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HomeMy WebLinkAboutTheophilos (2) 0064 JUDITH T.TERRY ( ) (?1 Town Town Hall,53095 Main Road %TOWN CLERK 4 co g P.O.Box 1179 REGISTRAR OF VITAL STATISTICS Vb Southold,New York 11971 MARRIAGE OFFICER �� 6� ®Q Fax Fax(516)765-1823 RECORDS MANAGEMENT OFFICER : � 10d� Telephone(516)765-1800 FREEDOM OF INFORMATION OFFICER ..�� •"' OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1298 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. #R10-95-0025 Name Of Owner THEOPHILOS, NICK Mailing Address 1 City St Zip 0000 Property Address 1 KENNYS ROAD City St Zip SOUTHOLD NY 11971 Tax Map No. section 59.00 block 3 lot 34.000 Cross Street COUNTY ROAD 48 Building Permit Number Cross Reference: Issue Date: 3/23/95 Judith T. Terry Southold Town Clerk (TOWN SEAL) /b2 / ?/ %4 (®C) 0 4 JUDITH T. TERRY : Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 ��' Southold, New York 11971 REGISTRAR OF VITAL STATISTICS �� Fax (516) 765-1823 MARRIAGE OFFICER _VA, �V.• Telephone (516) 765 1801 RECORDS MANAGEMENT OFFICER ® .��� FREEDOM OF INFORMATION OFFICER '�'„ i,i,,��� OFFICE OF THE TOWN CLERK @ Q w7,--1 TOWN OF SOUTHOLD10 LLy MAR :1p-7-995 TO: Southold Town Building Department j`� FROM: Linda J. Cooper, Southold Town Clerk's Office n�LQO p TOi iN OF SOUTHOLD G DATED: MARCH 7, 1995 Transmitted herewith is a copy of application No. 1345 for a Cesspool/ Septic Tank Construction Permit submitted by: EAST ISLE CUSTOM BUILDERS FOR NICK THEOPHILOS • 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 Q/� Comments: ilf ��e �� �ile/i -'/O- c5,00 7 c Signatur- f ./ '" s Dated OFl=1'CE''dF THE TOWN CLERK /3 L/s Town of SoutholdApplication No. Judith�•T. Terry, Town Clerk Town Hall, 53095 Main Road 1 Construction P. O. Box 1179 Alteration ' Southold, New` York 11971 Residential • Telephone 1 (516), 765;1801 Non-Residential ' • ' , TOWN OF SOUTHOLD I , SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for . : '' - CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. ' Fee,,$ 10 ' . • DATE Marc-h h, 195 'APPLICANT NAME: EAST ISLE CUSTOM BUILDERS, INC. APPLICANT ADDRESS: 278 Jamaica Avenue, Medford, NY 11763 > r SEPTIC ' CESSPOOL g DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION construct one family dwelling (new) LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION - OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: Nick Theophilos OWNER MAILING ADDRESS:c/o East Isle Custom Builders, Inc. 77R Jamaica AVPrn7P , MPdforc9, NV 11763 it''t4; ,O.kiF*Ae'ry' ;iii ,i ,i;,:iI,t r ,L , , , . . .-r ':. OWNER PROPERTY ADDRESS: e/s Rainy Road, approx 900''"n/o N±'ddle--Rd=(C-R--48) , Southold, NY TELEPHONE NUMBER OF CONTACT PERSON: 727-6023 , ,, 1:11,.1, 00 ),, :•,.,,,,, TAX MAP NO. : Section qq Block q Lot 34 •. ,i. ..LII rr _ ' ''`CROSS STREET: Middle Road (CR 48) BUILDING PERMIT NUMBER CROSS REFERENCE: •'• ',,-°`' '' 'zw, - EAST =LE CUSTO BUILDERS, INC. 1 , '. ' ' wej (dn.t_____C__-(2,e_ f Signa u, - Applic Richard Oppes = _., Président RECEIVED BY: Town Clerk's Office ' ' DATE: ' u` Va yEo ..---a,„..