HomeMy WebLinkAboutKonington, Nick oipxyz^�
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ELIZABETH A. NEVILLE %��O �y�► Town Hall, 53095 Main Road
TOWN CLERK g -e P.O. Box 1179
ti x Southold, New York 11971
REGISTRAR OF VITAL STATISTICSFax (516) 765-1823
MARRIAGE OFFICER r Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER 4/0i
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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. 2211 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : THEODORE MARTZ JR
Address 1 : 145 RYERSON AVENUE
City St Zip MANORVILLE NY 11949
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 #R10-99-0240
Name Of Owner KOUINGLOU, NICK & CHRISTINA
Mailing Address 1 3735 EVERHARD ROAD
City St Zip CANTOM OH 0000
Property Address 1 2200 STANLEY ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 106.00 block 7 lot 43.000
Cross Street SUNSET AVENUE
Building Permit Number Cross Reference:
Issue Date: 12/28/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
,_ a I /
ELIZABETH A.NEVILLE /P. G�j.: Town Hall, 53095 Main Road
TOWN CLERK � 0= P.O. Box 1179
REGISTRAR OF VITAL STATISTICS v. Southold, New York 11971
MARRIAGE OFFICER /� Fax(516) 765-6145
RECORDS MANAGEMENT OFFICER 4.#*0 O�'o1 Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER = '� #00.
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: December 16,.. 1999
Transmitted herewith is a copy of application No. 2299 for a Cesspool/
Septic Tank Construction Permit submitted by:
Theodore C. Martz, Jr for Nick Konington
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 rec mmendations:
APPROVE
DISAPPROVE
Comments:
ignat r 1
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Dated
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OFFICE OF THE TOWN CLERK cj�FFOCK�
f Town of Southold 0�0 P Cil/
Judith T . Terry, Town Clerk q : Application No.oZc`. y9
Town Hall, 53095 Main Road tr3 {, .w Construction v
P. 0; Box 1179 `'
Southold, New York 11971 O Alteration
Telephonet'l
1‘, Residential
(516) 765-1301 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION "^'ms'e
for *7 :: 1 6 1999
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
/o2/ 9(?)
DATE �� !J
—77
APPLICANT NAME: '�4940-‘ (7190-;
-�
APPLICANT ADDRESS: '/ 44 c 4* 'ICL
)49/PKI////e / iklY fig(i)1
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CON TRUCTION OR ALTER ION :
OWNER OF PROPERTY : it:� 4- CI1SI WI, th IoGC.
OWNER MAILING ADDRESS: l s.' \
OWNER PROPERTY ADDRESS : 4}-{ti 1
1, 4 y
TELEPHONE NUMBER OF CONTACT PERSON : f731 - 8I -- 8448
TAX MAP NO. : Section I O ' Block d 1 Lot LH
CROSS STREET : 6(4, ,
BUILDING PERMIT NUMBER CROSS REFERENCE:
r
Signature of : .plica 41,
RECEIVED BY : gl Ay
Town Clerk's Office
DATE: / a// y9,
l
/am fumbler with the STANDARDS FOR APPROVAL
AND CONSTRUCTION OF SUBSURFACE SEWAGE 1
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES SUFPOLK c'OLflf(Y D1!/1R7MINParIIIAL1R
EIRVERS
and will ebb!' by /he conditions set forth therein and on the
permit to construct. 1r' -,f 12: 3 5Mawr AA_10!A
. . W s \'\ 1sNIZSI lI(4,79'oa1/b
1 APPROYPi) \-. \\S.,,,,-, .Kti......K
ELEVATIONS ARE REFERENCED TO AN ASSUMED DA TL M. FOR mA7 (drINDROONIR
The /ocallons of wells and cesspools EcRRESTURPS IBM PROM DA7=CIP
shown hereon are from field observations
and or from data obtained from others.
NOTE,
LOT NUMBERS ARE REFERENCED TO 11
"IAP OF SUNSET KNOLLS, SECTION TWO' LOT OWLLLINC
FILED IN THE SUFFOLK COUNTY CLERK'S
OFFICE ON APRL 9, 1970 '025g'
AS MAP NO.5448 LOT C^ 130 -._
DWELLINGcif .
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SURVEY OF PROPERTY
A T MA TTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NY.
1000 - 106 - 07 - 43
SCALE: 1" = 30'
v R NO V.. 10, 1999
AREA = 20,455 sq. ft.
ANY AL7191A770W 011 • • TO THIS SURVEY IS A VIOLA 7/ON /- /
OF�I •
YO/Mf STATE EDUCATIGN LAW.
-EXCSI►T AS -StAlbA�/P. ALL CERTrFlCATIONS �iF_
Hogs , IMP ANP COPES THEREOF ONLY F
SAMmost
;•= 7iE'PRESSED SEAL OF THE SURVEYOR << .Y.S. LIC. NO. 496/8
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