HomeMy WebLinkAboutGeorgiopoulos, Constantine OFFICE OF THE TOWN CLERK cOF11U( ►"
Town of Southold tet
�Judith T. Terry, Town Clerk .`
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971 � O�
Telephone - �l
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 23 Residential %X
Non-Residential
Fee $ 10.00
Septic Cesspool xx
PERMIT ISSUED TO:
NAME: Constantine P. and Harriet Georgiopoulos
ADDRESS: 156 Read Avenue
Crestwood, New York 10707
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
Construction of single family dwelling with septic system
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Constantine P. and Harriet Georgiopoulos
OWNER MAILING ADDRESS: 156 Read Avenue
Crestwood, New York 10707
OWNER PROPERTY ADDRESS: North Sea Drive
Southold, New York
TAX MAP NO. : Section 54 Block 5 Lot 9.3
CROSS STREET: Between Kenny Road and Horton Lane
BUILDING PERMIT NUMBER CROSS REFERENCE: Pending
Obrdr<#411;e:.."7"..dk.5=o-
Judith T. Terry re--
Southold Town Cler
DATE : August 28, 1986
(TOWN SEAL)
. OFFICE OF THE TOWN CLERK
Town of Southold Application No. �S
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road Construction 1,1111"
P. O. Box 1179 Alteration
Southold, New York 11971
Telephone Residential ie.'
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCT ION or ALTERAT ION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ ./�
DATE August 13, 1986
APPLICANT NAME: Constantine P. Georgiopoulos and Harriet Georgiopoulos
APPLICANT ADDRESS: 156 Read Avenue, Crestwood, NY 10707
SEPTIC X CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
Construction of a single family dwelling
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Constantine P. Georgiopoulos and Harriet Georgiopoulos
OWNER MAILING ADDRESS: 156 Read Avenue, Crestwood NY 10707
Crestwood. New York 10707
OWNER PROPERTY ADDRESS: North Sea Drive
Southold. New York
TELEPHONE NUMBER OF CONTACT PERSON: (212) 425-9797 or (914) 793-6144
TAX MAP NO. : Section 54 Block 5 Lot 9.3
CROSS STREET: betweem Kenny Road and Horton Lane
BUILDING PERMIT NUMBER CROSS REFERENCE: Pending
c• Q'a‘A/k( ef
Signature EP t
RECEIVED BY:
Town Clerk's Office
DATE:
. I "'t•:',,;'-„�S ` *:
MON.O.?c:N.-� c�, r —Mi) :0.4 N.)o.;;l4 E.
z - N.3c ._7. G E 1.
-""'12 .4.6 tCL-. 1Nf: rS QG'. . . _ 1O..).c7 -t'?'q — - - ���1__________
`
6° h- I . \ 1 (.j ,
/444
431` \ , ( /
IT.,
6 so . o T,_
to 0 38'-,11111
`A
__1 i J t r.
I f.. /4• , 1 ... ,
•
•
/ ' .4(i . _ .i. .
3
</\,/
� 41 r
VI r tt i
• °.... 80w.iA. I (j)
U) kk
4. ---{d"-6---.
[--r `;').:Ni 4----.... t.i- _ ---- •
it
its - ,A 6,.? '.
�::.:-
t.f.;',. 1 t k l ) .rt k .,
�cEr ) I
1
r' NOTA. :
. ' E CVAI .-iN5 LErL'k.Tv MLAN FSE A t._r:VF-: I . P1-.. lc ,:,Li E .() :, ';•,.;' AI i 1,4.1._.
..EIEDYNE POST 441535 �—
.. „,
t \ . • . . .., ,
. SUFFOLK CO. HEALTH DEPT. APPRIP. , ,...
. ' H. S. NO.
- ' ,
cEN ,• ,..,. r .• • • ,. ,
2. ;',. 1„..lytt:•,1„1,,,
'
, ,.`,• ot, t
Z tli
STATEMENT OF INTENT
L— ;<L. ) i THE WATER SUPPLY AND SEWAGE DISPOSAL i
_. _ . . _ -._
SYSTEMS FOR THIS RESIDENCE WILL
F. L_, . .
17:0 1,-)._ CONFORM TO THE STANDARDS OF THE
. .. .. _. _ . . _
I ....... 0"....1
f ' ( 1 i r ')i ( A 1 i ,.)1 ',. i 1 f (.. SUFFOLK CO. DEPT OF HEALTH SERVICES.
Vk_3 ,----, ...," i -7 . / 1--- k,._..I;,...„! ...„....„' „.., 1 (Si04-elect•NEInfAbiaLgarc,
i .. I ........N 41,... -,,,,. 1 ;`,....
- - . - ' - - - -- - LAA-e(..r..,, ck.C..005e.,A0P r_oxy,..m.,,c1/4-vve.V-Ge-ots i yea I.
It. I'
SUFFOLK COUNTY DEPT. OF HEALTH ,.
SERVICES - FOR APPROVAL OF i
:.-./. L,'-," -i:Til..11: N.Y CONSTRUCTION ONLY
S'(J I(:53/ DATE:
. . _.__ , _
H. S. REF. NC---7.-- I i Alp i
• —7-brier'Imp 1
q
1 0 APPROVED.
SINGLE FAMILY DWELL IP ONLY
1
1 SUFFOLK CO TAX MAP DESIGNATION; •.:1 I
DIST. SECT BLOCK PCL.„',
• 7,,.,zit:-1
\ Ye,
OWNERS ADDRESS: .:1
; t• 1 J,
,1 12/\1..)\/ "its.',/ - ...,'..-.,-•
. ____ . . _ ...
,...i %.,,,,. ''''r")!...t1/4: N4 2-1' 1',000
- •
-- — ----
. .
• t, ::, ,;
,
DEED: L.t-c:)k)U P. 1...C /1.,..-'.(:-....F) ,
: ,-
/ A.L. ' ° TEST HOLE _ STAMP
.... .. 1. - r'0,-) i , 17-4• ,,.
• .• . ----- Unauthorized alteration
A r<;_EA- Ff,'i 2-2-/C .; 3. -.:.. tows survey Is a*Mk*of 4. '
faction Ma of the Niro ,,L '::, 4 ,
'-.) f2C)ts4 f;1 PE. C.LE:Al,' " Education Low. .1,.rt : 4 1
...........______ ._.....__- .
COPleidthierinyfie. : .1:- i
a !AOKI UM Et.,"1"- CAN 1.,, , the lend Surolittee NW
embossed seal thell '': ''''''- • ' I;
to be.valid true
AN C8 Guarantees Wheel, -J;
onfy to the pereoefor "., '',.' 'i
G r..;.Av C.L. is moored,end at
title company, ( .' s I•
G' landing institution Meted - '
to the resionees el the 2r,-.:1:
tution.Guatemala am tat i i ,'
VAT E 1 to additional inultuditniar
"f)era.
SEA
-.•-
t,• -•
MN.y.' 1.0,1 C)e E-,,
RODE RICK VAN .11[11,.. P.C.<
—.• ,... Fil.,1 . - ,-.!-
t . V ..„‘....— ,—..--..--•.r.
teE" ,-",-;i''3444 -- ')
LICENSED LAND SURVEYORS , 't-; 14,t,tt,,,,.-,-,'i?-..:. ' .. ...,
),,' GREENPORT NEW YORK .h•
, .
.
.„..::.A.,.,,i..... ,:,.-..o.,14;i.x.f;.*ATi--',,,