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HomeMy WebLinkAboutVakerdzis ,FFOLK�' i40 y JUDITH T. TERRY : Town Hall, 53095 Main Road TOWN CLERK ® P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER ---*o ®'` J.; Fax (516) 765 1823 RECORDS MANAGEMENT OFFICER - '�/®1 Alit �,� Telephone (516) 765 1801 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. 1082 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. #93-SO-85 Name Of Owner VAKERDZIS, NASH Mailing Address 1 C/O EAST ISLE City St Zip 0000 Property Address 1 VICTORIA DRIVE City St Zip SOUTHOLD NY 11971 Tax Map No. section 78.00 block 9 lot 63.000 Cross Street MAIN BAYV I EW ROAD Building Permit Number Cross Reference: Issue Date: 12/23/93 Judith T. Terry Southold Town Clerk (TOWN SEAL) f-, s -7 � 'fi j//I/Ni..!dr, j0 O ®��FFOLI C _r JUDITH T. TERRYSt) Town Hall, 53095 Main Road TOWN CLERK ® • P.O. Box 1179 U' ;` Southold, New York 11971 REGISTRAR OF VITAL STATISTICS ® ,' Fax (516) 765-1823 MARRIAGE OFFICER .j' - ®I�• Telephone (516) 765-1801 RECORDS MANAGEMENT OFFICER 7®1 FREEDOM OF INFORMATION OFFICER „0,Ael1iilli Pie OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD 4[E©R.p�y� t, r;: . \ t sao.r�r.�_s �'%t I i TO: Southold Town Building Department i�'1‘�y 0 e Lit) FROM: Linda J. Cooper, Southold Town Clerk's Office ' -----7-7.-- ----. DATED: December 16, 1993T9_wN OF SOUTHOLD L_S Transmitted herewith is a copy of application No. 1117 for a Cesspool/ Septic Tank Construction Permit submitted by: East Isle Custom Builders, Inc. for Nash Vakerdzis . 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: p 3--d !� j --,5°® f tS /47 ,i,„------;4.---- -eir,9 Signature / / ‘2/-.3/?_3 Dated OFFICE OF THE TOWN CLERK Town of Southold Judith T. Terry, Town Clerk Application No. iii Town Hall, 53095 Main Road Construction [ P. O. Box 1179 Southold, New York 11971 Alteration Telephone Residential (516) 765-1801 Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT • APPLICATION for Cr>Z- --•�-... - CONSTRUCTION or ALTERATION PERMIT RECEIVED ' SEPTIC TANK or CESSPOOL DEC I. ti 1993 Southold Toren Clerk Permit No. Fee $ DATE APPLICANT NAME: EAST ISLE CUSTOM BUILDERS, INC. APPLICANT ADDRESS: 278 Jamaica Avenue, Medford, New York 11763 SEPTIC x CESSPOOL x . DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION single family dwelling f. LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: NASH Vakerdzis OWNER MAILING ADDRESS: c/o EAST ISLE OWNER PROPERTY ADDRESS: NEC Victoria Drive and Main Bayview Road, Southold TELEPHONE NUMBER OF CONTACT PERSON: 727-6023 . TAX MAP NO. :,, Section 78 Block 9 Lot 63 CROSS STREET: Main Bayview Road BUILDING PERMIT NUMBER CROSS REFERENCE: EA: 'SL . CUSTe :UILDERS, INC. Sig . r e of Applicant Richard Oppediv• RECEIVED BY: ow C erk Office DATE: r v`�c•TM. No. /000-78-9-63 r ,SURVEYED FOR JOHN /' LA /of? f $u54N LAWL oR - ,dRope,c7y LocaTEO AT 5A1/ V/EW (v.E•v? Sourt./owo) - - i'-. J"owN of ASOQ7h/oLL7 r5uFFOLK Cot/Airy, New YORK - . AREA= /A55e0 V Sc,oLE .. 30 \ )?lt0O ;_\C' p - - 4 , Copies of this survey map not beanng the Land Surveyor's inked O seal or embossed seal shall not be considered to he a valid true m copy ,�\ (11 -0 R • _,::, ......„ • l I� ) T .S., Guarantees or certifications indicated hereon shall run only to If v tar 0/ o \ / z the person for whom the survey is prepared,and on his behalf to , the title company,governmental agency and lending institution d O GO �- Q / listed hereon, and to the assignees of the lending institution 0 o- J z\Q t a 1 Q Guarantees or certifications are not transferable in addmnnal z\ ' institutions or subsequent owners Q O \Q el - , o \ 2 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES PRoP o r' R , . o' �0 g Nat./. �` ae; 5 (i Moi ' ./N .OP r P r r /'cLE FOR APPROVAL OF CONSTRUCTION ONLY /q0' o� I A ,�,,:- ��' \ Q \o4- \).---8,,,, /os_ f� z P h DATE H5 REF. NO. l� PRor Nr'� 00 \ N a APPROVED - N The water supply and sewage disposal systems for �a �' 4 this residence will conform to the standards of "S::$ . �� 6+ r '? the Suffolk County Department of Health Services. Q, - p\4���?e�Q f �1� N �` - .. 6 kl `. , o: ; 30, v- o �I�� �tY r,P I 2 VI CERT/F/EO To 4.- 9 -, 0 FJ1 - Cr !- r,P r O,Q c, tL `p Ss. s Ey. Ley.. JOf/N f< LAwL,oR , o b , ,.-s 3Yarc, .� uRY eo t,j uSAN L AWL O R - o_ f, `� C-2/:,;4 F r _ . c/COA/X I. eARyL SK/ US.D.A. RRi✓IERS Nohle Aam�N�STRRrion/- \lb `� f '4rry 414,1 1 • NYS L/c A/o. ¢f ZZ1 5,4/D4Ef/!aiv7,oToN,f J ' %. 44224' _ 6A v/LLE1 N.\ Qi vii, "•-LAND �� DcToBER /9, /993 /60o7 -