HomeMy WebLinkAboutRigas • • rr.
OFFICE OF THE TOWN CLERK OFU(x` "
Town of Southold (G
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road z
P. O. Box 1179 ;v' :
Southold, New York 11971
•
Telephone - �l i
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 22 Residential XX
Non-Residential
Fee $ 10.00
Septic Cesspool XX
PERMIT . ISSUED TO:
NAME: H. S. Dobiecki Architect. P.C.
ADDRESS: 764 Vanderbilt Parkway
Dix Hills, New York 11746
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
One family residence with new septic tank and leaching pools
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Gregory and Eugenia Rigas
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS: 300 Soundview Avenue
•
Southold, New York 11971
TAX MAP NO. : Section 50 Block 4 Lot 2,4
CROSS STREET: Lighthouse Road
BUILDING PERMIT NUMBER CROSS REFERENCE: , 15105
Judith T. Terry
Southold Town Clerk
DATE: August 28, 1986
(TOWN SEAL)
6 - OLC F tls® ' a. .r:m.. rem N.ra.+maaswuwa.^"rw.�..un.w.n.. ,rc+n: app
CqNSTRUCTIONx �, .may
�.., . a m"'.,,.:=.:..n.� ��°•'->K,.�' '
ALTERATION
AUG 211986 1.
RESIDENTIAL ® ` �®�, � i
NON-RESIDENTIAL ':
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION '
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
} ,
!... :. No. 023
. I
Fee. $ /D . —
--
DATE August 19 , 1986
, J
APPLICANT NAME: H.S . Dobiecki Architect, P . C.
APPLICANT ADDRESS: 764 Vanderbilt Parkway
Dix Hills , New York 11746
SEPTIC XX NAME: H. •
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION:
GI
One family residence with new septic tank and leaching pools
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
• i
OWNER NAME: Gregory & Eugenia Rigas
OWNER ADDRESS: 300 Soundvci ew Avenue , Southold , New York
TAX MAP NO. : Section 050. 00 Block 04. 00 Lot 002 . 004
CROSS STREET: 195. 10 ft. east of Lighthouse Road
BUILDING PERMIT NO. CROSS REFERENCE: 1 105
I .
4 I'
Signat re lof Applicant
RECEIVED BY: 4...„,e
Town Crk's Office
DATE: a.L7.,
•
_ SUFFOLK Ck- ALTH DEPT. APPROVAL
hcet �o H. S. NO.
r. • ;a ,DiMC)s ZERVoS
• fN 1 f. o . BoK 315
\I East Neer►® vi Io.Y \
JN i t939 \
, ts 'N.. I Tek-it 516 HMI/:3 _ .
STATEMENT OF INTENT
THE WATER SUPPLY AND SEWAGE DISPOSAL
SYSTEMS FOR THIS RESIDENCE WILL
JJ ,CONFORM TO THE STANDARDS OF THE
1 SUFFOLK CO DEPT. OF HEALTH SERVICES
1 NR � S
1 / ELI)
SINGLE APPLICANT
ONLY— `
1 SUFFOLK COUNTY DEPT. OF HEALTH
J .
( a' * SERVICES -- FOR APPROVAL OF
ICONSTRUCTION ONLY
flit
S.C. DEP, -r DATE ( " lit —et
HEALTH S1-Pa,,f� H. S. REF. NO.: �� a is
APPROVED __ 111144 . -•
7i q kip.
SUFFOLK CO TAX MAP DESIGNATION.
'I/' i d - r{ �; � ) DIST. SECT. BLOCK PCL
_...__—_-••------ 1003 050 4 2 .4
:: { I I .: ' ; ,•1,,,i. ';.,.': f --01:'' OWNERS ADDRESS:
LkJ:
= . ,._ 492O aI12I AVE
1 1 .(
Al— (715) , 3c) -7'9ie
•
,'I :,r.,/1..),'r-.f'40'1,"'•fDEED: L. P.
� re , i `k1?e� . ... ......_.. STAMP
t. )4�+ 1" .i �..,
' ( . . �_. ) r -)t.J .. .., 1 J.\-' TEST HOLE ,:,•.,4•:,- 3It r tion or eddleon
to I
___.._.. —_ L `__�_ .. tt Sonion survey
cavi NOWYorkof
Stet*
/ i I
.__ Education Lew.
{ LOAM ii Coniue cf thi9 gunny into not baanlne
dOeI s� tholand setrvayor fnKta4tdaof .
-7,l/6‘.
�^ /1 - �.' I. ,• c;r2A E:! orohossed Seal WW1 net Ito Conekktro4
In ba valid true trolly.
(� ` I__Y ' •r,4,. 1 f' uare teoa Mooted hereon eit�d run
I ..� .11-.2(,.)f--4 d d•' d_,, ;,, HFAVY isRranzrhapando n
P�d%6 •..- ` e Imhoff to ths
• '. G tt AVE ! title company.govt nmen?'iI G3ncy cad
c �'�_4 4 'J c..:�• t-• �� lending instrtutlon fitted boreal;mud
rJ to the as;rignsas of the lording$rg4i.
_ ' tutron.Gum-crtG etre nat trenffT®rc,bkr
eo adniitional institutions
-'-• ----------- nn er subasqunnt
4:2
. . , i
TO P501 L
v- 1 - SEAL
GRAVE-ILLY
OAM ,
-C-a1/41"--FY CF ' 3
' /�r.1? r:. i.,��l ti,/Ca.`'6F ul i)ti.., ^' ! E; ( tJ.E'Ahi
t •
R >i F2�CK VAN TUYL, P.CA 'C?GlCY
�3,•r('' 01 aft12 ; l
' ` ' LICENSED LAND SURVEYORS 17�
' j. I • ; aREENPORT NEW YORK
, .,,,,„ , :-.:,;3 ,. (5ttitat-'2°:1;------\\
C -
IP\
•
\ (.r.,. -7:51 DE'''.NCE`z....‘J,
. A....t.,..
•
/00
A -z ,1 L._
:,. r ..f, •.1E) , V"1 E V•. F: ,., ,,;.04--- ,
195,10 'TO I
"
LIG L-f` HOtJO1.-: R1:), -,, H.a? `,.-/-)? E. ;,-'O,0 -_
CJ ;7'.� rah
I ' u: 1 y
I
1 la
r �' f � i
1 FSS•
Jr"' " i"fd
��
i : '� I ��/T�� , 100'I (}i . ,) 4
gig, -,-;--. 1-15<::()(L4e` ., , . 1. t:0 '
I if , W p.;_
ofeyltri )et)
, . , \ , --„,
\\,,, .
'` meq.--../._-)
},••• f� `
�; I
•
•
•
•
•
•
•
FIL r.. -fc.)iN., ILE E•: E.2 co! TOMEAN SEA LL. 1 -L
JUL 1 '01986 -Y--
II-
I1Cil[II J aobCcciti-
,Ie Iii' I., '1 i .
l° . -
TELEDYNE{OST N61239 1 ,