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Home My WebLink AboutKraus, Robert I� �0��$0f f0�,�►�; •ELIZABETH A.NEVILLE _ Gyd• Town Hall, 53095 Main Road TOWN CLERK o - P.O. Box 1179 h Z Southold,New York 11971 REGISTRAR.OF VITAL STATISTICS 4 MARRIAGE OFFICER `` t�F�1�� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER = Ql $ �� Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER _ e�'� 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. 3235 R Residential X Non-Residential Fee $ 10.00 Septic x Cesspool PERMIT ISSUED TO: Name : MORRIS CESSPOOL Address 1: 2760 YENNECOTT DRIVE City St Zip SOUTHOLD NY 11971 Descripton of Proposed Construction or Alteration ADDITION TO EXISTING SYSTEM. APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTINO REQUIRED. Name Of Owner KRAUS, ROBERT Mailing Address 1 95 KENILWORTH DRIVE W City St Zip STANFORD CT 6902 Property Address 1 4200 YOUNGS AVENUE City St Zip SOUTHOLD NY 11971 Tax Map No. section 55.00 block 2 lot 13.000 Cross Street Building Permit Number Cross Reference: issue Date: 10/01/04 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) r t ,,,iiiiii • , ,O��S�FFO�,�0 S.2-33 ELIZABETH A. NEVILLE ��_ y� Town Hall, 53095 Main Road TOWN CLERK ; y ; P.O. Box 1179 v► Southold, New York 11971 REGISTRAR,OF VITAL STATISTICS . p MARRIAGE OFFICER y* �/ Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER _ 0,j �� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER �" ,�� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: September 23, 2004 Transmitted herewith is a copy of application No. 3377 for a Cesspool/Septic Tank ALTERATION Permit submitted by: Morris Cesspool for Robert Kraus 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 Z5/ Dated 1 ELIZABETH A.NEVILLE ��h`Z` pry`` Town Hall, 53095 Main Road TOWN CLERK 4 �j A ; P.O. Box 1179 REGISTRAR OF VITAL STATISTICS �yy, �ft $ Southold, New York 11971 MARRIAGE OFFICER : O .1C �� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER =y Viiol1 Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER _O1 4., ��+/ 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 ‘,J or Non-Residential @$25 Application No. -77 (� Permit No. Applicant Name /91g4 1 Applicant Mailing Address 27 'o �iP Septic Tank or Cesspool e/ Brief Description of Proposed Construction or Alterationr.� Location of Proposed Construction/Alterat'on: Owner of Property: JZi€. / l'iQ c•-4 Owner Mailing Address: •Yz frt.-��s A-v-e Owner Property Address: 95 KOP-J,1't l r- -DY 5k-ctncoret CT 0tioc1 D 2- Name and phone number of contact person 7i( ? .4 Tax Map No: Section f S Block 2Lot (3 Cross Street NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SUR;Y WITH EALTH DEPARTMENT APPROVAL '`' 9e /6A-t--- f, Signatur of Applicant Date Received b •41 i 44f. (4--,f----„, rib fi A ; \tism-) emtgi'd t qo \.) ci---p \ Ctio/470.,