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HomeMy WebLinkAboutNanos „of 410 cOfairteb JUDITH T. TERRYct Town Hall,ti 53095 Main Road TOWN CLERKffvi P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER k t® Fax (516) 765-1823 -J�� �� .fir Telephone (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. 850 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : CONSTANTINOS 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 5/6/92. Name Of Owner NANOS, STELIOS AND IRENE Mailing Address 1 7922 6TH AVENUE City St Zip BROOKLYN NY 11209 Property Address 1 ROCKY POINT ROAD City St Zip EAST MARION NY 11939 Tax Map No. section 21 .00 block 1 lot 20.000 Cross Street SOUTHERN BLVD. Building Permit Number Cross Reference: Issue Date: 6/04/92 Judith T. Terry Southold Town Clerk (TOWN SEAL) 7P111.'�'�7/Y_fira��-�s our 40- CieN JUDITH T. TERRY Town Hall, 53095 Main Road TOWN CLERK � P.O. Box 1179 REGISTRAR OF VITAL STATISTICS ;`, % Southold, New York 11971 i� Fax (516) 765-1823 MARRIAGE OFFICER ®�� ®� � Telephone (516) 765-1801 ei CI OFFICE OF THE TOWN CLERK _.. TOWN OF SOUTHOLDI TO: Southold Town Building Department 1992 c'\ FROM: Linda Cooper, Town Clerk's Office l � �. ALS TOWlP3_ a., OF SuOU 6 O� RE: Cesspool Construction/Alteration Application DATED: June 3, 1992 Transmitted herewith is a copy of application No. 874 for a Cesspool/ Septic Tank Construction Permit submitted by: Constantinos Zervos 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 a permit. Please use the form below and return to me. Thank you. Linda J. Cooper * * * * * * * * * * * * * * * * * * * * * * * * I have reviewed the application and location map and make the following recommendations: APPROVE DISAPPROVE Comments: q,„ ,4„,dk,t_ oC M owaaaii)11,1-' { Gtel(f-'''" $ / ex,. 11/sLeK J `b. b\c LI . 1(A.aiNA. OE a. Signature flL.— Dated OFFICE OF THE TOWN CLERK cOFIlLe Town of Southold Application No. (3-7Judith T. Terry, Town Clerk pp Town Hall, 53095 Main Road • tr3 #' ;-. - c Construction v P. O. Box 1179 Southold, New York 11971 ,y� _ i'%°-.1 AlterationTelephone Q( /• 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. c Fee $/0 DATE 3 O 3PA-ci2 APPLICANT NAME: T T1/1 � f \fc)S -- n-1) ,- APPLICANT ADDRESS: Pt ©. SeA.6 OVZt ENT act 57 SEPTIC J CESSPOOL f DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: STEL-1 (35 Jr- T.RE NANN OWNER MAILING ADDRESS: 1,7,1� Vk AVE. N j N.Y . 