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HomeMy WebLinkAboutGazouleas, Panagiotis „oc5�FFo�K�oGy JUDITH T. TERRY Town Hall, 53095 Main Road TOWN CLERK = Z i P.O. Box 1 179 REGISTRAR OF VITAL STATISTICS O T Southold, New York 11971 MARRIAGE OFFICER � Fax (516) 765-1823 0. Telephone (516) 765-1801 _-"Fej $n” OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 710 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : J. MONAHAN Address 1 : 34 SARAH DRIVE City St Zip DIX HILLS NY 11746 Descripton of Proposed Construction or Alteration NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES ON 4/30/91 . Name Of Owner GAZOULEAS, PANAGIOTIS J. Mailing Address 1 1374 MIDLAND AVENUE City St Zip BRONXVILLE NY ).1-952 ;11 /6'707' Property Address 1 960 WILLIS CREEK DRIVE City St Zip MATTITUCK NY 11952 Tax Map No. section 123.00 block 10 lot 1 .000 Cross Street MEADOW BEACH LANE Building Permit Number Cross Reference: Issue Date: 5/16/91 Judith T. Terry Southold Town Clerk (TOWN SEAL) A 41. 4"1 �J PNY .1199 r fgt. 'i �-F Town Hall, 53095 Main Road P.O. Box 1179 ;` � in/ - ' y 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 To: Southold Town Code Enforcement Officer From: Linda Cooper, Southold Town Clerk's Office Dated: May 7, 1991 Transmitted herewith is a copy of application No. 728 for a Cesspool/ Septic Tank Construction Permit submitted by: J. Monahan for Panagiotis J. Gazouleas . 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: o, J,n,;c3'c, a)1/4. 161 cato. %4.06 44' Cm. t. aA REryID wip 519`' Signature Dated 100"El 1°611 OFFICE OF THE TOWN CLERK (JO FJ(,ii:" Judi Town of Southold Town - �OG Application No. 77e2�u Judith T. Terry, Clerk ,,,� � Town Hall, 53095 Main Road o j•Tr. ,* ...._ cry �,,;, x:��,� � Construction P. O. Box 1179 ". Southold, New York 11971 0• �� Alteration f Telephone �l * S,a0 Residential v (516) 765-1801 Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT RECEIVED APPLICATION MAY 07 1991for CONSTRUCTION or ALTERATION PERMIT Southold Tern Cant SEPTIC TANK or CESSPOOL Permit No. Fee $ e— DATE 5 k7/// APPLICANT NAME: NI . f'YJo „,i9,.a,3 „� APPLICANT ADDRESS: 3 S./9/2 79i4 D,2 i9 �k fi , c..(. S Ai / / , ) 4/ SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION 0,0 F,4 •-.,. �..7 -c 5.'EL_ Av�-e GC.- , - 14 /9 7-7-.)-4_,4,-</ 3 Ce/-.1- 6.4ir.l"-e /4 N d Dt LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: Ar)49,0.� S�' L/� 20,,4 (-c.9 c OWNER MAILING ADDRESS: /3-7i/ m,G/L,q..., /,4 320Alui LC-,F / iO/ . JO7ose OWNER PROPERTY ADDRESS: Qu p R.)i'1....4.: S GRc e./ �,'a e..... 71-7.041. 2-7-;)- ,4 c iC ( !4)`i /I 'S9' TELEPHONE NUMBER OF CONTACT PERSON: j/ 6 o�ya -/j/S-- \/+9c./4 /)'/pv.9r,,,9.✓ TAX MAP NO. : Section /a1,3 Block / 0 Lot ©/ CROSS STREET: -C----ek-.