---a,„'A �OR 0EORf E RoTTNER jig. logNN KoTTNER \ fRopegry Loc,47E0 RT 6ou7,-10L0 \ ` TOGVN OF ijOuTf/OLL7 / OLK country, NEW yoR� \ s 5� T AREA= 57765 rsF c, L,oNo g3 /4/4"" ScaLE /"=50 ' ��PodL° 3bZ6 N ✓, us m N ' 0 S'c.r.n?. A/o. /oo0_59-3-3� 5P VAcQ"IT 1, 41.iD rl1FAC°�f Emauthonzed alteration or addition to this curves is a siolahor V of Season 720h of the Nese Yon.State Education Lass Rs 0 rr Copies of this curvesrvev map not bearingrnR the Eand Sunsor s ruled seal or embossed seal shall not be considered to be a valid true G O Z 0 . O copy 51* Guarantees or certifications indicated hereon shall run only In \ fi ' \ the person for whom the survey a prepared,and on his hehait to \‘. 2''p ? the title company,governmental agents and Iendrelendingmstnuticm oP listed,hereon,and to the assignees o,the lending institution G✓1K �P Rop o. Guarantees or certifications arc not transrerahie to additional �\ PT P� \ institutions or subsequent owners B 0 0 �i 2 bits la-las es, SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES i-Cts1‘1114 ' '�S V-m 2' �`�m � g� - . G 6 FOR APPROVAL OF CONSTRUCTION ONLY m� P�° o /..,0 5 �f 0 f. . DATE'^" 0 2 "995 HS REF. 6 -5.".0 % oP'lgOogr1 V rr t"f �, F edi .,. �� _ PF oR o o2 /0 `or) Ji P �f'pg� �ji� pts O NEW Y� m O Fes; ,� 9 � x�3.��s y� ��.1• �Rr . APPRO Z Q 4 a •• The water supply and sewage disposal systems for p_ 1S1 4 .4t this residence will conform to the standards of x Va� TEST t-Foe.£ "+;,,'=_+ the Suffolk County Department of Health Services. 0 3� TFST •�� yam/ f\ 0 Y tOvE To PS o t.1� Y'/i `�CIS 0c• �`4 44224 CRT/P/EL7 7° ' -o= �OA.M 1 r C EDR4E N ROTTNER J . m '\ ,r IP 3 � LAND Svc ✓OANN /40TTNER 'h9, . 0$0 O A IP ;'7:i �j ti►+�aDP 111/i yURyE/ r .By. v�C.T/.0 /Nc. ISI ' C V� US.OA. �'M.N.R I. o�T RANK ✓. ,BARyLS,r/ 0 (r► J/s %t' No ¢¢2z¢ 1 8� MAR i gigs sAr. ,BR/o4,Ef/AM,oTON• f 0 �Cf.4 i 1 G ,SAyv/LLE N I /653(7 ::; S.C. ©EM OF ✓AAvvARy i7 /996 A b1 -resr y1lf jl2;$1MEN ,S49/EyED FoR 960R1'6 f( loTTNER J I Jo4NN go7TNER PRoPERTy LoCATEo FIT jouTNow �t -o / \IC /A/ of so u Tf/oL o v \ . 514FFotK CouniTy MEW log's LgNo AREA = 37, 765 6F �3, /40, ' o t.�5 35Z N ✓P fluaeicMAN SCLJLE /'=50 SP��P `' vAca/4r $GT/�. /S/o. /000- 59- 3-3g D 141E r0�� 0 / l....11.1q10'.71,1 Jlterdr.ur ,r Iener, ' r la • .'^•• r•it• ., ,II:tx.....1.11011 2I l.,Ia the Nt'S. :n •Idt ' r, ' I.fill n's..,I'.W1, � r',M,c+„!'hL..,Ir-,Ch'a•lh I1 hear n:,.le.,..,1•In,ynr, w,, \ /t2� l0' - .r,a„r.•lntx,•ca t1..,t, .Hall •,n ,4,.nn..n,••.•n•.,. r.,r,•f' I \\ 0 V (g'r a (f /tea r.MIN fj I,uar,lllfet, oil1C0(.1, . •L7't Me." ,:e. `Hall •.ln •n.".• �'� 2• J \ m o C/ ;hr:)XfNla try whom the,1.1e...., ••{,rr{)Jfa rt l,l•f„n'.,• "'"11•!,t, _ ..` 'ell.`,ale...,mvan, .ln•loofa ll l.11 .1:,•1 r.♦ nII I,ntl„lk n•l,:,,i••n . `(� OP NO J r \ loci 'l,; .•I.tu O �1..",S1 r ver ` 20 uylrn h,••hrn , .. n ,, .,,,n�, ,.. — 3 ..0 t„.,l,nal .,. nt .,.L.,.0 1. •, ufr, lr �� r �_ :7O 2� 3Y C,aarantt,.r,rr,, U ndrtuPrxl••.r•un..+tiler""v.n••r• Z am ..k. s-.. X• ‘11114 b �a°�� SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES p m J Z �/ I m G L V\ / Qb �oP`�I L «�`J Ca00° aa./1/..,,p..„- R„P NS 0 FOR APPROVAL OF CONSTRUCTION ONLY �i o \ yy&1 /J D ` = �oP°'4E,ra l - L4'' _F7. O„ of p ,if/f ,,,,-rr ♦st NEW 1'� ' DATE HS REF NO r�_vvv Qo �Ofl �11 co 44.1 APPROVED i iRN iii h APPROVED � ' he water supply and sewage disposal systems for �,Q Z `”- X his residence will conform to the standards of o �x� \m ��o ! _ ��, he Suffolk County Department of Health Services. a \ a` 4,204,1 . , i CERTi ie0 To . 4EoR4E fN /QOTTNER ✓R• Fi 1 tSuRV ybv ,By �opNN �QoTTNE/Q 33 o-p o LA0) FRANK �/ gARyLS,rl ,5 C.7/ //►�e O�� .ID�TI� ti;> •tip X7'22= U412/1. f'/Y� N�. f`0 1 p 8 „&g/o4ENA�pTON. ,4 , 54 y✓/z.L , Ny IC� - g 6' J4'IWJ Ry /7, /995