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ELIZABETH A.NEVILLE � Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS t Southold, New York 11971
MARRIAGE OFFICER sj. '~ 4"
RECORDS Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER =,__®1 Allg �®�ii� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ,i�"
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2472 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ZOUMAS CONTRACTING CORP.
Address 1 : PO BOX 361
City St Zip WADING RIVER NY 11792
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 # R10-00-0234
Name Of Owner ZOUMAS CONTRACTING CORP.
Mailing Address 1 PO BOX 361
City St Zip WADING RIVER NY 11792
Property Address 1 PAVILLION COURT
City St Zip SOUTHOLD NY 11971
Tax Map No. section 88.00 block 6 lot 13.018
Cross Street WATER TERRACE
Building Permit Number Cross Reference:
Issue Date: 11/30/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE ���� ��►: Town Hall, 53095 Main Road
TOWN CLERK y P.O. Box 1179
REGISTRAR OF VITAL STATISTICSV ° Southold, New York 11971
MARRIAGE OFFICER .. ofo"01 . ,s Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER =__ ®i�i� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ���,.9
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: November 21, 2000
Transmitted herewith is a copy of application No. 2560 for a Cesspool/Septic Tank Construction
Permit submitted by:
Zoumas Contracting
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:
Signatur
Dated
'� rf
OFFICE-OF THE TOWN CLERK ,��'�,,','••/•••,����
c;
TOWN OF SOUTHOLD ��� o�FFOCKcoa=� Application No3
ELIZABETH A.NEVILLE,TOWN CLERK e -
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971
T
•
N Alteration
Telephone
‘20 Qi� $10.00 - Residential ✓
(516) 765-1801 �l > � o' • $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 ///zo/o o
APPLICANT NAME: ZOuiAS CO.__ CTiNO cow.
APPLICANT ADDRESS: Z ,RR®•'.BOX361
R6ver0 NY 11792
SEPTIC ?O -CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY:
OWNER MAILING ADDRESS: DUMAS CONTCTINGCOFP.
P.O. Box 361
Wading Rivar,NY 11792
OWNER PROPERTY ADDRESS: PAO Ltd NJ COL/A, c
i01-IV @
TELEPHONE NUMBER OF CONTACT PERSON: 63I_ 9 Zq- if 570
TAX MAP NO. : •Section g g Block 6 Lot 1 3.12
CROSS STREET: a/AAA deitke,e__
BUILDING PERMIT NUMBER CROSS REFERENCE:
AIMIP
�:.-. at - o• - • •Iican��
RECEIVED•BY:
Town Clerk's Office
DATE:
LO'iIaREN'"= 32,205 sq. ft.
_�,F.FL`'ELEV. y 3•S '
GAR. ELE'V. 31.c ., •
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COUNT,
2000 -2 Aft!!: 26 ,
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SERI�ICES
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PG'
R3Ss 00, UMBER \5 PIES' 231
63
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N perI�'\\.'
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UL 31•I
op• N,81°44'18"W,
1i �'-p 179.90"
LOT NUMBER '17 ' ' ''1
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
PERMIT FOR APPROVAL OF CONSTRUCTION FOR A • 1
SINGLE FAMILY RESIDENCE ONLY
, , , 4,i
DATE l l 4. OOH.S. REF. N0. 'ID\.,a._-_• - „
APPROVED .`G •J.1, A
FOR MAXIMUM OF , DU'R, BE •''MS
EXPIRES THREE YEARS FROM DATE • 'PPROVAL
JOB NO. 00-354 FILE NO. ANGEL SHORES
Ht OFFSETh (OR IMENSIONS) OUAkANTEES INDICATED hlkcvn '.
HOWN HEREON FROM THE SHALL RUN ONLY TO THE PERSON SURVEYED FOR
TRUCTURES TO THE PROPERTY FOR WHOM THE SURVEY IS PRE-
'NES ARE FOR A SPECIFIC PUR- PARED, AND ON HIS BEHALF TO LOT NUMBER 16
3SE AND USE AND THEREFORE THE TITLE COMPANY, GOVERNMFN MAP OF ANGEL SHORES
RE NOT INT;I.MED TO GUIDE NE TAL AGENCY ANY/ LENDING INSEt- •
'EC-TION Or FE:•CES, DETAINING TUTION LISTED HEREON, AND TO
MLS, tY 0 S, "iPLZI4TiNG, THE ASSFGNEES OF THE LENDING '
?'AS, AE•:•}7101•' in '7LDINGS INSTITUTION. GUARANTEES'ARE '
trr:lom:ncc•:sT::.:T,dl. NOT TRANSF•ERAELE To ADDrnONAL SITUATED AT BAYVIEW •
INSTITUTIONS OR SUBSEQUENT
.-0,4,UT'iO[;+7=. ,"«n^,TION OR OWNERS. TOWN OF SOUTHOLD, SUFFOLK COUNTY,'N.Y.
11:"-T4-TO ViIi S,,ft/EY IS A
3tAlr3N OP SECTION 7;C7 OF COPIES of THH SURVEY MAP NO! 50' DATE 9-13-2000
-E Neil ''Of" TTA:E EDUCATION BEARING THE LAND SURVEYOR'S SCALE 1" _
:W. INKED SEAL OR EMBOSSED SEAL
• SNAIL NOT BE CC k51I)FL7ED *O FILED MAP NO. 9729 DATE 8-23-1995
U A R A N T E E D ONLY TOTAX MA? NO. 1000:.88-6-;3,18 ' r, ;(REF. ONLY) DISK*.;193- ,js
HAROLD 'F. TRANCHON,:JR. P.C.
- LAND SURVEYOR • ,
, I9
1866 WADING RIVER-MAN_OR'RD. WADING RIVER','
NEW YORK, 11792
N.Y. LIC. NO. 048992 1631-=929=469+5 ;;
JAJ
,D F. TRANCHON JR. PENN. LIC. NO. 21115-E „a.a