HomeMy WebLinkAboutSpyropoulos f,,, ___
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JUDITH T.TERRY Town Hall,53095 Main Road
TOWN CLERK P.O.Box 1179
O t% Southold,New York 11971
REGISTMARRIA E OFFICER R OF VITAL ISTICS � 1-#� ® ' Fax(516)765-1823
RECORDS MANAGEMENT OFFICER ®� � �I Telephone(516)765-1800
FREEDOM OF INFORMATION OFFICER ,_�,,, .0"
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1314 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : EAST ISLE CUSTOM BUILDERS, INC
Address 1 : 278 JAMAICA AVENUE
City St Zip MEDFORD NY 11763
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR NEW SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. SCHD REF. #R10-95-0040.
Name Of Owner SPYROPOULOS, KIKI
Mailing Address 1 C/O EAST ISLE CUSTOM BUILDERS
278 JAMAICA AVENUE
City St Zip MEDFORD NY 11763
Property Address 1 KENNYS ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 59.00 block 3 lot 35.000
Cross Street MIDDLE ROAD (RT. 48)
Building Permit Number Cross Reference:
Issue Date: 4/17/95 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
/ 3/5/
JUDITH T. TERRY Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS t use
Southold, New York 11971
.t Fax (516) 765-1823
MARRIAGE OFFICER _ �' i�} Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER -- i 0
FREEDOM OF INFORMATION OFFICER �: .1ii/iii/i�
OFFICE OF THE TOWN CLERK ,—� ~2 R�—Li vi 7 -7 .;- :�'
TOWN OF SOUTHOLD <r-='-_=•- =_=---_--�_--•- i, .
I-1 L LALL.Sli J i
TO: Southold Town Building Department i
FROM: Linda J. Cooper, Southold Town Clerk's Office L.L...._..BLDG.I?EPTTOF SOUTHOLD I
DATED: April 6, 1995 '-
Transmitted herewith is a copy of application No. 1363 for a Cesspool/
Septic Tank Construction Permit submitted by:
East Isle Custom Builders Inc. for Kiki Spyroupoldos .
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: , .(f'c ,ems.!„ J e (0 gli A -52:5-- (JD KO
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Signature
gi 9‘3
Dated
f it
OFFICE OF THE TOWN CLERK
Town of Southold - /
Judith. T. Terry, Town Clerk Application No!3��
Town Hall, 53095 Main Road Construction ,7
P. 0. Box 1179
Southold, New York 11971 Alteration
Telephone Residential /
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for 7
- 'ti
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ 1O `
DATE Li c l l s
APPLICANT NAME: EAST ISLE CUSTOM BUILDERS, INC.
APPLICANT ADDRESS: 278 Jamaica Avenue, Medford, NY 11763
SEPTIC CESSPOOL X •
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
new cesspool for new house
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Kiki Spyropoulos
OWNER MAILING ADDRESS: c/o Builder
OWNER PROPERTY ADDRESS: e/s Kennys Road, 491 ' n/o Middle Road
Southold, NY
TELEPHONE NUMBER OF CONTACT PERSON: 727_6023
TAX MAP NO. : Section 59 Block 3 Lot 35
CROSS STREET: Middle Road (CR 48)
BUILDING PERMIT NUMBER CROSS REFERENCE:
je,A04 ii
"I ,
Signa?I of Applicant
RICHARD OP"gib SANO, PRESIDENT
RECEIVED BY: RECIIVED EAST ISLE CUSTOM BUILDERS,, INC.
TIN CI%r11''�� 5Office
DATE:
fF''IF{t
iawn Clerk MVO
OII
SURVEYED FOR: ROBERT VINCENT KVIETKUS _ - < .,
PROPERTY LOCATED AT SOUTHOLD - tif5 "?,'"} • T - - `""'¢ ..
r TOWN OF SOUTHOLD - ;..ir ; _ 'e+ �� :.
SUFFOLK COUNTY. NEW YORK 1, rµ _ �o., e� ..
