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HomeMy WebLinkAboutTahliampouris (2) i' 4rii 1. ;�' Town Hall, 53095 Main Road �® ® �,` P.O. Box 1179 =_ ,s�, 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. 361 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : MORAITIS, STEVE Address 1: 7995 MAIN ROAD City St Zip EAST MARION NY 11939 Descripton of Proposed Construction or Alteration NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM. APPROVED AS SUBMITTED AND AS PER SUFFOLK COUNTY HEALTH DEPARTMENT APPROVAL. Name Of Owner TAHLIAMPOURIS, GEORGE Mailing Address 1 1726 ASTOR AVENUE City St Zip BRONX NY 10469 Property Address 1 20210 SOUNDVIEW AVENUE City St Zip SOUTHOLD NY 11971 Tax Map No. section 51. 00 block 3 lot 13 .002 Cross Street CLARK ROAD Building Permit Number Cross Reference: Issue Date: 6/22/88 Judith T. Terry Southold Town Clerk (TOWN SEAL) • • S. qv f ElLti"-- - ' 7),5_9---S -- - et,,'" .„eVe'"‘4,: ae-"A \ , Y 4. 1 c� v: ,�.., - BL®C D ;.OL all, ;c 095 Main Road C . �">,. �,�� 'DOWN_OF_SOU79 0..,ox 1179 ' { E �i� --- Southold, New York 11971 JUDITH T.TERRY �--d,,„„,f0” TELEPHONE TO1VN 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: June 21, 1988 Transmitted herewith is a copy of application No. 365 for a Cesspool/ Septic Tank Construction Permit submitted by: Steve Moraitis for Georgios Tehliabouris 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 X DISAPPROVE Comments: per„ y,,,j,�,e ,9, ay.,%,„tit.u..241 Q.,,Al, 41 ruyaa. t.N.A.., *ALM.------,„f. 0," co/24 29 . Signature Dated i.- - OFFICE OF THE TOWN CLERK Oc��FFO(/�'C,D Town of Southold, Town Clerk A ='�`� ' pp • 36 Judith T. Terry, .�_,,, _ �* t'" Application No. Town Hall, 53095 Main Road S---- p ,i-g?'" =u ,� 4 ,�` Construction ,----- P. P. O. Box 1179 Ii7.1„ -, O _ - � , Alteration Southold, New York 11971 �1 � , Telephone t94,14.1-1- 1 .1;6.-,. 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 $/0----F. DATE APPLICANT NAME: 9v't �,�Qgfi / -77 APPLICANT ADDRESS: in*( /Y g V • P 6 2 M''(O,t7 ,1 09 "V SEPTIC CESSPOOL, _ DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION • • ( rlAl ecl -Ce .4 LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION; OWNER OF PROPERTY: &1O fL&(O 5 ( L1( Lid 30-ti i- ( S OWNER MAILING ADDRESS:1 7E6 0 S7-0/Z, /91/ - g , ' , 14 104/69 OWNER PROPERTY ADDRESS: 3(9-(JH VI b4/ - %E OL105V,n`' 7LcL TELEPHONE NUMBER OF CONTACT PERSON: Y 773 7 -----'34,12, /3.TAX MAP NO. : Section 07- 57 Block i'�s! 3 Lot 4'" ` CROSS STREET: BUILDING PERMIT NUMBER CROSS REFERENCE: rt / =--K2? e Signature of Applicant RECEIVED BY: Town Clerk's Office DATE: • "m" l SUFFOLK CO. HEALTH DEPT. APPROVAL �. , H. S. NO. + 0_ [2GE TAH u -- ., . . . : _ STATEMENT OF INTENT . ., ST " THE WATER SUPPLY AND SEWAGE DISPOSAL' ' : ktTHC)L.D_ SYSTEMS FOR THIS RESIDENCE WILL • k ;k;. �t r= CONFORM TO THE STANDARDS OF THE. " � - � `�' _° SUFFOLK CO.-DEPT. OF HEALTH SERVICES. -=•,fi � ;x (5) APPLICANT ' -i " SUFFOLK. _ COUNTY DEPT. OF • HEALTH- ,•; w, ' - - .' . .:::,':::.),0 " ' .S RVICES FOR APPROVA].. OF+ • :_‘t.,„;••,';�'4;'ti"•••t.- ";,:t.�.,,. ,:+, •<, 1,: . CONSTRUCTION ONLY .2 i4'',•',,ki 4'..,;,:i.‘,!...a4 Mfr^• �� \� '4•' ' • H. SA R . Or Sj S 0 _J `3' .y >.",fC'i..• -�•'.:',,.,-)..,;,:4,:',,,' - .s'_'„=_,.' • :-1.` ', ', 1 i:rSUFf=OU?C C X•MAP'DESIGNATION: u. • - • ' + - - --DIST. •SECT: -; BLOCK. PCL. f '�. : , x: .,05( -....'SECT:,-:. _ _3 , ..._��.-.s:13.2`•'•1 - - -OWNERS ADDRESS: '.- , _ , ' ' . ' ' - . :.Ti T 6 QAV e ENU . .•- 1 7- :,k }m ,e.---,- �.J--, . , DEED: 1.:;'-.4402..":2-2:--r-f-.—. 74 E ��.__./,./-93 ; :t"','.»Y:...Ys � ' : ' .. STAMP i :.�. .A � ..,.,.', •TEST-HOLE-°9 �1 '',--4••'....11 .-,:';:;',..,,-..,.',' ,-.,:.„,-.', . - ,• _ lila'>•+.rr:-a•+air':atior,o•and,,timn. 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