HomeMy WebLinkAboutSavopoulos •
ogf Ulf(
t!` e ' AP
JUDITH T. TERRY Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS "- Southold, New York 11971
MARRIAGE OFFICER G � O Fax (516) 765-1823
Vej s2 � Telephone (516) 765-1801
atilfi
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 818 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : ANTONIOS SAVOPOULOS
Address 1 : 19380 EASTWARD COURT
City St Zip MATTITUCK NY 11952
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 10/17/91 .
Name Of Owner SAVOPOULOS, ANTONIOS & RENATE
Mailing Address 1 19380 EASTWARD COURT
City St Zip MATTITUCK NY 11952
Property Address 1 SOUND VIEW AVENUE
HONEYSUCKLE HILLS LOT #17
City St Zip MATTITUCK NY 11952
Tax Map No. section 99.00 block 3 lot 4.017
Cross Street REEVE ROAD
Building Permit Number Cross Reference:
Issue Date: 4/03/92 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
L-_-_-_-_... R/e
JUDITH T. TERRY a 1Town Hall, 53095 Main Road
TOWN CLERK
1 f P.O. Box 1179
REGISTRAR OF VITAL STATISTICS (� . Southold,_New York 11971
MARRIAGE OFFICER n;e� �.1� Fax (516) 765 1823
D WIETh
___
a _®��v.� ���`' Telephone (516) 765-1801
MAR 3101'v OFFICE OF THE TOWN CLERK
r TOWN OF SOUTHOLD
BLLDG. 4)EPT.
TOWN OF SOUTHOLD
To: Southold Town Code Enforcement Officer
From: Linda Cooper, Southold Town Clerk's Office -
Dated: MARCH 30, 1992
Transmitted herewith is a copy of application No. 841 for a Cesspool/
Septic Tank Construction Permit submitted by:
ANTONIOS SAVOPOULOS •
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.
14X-664
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE X
•
DISAPPROVE
Comments: cLa ,e, c -r�o,'tet, 61/1 % 4L,Q1Q 1:"*►
1.1.X.40•tAd kA.k# aUr$5\ 0.0 . 460._21,,, ,,p .
` PR
V.. rte„ �� 8199)
erk
Signature S0 ®kr
3\Z•A c1
Dated
OFFICE OF THE TOWN-CLERK Oc�,�r��(�^
Town of SoutholdM1 `'� Application No. ?y/
Judith T. Terry, Town Clerk ►� �. f� •
Town Hall, 53095Main Road cf,I = Construction
P. O. Box 1179 cn �Southold, New York 11971 Alteration
• Telephone 1 24. j1 Residential
(516) 765-1801 " Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE 3 " n - Q.
APPLICANT NAME: /4-n74-79n/
0-5 S4 vop�Ir"Z
APPLICANT ADDRESS: /91:3 9 7
11 - -y1/ 7L� f� A� 1/�' d2
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
) 4
d �J
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: A j () 27,' S /- Rin,,¢' cabiooci1 ac
OWNER MAILING ADDRESS: /93 �O �� ��we( (7
/or?/ /"-7!„(c., 1/9 c
OWNER PROPERTY ADDRESS: A 'j- r ',, , t l� d., _
TELEPHONE NUMBER OF CONTACT PERSON : 2gcs-
TAX MAP NO. : Section 7 9 Block 3 Lot 4/, /7
_ CROSS STREET: � (ljjL� A.,(2a0-1
BUILDING PERMIT NUMBER CROSS REFERENCE:.
Signatui 6 of Applicant
RECEIVED BY: $
Town/Clerk's Office
DATE: 34.0/9 �'
I t•:il FS: `l SUFFOLK CO HEALTH DEPT.APPROVAL
I 'T l '( I='J5 5RO` KI TI-1(.;� 7 2EFE2 TO H S NNO.
