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Home My WebLink AboutKalajian • OFFICE OF THE TOWN CLERK c0FOC'" Town of Southold Judith T. Terry, Town Clerk Town Hall, 53095 Main Road 'c P. O. Box 1179 y '� ` Southold, New York 11971 /Telephone �l • (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 280 _ Residential X Non-Residential Fee $ 10.00 Septic Cesspool x PERMIT ISSUED TO: NAME: Chris Henn ADDRESS: 121 -Eddy Drive Dix Hills, New York 11746 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION New Single Family Dwelling with Cesspool System • APPROVED as per Suffolk County Health Department approval. LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: - OWNER OF PROPERTY: Steve Kalajian OWNER MAILING ADDRESS: 25-56 222nd Street - Bayside, New York OWNER PROPERTY ADDRESS : Bergen Road Mattituck, New York 11952 TAX MAP NO. : Section 112 Block 1 Lot p/o 18 CROSS STREET: Sound Avenue BUILDING PERMIT NUMBER CROSS REFERENCE: • Judith77 -Teirry Southold Town Clerk i I t ! DATE: January 22, 1988 ( (TOWN SEAL) - 44:0 • • '51� ��•b Town Hall, 53095 Main Road coli'�•6 P.O. Box 1179 ��,� /To, Southold, New York 11971 .JUDITH T. TERRY ��soTELEPHONE TOWN CLERK - (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK - TOWN OF SOUTHOLD January 22, 1988 Chris Henn • 121 Eddy Drive Dix Hills, New York 11746 • Re: Steve Kalajian Bergen Road " Mattituck, New York 11952 Dear Mr. Henn: Enclosed herewith is the Construction, Alteration or Modification Permit for-a Septic Tank or Cesspool System for which you applied. Please be advised that each owner of real property operating an on-site sewage disposal system, such as a septic tank or cesspool must, prior to such operation, possess in the name of the owner an Operation Permit for the system. The Operation Permit is issued by the Town Clerk's Office. The fee for an Operation Permit is ten dollars ($10. 00) for residential use and twenty-five dollars ($25.00) for non-residential. Please have the owner complete the enclosed Application for an Operation Permit and return it to this office along with the proper fee. For your general information I have enclosed an Informational Bulletin regarding the Scavenger Waste Laws adopted by the Southold Town Board. Should you have any questions pertaining to either permits or the Scavenger Waste Laws, please do not hesitate to contact -this _ — office. We will be glad to assist you in any way possible. -- _ Very truly ?fours, Judith T. Terry Southold Town Clerk Enclosures (3) JTT/Ijc _ hECU1E. Y . r",, BLOC. DEPT. TOWN OF SOUTHOLD ' ''"' -- ' °v�' A Town Hall, 53095 Main Road , ;� � P.O. Box 728 ' Southold, New York 11971 JUDITH T TERRY TELEPHONE TOWN CLPRK (516) 765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD January 20, 1988 To: Victor Lessard, Southold Town Building Department From: Judith T. Terry, Southold Town Clerk Transmitted herewith is a copy of application No. 285 for a CONSTRUCTION or ALTERATION Permit for a cesspool or septic system submitted by Chris Henn for Steve Kalajian Please review the application and location map and advise if the - project has received Suffolk County Health Department approval and if we may issue the permit. Please complete the form below and return it to my office. Thank you. Judith T. Terry Southold Town Clerk * * -* * * * . I have reviewed the application and location map of the project cited above and make the following recommendation: APPROVE - DISAPPROVE - 1 COMMENTS: Signa ure Da e OFFICE OF THE TOWN CLERK C FOU Town of Southold 9 = C� G .