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HomeMy WebLinkAboutTsongas III \VOLit JUDITH T. TERRY z Town Hall, 53095 Main Road TOWN CLERK ® rri P.O. Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS � �� Fax (516) 765-1823 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER -7®1 41' 0® °� Telephone (516) 765-1801 FREEDOM OF INFORMATION OFFICER ���I. OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1070 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : INLAND HOMES, INC. Address 1 : 315 WESTPHALIA ROAD City St Zip MATTITUCK NY 11952 Descripton of ProposedConstruction or Alteration, SANITARY SYSTEM FOR NEW SINGLE FAMILY DWELLING. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. REF. # 93-SO-82 Name Of Owner TSONGAS, TOM Mailing Address 1 15205 39TH AVENUE City St Zip LONG ISLAND CITY NY 11104 Property Address 1 970 HYATT ROAD City St Zip SOUTHOLD NY 11971 Tax Map No. section 50.00 block 3 lot 21 .000 Cross Street SOUNDVIEW AVENUE Building Permit Number Cross Reference: Issue Date: 12/01/93 Judith T. Terry Southold Town Clerk (TOWN SEAL) OO JUDITH T. TERRY Town Hall, 53095 Main Road TOWN CLERK ® r P.O. Box 1179 REGISTRAR OF VITAL STATISTICS �� Southold, New York 11971 Nr ��' Fax (516) 765-1823 MARRIAGE OFFICER _ 4,, a• e Telephone (516) 765-1801 a r- r.r-. la ��. _ / • ji i4 mov 6,e t OFFICE OF THE TOWN CLERK 3� M r4 ,E, TOWN OF SOUTHOLD BLDG. DEFT. ' L TOWN OF SOUTHOLO TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: November 29, 1993 Transmitted herewith is a copy of application No. 1104 for a Cesspool/ Septic Tank Construction Permit submitted by: Inland Homes, Inc. for Tom Tsongas 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: /v 93_50_e yeee- N°113® 1993 tim Clem fo�fhol� Signatur Dated// 9 OFFICE OF THE TOWN CLERK Town of Southold Judith T. Terry, Town Clerk Application No. /0 Town Hall, 53095 Main Road Construction P. O. Box 1179 _ `- Southold, New York 11971 Alteration_ Telephone • Residential V. (516) 765-1801 Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICAT ION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL • Permit No. Fee $ DATE 11/29/93 APPLICANT NAME: Inland Homes Inc. APPLICANT ADDRESS: 315 Westphailia Rd. , Mattituck,N.Y® ,11952 SEPTIC CESSPOOL XX DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION Single Family Dwelling LOCATION MAP: Must be attached hereto before permit may be Issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY : Nr. Tom Tsongas OWNER MAILING ADDRESS: 15205 39th Ave. L.I.City,N.Y. ,11104 OWNER PROPERTY ADDRESS: 970 Hyatt Rd. , Southold,N.Y. , TELEPHONE NUMBER OF CONTACT PERSON: 298-9696 TAX MAP NO. : Section 50 Block 3 Lot 21 CROSS STREET: Soundview Ave. BUILDING PERMIT NUMBER CROSS REFERENCE: VII % \ j fi) Signature of Applicant RECEIVED BY: - Ulf Tgwwn Clerk's Office _ � � DATE: ( 9 ( /J r, , 1/4,, -; , • ,• .c.--,-,,,, r„..-6;,.-- „„•.,...:,,k-,.-,;„.,, ,f,' ,...;,.r 1 t:. 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' ' 'i . • ' . „ • „., _ ...4.• .1,.., ......4 ,' ----1- ,1410N,0 105 '' , . , 2 .- :---raae--. , . -. ..'' ,-' „ . , , ... . •,;. , , ,,,, , If) ... r.. *;.' i 0...x4• , . • , ----7.. ' ,F.--77- ' -`c: 46 V3 50 A ,• • . • • , 1 • -i 5 7,8 2 , •...-,.,—."--..,--,---_, - , -- • -- _ 4- - ' ' • -' '50 U l'',1C) , , ',- - • * 2.'•.1 VIEw -; , - . . , r•-• , ,' '<-66. . .,.. , , '58.5 , . , • . AVEJE . .. . • . ., , , , . , , • . . , . ,..._ - , . „. , • . . . , , --.----- t, t ' . • TELEDYNE'POST N131329 . . „ • • ' ' '`.: SUFFOLK CO. HEALTH DEPT. APPROVAL N t ON , /\ , , STATEMENT OF INTENT l THE WATER SUPPLY AND SEWAGE DISPOSAL 1 SYSTEMS FOR THIS RESIDENCE WILL `. CONF. .20 TO THE STANDAR.S OF THE SUFFs.. ii►. DE'l [sjF 4E • LT S VIC*, • (S{ a I' ' h 4, 1 APPLICANT ' tALT ,7-7--- Pr.--,2.,:)P ET::-1 Y SUFFOLK COUNTY DEPT.,. OF HEALTH ---� C,r ' SERVICES -:- FOR APPROVAL FOR 1".7{ •'_a'''rt ti LG lr. CONSTRUCTION ONLY ��V 1 5 1993 ' "' } f.: ,-- -,� , ;•ti I / DATE: G '- '•.-.) . 1 , ', i -� '-t •.,.r.1 _k+ ,.0 H. S. REF. NO.: • �� c' Ca c� oZ r g APPROVED:id" - c r.,, J1_, , L �., SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK PCL. CI W OWNERS ADDRESS: ,,i Z Ng W® THOMAS TSONGAS ,' a 9(0 l-1YA1'T 'G 0/4) SOLITNOt W N `i I I T1I /" 0 Z ,,.-.„,2. , `L.>» DEED: L.3615 . "'P-5-13,31(0 (IzEF) ` l ACi . !Jul W TEST HOLE STAMP � -' ,t_ 7 Unauthorized alta'_.:=:cr . iticn — •_ to this curvey is a'.,)!-:: n of /AC),2 - i t:! Section 7203 of the l:.w Yc,k State 11 ` Education law. t} ;e ;, •r� Eat CA Rl.BROWN Copies of this survey map not bowing f ;,.I ° 6 ;9`'i 1. '•j --CLAYEY,t..OAM - t'io land surveyor's inked seal cr S embossed seal shall not be considered I • W BROWN tc be a valid true copy. LOAMY Guarantees Indicated hereon shall run only to the person for whom the survey CLAYEY 5AID - , is prepared,and on his behalf to tho ^T E. 2,5 :.title company,governmental agency and lending L�stituticn listed hereon and CO 1Of.)f2 El E\JF'I-{ON 9-1.0' N 2EFE fL TO to the assicnecr„1 the icrclln3lr.>ti- CUFF. CO.D.P.`,^f ,AE1JALrIJt2VEY. ,DATUM = tution.Cuac,. t..•..cfauent _GREYISH to at,.....:.t; .ti MEAN SEP LE VEl -2BROWf1 , ' , owuiL,. , , ,CLAVEYSAMA , ,' . Y.GIZAJ/EL '.° . ' SEAL • 1'21 . . - ./c k.'• b1 RD "- — AS SURVEYED OGT_ 1S 19g3 ',FINE10` '.r, ; ?3 , *` RODERICK VAN YL, P.C. -•gi p \rte o 3 2. V-�-- i_.--5�, `C no.LS 25625 ,.<;\ LICENSED LAND SURVEYORS ,' SF-.LA -%d' GREENPORT NEW YORK - - , J