1 MAP OF =C•.�EYSUr;�'_E 1- 5IFI_EC_
' ''.-+E 5'-;�F. C0 ;(_Et<'(S .'.F'_E A^ /A P 70:9 LOTS
=.E'_EVAT.IOt-?5 .2EFEE TC t-:Eh:, SE Q'j O�
- '--5°��7�^ l2ES
------------------
---- —- 0�-Y vEQ w ! + I
( ASLC° VIAL ApYROQAT' _I z
' P R•TO F��' l—_� w ---
��
41.--__\ STATEMENT OF INTENT
Q -\ v/ELLS !N F:2 -SEP Ir. ,N R.EAQ.`t
THE WATER SUPPLY AND SEWAGE DISPOSAL
1 SYSTEMS FOR THIS RESIDENCE WILL
�� I _ _ _
CONFORM
��TO��THE STANDARDS OF THE
rp �I.ro =S Ip"� (85 5,5 !
If:
SUFE° 0/�T'E T. O HEALTH SERVICES
rJ 1..(,,,c,' ; ,,v" c.,'~ LOT 8
`L F r +u� I 7 Fi C.1 ISIS P �� �Y �//1p11
C. r F-- - (`C3O• PRJ'WEU_ I .j ES 1 r- (I. APPLICANT a
-' - Q — t I N40'revro I.11 -'•'!'
1 . ' —� - �T w �i SUFFOLK COUNTY DEPT. OF HEALTH
1'
' ' (-I; W !- ; b 2 J� SERVICES - FOR APPROVAL FOR.
;I 1 e U. ' _.j - ,i:.,e.: f
— --- — ✓: SEFT w ) Q �_' .s CONSTRUCTION ONLY
(>, --_ .;� — OCT i
al :y s',OA a
,'. _ ____ o a. = 1 --' ( DATE 71991
H.S.REF NO. 9 q 1
�e • I of I aC7 a APPROVED �� i,�
Ql1 -`(}�Y ` ri Oa IVF_ -_,I.117 • „ Li., ) 8Q (,S�j a ,✓ _
'e ,y� 'm '_ f _ �_ j,
_ L 1 O����64�� SUFFOLK CO TAX MAP DESIGNATION.
Z 1 Wig' `�- ,`ACf-K(T 5- / DIST. SECT BLOCK
v PCL
y 51'0lS�. , ' ' 'e� OWNERS ADDRESS:
\ 'I ,
p COQ�((( p `p` i!'' ,rvP �'' 'i
1 (1 =oi. i (-� —_ _ - , _. `\ i t'r�TTI T,2 �� ..I.Y, i.9
',4 IIl T � I �rl I - \�,,\/��®� ` �VP” ( '-', _ :/'^-5- gid ':-.•,?,?...-;: sem'-' _ I
�'� , ;� 4. ; I II ®ikDEED.
i CES t1114: �" ; �� �Ya /-, r_^ i TEST HOLE STAMP
to'ELt_ 3_E'-,: -', I n. 1 `i ° F•IE E7 f,'2•S'7:13�.
8�– [Fly ' - O-t'�5t_L.(t"'Erl\r
1 v / "dd.rLDn law
Id;
✓, �" /-,,r- _, ,- r•-,c n-�-�. Ql� n Vrr
( 'n,•--s,r.•r c rte.a^•,y L
_I L`' C^ �''�� t, AMctiL`Ev r11t}.7d,1�jl oor`.nrnan,.orto,+•''-^,"
_ a}, • nU On,5 bE',. tuts'
bte •' .rnmenfal=.
cll
-- ;r,-
az . '.w :,.n.n h_faJ n.-son:,
l _, - 6�.'Op w d e ,rain at the Inndm: ,{•n
• ! ..-/ .__)L,,..-1_,-- giall 1 - ;�;wn C..•,ter•:-as rre not u-nc'Ar.-
___-___ _ ,( (- w y,.Ct,onal ms:,tadens oc SuFsu'
A 7-G [ da
ow�,a.s
15.61
�• AL
_ --I\
Q jP 16 198153
(0.1,
fNett,y. --- -- 11 0 ((�� rG< VAiy Ol `` -- — 'IL.' yup. v ` G9_ 1 NEALT OFAES,'.:,E, EL '! Au�_I� ?y; r t;. - � �'il
H SERVICES ' ,
CES _ �'1-:. 1,,':,.:::i";;;;`� r
LI
RODERICK VAN.TUYL,P.C. -,I
> I _ ✓�.. Ttinszs�s�
I LICENSED LAND SURVEYORS 1 �;����
. GREENPORT NEW YORK