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ELIZABETH A.NEVILLE �41
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ELIZABETH G��: Town Hall, 53095 Main Road
TOWN CLERK ; y $ P.O. Box 1179
REGISTRAR OF VITAL STATISTICS 0 Pry
t Southold,New York 11971
MARRIAGE OFFICER �� sfi � �1 Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER =_ ®1 �� ��•� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2471 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 # R10-00-0235
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 13.019
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 it it;�� 47,„--%
/f : Town Hall, 53095 Main Road
TOWN CLERK , en
2 % P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ` Southold, New York 11971
MARRIAGE OFFICER �,. t � /1/, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER =__�®g lig 14* 10� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ��i
_
. . ._IS
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. 2559 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 ocation map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments:
Si ature c
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Dated
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OFFICE OF THE TOWN CLERK .••.,II V 01./ 4A �.J
• 5� �v , • Application N
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TOWN OF SOUTHOLD •• Q
ELIZABETH A.NEVILLE,TOWN CLERK •• rx ' 'z: '� Construction
P.O.BOX 1179 Z 1•� `i -1,•%,,;p --y
SOUTEIOLD,NEW YORK 11971 41, . 1'u;k:,- rn,• Alteration
•
'4.0,r,› ' s,� • -Residential L.
tz. 0`C••• $10.00
p •
Telephone Q1 �►�,0 $25.00 -Non-Residential
(516) 765-1801 "0000
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
•
for
•
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee *$
DATE // 0/00
APPLICANT NAME: iOOMS'CO TRACT1 G COfl .
• APPLICANT ADDRESS: P.0.;B0<361
' Wading River, NY 11792
SEPTIC 10 CESSPOOL
DESCRIPTION OFPROPOSEDal L.
TelephoOR ALTERATION
4._ Fid /,1 J t-�1 +-Ml Zi /4 i
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERA I9N,:, -r, '
MIN .
COM AC IMS mm?.
' . OWNER OF PROPERTY: p.n.8'nx 361
• Wading Rive, NY 11792
OWNER MAILING ADDRESS: -
OWNER PROPERTY ADDRESS: /00.t '1 1 /-7 4NIGtc1. S honk,—
PA1/4.9 1 L t O.a G11-/A--
.
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section gg B1ock_ —.....,......,Lot,,, /".,j_42..„ _... ..__
CROSS STREET: a 4- • 1.0•14A-c. -
BUILDING PERMIT NUMBER CROSS REFERENCE: .
aturi..-licant
RECEIVED BY:
'''i,‘::: Town Clerk's Office
DATE: •
LOT AREA 32,183 sq. ft. '
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" OPEN SPACE " SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
SINGLE FAMILY RESIDENCE ONLY
DATE (1-2.-6H.S. REF. NO.-10',,,l4i, D ,
APPROVED ii /
FOR MAXIMUM OF }--oO( : -OOMS
EXPIRES THREE YEARS FROM DATE OF APPROVAL
Nt OFPSEID (OR IMENSIONS) OUAnwNT@FS INUrCAI EO nckNr. JOB NO. 00-354` -•; FILE.10�',°ANGEI'SHORES
•(OWN HEREON FROM THE SHALL RUN ONLY TO THE PERSON
TRUCTURES TO THE PROPERTY FOR WHOM THE SURVEY Is FR-°. SURVEYED.FOR '
INE$ ARE FOR A SPECIFIC PUR- PARED, AND ON HIS BEHALF TO
'OSE AND OSE AND 71-1FRE7CRE THE TTflE COMPANY, GC+.EANALN LOT NUMBER 17 1;,`.,.. NOT NOT I?'T4''%%;D 'V (CPC: THE TA no.acY AND LENDING }N TI• MAPOF ANGEL SHORES
R:C.7;,3:: C" r C`i.',I`J::�G Tu1IO'. 1ISTED HEREON, AND 7C RE
VAI; i. 'd' ;$. THE •,1E'CN..E5 OF THE 'tNDING
\S, ,-, :d. IT •'7::N CUFt'AI'!7EES AA • , ,
'�.,^�r „ - •. SITUATED AT BAYVIE,W'
'•1::JTiI :1,: - •,. ' .. 1
I7:CN 7n TOWN OF SOUTHOLD, --SUFFOLK COUNTY N.Y.
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, iVEY P 1LQ
' ' oc;.+.r.3 71 - LAND SSU?,,JEYOWS •
>•, su OF, EMBOSSED SEAL. SCALE 1" = 50" `DATE"'9•- 22-2000
• • ,:I,- rl�'43i,ERED To 91:
FILED MAP NO. 9729 , - DATE, ,8-234995
,UARANTEED ONLY TO -
TAX MAP NO. 100.0-887.6-13.19' ' (REF.ONLY) DISK 193
HAROLD F. TRNCHONRPCC:-
• - Ir,i�'r•, F
LAND SURVEYOR, •'' '
� 1866 WADING RIV,E,R,-;MANO'R::RD.;;WADING RIVER
rt,,,fi NEW 1hORK;;:117,9'2`' RIVER,
F
N. . LIC. NO. 048992
5.146,-:929-469
AROLD F. TRANCHON JR. PENN. -LIC. NO. 21115-E .5