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HomeMy WebLinkAboutGiannaris, John t OFFICE OF THE TOWN CLERK c,IFOU0,, Town of Southold Off. Judith T. Terry, Town Clerk , # t. Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 O O� Telephone :WO 41 �� (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 150 Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: NAME: John and Anna Giannaris ADDRESS: 5145 Main Road East Marion, New York 11939 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION New Single Family Dwelling APPROVED as per Suffolk County Department of Health Services approval. LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: John and Anna Giannaris OWNER MAILING ADDRESS: 5145 Main Road East Marion, New York 11939 OWNER PROPERTY ADDRESS : Maple Lane East Marion, New YOrk TAX MAP NO. : Section 35 Block 5 Lot p/o 5 CROSS STREET: Main Road BUILDING PERMIT NUMBER CROSS REFERENCE: 0161r • 4444er..../. Judith T. Terr Southold Town Clerk DATE: April 21 ,1987 (TOWN SEAL) r t d r//.... ! T 4 y435 Town Hall, 53095 Main Road 6N' °'� P.O. Box 728 - 4 ,,, Southold, New York 11971 JUDITH T.TERRY TELEPHONE TOWN CLFRK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD April 15, 1987 To: Victor Lessard, Southold Town Building Department From: Judith T. Terry, Southold Town Clerk Transmitted herewith is a copy of application No. 154 for a CONSTRUCTION or ALTERATION Permit for a cesspool or septic system submitted by John and Anna Giannaris • 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. egil4W41...1"41.1 Judith T. Terry Southold Town Clerk * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendation: APPROVE - DISAPPROVE - \ COMMENTS: c 'I-\ Q. , ,SLcti - U.&c.4-4 Signature Date ,OFFICE OF THE TOWN CLERK Town of Southold No.-'l.S-' Judith T. Terry, Town Clerk Application Town Hall, 53095 Main Road Construction P. 0. Box 1179 Southold, New York 11971 Alteration Telephone Residential 1 (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 .$ /b DATE op-, / (7 g7 - APPLICANT NAME: o --- C__- JLI 7-1 G / AV S APPLICANT ADDRESS: 57 v /on I )-( 12 I-5 4- s- m A )2(°"( r t 93 SEPTIC4CESSPOOL✓;3 DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION / (A) &t i S ET LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY:I-Okit& 2.4 poq Cii9 pJy/9 OWNER MAILING ADDRESS: s-f 7 s pf/i-f R OWNER PROPERTY ADDRESS: mo P LE L-4 Hr 73 Lodi r 9 / 'rY) TELEPHONE NUMBER OF COC CT PERSON: 770/ 3 3 TAX MAP NO. : Section Law Block .1y S- Lot p/,, .�! CROSS STREET: fnick/ T( /a:9 BUILDING PERMIT NUMBER CROSS REFERENCE: / 17' Signature of Applicant RECEIVED BY: Town Clerk's Office DATE: . . . __.__ _ , —_ _ _________ • . V-- ----.7"—s. . APPROVAL . . . . . • . . . . . . . . . . i .' OCT 28 1986 St DV i ___. _ HEAtili 1,*v fIX-S• _ , ...,. ./ • STA rEMENT OF INTENT _ il t THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE – . SUFFOLK C. EPT.EPT. 0 HEALTH SERVICES. 1 SINGLE F MILYA, :;.' . , , , \ . „EXPIRES TWO Y RS FRO i ' _ OF APPROVAL ., \ . - - 4,• /./t /z.i "),/,,,/,A /z _\ SUFFOLK COUNTY DEPT OF HEALTH , \ . , ,s1 \ • _ – - SERVICES FOR APPROVAL OF CONSTRUCTION ONLY lit (E ? , DATE. . 1..‘ rIStK _ •-..... , . / APPROVED. I f 'II\ I / ' Ill? co J ; SUFFOLK CO. TAX MAP DESIGNATION: , DIST. SECT BLOCK PCL. ...) , i . , ........ - OWNERS ADDRESS. , . '3 • \ . sC;'15C))c 108 tv East lict,ri\aY) 3? NI ,• 4 5' 1 ‘. _____ , • • DEED. L. P : • s TEST HOLE STAMP ...,... , ,...„...„ . „ ,.:...r...,....,,,,%,„.., • ........ ,„.„,...„.„.,, „. . , .• , • ' • '. , • ..,•:,)r:ic:;/7.1•••,) . . , • )),.No:••••.,:.--p--; , ‘ , • , ,-*; d .. : ;:-..”: ::'. ,- :: -.':f, (71,.) , • ' *.•••--)-..r..y r.-.:1 , ' . • •‘;'11-f•:,;L-,.••,:5. , ..) ;•- ;)•-...•.tur:.,3•:,,)•. . . , . . . . , . — - ' 'I e. .. • ; ! .:.' •)7/ -.2:',';:/ I'1-:. " - .1.)-,• -r r:oh;A:,:z;ktnt , . • ' . . • / . :72cr:,,,71i .,,' SEAL „,, . • • ' , ,..,., 2 . . ' •, • . of N Eit, , . , . . , _ • , P • •Cfc. cy. VA 0 • • ' kr oN 4, -P . . 10.1 1c. - • ,).. f• 1 (')01) Cf. ,I,- 6,4 • s • , . RODERICK VAN TUYL, P.C. ( • . i. 0 ch /v., • • (e) . , , -e , ,/,:/ . --, •• ' 'f /i/. il re,' -/ - ' . _ ' 1 • LS 2 `" IF , r Se.°LAND • LICENSED LAND SURVEYORS,, " • GREENPORT NEW YORK . — ---- . ... • • , .