HomeMy WebLinkAboutKasomenakis 1 Y'
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Town Hall, 53095 Main Road
j P.O. Box 1179
e �� ;�'` Southold, New York 11971
JUDITH T.TERRY �~-_r�®� ` � FAX(516)765-1823
TELEPHONE(516)7654801
TOWN CLERK
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 577 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : RANDAZZO, VITO
Address 1 : 127 SWAN LAKE DRIVE
City St Zip PATCHOGUE NY 11772
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 1/13/90.
Name Of Owner KASOMENAKIS, STEVE AND VICKY
Mailing Address 1
City St Zip 0000
Property Address 1 THE STRAND •
PEBBLE BEACH FARMS
City St Zip EAST MARION NY 11939
Tax Map No. section 30.00 block 2 lot 62.000
Cross Street THE GREENWAY
Building Permit Number Cross Reference:
Issue Date: 2/01/90 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
17
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Hall, 53095 Main Road
r;;;010����'`� J? 2 3 � � ,�. Box 1179
Tom. ,� it.• Sout o •, N,ew York 11971
JUDITH T.TERRY ®� {°� r L.
S®V�IBLDG DEPS'. L�EPHONE
TOWN CLERK OF SOU1'pict )765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Victor Lessard, Southold Town Building Department
From: Linda Cooper, Southold Town Clerk's Office
Dated: January 23, 1990
Transmitted herewith is a copy of application No. 589 for a Cesspool/
Septic Tank Construction Permit submitted by:
Vito Randazzo for Steve and Vicky Kasomenakis
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 D(
DISAPPROVE
Comments: c� , 4„,414.,c. 11. •rn q o,c1 .eCel ai,,�.Q..
Catr"Aa 1.41 S.C. ACeaaRIh.)9a
40c9-...„ (=L
Signature
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Dated .
/e '
OFFICE OF THE TOWN CLERK Irl ii-��,S�FFDLk`�
' Town of Southold -c x
` -._-••• ��. ,, - y Application No.
51
Judith T. Terry, Town Clerk .,.. �� �
Town Hall, 53095 Main Road o t-4M . Construction I/
P. O. Box 1179 P vei &-:7,'-': $ Alteration
Southold, New York 11971 - ��-�
Telephone elf . Residential
(516) 765-1801 "' Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE I-2-r27 -- ` o
APPLICANT NAME: (, ° 'N664--`�Zc�
APPLICANT ADDRESS: /27 �ce)474 / -K'= h 2((Ju _
47 Lp_oG_JR___ N.c--( , 1 r-7° --)-------- .
SEPTIC ✓ CESSPOOL /
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
twti
LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONTRUCTION OR ALTERATION:" �
OWNER OF PROPERTY: S .. d R
iL 57 -Sh lg.r e(n CREEKw4-1
57�0E- a- V(C°4-1 -S0 t`{iz (4-K k S —
OWNER MAILING ADDRESS:
/4-.c..7,- m A,et a)
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: {7 63(ci
TAX MAP NO. : Section 73 O Block a Lot 6 -2-
-
Z- CROSS STREET: T Gg2e__ c4.i01
BUILDING PERMIT NUMBER CROSS REFERENCE:
(1[(1 ' 'I Ai .410"
Signature of A.,0 icant
RECEIVED BY:
Town Clerk's Office
DATE: -
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1 I SURVEY FOR
STEVE KASOMENAKIS a VICKY KASOMENAKIS
aUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICELOT 91, "MAP OF PEBBLE BEACH FARMS" 3
ONLY
FOR APPROVAL OF CONSTRUCTION ONLY
EAST MARION DATE DEC. 27, 1989
. TOWN OF SOUTHOLD SCALE- I"=40'
SUFFOLK COUNTY NEW YORK NO. 89- 1321
DATE i,ri��/Y�� HS REF. NO. 9% �U _0 ' i
'., ^' ,),/,/,/ //7:7--
i
N UNAUTHORIZED ALTERATION OR ADDITION TO THIS
- SURVEY IS A VIOLATION OF SECTION 7209 OF THE OF��l - `i `' , "fir NEW YORK STATE EDUCATION LAW �PjE Nt.
APPROVED *COPIES OF THIS SURVEY NOT BEARING THE LAND S Pk
I G 5-- /�S NOT BE SURVEYOR'S INKED CONSIDERED TOL OR BE A VALID ED SEAL TRUE COPY SHALL �PR0 W } �0��
*GUARANTEES INDICATED HEREON SHALL RUN ONLY TO / 0 0
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED Z' •s4 (i
AND CN HIS BEHALF TO THE TITLE COMPANY,GOVERN- Q
* NEAREST WATER CIAIN_MI I *SOURCE OF WATER PRIVATE_PUBLIC L MENTAL AGENCY AND LENDING INSTITUTION LISTED �" �?
* SUFF CO TAX MAP DIST 1000 SECTION 030 BLOCK 2 LOT 62 HEREON,AND TO THE ASSIGNEES OF THE LENDING irj .;'I
*THERE ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION GUARANTEES ARE NOT TRANSFERABLE +;
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