HomeMy WebLinkAboutApidopoulos -
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ELIZABETH A. NEVILLE ���_� Town Hall, 53095 Main Road
TOWN CLERK % H Z P.O. Box 1179
v. rrri Southold, New York 11971
REGISTRAR,OF VITAL STATISTICS ��
MARRIAGE OFFICER y �I Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �_ ®,� �� ,ii Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER rrr
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2500 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : EAGLES NEST HOMES
Address 1 : 4 FERNWOOD DRIVE
City St Zip COMMACK NY 11725
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF # R10-00-0261
Name Of Owner APIDOPOULOS, GEORGE >; DONNA
Mailing Address 1 60 ENGLE ROAD
City St Zip PARAMUS NJ 7652
Property Address 1 110 THE CROSSWAY
City St Zip EAST MARION NY 11939
Tax Map No. section 30.00 block 2 lot 11 .000
Cross Street THE LONG WAY
• Building Permit Number Cross Reference:
Issue Date: 1/22/01 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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:$ •®S3 F®` .o
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ELIZABETH A.NEVILLE ® G�'�� Town Hall, 53095 Main Road
TOWN CLERK ` y 2 P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
1,
MARRIAGE OFFICER yb �� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER '_sVI jig .$ s,i� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER �i
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: January 16, 2001
Transmitted herewith is a copy of application No. 2588 for a Cesspool/Septic Tank
CONSTRUCTION/ALTERATION Permit submitted by:
Eagles Nest Homes of L I for Apidopoulos,Donna and George
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.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: Maintain required setbacks from adjacent wells,buildings, property lines and water
Bodies. EXCAVATION INSPECTION REQUIRED.
ignature
Dated
OFFIeE OF THE TOWN CLERK olf��Of
UL��"-���,'/'• ' � _
TOWN OF SOUTHOLD '��'o � Application No. 2 J aR
ELIZABETH A.NEVILLE,TOWN CLERK 'y
P.O.BOX 1179 z, Construction /,
SOUTHOLD,NEW YORK 11971 , 0 • rn �fi�/
Alteration 111
Telephone -yV,f' �Qr��', $10.00 -Residential
(516) 765-1801 - 01 * c,."'� $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
•
Permit No.
Fee $
DATE /// 46/9
APPLICANT NAME: f_ 4 f l/ f 41sj( /alp /9gs of /, /:
APPLICANT ADDRESS: 1/ / fi/tNt4 c Oh AA Wim. '
(IoMfITl A NY // 72r .
SEPTIC p` CESSPOOL -
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION 2.. efiA y f NJ/9-
S'/N thz f11-1// Jic s/o AN eft 4,p'i.a a 2 G (3 1 F'r, viMy1 9t Ar'" 'i-
Arh /66o - 2 A Aub Ai.
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: f
OWNER OF PROPERTY: /)ONAt, t ereo i t:PI 4/i1b�1/ao(,�Lhi'
OWNER MAILING ADDRESS: 6® /ZAIlQ`ii- Rpga P44/9Alli,S f(/� 0744-4
OWNER PROPERTY ADDRESS: / fNif ( i9 5s IV tly 1iks)'-7114Jn/0/ N7 //939
fR4Ali A if m ear m M s'
TELEPHONE NUMBER OF CONTACT PERSON: d 3I ,- 4-r 3 - 1/23 A, %I/04!1 414,AAA
TAX MAP NO. : Section /3 b Block 2 Lot 110 C y3)
CROSS STREET: 1;11 LU' I?14 Wh
BUILDING PERMIT NUMBER CROSS REFERENCE:
it47)14.01.1 gi•Pfri/
Signature ofrplicant
RECEIVED BY : Zl�
own Clerk's Office
yr
DATE: ` (D 0 / •
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NOTE: LOCATION OF WATER MAINS AND (L{, 1 1 1 S x 12 \ (z4 i)
ADJOINERS WATER SUPPLY BY OTHERS \ I 5352'
AND ARE NOT GUARANTEED. FD. S. 83'27'45" W. 77.73'
existing water main
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THE CROSS WAY
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LOT 13 - VACANT\ LOT 12 - DWELL.
Pu6L,c wftTER
vrrGa (OR DV,LN5IOIti;) GUAP,ANTl:c5 MDR-AT[D h.D.,,,.14 JOB NO. 00-425 FILE NO. PEBBLE BEACH FARMS
HOWN HEREON FROM T`iE SriA1L MIN ONLY TO THE ru: .'
TRUCTURES TO THE PROPERTY P^C M-;;.1.TI'E Si;;V Y 15 F
INES ARE FOR A SFF,CIF,C KIR- r= '-, A;: rrl Y,; 1:11-11,17 SURVEYED FOR
OSE AND uSL AND T1i1'r C f1 1: c.• '`: CC,- , LOT NUMBER 43
.RE NOT INTEP'1ED IL) �.i: _ 1i'. ,. v-1
RECTIONor reraces, T, I•'1',':1 ' I• I ,'` MAP OF PEBBLE BEACH FARMS
PALLS, POOLS, PATnr h';•,'111•:-. . - - .,
\REAS, ADDITION TO '''IL.INcS '
)R ANY 011 is is CC NE1RDC l l7:) -
INAUTHO,TIZED ALTC-,^.ATloN OR ,,1. 1` SITUATED AT EAST MARION
\DDITION TO THIS , \`-Y 13 A
r1OLATION c- sxn1N 20? OE C;- C- r;'.• E r,. , TOWN OF SOUTHOLD - SUFFOLK COUNTY N.Y.
HE NEW 'ORK STATE LDUC"ltON E1;;,;:.11`10 T1.1e !AND :.•UfVt'
AW. IN:1:0 ;:AL 02
E.:VA' NOT RE coNs• rIr5 0- . SCALE 1' = 40' DATE 9-28-2000
A V.1n . ❑r-r•-•
FILED MAP NO. 6266 DATE 6-11-1975
GUARANTEED ONLY TO
TAX MAP NO. 1000-30-2-110 (REF. ONLY) DISK 225
HAROLD F. TRANCHON JR. P.C.
LAND SURVEYOR
(4/5--o-Clei . .--r----.- /A---c_L---- 9_
1866 WADING RIVER-MANOR RD. WADING RIVER,
NEW YORK, 11792
N.Y. LIC. NO. 048992 g l A_090_AAOR