HomeMy WebLinkAboutMargadonakis JUDITH T. TERRY y� Town Hall, 53095 Main Road
TOWN CLERK rT1 P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER � ® ��` Fax (516) 765-1823
�® Fax Telephone (516) 765-1801
stiOFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 658 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : HEDWIG ZERVOS
Address 1 : P. O. BOX 2035
City St Zip ORIENT NY 11957
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 11/01/90.
Name Of Owner MARGADONAKIS, FOTIS
Mailing Address 1 1027 79TH STREET
City St Zip BROOKLYN NY 11228
Property Address 1 MAPLE PLACE
City St Zip EAST MARION NY 11939
Tax Map No. section 31 .00 block 3 lot 11 .018
Cross Street STARS ROAD
Building Permit Number Cross Reference:
Issue Date: 11/16/90 Judith T. Terry
Southold Town Clerk
(TQWN SEAL)
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BLDG DEPT.~ �'` _} Town Hall, 53095 Main Road
TOWN OF SOUTHOLD
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cr,"0/ ��®� 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
To: Southold Town Code Enforcement Officer -
From: Linda Cooper, Southold Town Clerk's Office
Dated: October 24, 1990
Transmitted herewith is a copy of application No. 673 for a Cesspool/
Septic Tank Construction Permit submitted by:
Hedwiq Zervos for Fotis Margadonakis -
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
DISAPPROVE
.
Comments: e t, , .ss /
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Signature
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Dated
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I SUFFk1CR il-IVW DEPT.APPROVAL
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STATEMENT OF INTENT : -= .'?' ••_•-- '
C THE WATER SUPPLY AND SEWAGE DISPOSAC.•
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SYSTEMS: FOR THIS RESIDENCE ;WILL :
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