HomeMy WebLinkAboutSgouros •
OFFICE OF THE TOWN CLERKlizi)(/I(`,
Town of Southold
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road '' -
P. O. Box 1179 _ •cn '
Southold, New York 11971 O •
Telephone Ol
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 31 Residential xx
Non-Residential
Fee $ 10.00
Septic, Cesspool xx
PERMIT ISSUED TO:
NAME: JOhn P. Sgouros -
ADDRESS: 58-15 Kendrick Place
Jamaica, New York 11432
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New Single Family Residence
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: John P. Sgouros
OWNER MAILING ADDRESS: 58-15 Kendrick Place
Jamaica, New York 11432
OWNER PROPERTY ADDRESS: 3175 Stars Road
East Marion, New York
TAX MAP NO. : Section 22 Block 2 Lot 21
CROSS STREET: Main Road (Route 25)
BUILDING PERMIT NUMBER CROSS REFERENCE: Pending
•
Judit T. Terry
Southold Town Cle "
DATE: September 9, 1986
• (TOWN SEAL)
,ftp///
44
a Lr) °?h s�� "; ': �r"9
, Town Hall, 53095 Main Road
1/41
1. 'a I FC`.•
P.O. Box 728 -
� Southold, New York 11971
JUDITH T TERRY TELEPHONE
Town CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
September 9, 1986
JOhn P. Sgouros
58-15 Kendrick Place
Jamaica, New York 11432
RE: 3025 Stars Road
East Marion, New York
3175 Stars Road
East Marion, New York
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 yours,
•••044141#1,....■•
Judith T. Terry
Southold Town Clerk
Enclosures (3)
JTT/Ijc -
1
OF=FICE OF THE TOWN CLERK • •
Town of Southold Application No.„F<
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road Construction
P. O. Box 1179 Alteration
Southold, New York 11971
Residential
Telephone•
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. (3/
Fee $ /6 /
DATE qA)/ %59�
APPLICANT NAME: .To N pr S G,o o p o S
APPLICANT ADDRESS: BS " 7 I CIC Qc-ACE
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
�E w SI f,J GLC
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: DoH `P. 560° F----DS
OWNER MAILING ADDRESS: 8g r'' P (C per4e,-E
P--( 4- - N Y- I H.92-
OWNER
.92OWNER PROPERTY ADDRESS: 31 -7 S"i-r4s
ASI 1\--t 74?.( , r
TELEPHONE NUMBER OF CONTACT PERSON: `7 I S 2`� 7 r `I
TAX MAP NO. : Section O� a /Block O Z Lot
CROSS STREET: `r}'-) ��� pc,/ / p o2S)
BUILDING PERMIT NUMBER CROSS REFERENCE:
r
Signa e of Applicant
RECEIVED BY : C )L�C4_ �
Town clerk's Of, ic�e
DATE: r6
. ti
; Z I -0 SUFK�L ® -fEL7, SEd�ViGE-S_
23 _ --
(S) rznA .......KI---, ��,�
'. r: i . . 1 v:.:,.....:...••••• ••••••.:.e, _t_
E X51 pE1`IGE .� . ti...a. ; .: ; 7
;..Y ;:�, AR w RV� �� -APPROVAL-11:10+7
35-� �` .� . : GO-HT IR U CT ION O N L
Y.
• :.k.;E::• .:0' Me E SATE: /2./264V
I- lit
> aU FH ID-NC • I Q H.9.R EF NO. )4 r %0
' " AppI;OVE.I� • 2/•M
1 - _ ti.:-0 q1 I W — 015T.-----—--15�r _—_ 15 _ p L
0 _ I J®00- =0_22 _12.:____- - --- 2.1..
..: f(?1 - 'in
I m OWHElgS AbpRES5
09-11 KE.NDKICK PLACE.
tv
I; _ Iir --7-----------------------------..—. ..
1- - - t- -1 0 JAMAJCATNY-11432
ID
+ 7 i 6- 29L197__
S.78° 32' 30"W - ' _ - 120.0' —
}` y F- 33.9 bl -L,6036- P. 43!_ -
Z ° k TEST HOLE.
STAMP'
® 0 20
Z
, E. (PROPOSED HO,)
Q
- LOT_23
' , (VACANT)
I
Q
} t S ARBA • 20,2I0' S.F.
0 IKON PIPS-
£ `tiL
` nr (� 1�0 [UMINT
4�ad 330 '9, s -
il i 1
,
14141V: T_ NO' 7.5 N --T
OVE _-_ HUS Q---REFE TOMAP'OSTARS"-
. _ MAt40R'' FILE IN THE-_SU it G47.._C--LEigK'5 OFFICE A5
•
: MAP-- No. -3/56-. ----- _
, 2,SURVEY__MAh�,O.-F TH IS- PROPERTY- 15 ATTAC�IEP: SEE ,NOTE