-o" L,_ A caz� BUILDING PERMIT NUMBER CROSS REFERENCE:.. i/ Signature of Applicant RECEIVED BY: - LL',c. C-6-• own Clerk's Office DATE: j /-? / AREA=45,805 act ft. (to tie aned CONTOUR LAS 6 ELEVATIONS ARE REFERENCED The water supply and sewage disposal , TO N.G.V.D. SUFFOLK COUNTY DEP1 OFF LTH WINCES systems for this residence will conform 00 to the standards of The Suffolk County A0.81 . FOR APPROVAL OF CONSTRUCTION CM.Y 0 Department of Health Services. it' s The locations of wells and cesspools shown er�are from field VDATE Lf'20 I KS.REF.No.0 f%'-1 3 observations and or from data obtained from others. G .. 1�' BWLO/NG ZONE DISTRICT A-C 4^ ` O APPROVED r---.c---3-t--:-r,. \ FIRM FLOOD ZONE A4(EL.8) ro I '- I v — �J LI^''' h f wq-. t 73'r_ l R1ti.tom�� 0c-I I/ 227.00' eE_w'`ko�);" SURVEY OF in v`� z u 5•0 �Mr� � LOT 15 p Err E - �t wale'' ro y-e. En 42' 0 N 75 \ p•.- �,,� MAP OF b�, ` �., z'' `• '° �µ�b HARBOR VIEW AT MATT/TUCK o 01 E 1; \ r l f �`�?� FILED AUG 2; 1987 FILE NO. 89 Nuk a. / A T MA T TI TUCK / I `(' aR _ TOWN OF SOUTHOLD b 0 \ \�\ti� C� �� �' _ o _? SUFFOLK COUNTY, N.Y. \ ,\�o, . �s -- . P'`0�` gra o 100 Scale = 140' O 1 \\ \ � ' • • \w ,a�' ,/ �.. �r' l°l� I Ala May 9, Fr1988 1 m �� • �n ' Q I- d EXCIVEMON I; ui cl, 111 11U1U11'ED ( / . • I o co T3oE MG5 4-9--9/ 1 \ cicl (p�) it ( ., Fr( i119 Ci \ ;(1. m • aNo.I r.lo.2 - nlo.3\ •r P4 q o P ry3p o o EL.•h't Q '. �. r Q _6� - �. � cnIes„.,ov \ $. 0p 19 l 18 tee �3�`° 14E a..w. • 1 s¢.w��....r PALL ae. , 10 \ 1 a pI G� 1 W SA.+o NW to cac P, , % � I M •i'�o �s.wo E 7.5 c.aar,.�ea CtouwO SANG Cr% •7 / - bOC 35 cNY6r l...a wATFa . '� 1 ? W a i q r 4x� WArFe IN — I.o'T 4 ea...ar Kau r 1 1 g'ei „� GREYou dt. 5 so, \ 1 t \e. • 1 f� �� sA..or c.Ar n...r s..• I,U I;e 6 wATae G 5a M� OD \ Cl) �W- wea. F�.�t.o'_ wwrEa N !• Nae•as sAW CG:YEZ ea. e'.2x'1 y.� 1 ',^ (� ♦ ts, . C{AYEY SANG O +l V . • vi�tl- W.tin.0 WATER • \`` � � t~i een eVAY MSI.6a. 8 n • a • a E � 1�. cs.hi Pi I' �4 wAr.R N F�we T� W?FL o W 9I'� hQa DepWM FINE Ceaas% TO C.0A43F • /;S \ \\\\\\ Co •l a 4<NI TO Co.RsE SAND O 99' \ '_� O O< �• SAND 9 N?6e .�• - -- # ,-k_ANDS(i ^ '� SSS �. CERTIFIED TO caf:A.MET. 9L� `+ W < CHICAGO TITLE INSURANCE /2 pN Cd t� ��_ '\\ 1 *1r COMPANY ro..,,,o, pr..p 4s. f/i4/71 Vic`; 9 O ` P ''�* • PANAGIOTIS GAZOULEAS Prsyoral In oeeordonca set/ha min/mum ,, �/`` 4 9 INA \ � � ��'. PATRICIA GAZOULEAS slondorda /or Nl/a survgs es slab//shad 1 J,g11< £"�'.' r,N.Y.S. LIC. ,NO. 49618 Thi :prop c..,+/o.,. ..a(cy'-\..7�r'e 't by the L./.A.L.S, and approved and. Land refilek,',,," ?e P- for such use by The Now York Stale Land f /ect �c,� T/lla Assoc/al/on. • "NIC 6 ,Y YORS, P.C. • NVM6LA. o Go+H 12120190 re.rseo,1 prop hse.1 /.I/54/7s (51• 1�� •r 0 ' I 0 = FLAG REVISION 9-26-90 P�•.0T3 ! •09 . FLAGGED WETLAND LOCATION 10/5/90 • REVISION 5-17-90 MAINROA” SOUTHOLD• N.Y. 11971 07 nn4 •