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Home My WebLink AboutCarter/Kramer ,- -- � ho��p� 50!/TyOlo ELIZABETH A.NEVILLE Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER �� Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER �lyC Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER DUB 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. 3743 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : MERYL KRAMER Address 1: 635 NEW SUFFOLK AVENUE City St Zip MATTITUCK NY 11952 Descripton of Proposed Construction or Alteration -REPLACE EXIST BRICK/BLOCK SEPTIC TANK & POOL WITH PRECAST-INKIND/IN PLACE. -MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS,BUILDINGS,PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION REQUIRED. Name Of Owner JOHN CARTER/MERYL KRAMER ------------------------------ Mailing Address 1 635 NEW SUFFOLK AVENUE ------------------------------ ------------------------------ City St Zip MATTITUCK NY 11952 -------------------- -- ---------- Property Address 1 SAME AS ABOVE ------------------------------ ------------------------------ City St Zip 0000 -------------------- -- ---------- Tax Map No. section 114.00 block 11 lot 20P00 ------ --- ------ Cross Street MAIN ROAD ------------------------------ Building Permit Number Cross Reference: ---------------------------------- Issue Date: 9/28/07Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) l t� ' �,oF sorry ELIZABETH A.NEVILLE �0� Ol0 Town Hall,53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold,New York 11971 MARRIAGE OFFICER N Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �a�� Telephone(631) 765-1800 FREEDOM OF INFORMATION •ER Olif'�'�U�ny��`' southoldtown.northfork.net OFFICE OF THE TOWN CLERK i rl l`, SEP 2 6 2MT r 1 ti TOWN OF SOUTHOLD TO. Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: September 25, 2007 Transmitted herewith is a copy of application No. 3743 for a Cesspool/Septic Tank ALTERATION Permit submitted by: Meryl Kramer 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: Maintain required setbacks from adjacent wells, buildings, property lines and water Bodies. EXCAVATION INSPECTION REQUIRED. Signature 0 71Ac /cr? Dated o�oSUF�ot,��o ELIZABETH A.NEVILLE =`1 Gy� Town Hall, 53095 Main Road TOWN CLERK p P.O. Box 1179 W Z Southold, New York 11971 REGISTRAR,OF VITAL STATISTICS MARRIAGE OFFICER Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER �'� �a southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @ $10 V or Non-Residential @$25 Application No. 31�3 Permit No. �' Lj Applicant Name Mt-M.,., KRAHO P— Applicant Mailing Address W26 AeW SUPOLI- 1WE MATMOCk..- Al Y /115 "& Septic Tank -,Or Cesspool i Brief De�rption of Proposed Construction or Alteration �� Location of Proposed Construction/Alteration: I N KaA1D1iN FbA-Ca Owner of Property: JWN 6ART� . 59 L Q Owner Mailing Address: /A 5 Nmw SUt M&Y- ,SVS MA-rl-rT )4k- , IVY It 1602- Owner Property Address: Name and phone number of contact person Melt ' K"Meri • IAg 'W4 Z Tax Map No: Section Block_� Lot Cross Street M fti N/ IAV• NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL Ala Signature o p cant Date Received by: � SURVEY OF PROPERTY SITUATED AT N/O/F MATTITUCK W.E.J. ASSOCIATES TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S 86°09'00" E 4113.00 =)Z S.C. TAX No. 1000- 114- 11 -20 FENCE SCALE 1 "=30' Q 1.0'S, 1.4'E STOCKADE FENCE O ' 'S'04 AUGUST 29, 2003 00 o Wo CV NEW 8' x 12' PRECAST Lp TO c; �n REPLACE N.AHE BLOCK LP o O AREA = 22,591.85 sq. ft. fns 6.2' WWI 0.519 ac. 91 10.2' NOTE. ALL WORK TO BE COMPLETED BY COASTLINE CESSPOOL AND DRAIix NAG STDs. ag ` o tWr�W, a NEW 1000 GALLON PRECAST SEPTIC •° � ,• TANK TO REPLACE EXISTING RED ° BRICK SEPTIC TANK IN SAME LOCATIO 41 °° Al 0 �y1 CERTIFIED TO: ° c j \ ° • os � �, _ C3 JOHN CARTER N rz; W' ��' m MERYL KRAMER 015.0 \q !n FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK s o9' 15.2' o N MANHATTAN MORTGAGE o ° ' �i 2 STORY = �" i. FRAME �0. WELL ° '• P HOUSE L�W o °•° PREPARED IN ACCORDANCE WITH THE MINIMUM a 3.4' 15.6' 9 6' STANDARDS FOR TITLE SURVEYS AS ESTABLISHED La.l Ys, 5.6' .. BY THE LIALS. AND APPROVED AND ADOPTED BRICK FOR SUCH USE BY THE NEW YORK STATE LAND ° STOOP U w- a � TITLE ASSOCIATION. '0 fQ, O d`1 ° • I 00 CV o O ii w • g o a� N 572.20' Z �? m N N.Y.S. Uc. No. 49668 N UND 86 09'00" W FO CONC. MON. UNAUTHORIZED ALTERATION OR ADDITION 113.00' To THIS SURVEY Is A VIOLATION OF Joseph A . Inge ( SECTION 72OF THE NEW YORK STATE • ° �`UTILITY POLE EDEDUCATIONLA LAW. EDGE•OF PAVEMENT .' ° ° y " • COPIES OF THIS SURVEY MAP NOT BEARING ° , NEW \ T T�j L1 O T THE LAND SURVEYOR'S INKED SEAL OR 51 Land Surveyor" 1J lJ 1 FOLK A VE N U.E " •° EMBOSSED SEAd. SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE Title SurveysSubdivisions — Site Plans — Construction Layout TITLE COMPANY GOVERNMENTAL AGENCY AND — nY LENDING INSRTG ON LISTED HEREON, AND INSTI— TUTION. �FlCAT CERTIFICATIONS THEE NNOT TR (TRANSFERABLE. PHONE (631)727-2090 Fax (631)727-1727 OFFICES LOCATED AT MNLING ADDRESS THE EXISTENCE OF RIGHTS OF WAY 322 ROANOKE AVENUE P.O. Box 1931 AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. RNERHEAD, New York 11901 Riverhead, New York 11901-0965