� Application No.c -o - Judith T. Terry, Town Clerk ,�'t' r � Town Hall, 53095 Main Road =;:,� 7; Construction l/ P. O. Box 1179 crs rt;' Southold, New York 11971 , `, Alteration Telephone '*01 'N, Residential /O (516) 765-1801 Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 4 Fee $ - DATE APPLICANT NAME: Chris Henn APPLICANT ADDRESS: 121 Eddy Drive Dix Hills, N.Y. 11746 SEPTIC X CESSPOOL X DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION New Home LOCATION MAP: Must be -attached- hereto-before,permit may be issued. • LOCATION 'OF PROPOSED CONSTRUCTION OR ALTERATION: - OWNER OF PROPERTY: Steve Kalajian OWNER MAILING ADDRESS: 25-56 222nd Street Bayside, N.Y. OWNER PROPERTY ADDRESS: Bergen Road, Mattituck TELEPHONE NUMBER OF CONTACT PERSON: (516) 271-1141 TAX MAP NO. : Section 112 Block 01 Lot P/0018 , CROSS STREET : BUILDING PERMIT NUMBER CROSS REFERENCE: - • Signatu ' of Applicant - RECEIVED, BY: Town Clerk's Off•c DATE: / tfe?< SCALE: 1'X60' - - - - - - - - _ - _'' r - - - - -' - _ - -,, of 22°31'10'E ; ', -; v,. -- ,. _ 25' 2 O 1A1 - 222[0 -it , 251 -- -— — — — 4 .522'31'!10"E r , _ - • . • 0 x 252 9 287.94' - z + N,,, = 1 S 22'31' 10"E,. ♦,251.h. 1 - ;♦` .. = N �, ', , 398.40 Y ,;./,-- m m I,- 922 3 s 2 LLN. ' - 1 27 hTY . 0 9, ev <o , ` � - - - / ,J �' - -- --- 2452, 21V 'io D - - - - 788.6 ,;, - - F 2(03 l0 n --- N 22'31` 10"W rJ22°31 ►o•Ul PAE L IMPQoVBD P21Vsa-rE NIAT 2 ti, - - _ ' . , : . - ' / env,„wln iOWEL L - _ TEST HOLE DATA: o . , ro 2'd OLA' ' ro TO?',OT- G2AOE A '( 3(b 'AC . ' • ' ' " DRUM HELL tnNC YD Pu _ _ - iA rNSU daymibt-i I PEC1IQtN REQUI�D ;' : _ SUFFOLK COUNTY CEPAPTME"IT Of NEA1,T1I SERY.C.'3 II t,jAFJD•d , - . , II' - , a - _ , Ce 1ZAJEL - - vtt�Piay F FOR APPROUeII CF CtJ'rrrrl)f,TIJ i CF _ - �u r NtIIIa Fli'.gte I'Bt"Ilf Resit cu e illi ;I ;',` ;-,',`. ' ' c"eue ,loll' }C[�� \ �1 �' vAW6 ` ATC �� (� .>� l: U• �V'-17CC '-' ,I�,�.- - 9LEED E2' , III h morose II a APPROVED. _� _ HEALTH DEPARTMENT AND GRADING PLAN , °"'E" • C-4/5,.E. U ii ' , MAP OF LOT NO . i'-,. • : • - ° EYFJRES,T1'''O PEARS FROM DATE'iF APPROVAL - s. ,, r II� `3 AS SHOWN ON MAP OF " KALAIJIAN PLAT" • �' SITUATED AT ��11� 2)1 " MATTITUCK,' TOWN OF SOUTHOLD "I AM ,FAMILIAR WITH- THE STANDARDS FOR SUFFOLK COUNTY, NEW YORK _ -' ; : _ S' _ — ' APPROVAL AND CONSTRUCTION OF _ ` 'SUBSURFACE. SEWAGE DISPOSAL SYSTEMS FOR ' ' ' I :ED TO , , BERNHARD H.HENN L.`S..'-,• , -' 'bUARANTEES OR CERTIFICATIONS INDICATED _ •iu/sme "tDL.t HEREON SHALL RUNOINEVHE TONSOR - II,; - •. SINGLE FAMILY, RESIDENCES• AND WILL ABIDE °""^P .Ips - I KALAIJIAN ' 121 EDDY DRIVE _ ,,•BEHALF THE SURVEY 6 PREPARED EON HIS AS, "�'�' `.`'- " ' BEHALFTOT THE TITLE COMPANY TIONSLISTN we f.1. TAI ASENCYB LENDING INSTITUTIONS LISTED - ' BY THE CONDITIONS SET FORTH THEREIN AND GAs„ 22ND ST. DIX HILLS, N.Y. _ HEREONINSTITUTION TO THE ASSIGNEES OF THE LENDING _• , - F .TNSARETTRANSFERABLANTEESE OADDTR IFICA IONAL, -`�` `' , ON THE PERMIT TO CONSTRUCT" ' ' NEW YORK" 11361_ . N.Y.S. LIC.NO. 49175 f NsmunoxsoRsueseauENtowxERs vauce>Z,l ' l- 52[010, DATE' 11/2/87 ;::''.' OWNER: STEPHAN KALAIJIAN ;t q (C) COPYRIGHT _ _ „ { - - -UriaulhonOa kens lion dr adOHion loa iwvey„_I f ' ' -� ^ -map otarrn ecti nsed 9 n surveyor s se01 IRe li . '�, • - -noralran of section 7109 sub drvrsmn 2 0l that - - DRIVE _ - _ - New York Stale Educe Iron Law -Only copies - _ .-�▪ -l ,'"' hH�E M Nom the anginal of this survey marked wrlh an _ , r' Dogma'ul the land surveyors embossed seal' ▪ _- - -, - , - - ' - shall be considered to be and Ira'copreS i - _ .,G� fie. - - (' _ - CerIt tonsoO¢ateoherednsrpniylnalli5' �;;' 'y ' i, TAX MAP ,DESIGNATION 1000-112-01-018 ' r . •aI , � '' - • ,., survey was Dre Dared rn accordance wrlh the 1,�.,'V�.�' lI 7' - - '• erosion Code of Prance Lor lana Surveys - , _, - DESIGNAThON''1000-112-01— P/O 018 . ' orsedbYthtNewvD0S'aLAssobatmn i . , - , Pro essronal Land Surveyors WE'LL j nE rale r -