HomeMy WebLinkAboutZoumas Contracting Corp (10) , .SkIFFO(,t-�0
ELIZABETH A. NEVILLE S�.ZO may' Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
o
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER :tie '0Orf Telephone (516) 765-1800
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. 2042 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 #R10-99-0015
Name Of Owner ZOUMAS CONTRACTING CORP
Mailing Address 1 PO BOX 361
City St Zip WADING RIVER NY 11792
Property Address 1 ROCKY POINT ROAD
City St Zip EAST MARION NY 11939
Tax Map No. section 31 .00 block 1 lot 5.004
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 3/17/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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III I'OFFOL(
ELIZABETH A.NEVILLE hyo Gy�►� Town Hall, 53095 Main Road
TOWN CLERKZ o= < P.O. Box 1179
i N T Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER
MARRIAGE OFFICER �y�o ��� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER s * i"
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: March 17, 1999
Transmitted herewith is a copy of application No. 2122 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:
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Dated
OFFICE OF THE TOWN CLERK ,s�' �`F OtkQe►'— /�
TON OF SOUTHOLD � / Application No. a
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ELIZABETH A.NEVILLE,TOWN CLERK ;'��`i
P.O.BOX 1179 . Construction -
SOUTHOLD,NEW YORK 11971
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Alteration
Telephoney0, �t' $10.00 - Residential
(516) 765-1801 sk ��
$25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT RFrrin/fin
• MAR 1 6 1999
APPLICATION
for Town Clerk sournula
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
•
Permit No.
Fee $
DATE
APPLICANT NAME:
ZOUMAS CONTRACTING CORP.
APPLICANT ADDRESS: 18 Deerfield Drive
Wading River,NY 11792
SEPTIC '( CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION O/R�ALTERATION
ON L FAA14`A., Obt, ///;7 I
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: c--T,Q&Le o
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS: 1t✓ /t.) J ro,qi
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TELEPHONE NUMBER OF CONTACT PERSON: id, 9- L./SW
TAX MAP NO. : Section 3/ Block / Lot 57
CROSS STREET: M A-/n/ K-
BUILDING PERMIT NUMBER CROSS REFERENCE:
.-001111
of licant ►�`
RECEIVED BY:
own Clerk's Office
DATE: (0f
L/T I 54,217 S0. FT.
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OTHERS AND'IS NOT GUARANTEED
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HALLS. POOLS, PATIOS. I'IANTING REON, AND TO �01 Mu.. i
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JNAUTHORIIEY ALTERATION OR INSTITUTIONS OR SUBSEQUENT
,,pub OF SECTION SURVEY
ESS A TOWN OF SOUTHOLD; SUFFOLK COUNTY, NEW YORK
AlitHEN MN SAN EDUCTION BEARINOf COPIES G TI4 LANDSURVEYOR'S 11 SCALE 1• s 50' DATA I - 12 - 1999 µ
INKED SEAL OR EMBOSgp
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UARANTEED ONLY TO A VAUO • •p NEW iw
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`0 s5)*,?RAN06, HAROLD F. TRANCHON. JR. P.C.
LAND SURVEYOR
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!QOLD F TRANCHON JR. 4y4 •••'4• 8992- 516-929-4695
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