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HomeMy WebLinkAboutKalogeras ELIZABETH A.NEVILLE ,�� 4 Town Hall, 53095 Main Road TOWN CLERK o - P.O. Box 1179 REGISTRAR OF VITAL STATISTICS tyy, Southold, New York 11971 MARRIAGE OFFICER :®1i N°, ot/ Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER =WA. I.AN Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER 'W ,." 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. 2857 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : DOUGLAS VAN STYKE Address 1 : PO BOX 1191 City St Zip MATTITUCK NY 11952 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 #R10-02-0062 Name Of Owner KALOGERAS, GEORGE Mailing Address 1 53-33 BROWNVALE LANE City St Zip LITTLE NECK NY 11362 Property Address 1 850 SUMMIT DRIVE City St Zip MATTITUCK NY 11952 Tax Map No. section 106.00 block 2 lot 7.000 Cross Street MIRIAN DRIVE Building Permit Number Cross Reference: Issue Date: 7/23/02 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ,/,,iii,, l� d ®ofFo` - _ a J • • ELIZABETH A.NEVILLE ����� 0 ; Town Hall, 53095 Main Road ; TOWN CLERK o e P.O. Box 1179 . Southold, New York 11971 REGISTRAR,OF VITAL STATISTICS ` i MARRIAGE OFFICER �, Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER `���®1 ��®�i��, Telephone (631) 765-1800 111 g FREEDOM OF INFORMATION OP ICER ��� southoldtown.northfork.net }t '•� OFFICE OF THE TOWN CLERK 1}`1% JUL 9 2002 TOWN OF SOUTHOLD 1�L�\ T c1: Tc.vv ' Sauttiot own Building Depai tnient FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: July 18, 2002 Transmitted herewith is a copy of application No. 2962 for a Cesspool/Septic Tank Construction Permit submitted by: Douglas Van Styke 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: / \ 74",s1 Signature 07 / V;2-, Dated _;... e OFFICE OF THE TOWN CLERK ,',' nn TOWN OF SOUTHOLD ��'OCJ�FF� �+Q�/ Application No. FT I7ABETH A.NEVILLE,TOWN CLERK • i Q. ✓ P.O.BOX 1179 Construction • SOUTHOLD,NEW YORK 11971 =v • T 73 Alteration Telephones-----:90/ O,f ��,'� $10.00 -Residential (63t) 765-1800 -_ 0/ *$b„, $25.00 -Non-Residential TOWN OF SOUTHOLD • • SOUTHOLD WASTEWATER DISPOSAL DISTRICT RECEIVED APPLICATION JUL 1 7 2002 for CONSTRUCTION or ALTERATION PERMIT SoutlioldTown Clerk SEPTIC TANK or CESSPOOL Permit No. Fee •$ \Q DATE {1 (O APPLICANT NAME: �OJc114S Vq.e, S 111,e APPLICANT ADDRESS: . . MA th.t. , A4y. !/ fl SEPTIC x CESSPOOL , DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION tw..... l u+...2 LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:. • OWNER OF PROPERTY: G rc p da l© /A OWNER MAILING ADDRES: S % <L 1 3C 2 OWNER PROPERTY ADDRESS: ► fit-:�,� c-i 003. (1 cts' TELEPHONE NUMBER OF CONTACT PERSON: 514p- 1 4'1-O?E 3 TAX MAP NO. : Section 1 0 Co Block 0 Lot 4 • CROSS STREET: 14.1c4w BUILDING PERMIT NUMBER CROSS REFERENCE: . 4114—/illibb.40/10 Sign. / 'e of Applicant • RECEIVED BY: • Town Clerk's Office DATE: . d O 01 1. /...J P 4 V4 r T a.4,2. p P. S4.to E . 4::i Ni- 0 /,� 1 / % = ` N J (i fi'b Ix � 4i'�, r j; G.0 ai el I ca •�o s 0 ss.�,. , ,iiic=yi.i�� �0 - II T i~ y i {LA a7 J I 1 " � >1 1 &,a. °- OQ� G I c �- . 2,E � -1-.-, � ' \ 11 S \ \z\v---5 ? 611\ .„ rq \ , -.\ - \ i `, ` I,F '\k ' ' 1 Q NL►4� g.,,d\TV) n a 1,1 i. `' kt.28 WI �t0 .1.a� , ,t� 0 . (56..0) 'Irk), '1.50 \ L li 1 7 4' 1i� 10 ►4,s ht4 � i $ 9 a N. 4 A., . 6' 1.85, o 0 v -.,_.4,, .T v y'\ 6 ' ;n, W liz - 3 , 4 O ` FFti- 8'°. P 0 5° r l -,r- •-t-,•• 41 \ , ' I'Ll I I 1\ \ \: s _ • 0 4-14_ s ..d::=) I , fe5 1 ' ' 54 4Ni:\ ,....., . 7 � I r[ N N n1 1 } \ St5, Z14.rci- k \ \ s °• 41 4 Al J 02- 1 . I . loc=1 . 4 \ A b 1._...=:r-r—_ �S LOOT �.� ll !� GJA -r?4 iya l��I. 13 = 4 r„-4 Atfin ( 'P) i___,:=)--r- __ ___ 1 , ,, Cts �' ..:N.I i�J i ,I00 E�T.AC:ZTTS I 1 a L, Z-c,.a ,,_moo: o�,. I., ,.4. ____,..._"=! : ,cow z SUFFOLK COUNTY DEPARTMENT or HEALTH Sz6VCES T=:3�`1P`'1 C �O p$iM[T FOR APPROVAL Ota CONSTRUCTION FQR- cam" '1 t.J ✓=OvIL Co •.--` tQ G Tf z SINGLE FAMILY RESIDENCE ONLY - DATa~d 2-H , Oi<k0 r D .. ®C.. , ... ,C-.2:2..;:-,--•--.; 1 CO0 �1•CCo — 02 -- 0'7 ROVE.r - '=_� r NES 1 - +-- -‹ 'SN' 1.-I<. yi' FOR i!'4AKtrdiWt. •t- '3' ROOMS n rA 'S Q r L-, '� U A a- EXPIRES'i HREE:Is E'AR!.. ,:iai:.;. 2,*1)VAL '-- �4 �� � ;. N ..,...+ems-0.�w.«. _.. .. ......«......... ` !# t....1 1 .,i I. —...1--• . v—' 1 G tG.'S. Lt_ Q. Qo. �� 4= � , —,r�1D�.-Ji._I.�Q STS rJ:a-, . �'cO50390 0' LAND S' ' X31 -- 8-7GS — o i�Co 1 I 7 7 �e•i. t-5d.. (4.� e.. 4 G-24,02.