HomeMy WebLinkAboutKirincic, John •
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ELIZABETH A. NEVILLE l/. Town Hall, 53095 Main Road
TOWN CLERK > P.O. Box 1179
c
cn Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS tri
(\r' Fax (516) 765-1823
MARRIAGE OFFICER t 0� ' Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER �0 •�
FREEDOM OF INFORMATION OFFICER ,
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2214 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ZOUMAS CONTRACTING CORP
Address 1 : PO 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 #R10-99-0214
Name Of Owner KIRINCIC, JOHN & IVANA
Mailing Address 1 31-38 28 ROAD
City St Zip ASTORIA NY 11102
Property Address 1 369 NORTH SEA DRIVE
City St Zip SOUTHOLD NY 119'71
Tax Map No. section 54.00 block 5 lot 20.000
Cross Street KENNY'S ROAD
Building Permit Number Cross Reference:
Issue Date: 12/28/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE �'1 '� y� Town Hall,53095 Main Road
•
TOWN CLERK o P.O.Box 1179
REGISTRAR OF VITAL STATISTICS v. Southold, New York 11971
MARRIAGE OFFICER 0 Fax(516) 765-6145
RECORDS MANAGEMENT OFFICER 'Ms a0��i�, Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER ����
016
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: December 17, 1999
Transmitted herewith is a copy of application No. 2302 for a Cesspool/
Septic Tank Construction Permit submitted by:
Zoumas Contracting Corp for John & Ivana Kiripic •
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:
Signatu
Dated
‘. ,/,,III//I,,.,,,
OOrFICE OF THE TOWN CLERK ,�'' �\I OUK
TOWN OF SOUTHOLD %`'Qc9 CV Application No.O�30 Z,
ELIZABETH A.NEVI1.1 F,TOWN CLERK
P.O.BOX 1179 : Z Construction
SOUTHOLD,NEW YORK 11971
to w ; Alteration
Telephone 0, �iir/ $10.00 - Residential ��
(516) 765-1801 '=011 �,0. $25.00 -Non-Residential
.I..w/
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ .
DATE 171I7 /'43
APPLICANT NAME: -70v0163 ar.►?M c-7-11., C (0isi,
APPLICANT ADDRESS: 4).0 12e9)0 ?6/
wq.DI N C- QI It A • 1.4. . 1171 1-
-SEPTIC CESSPOOL )41
S R
DE C IPTION OF PROPOSED CONSTRUCT ON OR ALTERATION
FIlwl% U7 19wJ./1)j
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: h IZ.INe.-IC
OWNER OF PROPERTY:
,----- N) A n'Q I J Fr-'/ ,
OWNER MAILING ADDRESS: '70- 3 a8 r. 4 k3d.Ji n IR.
N .y /Ia-z
OWNER PROPERTY ADDRESS: : lb,
. TELEPHONE NUMBER OF CONTACT PERSON: 10:0 `'ff7O
TAX MAP NO. : Section rLI Block > Lot Z p
CROSS STREET: VO/v/1) 6 /1/p
BUILDING PERMIT NUMBER CROSS REFERENCE:
iirilli
i nature of . .--.1-414.‹.
RECEIVED BY:
iown ler 's Office
DATE: /c� 77
NOTE: LOCATION OF ADJOINER8 WELLS AND CESSPOOLS WI
LOT AR �,t �,201 sq. ft. • OTHERS AND ARE NOT GUARANTEED.
rF. EIS.. 13.0
qesik E�. Io•o
NORTH SEA DRIVE
383.48' -��
p ( 20' 90.00' ..--. .,
w Eur O 1'
t
O
. I 3 - *� DWELL. !' SIR
- {+ ti
�- R
N 10
Y NOW OR FORMERLY MALONE
if/
I I I Ce vi • ...ELL.
•
w I N. 39.24'00" E. 100.00'• (6 6)
TEST HOLE BY £t.. 8.0=(�Z I
Ew'i• -601 IA
to
O nixed sand 8 IOWID " - / f1 i" in
polo Mown MMd.to coarse / \
sa►d SP \ I .9
I 7r —/-1 10 \ DASHED ToPO LINES
dock L \ I INDICATE PROPOSED GRADING
water in polo brown mot ' ' I
to coarse sand SP PR.• I I I STY FR.
