Loading...
HomeMy WebLinkAboutMellas (3) S _lJ /frp®yF OLAie Town Hall, 53095 Main Road Zr ,� P.O. Box 1179 ®� Y� 11, ��� 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 SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 392 R Residential X Non-Residential Fee $ 10. 00 Septic Cesspool X PERMIT ISSUED TO: Name : MELLAS, JAMES P. Address 1: 323-1661 OLD COUNTRY ROAD City St Zip RIVERHEAD NY 11901 Descripton of Proposed Construction or Alteration NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY HEALTH DEPARTMENT 8/18/88. Name Of Owner MELLAS, JAMES P. Mailing Address 1 323- 1661 OLD COUNTRY ROAD City St Zip RIVERHEAD NY 11971 Property Address 1 ORCHARD STREET City St Zip ORIENT NY 11957 Tax Map No. section 25. 00 block 5 lot 3.000 Cross Street TABOR ROAD Building Permit Number Cross Reference: Issue Date: 8/26/88 Judith T. Terry Southold Town Clerk (TOWN SEAL) , 1 if 0E14"/ E fu a • :® ", h::sn ,g ^,.i s re-, < ` ,:,R<;- �` + Town Hall, 53095 Main v -r __ _ � �;�- - . Road ..r �� ,V- .-(....../ •• P.O. Box 1179 " � r ���,� - — / L�y` }� Southold, New York 11971 JUDITH T.TERRY TELEPHONE TOWN CLERK (516) 7654801 REGISTRAR Or VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD • To: Victor Lessard, Southold Town Building Department From: Linda Cooper, Southold Town Clerk's Office Dated: August 25, 1988 Transmitted herewith is a copy of application No. 398 for a Cesspool/ Septic Tank Construction Permit submitted by: James P. Mellas . 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. oeez(.0,4p. 6-07a€A-) , Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE n n --y� Comments: a d2 Clock) .Ln.d[,cc dL- 'T1 is—eto1I r :: c-P • ;1 = Ji z .C„ 1.�R/�]. 2�\1 B\ii ------ -A.ct.u.. C.7 )01-it-eil-- Q u B\ ii f' 2/-I.(0/9g . Dated 4.' ,'., OFFICE OF THE TOWN CLERK c.0FU/i{ JudithTow of Terry, ;5 Clerk � FO/ire; rye 4 g Application No. ?r Town Hall, 53095 Main Road Construction � P. 0. Box 1179 `�' '' �� � � Alteration Southold, New York 11971 Telephone '4/l ;. �� ' 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 $ /O DATE !(a'��/ ' ggi APPLICANT NAME: j:4/114/- ? /12 (e-t°71`&1 APPLICANT ADDRESS: 3ZiJ /106/1 ��� � . SEPTIC / CESSPOOL f / DESCRIPT ON OF PROPOSED CONSTRUCTION OR ALTERATION e!/) S Ac� ? LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR * ON: OWNER OF PROPERTY: �i9WiL CR A `�X�� OWNER MAILING ADDRESS: 3 3? - //11- eve/ 4 i7 RD. /v e,ralex iv _,y. //f©/ OWNER PROPERTY ADDRESS: X V%JZ27 00;67- -/TELeX/e/40-/--7; //1-/- TELEPHONE EPHONE NUMBER OF CONTACT PERSON: -? -- f" P>91 TAX MAP NO. : Section !J Block 6- Lot 3 CROSS STREET: --61M0/ jj fl- 'D Off, els.