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JUDITH T. TERRY ; 0+ Town Hall, 53095 Main Road ,
TOWN CLERK ` p T P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER Fax o� Fax (516) 765-1823
jig�y® 10' °� Fax
(516) 765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 955 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : LISO CONSTRUCTION CORP.
Address 1 : P. O. BOX 439
City St Zip JAMESPORT NY 11947
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES.
Name Of Owner MAKRIS, GUS AND PENNY
Mailing Address 1 243 GARDEN PLACE
City St Zip WEST HEMPSTEAD NY 11552 •
Property Address 1 WILLOW DRIVE
(LOT 21, HIGHPOINT, SEC. II)
City St Zip EAST MARION NY 11939
Tax Map No. section 31 .00 block 3 lot 11 .023
Cross Street CEDAR DRIVE SOUTH
Building Permit Number Cross Reference:
Issue Date: 1/20/93 Judith T. Terry
Southold Town Clerk
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JUDITH T. TERRY ®C Town Hall, 53095 Main Road
z % P.O. Box 1179
TOWN CLERK 4 ® r71r
REGISTRAR OF VITAL STATISTICS w Southold, New York 11971 •
y r Fax (516) 765-1823
MARRIAGE OFFICER ®� ®Toed Telephone (516) 765-1801
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y� .," Q"3 n� ; , J OFFICE OF THE TOWN CLERK
if gS_ i L.•,;` TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: January 13, 1993
Transmitted herewith is a copy of application No. 982 for a Cesspool/
Septic Tank Construction Permit submitted by:
Liso Construction Corp. for Gus & Penny Makris .
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
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Signature
1\ 1AVV'A
Dated .
OF ICE OF THF TOWN CLERK c0Filt�'
Town of Southold Oma. �'
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Judith T. Terry, Town Clerk y ' Application No. ? k:=2
Town Hall, 53095 Main Road _ = '� '�z Construction
P. 0. Box 1179
Southold, New York 11971 - O�s!,1 Alteration
Telephone 01 4 ��0 % 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 1'4- . e3, tete-13
APPLICANT NAME: L. l s ea L , .o ILS
APPLICANT ADDRESS: V c, L
e as Pc, Lri
SEPTIC c."7 CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
T3 Lb a / n,4°-/ t —L,4/ivy.
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: �a40is 110< 11,(, s,
OWNER MAILING ADDRESS: ,c- 3 d.ta 1) Lr}`;
`�— ervP50s. aD -N/ 1l55a ,
OWNER PROPERTY ADDRESS: l LLo c - 1'77,6:s t
L rs-S- 1 - t G.u 6 t.1:2-7 1Nsr lea l 1-0 r o 4,I
TELEPHONE NUMBER OF CONTACT PERSON: 7,Z2- 4,9-5/.
TAX MAP NO. : Section 3 J Block , Lot 3
CROSS STREET: 1:01)-(4,E. Sc.7r-1 -
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Apllicant
RECEIVED BY: (1C)/C4(''''
wn Clerk's Office
DATE: / f (?9
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. ,' =; SURVEY.FOR ,
CALLIOPE RISSIOTIS,CONSTANTINE MAKRIS BPENELOPE MAKRIS
surrOLK, COUNTY DEPARTMENT OF,HEALTH BERYIC3 LOT NO.31,"HIGHPOINT A_T EAST MARION,SECTION TWO,INC.I�
OCT 23,1992
FOR„ APPROVAL OF CONSTRUCTION .ONLY - AT EAST MARION -- - 'SEAL DA TE OCT'12,1990 _ _-
_ -TOWN OF SOUTHOLD SCALE 1":50
' SUFFOLK COUNTY, NEW-YORK- '_ No',, ' 90-0788 -
_ DATE ` -HS REF.NO. `' .
• . *yW UTNOINIEEO ALTERATION OR ADDITION TO Ten CERTIFIED,TO ' ,-
- - "� ' - SURVEY H•v10lATION OF SECTION•nDG OF THE, CALLIOPE RISSI ///qn
_ MEW YORK STATE!DUCAT ION L•W ' �-
'- 'APPROVED - I ` _ - 0 COPIES OF THIS SURVEY NOT 'FARING THE LAND pENE CONSTA NT NEl
SUR V('IORS INKED SEAL OR EMBOSSED SEAL SMALL OG LAND-
if.
_ - , _.. - '' - - 'I NOT NE CORSIOERED TO NE A vLI0 TIME COPY FIRS '- L NCE COMPANY
' ■GUARANTEES INDICATED HEREON SHALL RUN OILY 10 -
' HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR rNlow THE SURVEY IS PREPARED OFA IS `8
•NOON NIS BEHALF TO THE TITLE COMPANY,GOVERN- g 4� ., '
11 NEAREST WATER MAIN Mi ' *SOURCE OF WATER PRATE_PUBLIC_ RENTAL AGENCY AND LENDING INSTITUTION LISTED - 3, `�-9O `
■SUFI CO TAG MAP DST 1000 SECTION 3�BLOCK 3 LOT II 23 HEREON,AND 70 THE•ASSIGNEES OF THE LENDING �.'
'.MERE ARE ID OWELLINDS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION GUARANTEES ARE MOT TRANSFERABLE I �l_ ,
' OTHER THAN THOSE SHOWN HEREON TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT �/ N 4gL�,.••�o�,�
P THE WATER SUPPLY-AND SEWAGE DISPOSAL SYSTEM FON THIS DEPARTMENT *DISTANCES'SHOWN HEREON FROM PROPERTY LINES - •• A� VP S�
I ' OF HEALTH SOME', URTo POSE A 0 TRUE HOTTUNES ARE FOR A SPECIFIC - YNu7L4F1` '-11 - -
, APPLICANT,,- .., -- PEAR POSE AND ARE HOT TO BE USED TO ESTABLISH,
. PROPERTY LINES OR FOR THE ERECTION OF FENCES
11KIG 400 OSTRANDER AVENUE
- TEL
YOUNG e' O
RIVERHEAD,NEW YORK' ,
_ NOTE ■=MONUMENT L l STAKE - - --
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF- - ,ALDEN W YOUNG,PROFESSIONAL ENGINEER,- ` • - ,
' SUFFOLK COUNTY ON JULY 13,1984 AS FILE NO 7755 AND LAND SURVEYOR N Y-S UCENSE NO 12845."" -
-• - - I- - - HOWARD W YOUNG, LAND,SURVEYOR, - - '' •
;,'`y - - •TK woman OF WELLIWI,SEPTIC TAMPISTIS CESOPOOLSIO)SHORN HEREON N Y S LICENSE NO 45893 - _ '
- _ ARE FROM FIELD OBSERIAITIONS.ANO OR DATA OBTAINED FROM OTHERS - _ „ - Cl
a
1 GRAMS B SONS INC. _ .. - t'