HomeMy WebLinkAboutZoumas (7) ELIZABETH A.NEVILLE /01 '� •
Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
Southold, New York 11971
REGISTRAR,OF VITAL STATISTICS ; r .F � Fax(631) 765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER Vt*®� ilg *0 /,��'1.1 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. 2769 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 #R10-02-0013
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 OAKLAWN AVENUE
Building Permit Number Cross Reference:
Issue Date: 3/20/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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r ,IIS® ®`�°e �I t?
ELIZABETH A.NEVILLE civ i� ®.3° ; Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER
%, e)44` 4-AYA„ �, ° �1 Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER =_ 411E2 • 801 Telephone,63X 5-1800
FREEDOM OF INFORMATION OFFICER ���,►�1� so tho1dfwiknor thfork.net
OFFICE OF THE TOWN CLE I \ q a 'Y:.
TOWN OF SOUTHOLD ,`� t\ ca -�'
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TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: February 27, 2002
Transmitted herewith is a copy of application No. 2858 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: _
70140--49
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Signature
,03/2--A--
Dated
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.•''CP • Application No.ce�'$
OFr'lCE OF TEE TOWN CLERK • �
TONVNOFSOUTHOLD �� O"J .1.ss� -�.`'' 1,1
•� ti ° f; Construction
ELEABETHA.NEV1LiE.TOWNC1ERK • O ; -1 1t+. , i
Alteration
�WYO197! • D SOUI'r10LD \ ' ( •v.y ' ta. ��-••. • $10.00 - Residential
Telephone ‘P•40� y d $b`,•�, $25.00 -Non-Residential
(516) 765-1801 . ...;, •
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
•
for
•
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee 'S
DATE 4- J- i v
APPLICANT NAME: nUt -5-6-fiY -6-TfriG-C-$)'t' . •
':id;p.6:�.Box 361 _
APPLICANT ADDRESS: ��fadiiic�}i;vertJ'f-fiN�
SEPTIC 1D CESSPOOL •
DESCRIPTION OF PROPOSED CONSTRUCTION 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 :
ZOUYAS CONTRACTING CORP.
OWNER MAILING ADDRESS: POBox 361
Wading River, NY 11792 •
A PROPERTY ADDRESS : o � ON . 01.4/s 4A/)L �' t
TELEPHONE NUMBER OF CONTACT PERSON: <4.i-7►� gP • + ^
TAX MAP NO. : Section Block 3 Lot •,,,,fa,..,"?---........—_.-
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CROSS STREET : Ao_Aivic.:(6 kA--,-e--
BUILDING PERMIT NUMBER CROSS REFERENCE:
..�,yature of A
RECEIVED BY : �/
Town Clerk s Office •,
DATE: %�.
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COPES OF THa sower WIP Nor wow THE UID suZwran's MD EX an SCALE 1' = 60' DATE• 12-20-2001
W60SER SEAL SHALL NOR BE OONIEEI D To E A RRJD ME OOPI:
FILED MAP No. DATE
CERTIFIED ONLY TO: TAX MAP No.(REF ONLY) 1000-70-3—P/022 DISK 500
HAROLD F. TRANCHON JR. R.C.
LAND SURVEYOR
•
[4,,,2,441866 WADING RIVER—MANOR RD. WADING RIVER.
NEWYORK. 11/.92
HAROLD F. TRANCHON JR. PENN. LIC. o. 21 E 631-929-4695