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HomeMy WebLinkAboutPontisakos I'11"1-1 4911 '�_j 1$4 Ct9 Town Hall, 53095 Main Road P.O. Box 1179 _. ss�� ®��s' Southold, New York 11971 JUDITH T.TERRY ®� �s i�. FAX(516)765-1823 TOWN CLERK �� FAX (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. 558 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : ZERVOS, HEDWIG Address 1 : P. O. BOX 2035 City St Zip ORIENT NY 11957 Descripton of Proposed Construction or Alteration NEW SINGLE FAMILY DWELLING WITH SANITARY SYSTEM. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES ON 5/11/89. Name Of Owner PONTISAKOS, JOHN & DESPINA Mailing Address 1 35-27 202ND STREET City St Zip BAYSIDE NY 11301 Property Address 1 THE LONG WAY - PEBBLE BEACH City St Zip EAST MARION NY 11939 Tax Map No. section 30.00 block 2 lot 98.000 Cross Street THE STRAND LANE Building Permit Number Cross Reference: Issue Date: 10/20/89 Judith T. Terry Southold Town Clerk (TOWN SEAL) 654 � �,�JSW',: s•�T i f �� (BLDG.DEPT. r; --z - Town Hall, 53095 Main Road 'MINN OF SOUTHOLD i':;% .vµT,, ,�C'�� P.O. Box 1179 r �,�� :•-:,� '�'P or JUDITH Southold, New York 11971 JUDITH T.TERRY --..��.wit i TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF 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: October 16, 1989 Transmitted herewith is a copy of application No. 572 for •a Cesspool/ Septic Tank Construction-Permit submitted by: Hedwig Zervos For John & Despina Pontisakos . 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 'C DISAPPROVE � I Comments: q..., rc_�,a a Ino-, x--- �. v \ N- "Ni_t_r-yee zo. $(.‘L.61.31.9.19.0.. ".. s\\)\%‘\ ) \\CM".... CM..--- ) a-.07 0%."....g.. . Signature t i:A N AV Dated i i..,„i OFFICE OF THE TOWN CLERK .c.31FetIt' ; = Town of Southold Judith T. Terry, Town Clerk Oma.`': '' '.`, Application No. 5 '� Town Hall, 53095 Main Road a ALL. ,,. -- ” Construction v" P. O. Box 1179 Southold, New York 11971 �,y� �O .!J Alteration Telephone �l [ � 1� Residential ✓ (516) 765-1801 I Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ DATE ()��- , J, l q,9 APPLICANT NAME: .�_- = -.- �--�= i- eS:Q y �ff__Y-VO % APPLICANT ADDRESS: , --- ---7=-=-A(3, -- -1 - �n O , sox n_dat .�='1-:---- c4 1 0 1--'\ .\,\'s\-- K) til, I 19 S 7 SEPTIC CESSPOOL 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: ,_)c2 sn tet-`II)e_ ti hq o ni; S� o s OWNER MAILING ADDRESS: � - D. J apa, sir-eek ki si0\ e Ji\_) ,Y. \ 1-)o I OWNER PROPERTY ADDRESS: r Loh Uk) —Pe-We._. C\\. QS PQv- ©(4j1\) GN, 119 TELEPHONE NUMBER OF CONTACT PERSON: 3�3 -- ft.50._� TAX MAP NO. : Section 3 o Block 9 Lot 9s- CROSS STREET: TV, r,cc LG -� BUILDING PERMIT NUMBER CROSS REFERENCE: Signatide of Applicant RECEIVED BY: _ ,U14.14--______2„ o n Clerk's Office DATE: A // f 3'r:r,VIC?ar unc•' ci S �„- '•• 7/7-4E N SAC-89/`f00-�S t . . •r 471 -.'� , l:r�_:":.`._•;i:.:i;::r i° -? 7 • .' A A, • :•.•. 7R�C.SC1 i9 t125 at(iw:?i.: ... _,._LC, L . ..i:. .pci:•$:�?� L 4A'D /V/FB/R ' , .ti, tc:,itS�Services. Y•9C.4NT ;VTI. Sigr:etule � �U J�/3�26'40 "E c90. 00. Appi. Nerr;s ��,V�(v)__.e .'7746:&... TEST NO44" ,Of." - . Address 7}9.A,, .aj2f T 's Oc N/ /116/ o o O Telephone No. �w►,,, b©Z• L.-6CMA_.�y o.-7 kn H I'S V s..wo —Z 5 • e �-c (;a...°./ Fi•6- -rt.) MED 5,e...0 6.0 V 9ALE ,..•+✓ s,(.ry 54....0 9.0 N 0 — 1 1 t.w0 f,.c 4.c...k LI) O\ 54"4 "^:1,6 __,t( 4 v gliNin 6M1•.yrsn i5 tO4JJ (� �.( S,LTY S�'^•`,0 1.)•O C Y' 0. fir+..E 512......074..t 63 . Co art s.< PO LlGUT GlUwcl Zrj. 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