11 aoc OWNER PROPERTY ADDRESS: Bee- FoiKT R.) , E As M A-i .1 o l) ,K<'y., U9 3� TELEPHONE NUMBER OF CONTACT PERSON: 3 -- 5a6 BVt I-:DE-R, TAX MAP NO. : Section O LA Block 1 Lot 0-0 CROSS STREET: So 071 • 4 BUILDING PERMIT NUMBER CROSS REFERENCE: Cso Signature of Applicant RECEIVED BY: / l . Town Clerk's Office DATE: 6/j/9 • SUFFOLK CO HEALTH DEBT APPROVAL-'i„:' ' { ci Fr)o r� 6.31.''6 • L ; ;Y !!> f! \ _ - H.S NO. I ( —SO-1 '+ "su . -"L7 .ti',ir5 No, 3'7::? t ,dO' +r» ,, ,• (�t rt'. I< ti1rGi _ _- __ -______ ____ ____ 45 1,,:-.11 , i STATEMENT OF INTENT' y.d'`J �$sr�n;ed V y Ti'.:/— M r ] r. ,� r h r THE WATER SUPPLY AND SEWAGE DISPOSAL- ' sep-h. Q t\Y % r r /Jam..` �'. -- f_• _ - 4=3 SYSTEMS FOR THIS RESIDENCE WILL, I area V v I \\ CONFORM TO THE STANDARDS OF THE ^\ 1 i • rl \ fvy^ SUFFOLK CO DEPT OF HEALTH SERVICES ' �,i ' eat• I : �: -' -e^r/r." \ (-'�,. 7" ,',/r' - --J_Q:1- rel. -. ts) PFowls 7E4W09. t \ APPLICANT • i ,uv . -- J,-KU.!0SUFFOLK COUNTY DEPT OF HEALTH 'r • rv-<40_f _ -+- ------- - - -----' 4. _ �., SERVICES — FOR APPROVAL OF • SCALD: -PL' ,J • s Cr l CONSTRUCTION ONLY , C.1 ,k l DATE rtni V3 ]V? - ,' so 1— --- —I ;, �lro is jr:,e2?rl ' 1, Qr1G�—6-4. =:7'. H S REF NO APPROVED r , l 1� • pent, wet( I .? 6? 1 prop septi _ - 'h l: ,- _ -1 •� L•' -_ - c- ,ti __ - _ =( ` ._r - r �?. � �~r � • SUFFOLK CO TAX MAP NATION:•. r1 't I s•— -r� ev p1 DIST SECT BLOCK • PCL' `') -• - _ ho�G _ 1 Iot.'C G7.!, ' -' 2b•-• _ pr-.12 dr-rye L PLEASE /�T OWNERS ADDRESS , ,z - c ,S, -- 1v L-_- _ /_ _ PLE SE NOTE 7922 6TH AVE • - _ v> - ✓i,ct.%UX.L.}'!!, r✓. Y. !lS09 -- , _ ` ----�' ) , it is ?�'1 ari�'c^.Ar±'s r^socrslbtlity to 6. pr, -tj 6cv-"itis. I .....0 • , irah.:tnl;, c.,:.':.:-.;,: l..) S.1t1'tar :;!stance - , �`� y TI.=G_ 718 630-705'/ C-E'1.'A •! bent:' II .74 V,;ter supply nd sewage 'J "itS;)r 1�:Jt::ilir.:';i. ��5' DEED L. -,1900 P !OS • •- �•••,•• 3/cal $ cna. t•t . TEST HOLE t STAMP y ,'L'+lam<::7 1 ; - EXCI,9 ill F'd Ii Si alliii- REOUI „m' .,. _ -•---1.- ' - - - ,. - dlc. $r. „.'...,.--,,,,,t. Y; :,r� r ,'! loam .r c,.._,_ ,r- c.,,r r.-Ab--r,„ ' 6vo.un_ 6 LL``✓,.:•, ,or'•,mer•I!rat --n;uA chall r:2 M cn-ICeru3 ' sartay .c a,LLd tru.troy. /0 attt Co--r-•ays In,F-•h•C hereon en-7 R.3 - �.--,D r��—••• 110. — __2sr «,, ,cvraontarwhn••.t'•etur•..- - -'r ••C rrvJ onhn Sr to8v . brown -•,y.g5 ernm -era e.:)= • I +`.� :r.er.:n!cal I--un s i Amcrtdea7 Oct.- Z 199/ Seta _,-,!rs cf el:At....' _ R5cEavED • .. Apr- 0, /199Z99/ SGML/ • -:era rte-..`�, u' - C;e . •.i'�Cwhdion5 Cr Su.:1,41::'-dY' 6Utttit ' MAY 1 1992 • ID IN S6 X26'tSVO S hent! SEAL 9roval TeAa CO/ebX AD j,. - :--.F-7-E',.....`, v 3n3-• C ogiut%T N,T. ��9s7 brown J -.'".-e.T'N v-\ S C DEPT.OF J :(o' G'��. 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