HomeMy WebLinkAboutZoumas (5) ,/0°®�®gOFFO`it
ELIZABETH A. NEVILLE ����_� G�<: Town Hall, 53095 Main Road
TOWN CLERKH P.O. Box 1179
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REGISTRAR OF VITAL STATISTICS ,� Southold, New York 11971
MARRIAGE OFFICER y Fax Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER =_�O.j y� *„.0� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER •.,�"�” �'
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2530 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 #R10-01-0016
Name Of Owner ZOUMAS CONTRACTING CORP.
Mailing Address 1 PO BOX 361
City St Zip WADING RIVER NY 11792
Property Address 1 1175 WATER TERRACE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 88.00 block 6 lot 13.010
Cross Street MAIN BAYV I EW ROAD
Building Permit Number Cross Reference:
Issue Date: 3/27/01 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE �� Gt: Town Hall, 53095 Main Road
TOWN CLERK ; yZ P.O. Box 1179
REGISTRAR OF VITAL STATISTICS 47 Southold, New York 11971
MARRIAGE OFFICER �� 4, � pel Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �_ 7®� v�r�if Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: March 13, 2001
Transmitted herewith is a copy of application No. 2618 for a Cesspool/Septic Tank
CONSTRUCTION/ALTERATION 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: Maintain required setbacks from adjacent wells,buildings,property lines and water
Bodies. EXCAVATION INSPECTION REQUIRED.
ignature
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Dated
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OFFICE OFTHE TOWN CLERK '�� O.
0 C, V0I.Kt��; Application No. ��v�
TOWN OF SOUTHOLD , �� �D .������f "��;,;•�j1 � Construction �_
E 17ABETH A.NE 1179 N CLERK ,� — - .y �, I�'4.-,404
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P.O.BOX 1179 ; .7-73 # _� {fir; Alteration
SOUTHOLD,NEW YORK 11971 ; CP Alt c '�
�'e›;‘,,,:.�, '7' : • $10.00 - Residential
Telephone -.74/./ * � i. $25.00 -Non-Residential
(516) 765-1801 ••'- ,....00��
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
•
- - APPLICATION
for
•
•
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$ 3 ��
DATE 3
APPLICANT NAME: �{} s° k71 '• • ' ,. °
•
•:;;?;P°®K.gox 361
APPLICANT ADDRESS:_ 'ding"Riverf`J'1`
X
SEPTIC_CESSP00L __
DESCRIPTION OF PROPOSED CONST' UCTION OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
• OWNER OF PROPERTY : ,,, ,; r :°.1:'. '-'f1:':"" NGCORE;
P.O.• Box 31ii
OWNER MAILING ADDRESS: ,:,:. i g ever, .l. 11792
1 S
OWNER PROPERTY ADDRESS:
1 _
far
TELEPHONE NUMBER OF CONTACT PERSON: 0)._12/_---- 1/S-7
•
TAX MAP NO. : Section.
Block Lot___13,L0._______
• CROSS STREET : m A iN B i. U
BUILDING PERMIT NUMBER CROSS REFERENCE:
. /
�� •gnatu - • • t` .
RECEIVED BY
° '-'� Clerk's Office
,:..eft ; Town
DATE:
LPA AREAS
4. = 31,103 Sq. F1. NOTE: MAXIMUM CLEARING OF LOT IS LIMITED TO 58%
•
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He urraHE LOR FR MSIOTHE SHALL RUN ONLY TO TF7 i"""t JOB NO. 00-520 FILE NO. ANGEL SHORES
HOWN HEREON FROM THE FOR WHOM TrIF. SUaVFY IS FRC:-
T ES ARE
TO THE PROPERTY PARED, AND ON NIS BEMIS TO SURVEYED FOR
INES AAF FOR A SPECIFIC POR• THE TIDE COMPANY, GOV;RIYAEN
OSE AND USE TO GUIDE THE TAL AGENCY AND LENDING INSTI•
RE NOT OF
DED TUTION LISTED ,HEREON, AND TO LOT NUMBER 8
VALRECTION OL FfPACTII RETAINING
THE ASSIGN-_ES OF THE LENDING MAP OF ANGEL SHORES
%RE S, POOLS, INSTITUTION. GUARANTEES ARl
REM ADDITION TO BUILDINGS NOT TRANSFERABLE TO ADDI1tON.',L
RANYOWCRCONSra1 �' INSTITUTIONS;OR SUDSEQUENI
*AUTHORIZED ALTERATION OR (ANUS. .'NER5• SITUATED AT BAYVIEW
•
‘EOITION TO THIS SURVEY IS A COPIES Of MLS SURVEY AQP? P::"
9o(ATaN of SECTION 7209 OF
NE NEW YORK STATE EDUCATION SEARING�i THE LnND rU;:,"SEAL OR FF:^C s=o•'1'-''^4'
• TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK
57
L NOT S CCN:510 -I' 'c�
SCALE 1"
= 50' DATE 12-16-2000
FILED MAP NO. 9729 DATE 8-23-1995
GUARANTEED ONLY TO TAX MAP NO. 1000-88-6-13.10 (REF. ONLY) DISK 193
HAROLD F. TRANCHON JR. P.C.
LAND SURVEYOR
1866 WADING RIVER-MANOR RD. WADING RIVER,
NEW YORK, 11792
/ .Y. LIC. NO. 048992_ 631-929-4695