•• I I COTTAGE hi!
1 ELEV,=- 1 —
W.O , 112. I0 / IL —�'8, - -J 13.0ZO
wood TROP-
IzoP
•
I dock 1 p w 1..- I ?„
� .I
or E / in
INV. 10.0 „4 / r I
IINV. 9.6 / l0 .9 O
} I GAL.SEPTIC T;,� • / , 6
' FIS,, ...►
v J��� INV. 90 v �O �E�
(� 1 1 EXIST- g
6k8••DLA.J HIGH 16. 8.3 / Z
LEACH NG -(NGS •
CkJaerttt• EV. - p
3 I ��� / i0 wagglySYSTEM AIs); PROPOS-
ED N DIMMED BY
M1 ( ' -frOTTOM LEACHING/ IA � n jj`;
• V \ POOL EL .7. c�--1 .c- C,:::.
Ip \ ` WATERELEV.s4./ rn .-1 c,. cz ::
� -..tom
cp
E Fo 100.61' m ? r
wood talcs OX p ,�
5. 33.04.30" W. O ""P"l:.+R ;
sow FTO
/v./7
NOW FORMER(-X SUFF�LK�OUN9Y DEPARThIENT OF HEALTH SERVICES.
.�` KELEMPELDIS .,
i 400-1999 REVISED DINE►-L• ppg ;� j ; +, UCTiON F!Ox A
p- 9 - 1899 REVISED `� � NOTE: EXISI NGC= � y. �' .; ,,'�'• .. • �i RNT,y • •
AwNH (� WNL TEES INOKAWD NI,M JOB NO. 99- I #1, FILE NO. 725 F
Moot ,f sM 111E el Npui OtI TO Oil PERSON D TE ii KS : :4-.NC:. , r- -ORI Li
TRUCTURES TO THE PROPERTY POR M4R'JM► GO GMT N SUR/EYLD • - �`
INN ARE FOR A $PRUaPIC PUU. .. P . AND ON NIG Sb4AL aD APPROVED _,,...,._.�.
,w:. wa USE APD TIGREPORE THE TMQom" OOVeIWvan -•,NOT RAMO TO GUIDE TIE TAL AOSNCY AND INIT. .
RRCTION OF PERIC1S RETAINING LISTED AND FORM X' rr•‘+. U)' DR 1 E MS'
Lf Pools. PATIOS, PMNTING TNS ASNON I oP TME (ENDING }`:...:;.
'REAP, ADDITION TO IUILgNOS INSTITUTION. UARAN.TEES ARE
wlASrfOTtRR00WSiRUGIlO1t AL
INSTITUTIONSNOT OR sW QUEM SITUATE 'rtt+c 1:43 FROM DA : •F APPROVAL
1NAUTGORIZED ALTERATION OR GMEGIS. .._w�ur�e uv ,---
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.DbMTION TO TMG SURVEY a A TOWN UI- uir+i�.v al±ri" ••.•, ....
'K1UA OP SECTION ZA Elf OOPNS Of TIRE SGI�IVIY AARP NOR
ME till YOIt( SR1TE ERUCAiIOq GEOID�OR NIMSO$UE SCALE 1" = 30' DATE 9-29-1�
rw
I
� DATE.+ •• _ FILED MAP NO. �
GUARANTEED ONLY T•c i.1RAryc,_ TAX MAP NO. 1000-54-5-20 (REF. ONLY) DISK 207 i
a? oy * HAROLD F. TRANCHON JR. P.C.
* t :=.,"-% � r LAND SURVI=YOR
_ �1R Hl l
9
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!�O o. 04:.• ��o i 1 866 WADING RIVER—MANOR RD. WADING RIVER.
(14,Jti F t . m' .. . •4 NEW YORK, 11792
NO. 048992 516-929-4695
HAROLD F. TRANCHON JR. PENN. LIC. NO. 21115-E
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