HomeMy WebLinkAboutZoumas �4 Town Hall, 53095 Main Road
ELIZABETH A.NEVILLE I
TOWN CLERK P.O. Box 1179
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Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
,t% Fax(631) 765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER `= ®� ® i� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER _ ,��' southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2737 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 #R10-01-0048
Name Of Owner ZOUMAS CONTRACTING CORP
Mailing Address 1 PO BOX 361
City St Zip WADING RIVER NY 11792
Property Address 1 AVENUE OF TREES
City St Zip SOUTHOLD NY 11971
Tax Map No. section 88.00 block 6 lot 13.048
Cross Street MAIN BAYVIEW ROAD
Building Permit Number Cross Reference:
Issue Date: 3/20/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE ����� 'f' Town Hall, 53095 Main Road
TOWN CLERK y • ; P.O. Box 1179
P
p Southold, New York 11971
REGISTRAR OF VITAL STATISTICS : *C 1t Fax(631) 765-6145
MARRIAGE OFFICER #_'/ f,
RECORDS MANAGEMENT OFFICER =__ iii Telephone (631) 765-1800
FREF,pOM OF INFORMATION OFFICER _®1-*---.....010
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD ` � � � � ��'�����
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TO: Southold Town Building Department IL1102 2 i
______\
FROM: Linda J. Cooper, Southold Town Clerk's OfficeBLDG U-,„T
DATED: January 22, 2002
Transmitted herewith is a copy of application No. 2826 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.
'''
.t Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and loc ' n map of the project cited above and make the following
recommendations: B11 / ®3/02-
APPROVE / j''j
DISAPPROVE 44611 6,47P4'""et°1ree4"--le
Comments: Maintain required setbacks from adjacent wells,buildings,property lines and water
Bodies. EXCAVATION INSPECTION REQUIRED. .
Signature /
®Y a / 0-2_—
Dated
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OFFICE THE TOWN CLERK L
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• TOWNOFSO � Constructions
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,TOWN CORK �� j �r`+t
ELIZABETH A.1.EYU1� I y" ;}: e#"..
P.O.BOX 1179 1 P .i ; % V y.,.., rn 3 Alteration
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sovrx0t�,t�'EWYORx 11911 •' .1 '', ; $10.00 -Residential
Telephone Oat ° $25.00 -Non-Residential
(516) 765-1801 4.6„„,,„0.'� .
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT '
APPLICA_ TION •
for • '
•
CONSTRUCT ION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
- Permit No.
Fee $ DATE - e-z -
APPLICANT „LL ,
NAM --��f�i`�t'l�,p�Box 361 � ,,, ;`;�•_n,..'
APPLICANT ADDRESS _____ � ciipg-}dyer,-fi
SEPTIC CESSPOOL • ' ,
PROPOSED CONSTRUCTION OR ALTERATION
DESCRIPTION OF ,
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MAP: Must be attached hereto before permit may be issued.
LOCATION . .
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATIONS Y•
• • OWNER OF PROPERTY :
PO Box 361
OWNER •
MAILING ADDRESS: 1 ” '
ft
OWNER PROPERTY ADDRESS: O -
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OF CONTACT PERSON: � �'
TELEPHONE NUMBER : ,,,` ; ; -
glocl< Lot •...... , .: _: .. -
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TAX MAP NO. . Section _ l :_, , . • ,,,-_ ::,_,,
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CROSS STREET . V C N) B • , . „.,.,, , ,
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BUILDING PERMIT NUMBER CROSS REFERENCE:
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''w`ti. RECEIVED BY .Town Clerk's Office
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3 DATE _V:',
LOT AREA-=40,292 sq. ft.
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