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HomeMy WebLinkAboutKouvaris A ,,I�,�®,OSOFFO`,�-�®G- ELIZABETH A.NEVILLE �� h� y �� Town Hall, 53095 Main Road TOWN CLERK ti - P.O. Box 1179 Southold, REGISTRAR OF VITAL STATISTICS ‘36New York 11971 MARRIAGE OFFICER `� ,fi � ���, Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER ®1 '0.011r � Telephone (631) 765 1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICETOF THETOWNCLERK SOUTHOLD WAS WATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2927 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : ELEFTHERIOS KOUVARIS Address 1 : 8-10 27TH AVENUE, 816 City St Zip ASTORIA NY 11102 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 #R10-02-0120 Name Of Owner KOUVARIS, ELEFTHERIOS Mailing Address 1 8-10 27TH AVENUE, 816 City St Zip ASTORIA NY 11102 Property Address 1 295 MAIN ROAD City St Zip EAST MARION NY 11939 Tax Map No. section 35.00 block 2 lot 16.003 Cross Street Building Permit Number Cross Reference: Issue Date: 10/30/02 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ...„ ,,,,,,,,,,,,,, „, 0,Four -__.. c2q 7 , o • ELIZABETH A.NEVILLE ,,_� Gyp Town Hall, 53095 Main Road TOWN CLERK % y- P.O. Box 1179 % S Southold, New York 11971 REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER : Fax`��1�, Fax (631) 765-6145 RECORDS AGEMENT OFFICER Telephone (631) 765-1800 FREEDOM OF INFORIV ATO O F CER of 4 -t oo southoldtown.northfork.net lI' -- ,','' ; OFFICE OF THE TOWN CLERK OGS B 2302 , _- `� 1 TOWN OF SOUTHOLD 1 TO: L– �r;;, So_uitliold own Building Department TO FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: October 24, 2002 Transmitted herewith is a copy of application No. 3046 for a Cesspool/Septic Tank Construction Permit submitted by: Eleftherios Kouvaris 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: -`"*--:, �. _ 9,7„,K,49 ....... Signature / /d/..).- ye(-2._ Dated OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD ,' 'stFl CQG Application No.2�, ELIZABETH A.NEVILLE,TOWN CLERK 441 P.O.BOX 1179 Construction SOUTHOLD,NEW YORK 11971 : p T : • Alteration Telephone �y0,� ��i• • $10.00 -Residential (63t) 765-1800 =h�1, if' $25.00 -Non-Residential TOWN OF SOUTHOLD • SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee .$ DATE / - / 4 02 APPLICANT NAME: ( ,C'j Os `,'\JJ A f APPLICANT ADDRESS: / ® g 1-1 ' i f< SSD 7U la- A/ '' r /• ( 0 2 SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:} OWNER OF PROPERTY: �-- �� i (i/ C--` 1F0 OWNER MAILING ADDRESS: g- ((j 2 711 19U(7 , h (?7 /45 -o /P/ / t (cu) 'O Pic 11 doz— OWNER PROPERTY ADDRESS: � )72 /4 /iU I? (91 TELEPHONE NUMBER OF CONTACT PERSON: "7 /3• re 602 TAX MAP NO. : Section/0O0 0'T) Block & Lot I G. S CROSS STREET: 