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HomeMy WebLinkAboutKramer .. T � pF 30o ELIZABETH A. NEVILLE Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER a@ Fax (631) 765-6145 RECORDS MANAGEMENT OFFICERCOUN `v Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER 1,, 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. 3562 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : PECONIC CESSPOOL Address 1: PO BOX 972 City St Zip MATTITUCK NY 11952 Descripton of Proposed Construction or Alteration -FILL OLD POOL IN AND INSTALL SEPTIC TRAP OVERFLOW. -MAINTAIN REQUIRED .SETBACKS FROM ADJACENT WELLS,BUILDINGS,PROPERTY LINE AND WATER BODIES. Name Of Owner LOUIS KRAMER ------------------------------ Mailing Address 1 27-30 166 ST ------------------------------ -------- --------------------- City ----------------------------------------------------------- City St Zip FLUSHING NY 11358 -------------------- -- ---------- Property Address 1 2080 BRAY AVENUE ------------------------------ ------------------------------ City St Zip LAUREL NY 11948 -------------------- -- ---------- Tax Map No. section 126.00 block 7 lot 1.900 ------ --- ------ Cross Street ALBO DRIVE ------------------------------ Building Permit Number Cross Reference: ---------------------------------- Issue Date: 6/29/07 Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) �pF so ELIZABETH A. NEVILLE ,`O� yob® Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFIICCE • Q Fax (631) 765-6145 EjFC9RBS-MASSI?d?'t1G'E�I�T�T Oj �IPER 0� w`,�e\� Telephone (631) 765-1800 F d]�VI E� ( I ,FC4#2NPATIONIOmICER COUNT1 southoldtown.northfork.net JUN 2 S OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD .z -,LQ TO: Southold Town Building Department FROM: Michelle L. Martocchia, Southold Town Clerk's Office DATED: June 27, 2007 RE: Cesspool Construction/Alteration Application Transmitted herewith is a copy of application No. 3720 for a Cesspool/Septic Tank Construction/Alteration Permit submitted by: Peconic Cesspool for Louis Kramer Please review the application and location map and advise if this office may issue the permit. Please complete the form below and return it to me. Thank you. I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: Signaturre Dated O ELIZABETH A.NEVILLE Town Hall, 53095 Main Road � 'y P.O. Box 1179 TOWN CLERK GO Z Southold,New York 11971 REGISTRAR OF VITAL STATISTICS • Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER MARRIAGE OFFICER y,/� 0� Telephone(631) 765-1800 i/Q1 �a FREEDOM OF INFORMATION OFFICER 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 {"/ or Non-Residential @$25 Application No. 3 7 2'0 Permit No.3 Applicant Name PECONIC CESSPOOL Applicant Mailing Address P o Box 972 DUTTITUCK, NEW YE)RK 11952 Septic Tank � or Cesspool Brief Description of Proposed Construction or Alteration ^ Location of Proposed Construction/Alteration: Owner of Property: O&WI-4- of - ' Owner Mailing Address: c97-3d 146, SYI- a Owner Property Address: tiit-�J' au-e If Q,crit,P� N-y Name and phone number of contact person 4-3/ 9-9Y--f?e V_ Tax.Map No: Section 1,24,eo Block ©7, oo Lot C,ress Street /L - NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL Signature of Applicant Date Received by: �� (�� LOUIS KRAMER BRAY AVENUE f.AUR Ulf-: X-1 i4 I "�N N 4z tot