The URL can be used to link to this page

Home My WebLink AboutCarlson Y pF SO!/Ty® ELIZABETH A.NEVILLE ,`O l0 Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS 0112- Southold New York 11971 MARRIAGE OFFICER Fax(631) 765-6145 RECORDS MANAGEMENT OFFICERo Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER �yCour�,� 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. 3591 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : LYNNE CARLSON Address 1: 18 SOUND ROAD City St Zip GREENPORT NY 11944 Descripton of Proposed Construction or Alteration -REPLACE EXISTING BLOCK POOL TO PRECAST (1000 GLS SEPTIC & 8 X 12 OVERFLOW POOL) -MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES Name Of Owner LYNNE CARLSON ------------------------------ Mailing Address 1 18 SOUND ROAD ------------------------------ ------------------------------ - City St Zip GREENPORT NY 11944 -------------------- -- ---------- Property Address 1 340 SOUND ROAD ------------------------------ ------------------------------ City St Zip GREENPORT NY 11944 -------------------- -- ---------- Tax Map No. section 35.00 block 1 lot 1.700 ------ --- ------ Cross Street ROUTE 48/ROUTE 25 ------------------------------ Building Permit Number Cross Reference: ---------------------------------- Issue Date: 10/26/07 Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) ELIZABETH A.NEVILLE � SUUry0l0 Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold,New York 11971 MARRIAGE OFFICER G Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �� Telephone (631) 765-1800 FREEDOM OF INFORMATION-OFFER Olij'C�U � ' southoldtown.northfork.net OFFICE OF THE TOWN CLERK r 4 TOWN OF SOUTHOLD TO: i _+ Southold Town Building Department FROM: Michelle L. Martocchia, Southold Town Clerk's Office DATED: October 3, 2007 RE: Cesspool Construction/Alteration Application Transmitted herewith is a copy of application No. 3749 for a Cesspool/Septic Tank Construction/Alteration Permit submitted by: Lynne Carlson 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: r Signature /® �/zo 7 Dated ELIZABETH A.NEVILLE �`Z G� Town Hall, 58095 Main Roa4 TOWN CLERK q - , P.O. Box 1179 REGISTRAR,OF VITAL STATISTICS y � Southold, New York 11971 p MARRIAGE OFFICER Fax (631) 766-6145 RECORDS MANAGEMENT OFFICER y��1 �� Telephone(681)765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK K TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @$10 ✓ or Non-Residential @$25 Application No3 Permit No`�� Applicant Name N N e CN Applicant Mailing Address(3 o t .D ( ( I kcjy Septic Tank or Cesspool Brief Description of Propose Construction or Alteration d.,le ®ea L Location of Proposed Construction/Alteration: Owner of Property: LQ 0fU-e_ N Owner Mailing Address: -6ftrX.0_ & 1kd7-LQ Owner Property Address: 6! llm Name and phone number of contact person ljyIt) Tax Map No: Section y73 Block jS-. Lot — / Cross Street 'P.J" NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALT EPARTME T APPROVAL 1041167 Signature Applicant Date Received by: n-� 2„ �e arty LOT 24 LOT 22 N/F , N/F JEM REALTY CO. I ZORN MON FND S27-4_7'30"E 70.00' - �Q V 10.1' FRAME SHED uo I i ,6.0' 10.2' 1" o CONC p(j COVER r I N ® LOT 18 ISI LOT 16 -ODD W N/F N/f N HEINS SINCLAIR N r• r Z13.0' ToCD WOOD DECK 20.0' u x „1-1/2,STORY AFRAME HOUSE I 330' 10.2' ASPH o OD!"p0.00, DWY z - 3,3.21 N27'39'20"W ASPH SOUND ROAD CERTIFIED TO: LYNNE CARLSON INDYMACMORTGAGE HOLDINGS INC. FIDELITY , NATIONAL TITLE INSURANCE COMPANY No. FNT9922969 FyW kb M: Prp�t Np: AR FMN JCM ��SC ��_�, LYNNE CARLSON � LOT Af\EA anF7. C6;x2s NDWG -- CCCT rw.�.na� seals DIPAA1QOTVCTTTT®TF AT