35 BUILDING PERMIT NUMBER CROSS REFERENCE: ZJ--40// 1 Signature of Appli ant • RECEIVED BY: Town Clerk's Office DATE: • ,.:L j GLT 1?ANTEES INDICATED HERE ON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY & 4 IS PREPARED, AND ON HIS BEHALF TO THE / ,(�. ��`` TITLE COMPANY, GOVERNMENTAL AGENCY, z , ��1,11fi,{� c� LENDING 1NSI77U770N, IF LISTED HEREON, AND Z WL24 i� TO THE ASSIGNEES OF THE LENDING INSTITUTION. cn LOT #3 —-� I� 2©2QC GUARANTEES ARE NOT TRANSFERABLE TO VACANT LAND 1- n22- C ADOI71ONAL INSTITUTIONS OR SUBSEQUENT OWNERS. m _ in Q f,�. T` UNAUTHORIZED ALTERATION OR ADDITION TO THIS 0 '�t FW- �tZ�` /SURVEY IS A VIOLATION OF SECTION Op �/�' THE NEW YORK STATE EDUCATION LAW 7209 OF fr Z68'59'00"E r n in K I ' WIN-FV)//051? •V LVE FD !Ce�N i447 S�`� Z N 68'59 00 E 462.35 cM r� COPIES OF THIS SURVEY MAP NOT BEARING U NOT BE THE DCONSlDERSURVEYORS ED TO BEOASED VALIDSEAL 7RUEA� -9 15 3' i I� r S\IG 'f / COPY. sHE I ch �1P� TELEPHONE o R. 1 2.2 , o pROP I• ,, 0 73o / II a' m SURVEYED 29 MARCH 2002 y -� ___.0.•:.:_ .:71 _5U'_ 150' TO ANY WELLS OR CESSPOOLS / I -. m -< r • i I 2-CAR PROPSEp o SCALE 1"= 60' c) o / GARAGE! DRIVEWAY 1. t,-i CO r- 1 1 a AREA = 94,1 17.32 S.F. 00 / PROPOSED - • PROP.150I N = VACANT • OR • Z �I cv / 15-BEDROOAio� ,„,,,SEPTIC TANK GAL -9 LAND 2 160 ACRES p RESIDENCE TV" / LOT GENERALLY LEVEL I •�. I• C11 N ZONED R-80 v J j -96.3= - - I� CATCH VILLAGE OF ch / L ••- --I ,• I :ASINS CM FD GREENPORT 0o • 2 PROP. CESSPOOLS I NJ cn / 8' DIAM. X 8' DEEP 1 rn FD 1 FOR SCDHS USE ONLY VW CM ' - FD 1I R/bV • �� CM I (n HELLENIC RESTAURANT 00 S '68'S,J' "W 394.10 I 0.0' SRIVICED BY SCWA 1 ' I= x Z o0 It a w Z 1 N/F • a > o m RESIDENCE COFFEY Z rT1 \ o D o RI I- Q m w 1- °18 a I.11.01-.1.1:-E.G, Q a1 TEST HOLE AS PER .!-a).7111 I C� O MINOR SUBDIVISION MAP z CESSPOOL zo •s 0.0' IX 0 EL 30 +/_ Q 1I R/W ^ er ; ® TOPSOIL o I • ZIC Ty •1_1 `.. " 2' SERVICED BY W I _: 1.: t SANDY LOAM SUFFOLK COUNTY �' i'- C.t WATER AUTHORITY I• W t:. C_1 r' /1 i O '- tai 1 1 3' Uwi I cL No I•- c "/ ' I U • • Tv La © ILa O r 4 SAND, GRAVEL r•) w o a -1 >' L� I o w l. d ¢ .a toT_.. w 0^ 6 SURVEY OF II Ea D. 1`;' LOT 4 M ill FD I • • FD V IN CM CM T. REVISED MINOR SUBDIVISION U 1_ OF S 67'3'1I'40"W 60.17' r o w ...... COARSE SAND GOLFVIEW MAIN ROAD NYS R T 2 5 �' a aET SURVEYED BY ® Q SITUATE STANLEY J. ISAKSEN, JR. EAST MARION, TOWN OF SOUTHOLD NOTE SURVEYED AS PER P.O. BOX 294 SUFFOLK COUNTY, N.Y. LIBER 10828, PG 525 NEW SUFFOLK. N.Y. 11956 631 —J 34-5835 TM# 1000-035-02-016 3 SURVEYED FOR: ELEFTHERIOS KOUVARIS .1 _ — GUARANTEED TO //IP 17 - -- �/-- K VARIS I . R OR ELEFTHERIOS OU GENS D L 1 24 EPS02 ADD WATER SOURCE AND CESSPOOL LOC OF ADJACENT OWNERS. NYS LI. No. 4927 ,� 0X111