RUN ONLY TO THE PERSOr . : PA
'. • �I,•„-.-.---.,, :•
IEMU RES TO THE PROPERTY FOR WHOM THE SURVEY IS PRE-
NRR ARE FOR A SPECIFIC FUR. PARED, AND ON HIS BEHALF TO 'v SURVEYED FOR • • •"x nT T4.,t
AND USE AND THEREFORE THE TME COMPANY, OOVERNMEN
°_' NOT :- — TO GUIDE THE TAL AGENCY AND LENDING INSTI• LOT NUMBER 53'
ACTION OF FENCES, RETAINING TUTION LISTED HEREON, AND TO MAP OF YENNECOTT PARK
ALLS, FOOLS, MOOS„ /LAMING THE ASSIGNEES OF THE LENDING
BRAS, ADDITION TO BUILDINGS INSTITUTION. GUARANTEES ARE
-ASK OMR CONSINACTION. NOT TRANSFERABLE TO ADDITIONAL
•
NAI/TNO*IZED ALTERATION OR OWNERSINSTITUTIONS OR tUSiEQUENI SITUATED AT SOUTHOLD
-*MON TO 71* SURVEY IR A ,
f3LATION OF•No VON( STATENiD CARONN SEOF ARING THEN LAND SUR!ORS TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK
W INKED SEAL OR EMBOSSED SEAL
flo.SIttNe � To SCALE 1" = 40' DATE 7-8-1999
p4n
GUARANTEED ON .4• IRAN VRA FILED MAP NO. 5187 DATE 10-9-1968 •
.5)F• O, TAX MAP NO. 1000-55-6-2, . (REF. ONLY)DISK'202
o ', ,� x} HAROLD F. TRANOHON JR. P.C.
�» 7D LAND SURVEYOR.
SUCCESSOR TO WU.WAM G. MEIER
(/o h0. ,489# ! O 1866 WADING RIVER-MANOR<RD. .WADING RIVER,
flo„;;41 F . ND S)%r NEW YORK, :11792
. LIC. NO. 048992
HAROLD •F TRANOHON_JR. ac'NN -><_Ir__ Lun_ tttl.F :516-929,4695_ R