HomeMy WebLinkAboutZoumas (6) ,/�,�#1 c)3FFOL,'
ELIZABETH A.NEVILLE ���_� * Town Hall, 53095 Main Road
TOWN CLERK ; y ;' P.O. Box 1179
REGISTRAR,OF VITAL STATISTICS
�, Southold, New York 11971
MARRIAGE OFFICER `�®�i 0`�.1', Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �__ d gig *salt Fax
(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. 2768 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ZOUMAS CONRACTING 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 #R10-02-0012
Name Of Owner ZOUMAS CONTRACTING CORP.
Mailing Address 1 PO BOX 361
City St Zip WADING RIVER NY 11792
Property Address 1 WELLS ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 70.00 block 3 lot 22.000
Cross Street JERNICK LANE
Building Permit Number Cross Reference:
Issue Date: 3/20/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
,. ,i oFF01„„-__ c7 -7(oW
ELIZABETH A. NEVILLE 4 . -IP ‘ Town Hall, 53095 Main Road
TOWN CLERK % co - ; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS
% 1y. Southold, New York 11971
MARRIAGE OFFICER `�®1 l �10 Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER '__�®1 y� $'O. Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER "�'��,,ris southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD - ----- --1 \,'� , �,.,)
TO: Southold Town Building Department ',+`}'11�1A�1;i �� 2 a ;�j1'_ ', t
�t fi �_j
FROM: Linda J. Cooper, Southold Town Clerk's Office '' '��"�` -r,--
-. --tit ok: c . '. \2.ot.l)
DATED: February 27, 2002 i�,`!t �� �X
Transmitted herewith is a copy of application No. 2857 for a Cesspool/Septic Tank Construction
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: �/' �,„"y -
ice._ k? �st�
Signature ‘ 4
0 /72;4 Z.
Dated
i
OFFICE OFTHE TOWN CLERK ��4". \ Hire/ cz Application No:'
TOWN OF SOUTHOLD �� O p`�".�.,'��.l/ /, •
ELIZABETH p,1�EY1 1 F.T01YN CLERK •� O�'{{�� t �r ...,A Construction
P.O.BOX YO r'Tt = Alteration
SOUTHOLD NEW YORK!191: I p1„4It
tY��.V'/ - Residential
� O .,�► .- ° $10.00
Telephone • -Non-Residential
�... jy .c �` o' $25.00
(516) 765-1801 . .. ,our d
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
•
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
•
Permit No.
Fee $
DATE 2-7 b v
APPLICANT NAME: •
0 U t5- a -G-Ti{i -C011' . •
:;:yd,P.O:',Box 361 _
APPLICANT ADDRESS. ��fa(�nicJ}liVerNY 13
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION .
4E44 Ju/-& 1
LOCATION MAP: Must be attached hereto before permit may be Issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: .
• OWNER OF PROPERTY : ZOUMAS CONTRACTBox ING
ING CORP.
•
• OWNER MAILING ADDRESS: Wading River,NY 11792
OWNER PROPERTY ADDRESS : Lo �- 1 1 c 1(..) . a)-eV/S A/1-9
TELEPHONE NUMBER OF CONTACT PERSON : 9019 -K-c-70
(� B l o c l< Lot ,a2:.:7--- .
TAX MAP NO. : Section _ ,
CROSS STREET : .�`e--/� lit " !J�`,, , ,,'" .--
BUILDING PERMIT NUMBER CROSS REFERENCE: . • •
<5;,,,,t!,•,:,t7.4-41w ••
• • . / / •:
•
,•• `� ',....,ature r""A..._ cant-". •t`•.y n.l '
. •
o /
. :::.•'. ___ ___4 ..... '
RECEIVED BY : Clerk's Office
DATE:
:t91" AREA= 44.984 sq. ft.
F.F.1 ELEt= 24.0
GAR. ELEV.= 22.5
WELL GREATER THAN 150'
DWE7JJNO DWELUNO — PUBLIC WATER
existing rater main — —
R.,1/�s:. WELLS ROAD
7�, S 56'52'40'8E 109.26' (mg)
489 t (20.
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. it01
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ti I
ii ill
et-
225) Ai
g DWELL/ft -53
(2Z5) .
01
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• . ,_..226-O f • 7,, :.•.,:i,,,', ,..;, j_0 ' - _... I. V'
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4.„_,...101.,, -. ;- . .
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(21.5) B� 6 =,
LA v
161.49
\ (21.0) '10"ul
u u��tAe�ER 7
N 6g 55 LOT VJ1 4% {
LOT NUMBER( 4 \
THE OFFSETS (OR OUENGIONS) MOM HF3tEON FROM THE STRUCTURE=TO THE
PRCPERrY WES ARE FOR A SPECIFIC PIJWOiE ANO USE MD THEREFORE ME NOT JOB No. 01-617 FILE No. PECONIC DEVEL CORP.
GNTDCED 10 GUIDE THE ERECTION OF FDICES. RETMNWO WY1&P0013. PATIOS.
PUWTINa ARM.ADDITION TO IULOWOS OR AMY OTHER CONsnHLJC IOM. SURVEYED FOR
UNALrtHORIZID ALTERATION OR AOORION TO THr SUIRYtY W A ISOLATION OF SICnON LOT NUMBER 11
72 OF THE NEW YORK STATE EDUCATION LAN. MAP OF PECONIC DEVELOPMENT CORP. AT SOUTHOLD
OUMWTEES WOWED HERON S ALL RUN ONLY TO THE PERSON FOR MOM THE
S Y B PREPARED. MO ON 100 BFS V TO THE TITLE COMPANY GOVERNMENTAL SITUATED AT SOUTHOLD
AGENCY MND MEMO WsmunGM LiTED H OEOIN.AND TO THE MIMEO OF THE
LBNOWG IHesmunON. GJA 4TEES ME NOT 111017EIVALE TO ADcm0s.•IMGrtnnnNs TOWN OF SOUTHOLD — SUFFOLK COUNTY N.Y.
OR m'' NT DINERS.
ooPIES OF THus SURVEY IMP NOT REAMS THE UM ITURIONVIE's INKED SEAL OR SCALE 1" = 50' DATE 12-20-2001
EMBOSSED SEAL SHALL NOT E CORISCEMED TO TE A 1MLJD TRUE COPY
FILED MAP No. DATE
CERTIFIED ONLY TO: TAX MAP No. (REF ONLY) 1000-70-3—P/022 DISK 500
HAROLD F. TRANCHON JR. P.C.
LAND SURVEYOR
. F -� , 1866 WADING RW ER—MANOR RD. WADING RIVER,
ri . NEW YORK, 11792
Y. LIC. No. 048992 631-929-4695
HAROLD F. TRANCHON JR. PENN. LIC. No. 2115—E