HomeMy WebLinkAboutSariyiannis `mss �' Town Hall, 53095 Main Road
V .' P.O. Box 1179
e Southold, New York 11971
JUDITH T.TERRY � '�
" � � ��� TELEPHONE
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TOWN CLERK (516) 765-1801
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. 317 R Residential X Non-Residential
Fee $ 10. 00 Septic Cesspool X
PERMIT ISSUED TO:
Name : SARIYIANNIS, DIMITRIOS
Address 1: 20-22 29TH STREET
City St Zip LONG ISLAND CITY NY 11105-0000
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH SANITARY SYSTEM.
APPROVED AS PER SUFFOLF COUNTY HEALTH DEPARTMENT APPROVAL.
Name Of Owner SARIYIANNIS, DIMITRIOS
Mailing Address 1 20-22 29TH STREET
City St Zip LONG ISLAND CITY NY 11105-0000
Property Address 1 KERWIN BLVD.
City St Zip GREENPORT NY 11944-0000
Tax Map No. section 53 . 00 block 3 lot 6 . 000
Cross Street BAYSHORE ROAD
Building Permit Number Cross Reference:
Issue Date: 4/08/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
JUDITH T TERRY TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE C .,THE TOWN CLERK
TOWN OF SOUTHOLD
March 28, 1988
To: Victor Lessard, Southold Town :Building Department
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 31.9 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by Dimitrios Sariyiannis
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.
®...��
401
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 -
COMMENTS: qua ' ,t)`} CX, Co.
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Signature
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Date
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OFFICE OF' c��F
THE TOWN CLERK FOUQ,"
Towh of Southold
Judith '. Terry, Town irk `` .•: ` 41Application No.cglq
Town Hall, 53095 Main Road ` c �, =<b' Construction ...
P. 0. Box 1179 ''`''" J
Southold, New York 11971ry Alteration
Telephone �l [ '1 k "'• Residential
�" • (516) 765--- 01 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee •$ DC7
DATE March 28th,19A8
APPLICANT NAME: Dimitrios Sariyiannis
APPLICANT ADDRESS: 20-22 29th street, L.I.City,
New York 11105
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
Construct a single family dwelling with associated sanitary
system.
LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Dimitrios Sariyiannis
OWNER MAILING ADDRESS: 20-22 29th street, L,I.City
New York 13105
OWNER PROPERTY ADDRESS: Kerwin Blvd and Bayshore road.
Greenport N.Y. 11944
Dimitrios Sariyiannis
TELEPHONE NUMBER OF CONTACT PERSON: (718) 204-1975
TAX MAP NO. : Section o53 Block 3 Lot 6
CROSS STREET: �� a o/1l.4 -& •_
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BUILDING PERMIT NUMBER CROSS REFERENCE:
41111.
AO RECEIVED BY: .�,4/ice /,�
— Tow rk's Office
DATE: „.?5/ f
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CHRISTINA • SARIYIANN I S
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TITLE NO. T 1285 - 645 2
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AMENDED 'MAP A , PECONIC BAY ESTATES —°7'°''FILED IN THE SUFFOLK COUNTY CLERKS OFFICE � �
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