HomeMy WebLinkAboutGinas, James OOOOOOOOOOOOO
gTown Hall, 53095 Main Road
P.O. Box 1179
Ol 411
� � ,•' Southold, New York 11971
JUDITH T.TERRY ,����� FAX(516)765-1823
TELEPHONE(516)765-1801
TOWN CLERK
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 544 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : GINAS, JAMES
Address 1 : 2100 PARK AVENUE
City St Zip MATTITUCK NY 11952
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 8/8/88
Name Of Owner GINAS, JAMES
Mailing Address 1 2100 PARK AVENUE
City St Zip MATTITUCK NY 11952
Property Address 1 630 CLEARVIEW AVENUE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 70.00 block 9 lot 62.000
Cross Street BENNETT LANE
Building Permit Number Cross Reference:
Issue Date: 9/14/89 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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1989ltof 11)&
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,(7 D a * P.O. Box 1179
TowN of U �� Southold, New York 11971
JUDITH ERRY •4.01,�000, , TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
•
To: Victor Lessard, Southold Town Building Department
From: Linda Cooper, Southold Town Clerk's Office
Dated: August 18, 1989
Transmitted herewith is a copy of application No. 548 for •a Cesspool/
Septic Tank Construction Permit submitted by:
JAMES GI NAS
•
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 pC
DISAPPROVE
•
Comments: q �, tLt.
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51."'LLA. 0[10- 6L4S
Signatur
c\\Dated
OFFICE OF THE TOWN CLERK
Town of Southold
Town Clerk Application No. ...?
Judith T. Terry,
Town Hall 53095 Main Road c ( r.: fy '�
Construction to
P. O. Box 1179
Southold, New York 11971 4 Alteration
Telephoneal * s1\ Residential
(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- 1r-cry.
APPLICANT NAME: J pl-ft i C h4A16
APPLICANT ADDRESS: QI06 PAn k A-ve_
PAD-4(11,k , N-37.
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
As �c c��sp SySIZ �.. A E'_1✓ c)4:1^^- . 1).(-.3
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: -.Ii e% Glvya_%
OWNER MAILING ADDRESS: 07/60 Aft r4vL
AA, / Al // f-
OWNER PROPERTY ADDRESS: I
6 a) 01tx,fv. A Vc — Sc�.,. a I CB
TELEPHONE NUMBER OF CONTACT PERSON: 029 r-saa?
TAX MAP NO. : Section 1 C> Block Lot God
CROSS STREET: l&i\AL' 1-,�-
BUILDING PERMIT NUMBER CROSS REFERENCE:_.
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Signaturelr Applicant
RECEIVED BY:
.wn '-e r' Office
DATE:
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SUFFOLK CO. HEALTH DEPT. APPROVAL
' H. S. NO. 88—$0-7S
L)12.VEYEL) 'C1
t
JAMES . ,G ! NAS
AT STATEMENT OF INTENT
THE WATER SUPPLY AND SEWAGE DISPOSAL
:___—_._..._____._- SYSTEMS FOR THIS RESIDENCE WILL
ii TOWN u t.: 31,.JT#—;0LL) }4.Y CONFORM TO THE STANDARDS OF THE
,f - .. SUFFOL CO. DEP O I0EALTH SERVICE{
. (Si
\ - APPLICANT
\ — SUFFOLK COUNTY DEPT. OF HEALTi
SERVICES — FOR APPROVAL OE
CONSTRUCTION ONLY 0 IS(8
DATE: g
H. S. REF. NO.. 88"50-/S
t' APPROVED: (,)D-A-Pa...._.
\ SCALE 40 z i� ��A"""
t j.MQ Jfr d*:t_ SUFFOLK CO. TAX MAP DESIGNATION:
• 1O ..F�,i�'E DIST. SECT. BLOCK PCL.
AREA 8 S.F.
i \ OWNERS ADDRESS:
; t
t _ • __ 21 . PA12K,..EtVE,.-. _-
j___:M TflTU 11. '1'. 11 52
r ONLY
SI�1t^L� '-.r�� ,;,a -^•r•?;� :�'i� f�� 2%81;7322:8.. ..
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i .., :t1.:tEs iV .• J t.. ` DEED: L.N/A P. ,
TEST HOLE - STAMP
1 •1:,
,r "M the 101w York Stix
i, ction Law.