S.C.T.M. 1000-59-3-35 :i = , .. . - ' o'ti y
AREA = 37,001 SF. '1f. :� ' _ �, �''GmF
SCALE: 1-=50• - _ • s;(. 4 :.:`•F: . :�tio t °� ���ti
The water supply and sewage disposal systems for J -l-1.:',:-..-i-,,, 'f' li _
. this sidence will conform to the standards of ., ..e ' „:11-,°: �r ' . r `'
the ffolk Countya artment of Health Services. ' - - Q- '` ' -_-'” - T •,^ - -:-
Q "Kr'>`
, . / ect,q, '' . , . , . ' :-., , .c...,
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES =- ,- - ry w . _ - " .•,.::••:-- .•7"4'.•--1-'';'--:;' ,r ''`'`'i"" ``
_ _ •• _ • - j :%.-..i,',,,,:,-1,'“?...,;',',-n frt,.�rSe-"c,.''•t 'st,:•j y �',s `a t':a'"', i' -t -
FOR 'APPROVAL OF CONSTRUCTION ONLY ` Iits.;,,; t` -b_ - ., �� . .
DATE--Y 0 1`:M S REF. NO. / } 1S-UO _t,: ^r '; ,:` �y- t�J �r
O�/ _ l- `ty i'r'"-.�hti? 'r ;.r. t G/ �ffi�7Q pp ��1�p��gl't� EC
q '.4
`tl?,+< 'Zi,,4�•r .t r •10 ik16�1U&a :
�. `. . REQUIRED
APPROVE > "` /�' -i "' `.' T• rEi
"f s TEST f SLE DATA
SINGLE FAMILY DINE-LNG 4 - bib _,'-=.1-3,-,.,1,- ,-.- :,._x.,, -•s= ' -_ .'., 1 ,� t
:�S THREE YEARS FROM DATE OF APPROVAL
��• _ ' ' -_ - .- -�ti�°
?S\ Q 1 1.5' TOPSOIL- r
O. _ •A9+6?
GJ' -
16
Unaulhnroed alteration or,addnron to this sone% 2s a‘solation - ST. \O. 4 - - _:�;', - $
>tatr Fducauon L aw ` 'L •.} �� • . +,?� of NEW i•• 3.B. LOAM & CLAY ,�p.,
of Section 72r Pt of the New York �O� POLEi O.` r !(7• - '( rO ,'- ,f
A
- PROP - Q. CoP — -
sT 4�, .a tb 6' ��), SAO- .
Copies Ot this-survey map neer:ear:ng the I and Sur.%wore inked �\ sum
PROP ! , ,Q O ,i _ -‘-‘1 6311'. es -1
seal a emMl cert seal shall not he rnn,rdend to he a satut true \ Mk . SF Q �Q., ��, I1.5' HAROPMI
copy. is \� O S C N� _ vCl� lQ ' ; _ 13 *. — _
8 '( \R�. h, !C7 2� ( ti * - j SMO AND Guafantee,Of rendkatione mdir ated hereon.halt run only to \ \ O 6.8'
the person for%shorn the survey is prepared, and on he behalf m s iss.• + ? •sr Y ' :-d' _ ��`�—
the title Compal, governmental agent Y and lending tnsrnutron r� it \,�• O� 10. 'O. -�� - ,44224 -
,r)'04 4 , \S\ q X44 O. ; c, NO NATER
limed hereon and to the assignee,Of the Iendne m,utwwn. \°� ff
Gwrantecs or rr•rtiLcations are not lrans(watilr In.aid rt renal - ` _ \ OQ C� J - `�► -
mstrtWrons of suh,eWn•nt owner, s Q1Ai:) _ -
F \ 7,-)\
�' [ANO
CERTIFIED T0: ��r�F',G� \\,.....›.. ; - G�'r _ ..
ROBERT VINCENT KVIETKUS SET
F ti� •� \ °O+ T ® TEST HDLE • ` MI 'p. cr-
SURVEYED BY:
s.c.T.Lc.. INC. L' �-. \ ti co j,0 IP
oy FRANK J. BARYLSKI
U.S.D.A.-FARMERS HOME ADMINISTRATION rd' s \\ Ar,-s ���� ,-''C'
p �4. f ��
N.Y.S. Ltc. No. 44224
m<F��v7-4?) �o� `��00\....0.-;s ���� ti a4� c= BRIDGEHAMPTON AND
• --6- (21-"A- tst O/" • Off' �+ v -SAYVILLE. NEW YORK
RESIDENCE - t. 1O;' :. ,. - _` Q• - = - cn�,,
(W/W.S.) % x - MARCH 2 , 1995
16596 L16596-1) -