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HomeMy WebLinkAboutGianukakis, IoaN ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-6145 Telephone (516) 765-1800 SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2082 R Residential X Non -Residential Fee $ 10.00 Septic X Cesspool 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 #1110-99-0082 Name Of Owner GIANUKAKIS, IOA ------- ---------------------- Mailing Address 1 80 PERRY AVENUE ------------------------------ - ---------------------------- City St Zip PORT CHESTER NY 10573 -------------------- -- ---------- Property Address 1 5280 THE LONG WAY ------------------------------ ----- ------------------------ City St Zip EAST MARION NY 11939 -------------------- ------------ Tax Map No. section 21.00 block 5 lot 16.000 Cross Street THE LONG WAY ------------------------------ Building Permit Number Cross Reference: Issue Date: 5/25/99 ---------------------------------- Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER y1� N 2 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: May 20, 1999 Transmitted herewith is a copy of application No. 2170 Septic Tank Construction Permit submitted by: Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 10 n or t's�i)v. vc, �. for a Cesspool/ Theodore C. Martz, Jr. for Giamukakis 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: gnatur ,Is 4 L Dated i' - OFFICE OF THE TOWN CLERK Town of Southold Judith T. Terry, Town Clerk Town Hall, 53095 Main Road P. 0. Box 1179 Southold, New York 11971 Telephone (516) 765-1301 O�Oc��FF�(KCD� cn TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. CW SCa Fee $ APPLICANT NAME: APPLICANT ADDRESS: 4 DATE 4k,7-- A/1 k67-- A/1 +44 (Mut II -e , Klq I I9 -q SEPTIC CESSPOM / 1 . DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION )-," 6jwl tt , S-[E� Application No. 1-7 Construction Alteration Residential Non -Residential LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTI N O ALTERATION: OWNER OF PROPERTY: --1- A • i Ptt'{,ui'4i'S OWNER MAILING ADDRESS: Z)C) kR `t W( CLP OWNER PROPERTY ADDRESS:' DRESC kekovajA-�k, N AR�� TELEPHONE NUMBER OF CONTACT PERSON: 616 TAX MAP NO.: Section '2 t Block O -S- Lot CROSS STREET: BUILDING PERMIT NUMBER CROSS REHERENCE: RECEIVED BYe�f Tow , Cler Office DATE:, Fj Signature of pplica RECEIVED SUFFOLK COUNTY 1999 APR 14 PM 21078g OFFICEOF WASTEWATER MGMT SURVEY OF PROPERTY AT EAST MARION TOWN OF SO UTHOLD SUFFOLK COUNTY, NEW YORK 1000-21-05-16 SCALE: 1'=40' APRIL 5, 1999 IAN Iob lit N g - I 10} N C>j0 3 36' n In 3 n Z j4 1*11 M 07 �C8 (�ACAN�I EXCAVATION IN4PECTION PEEOU11-ti FOR SANITARY SYSTEM H ©NT) The location of wells and cesspools ( shown hereon ore from field Observations and or data obtained from others i Om familiar with the STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE N SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and will abide by the conditions set tJt forth therein and on the permit to construct. t ELEVATIONS REFERENCED TO AN ASSUMED DATUM �1 p.M Lot numbers refer to 'Po We Bench Forms" fled in the Suffolk County Ckill Office an June 1111975 as File No. 6266. AREA 21,180 sq. ft OF NEti'Y ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION PECONIC OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION 7209—SUBDIVISION 2 ALL CERTIFICATIONS (516) 76 50 •,. HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF P. O. BO 9 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRA f>T+T M LOSE SIGNATURE APPEARS HEREON. SOUTHOLD,