I��. 1 1 'V i:�W. iztc" .-",-les at is sixaev
man not.,,, - ,..s/MW...;if.......::..........:.: , , �...c.id rsn.• yor s inked Beet a_n�f
� 4» 4 , – s E 5UF + ,Cl . C f2S `-rhweva satr shalt not I' consklered
:�S�,a valid true copy,
1€ MAP' ,55$E3t uarenteea Indicatedrt
hefeon shell i
_ r _ srty to tha person for whom the sum
C REFER �,�r /��{ �« p to txepersd.and an his tehalt to tho
-� f�J ,1 I EAN•:5 ."A LEVEL, t•:'a corn^any.governmental agency a:d
`^ L ±a-di-1j institution listed hor'son end
to the aseignees of the landing MO-
.
.:(:ion.Guarantees are not transferable
w to era io,el institutions or subsequent
avows.
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• _ 44 SEAL
PECONiC AB X2 cr Pi riST,Afylei2ICAN to
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.. riTLE 1t4 A!4CE-CO,,g �urHoL " pa i
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RODERIK VAN TUYL,P.C. - r q j - ` �o
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LICENSED LAND SURVEYORS \card
GREENPORT NEW YORK
BOARD OF HEALTH , ,
FORh7 NO. 7 3 SETS OF PLANS/- -� - - -
SURVEY V
•
TOWN OF SOUTHOLD CHECK
BUILDING DEPARTMENT SEPTIC FORM
TOWN HALL
. SOUTHOLD, N.Y. 11071 NOTIFY
• TEL.: 7G5-1802 CALL . . '. M... cP. .
Examined 19 ` MAIL TO /
Approved 74 _ , b e.e� '
19 . Permit No
Disapproved a/c 117 N @ N q y a, 7
, Rl°
1(Building Inspector) Ow j OF: DEPT
APPLICATION FOR BUILDING PERMIT• /
Date 7 - a '7 , 199`
INSTRUCTIONS
ted to the Building Inspector,with
JAMES ARTHUR GINAS A 1 Q 5
DEBORA L. GINAS
2100 PARK AVE. adjoining premises or public stree
MATTITUCK, NY 11952 S—/?. 19 CI 50_791/214 e diagram which is part of this app]
_ /6 Colt O� SOS•• t) IC I $ f Building Permit.
:� Permit to the applicant. Such perry.
:711)-_-1811-.132S–.-- tever until a Certificate of Occupant
NORTH FORK^CNK
Mattituck,NY 11952 N►l
of a Building Permit pursuant to th
',Ziff**, i 4viccm other applicable Laws, Ordinances o
il 1:02111079121: ��'O i l I��9 8 9 9 1 0 0105 1 or demolition, as herein describec
ousin' code, and regulations, and t.
_ _.v_ .,, -__ 1
avivl-e0 JO
(Signatu of applicant, o ame,if a.corporation)
a /oo /0/9_,/{ 4e,_(_, /4/,,i/XJ,.. /w.
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(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
6 Wnc,
Name of owner of premises --)/40-;e4 /— 60,c; �,
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
•
Builder's License No.
•
Plumber's License No. ((.j✓lG/
Electrician's License No. c,) ��
Other Trade's License No.
1. Location of land on which proposed work will be done • • •
630
House Number Street •\ Hamlet
6 L9
County Tax Map No. 1000 Section 7 U Block q
Lot Subdivision . . . !. !*!r1/ce. ?A'/e.
Filed Map No. Y. . , • . . . . . . . .
(Name) '� . . . Lot . . . .p
State existing use and occupancy of premises and intended use and occupancy
�/ ] of proposed construction:
a. Existing use and occupancy . , , , V/01- . . L n� . , , , , , , , - • . .
b. Intended � S — I . . . . . . . . . . . . . . . . . . . . . . . .
use and occupancy ri a, L • •'. • • - - • .
•
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• =**• r I Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
JUDITH T.TERRY �`� FAX(516)765-1823
TOWN CLERK TELEPHONE(516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
August 18, 1989
Mr. James Ginas
1200 Park Avenue
Mattituck, New York 11952
Dear Mr. Ginas:
I am returning your application for cesspool construction permit. Please sign
it on the bottom and return it to me in the self-addressed stamped envelope.
I have transmitted a photocopy of it to the Building Department so that it
would not be help up for lack of signature. But, please sign and return it'
as soon as possible. My apologies for any inconvenie ce.
Betty' Neville
Deputy Town Clerk