HomeMy WebLinkAboutVerveniotis •
OFFICE OF THE TOWN CLERKFU
Town of Southold �� � C�
Judith T. Terry, Town Clerk :tf :,,,47A
Town Hall, 53095 Main Road
P. 0. Box 1179 + '" y _x •
Southold, New York 11971 0��•`
Telephone �! Ali „
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 226 Residential -X
Fee $ 10.00 Non-Residential '
Septic Cesspool X
PERMIT ISSUED TO:
NAME: William Conway
ADDRESS: 5695 Hortons Lane
Southold, New York 11971
DESCRIPTION OF PROPOSED- CONSTRUCTION or ALTERATION
New Single Family-Dwelling with Cesspool System
APPROVED as per Suffolk County Health Dept. approval.
- LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Christos -Verveniotis
OWNER MAILING ADDRESS: 42-11 163rd Street -
Flushing, New York 11358
OWNER PROPERTY ADDRESS: Hortons Lane
Southold, New York
TAX MAP NO. : Section 54 • Block 3 - Lot- p/o 21 .2
CROSS STREET: Old North Road
BUILDING PERMIT NUMBER CROSS REFERENCE:eoreo4;zef:r....eooft.....o
-
Judith T. Terr
• Southold Town Clerk
DATE : September 8, 1987
(TOWN SEAL) '
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Town Hall, 53095 Main Road
®� ,� P.O. Box 1179
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Southold, New York 11971
JUDITH T. TERRY .1.'0./roii/104 TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
September 8, 1987
William Conway
-•5695 Hortons Lane
Southold, New York 11971 •
Re: Christos Verveniotis
Hortons Lane
Southold, New York
•
Enclosed herewith is the Construction, Alteration or Modification
Permit for-a Septic Tank or Cesspool System for which you applied.
• Please be advised that each owner of real property operating an
on-site sewage disposal system, such as a septic tank or cesspool must,
prior to such operation, possess in the name of the owner an Operation
Permit for the system. The Operation Permit is issued by the Town
Clerk's Office. -
The fee for an Operation Permit is ten dollars ($10. 00) for
residential use and twenty-five dollars ($25. 00) for non-residential.
Please have the owner complete the enclosed Application for an Operation
Permit and return it to this office along with the proper fee.
For your general information I have enclosed an Informational
Bulletin regarding the Scavenger Waste Laws adopted by the Southold
Town Board. Should you have any questions pertaining to either permits
or the Scavenger Waste Laws, please do not hesitate to contact -this
office. We will be glad to assist you in any way possible.
Very truly yours,
• Judith T. Terry
Southold Town Clerk
Enclosures (3)
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18 , Aq ,, y TOWN OF SOUTHOLD,
• Town Hall, 53095 Main lto.Icl
_'. ,Ntf ti. ����'t P.O. Box 728
r* Southold, New York 11971
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Ili1)ITH T "1I-RRY - _ TELEPHONE
IoIAN( II I I
(516) 765-1801
REGISI RAR or VITAL.STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
September 4, 1987
To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 229 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by William Conway for Christos Verveniotis
Please review the application and location map and advise if the ' •
project has received Suffolk County Health Department approval
and if we may issue the permit.
Please complete the form below and return it to my office.
Thank you.
Judith T. Terry
Southold Town Clerk
* * * X * * * * )ti
I have reviewed the application and location map of the project
cited above and make the following recommendation:
APPROVE - \
DISAPPROVE -
COMMENTS: wo O4cLCISht.CL
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OFFICE OF THE TOWN CLERK S�FFD -
Town of Southold ��® .,rte' -, CO
Town Clerk Application No cic77
Judith T. Terry, Town . _
Town Hall, 53095 Main Road can t '-� Construction
P. 0. Box 1179 "" =$
Southold, New York 11971 - 0 �.,, -. Alteration
Telephone �l i'a, •� Residential -----
(516)
(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 $
DATE 7 / - P7
APPLICANT NAME: ` /1 eSITYLA_Lfr--LA-'
APPLICANT ADDRESS: <-79 9�----- 1j,—\.,0 is".-.
7" ) /J / / S ?/
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSE CONSTRUCTION OR ALTERATION
, AaAJ) "&j_.1A__V 42C'.1.9,--A-1 C1A_.jeite_44C-t , A .
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LOCATION MAP: Must be attached hereto before permit may be issued. C
• LOCATION OF PROPOSED CONSTRUCTION ORLTERATION:
OWNER OF PROPERTY: t t
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OWNER MAILING ADDRESS: LI0)._ - I/ 167 r''f S¢ i/ucikr31C ) I
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35 g'.
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OWNER PROPERTY ADDRESS: at ,,L _"I r L)-Qc,
)J V 119 7/ _ .
TELEPHONE NUMBER OF CONTACT PERSON: 76, - 6--/)•_( -
TAX MAP NO. : Section 05- Block .3 Lot P/O o7 ). I
CROSS SI BEET: .„LL Alf_AE . _. . ^J ,,'_
BUILDING PERMIT NUMBER CROSS REFERENCE: '— 1
v6 t
-A( Cc'iAA- .
Signature of Applicant
RECEIVED BY : , . � (-2_,, �C,
REC ITown Ci rk s Off ce
DATE: SEP 04 196f�� i
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TnWn Cfrk Southold `
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>. SUFFOLK CO HEALTH DEPT. APPROVAL
ell Comui ay H. S. NO.
G ,.(95S (iyr/o4S Lane-
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STATEMENT OF INTENT
• THE WATER SUPPLY AND SEWAGE DISPOSAL
SYSTEMS FOR THIS RESIDENCE WILL
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-, CONFORM TO THE STANDARDS OF THE
SUFFOL o..n DI
APPLICANT DEPT. F HEALTH SERVICES
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in �Y SERVICES — FOR APPROVAL OF
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i, l) / ',/ CONSTRUTION ONLY
DATE: (-Yr, r-'` �' e-';')
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H. S. REF. NO. �c- 7 0 -
APPROVED ,. J-- ---'
?DAL aci(J
tiSUFFOLK CO. TAX MAP DESIGNATION:
j .' DIST. SECT BLOCK PCL
/0 ryl.
' / OWNERS ADDRESS:
1 • ,` . , s . .` .!...'„•\,•';,-.. f:.::.
-------- --- _____. DEED L. P.
_ TEST HOLE STAMP
Unauthorized alteration or addition
to this survey is a vlolatton of
Section 7209 of the New York State
•
- Education Law.
L,;A t"1 Copies of this survey map not bearing
the land surveyor's inked seal or
'— embossed seal shat)not be considered
' ,.:•\1.1 1,)i I ; "i7 '• _ .- ''.it. .. to be a valid true copy.
-- - - - • --- , ;i Guarantees indicated hereon shall run
only to the person for whom the survey
is prepared.ano on his brhalf to the
title company.governmental agenecy and
- �.�• ,- lending lnsbtuticn listed horeon and
I I to She asslgnc135 of tue loading insti-
tution G iorertses are lint Ilan&erabie
_ --— ,. to LddlliOfl 'ft,tl.JiIOl1Z or sutsequer}t
ownei s
•
SEAL
RODERICK VAN TUYL. P.C.
V.e...--._-__-__" - ,rte -
LICENSED LAND SURVEYORS .
GREENPORT NEW YORK ,