- tr fI p BUILDING PERMIT NUMBER CROSS REFERENCE: • Ate_ OrSignature of 9421.i.eaant RECEIVED BY : a--v7 c6, REMO%n Cle k's Offi e DATE: AUG 2519t; TIMM Clot So ski f .rs 74 ri";"'7 ilif.7 1 D , . . ,. .... ., L r L , ,.!, , ,,,,.... i, . . . , .:...., . , . .... . . ., . ..... _ , AUG 15 1988 S.0 DEPT. QF------" — _�..._.__--_ ____-_____--- ___..__._.-.----"---•-- HEALTH SERVICES - 49�' Cn r4L---- "16{Ea e... S.� ,4`_ 20 -, - is✓. Qt-r..) 1- oo -A00 T✓ 21 —a _at: , • lS W , v.P2oP•`NC .. cam u � C' . . ( .., \A/Pri IO; /SOC 'I5 , . iwvv1^ti Ci. C- . �� (T i m CvtivLC-� i - ' /"SFT UAcv E ; ; too' LI NE - ,`:%. - - - - - - jT r' _ { c'7� Liv. - :, . 4 '---- 1--------55 I • . cn! k1 1 • L� ' t --` ` • PiZQR.SEPIK K - -' ` . . 21 R 1 , • , VAcA`1'1. (-; \ 1 = - (VA�.J�'-rr).,t 1 •• 1 ....k: k 'lir `'.�.' r_ .w.+._ .411 1 2.CONTGt S i Y�� t0 ,:fit- \\ \ • . . �VACAN i yYF. (VACANT) TF LFOVNF POST N81129 y SUFFOLK CO. HEALTH DEPT. APPROVAL - F H. S. NO. • 1� ,A . r 1 (4Y L•..l 2 - S;i(2.�a 'rT �. -3 .F.0.12. , ,,..41 t i_.._.,,.,4,,' ,. , .y.. �-�...a =`....'' STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL - i•�L' SYSTEMS FOR THIS RESIDENCE WILL rrt': f .1 tej- T CONFORM T• HE STANDARDS OF THE= -''•; SUFFOLK .4W PT. ) , E ., ' SERVICES., - l .PPL.,LCANT SUFFOLK COUNTY DEPT. • OF HEALTH ..-: ' '.V1- ' .. SERVICES — FOR APPROVAL 0F. CONSTRUCTIONONLY DATE: '( c — sem ti, 1 H. S. REF.•NO.: c---.)- \ Q ��- ),� • APPROVED: C—( )•• \,\ \leu kCi CIO( , •,\ SUFFOLK CO. TAX MAP DESIGNATION: `<<`� CAL f`�,r DIST. SECT. BLOCK PCL. ' - ."?.EA -6-I q::�6 - l � 025 5 , . ', —"` OWNERS ADtDRESS: -/-y� - r, - 56 3-.l6ta i w i,.0_C t"riv.)- - T"t t1 f 1 .., , 4 tt�� �y t �a, �x �Y�y��src��{t.F��^t.2c. ���..,u.7't=,•i _ ti_ 1.�'C� r� l:I1..tl�� i----7:-.7-1-t-77,-wd i !°•1 l; f'�. , EXp - 369-929 -- - . DEED: L. P. TEST HOLE - STAMP _ a -ir.'1' Y.'.3•.'t101 'v 'ianr1 li �+ - ' FE FF�� TO Fr./� f BAY pi 1 %�, r �rJ O'me id2`u York..lt�tC -1E' FER ..�� is .0 F. BA{ Y IEt4 ,li.ii.'K`-1 t ` i iLE V` l✓,� beating , 1 td.`7C , .,. ,,,, al o. dry _( ''� _1— _ ft( _ 'Sg„r s' 31'not to considered REF E 1 O t�l._...W -,I .5f✓�ti b4,.V L.AFiE,A I ` ..• �ea.rd tf uh CCD'1• . 5 .,,;.<r,,,,, a,indicated hereon%hail run i ,o!n:,person tor wham the survey Y , .. pared,Lno on his behalf to the } rrt.,toren;:-rn-r.governmental agency and i I.:. :r:.i•rozaUtion listed hereon eta" W co ysicjoee%a the lending insti- Y,. Il gupi,r/iipci.n'r,,.: s;t iiaunoniSiastSltalrOen%not tSrUanst9Qe ahie l,. Rt SEAL 1 6Y ngEbt, III 7 PSC\SAN , 'P� c��tr 7.5',4,-14(''`r- ,� - RODERICK VAN TUYL. P.C. 2 r\ y„2="-' '?3 5� s �� i*Axa+g'r` j, ✓1 LICENSED LAND SURVEYORS , <-42:::'ZA''0 -- -GREENPORT NEW YORK '