HomeMy WebLinkAboutZoumas (2) ELIZABETH A.NEVILLE � Town Hall, 53095 Main Road
TOWN CLERK ; ; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS 1:101 �t Southold, New York 11971
MARRIAGE OFFICER ��� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER ?�®� s,s22, • of Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER _ its',,,• S••
OFFICE OF THE TOWN CLERK
SOUTHOLD IVASTRINMEEIRITIMINDSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2588 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 #R10-01-0030
Name Of Owner ZOUMAS CONTRACTING CORP
Mailing Address 1 PO BOX 361
City St Zip WADING RIVER NY 11792
Property Address 1 1860 KERWIN BLVD
City St Zip GREENPORT NY 11944
Tax Map No. section 53.00 block 4 lot 114.005
Cross Street SAGE SPUR
Building Permit Number Cross Reference:
Issue Date: 5/17/01 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
til"_ ��_`r_ _ " 's\�.
ELIZABETH A.NEVILLE d= d _ T wniHall, 53095 Main Road
TOWN CLERK `� .O
.6.Box 1179
REGISTRAR,OF VITAL STATISTICS
e� u�'-f� ='s^ o tho1a, New York 11971
MARRIAGE OFFICER `®y ®� ���'�� �sFax(631) 765-6145
RECORDS MANAGEMENT OFFICER �,_ Ql Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER II���
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 14, 2001
Transmitted herewith is a copy of application No. 2676 for a Cesspool/Septic Tank
CONSTRUCTION/ALTERATION Permit submitted by:
Zoumas Contracting Corp.
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.
Signature
S/t/0/0/
Dated
„...r ,IIS.,............. ��
`\C I� Application No°a��-=�
OFFICE OF THE TOWN CLERK ''��s C.�U`V ULKi ' ; . App . A/
TOWN OF SOUTHOLD � �„ ",'`�� �,� � Construction
ELIZABETH A.NEYILIE�TOWN CLERK ,� i �; ,
P.O.BOWYO K11971 : p '`' 'S, 104p rtid 'Pv4 i Alteration
SOUTHOLD,NEW YORK • Cn ,. ''t, �, I�
y ' ,dr c1 . $10.00 - Residential
Telephone _ 'Q � ��� $25.00 -Non-Residential
(516) 765-1801 2.40. .
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
. for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DI
DATE 5
APPLICANT NAME: 2011mcyN +- `ni` G-Ca
..,: ��'P.6.ive6ox 361
•
DDRESS:
APPLICANT A b ad°m�f� ,...__ .
CESSPOOL
SEPTIC .
DESCRIPTION OF PROP SED CONSTRUCTION OR ALTERATION
F6D_1 c, .L,Lit h
LOCATION
MAP: Must be attached hereto before permit may be issued.
,
•
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
• OWNER OF PROPERTY :
•
___ OWNER MAILING ADDRESS: .O SIO
DU ' % UP ., .. - 1163 z----
OWNER
-OWNER PROPERTY ADDRESS: a LI API I� , to
• TELEPHONE NUMBER OF CONTACT___ PERSON:_ ..- `�g'rfr
TAX MAP NO. : Section __r _._r__
Block�___1.-�.___..._.-..Lot_ ,_5 r-_, mow
Ill
CROSS STREET : S !r U
BUILDING PERMIT NUMBER CROSS REFERENCE: .
:4____
ignaturs:,••licant , •
4• RECEIVED BY : E.Yi... ,: : n Clerk's Office
DATE:
. •
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v;I:1•c.,. r+'1' r A /�,+ n n' TOWN OF SOUTHOLD — SUFFOLK COUNTY N.Y.
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i.',.. ,-::4';,-.1,-::4';,-.11:-.1i;:.V INS THE LAND SLIRVEYOWS „
,:1. I: =.L CR E.°,,:r,•;: U UAL SCALE 1 = 40' DATE 1-11-2001
LF=.L t'\.7 L"_ C::,•iS.K:X0 TO Of
FILED MAP No. 9107 DATE 6-3-1991
CERTIFIED ONLY TO TAX MAP No. (REF ONLY) 1000-53-4-44.5 DISK 500
' HAROLD F. TRANCHON JR. P.C.
LAND SURVEYOR
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� � ' 1866 WADING' RIVER—MANOR RD. WADING RIVER,
% NEW YORK, 11792
N.Y. LIC. No. 048992 631-929-4695
HAROLD F. TRANCHON JR. . PENN. LIC. No. 2115—E '