HomeMy WebLinkAboutKraebel, George . -
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JUDITH T.TERRY o= �t Town Hall,53095 Main Road
%TOWN CLERK t t/, Z ; P.O.Box 1179
0 Southold,New York 11971
REGISTRAR OF VITAL STATISTICS y 1 Fax(516)765-1823
MARRIAGE OFFICER .*,,, s I�
Telephone(516)765-1800
RECORDS MANAGEMENT OFFICER 1 „I
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1382 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : GEORGE KRAEBEL
Address 1 : 255 SIXTH STREET
City St Zip LAUREL NY 11948
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR NEW SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. SCHD REF. #R10-95-0069
Name Of Owner KRAEBEL, GEORGE
Mailing Address 1 255 SIXTH STREET
City St Zip LAUREL NY 11948
Property Address 1 7285 PECONIC BAY BLVD.
City St Zip LAUREL NY 11948
Tax Map No. section 126.00 block 10 lot 1 .005
Cross Street BRAY AVENUE
Building Permit Number Cross Reference:
Issue Date: 9/11/95 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T.TERRY o= Town Hall,53095 Main Road
TOWN CLERK k y Z P.O.Box 1179
REGISTRAR OF VITAL STATISTICS O . � Southold,New York 11971
MARRIAGE OFFICER
Fax(516)765-1823
RECORDS MANAGEMENT OFFICER -
se.
..4
se
'�► . Telephone(516)765-1800
FREEDOM OF INFORMATION OFFICER "
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Departments+'-
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: August 31, 1995
Transmitted herewith is a copy of application No. 1434 for a Cesspool/
Septic Tank Construction Permit submitted by:
George Kraebel
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 andreturn it to me.
Thank you.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE
DISAPPROVE Q
Comments: se,46 �! /t /ate 9V7---O6 67
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,4,01
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Signature
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OFFICE OF THE TOWN CLERK ,,,""""%,
Town of Southold 1�'�OC.���FULI(C'OG_ Application No. /y.3
Judith T. Thrry, Town Clerk ��
Town Hall, 53095 Main Road �� ' yC .
�.. ., � Construction
P. 0. Box 1179 � o _;' r�r,
Southold, New York 11971 • ttl Alteration
Telephone YO,��O 1�0�.°•�
$10.00 - Residential
(516) 765-1801 _ 1 4 ' $25.00 - Non-Residential
•
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE 191) -0-S1- 3// /99-5-
APPLICANT NAME: [ d�(; � / ,`4E.4 jp L-
APPLICANT ADDRESS: ZS S/Y7/,/ ,sl
4/91)R.54- iVy /17 4
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:
OWNER MAILING ADDRESS: Zs'.-`'
L•9 ),'45C. 'VY /l9
OWNER PROPERTY ADDRESS: 72- &J'
Lmv ,¢�L %)y i/9 �8
TELEPHONE NUMBER OF CONTACT PERSON: 298 -4323
TAX MAP NO. : Section /2. 40 Block /0 Lot 745.-
CROSS
fCROSS STREET: Bh'.A / t9,�
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY :
Town Clerk's Office
DATE: 3( l ?"'r
•
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,
BRAY AVENUE
I . 433 ! n
1 �^
— DWELLING
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>,,/ 1 1995
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WELL. :n+ ti Subdivision - Sect. One i Property of George / \
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2 29,12'50 W /' e ‘5,•"� NOTE: MONUMENT FOUND hLt " 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK
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HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT - (.h �y �.+ ALD EN W.YOUNG HOWARD W.YOUNG
A _ A91.^_.4 .G_ PROFESSIONAL ENGINEER.AND LAND SURVEYOR
-4-NEAREST 'NATER MAIN_MI ±HF SOURCE OF WATER:PRIwTE_PURLIC_ --7::,77.;2'1'7,I._':•:::,.;-:;:17-3 „i -.3 w . ,-;:A.:77; b; ����' 'CW1 V LAND SURVEYOR.N.Y.S.LIC.NO.1264E N.Y.S.LIC.NO.40083
. *BUFF CO.TAX MAP DIST 1000 SECTION (26 9LOCK�_LOT__LA.- -' Eb1.A.n•R S
*THERE ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY L IRS
OTHER THAN THOSE SHOWN HEREON. SURV• EY FOR:
4-THE'RATER SUPPLYANO SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE UNAUTHORIZED ALTERATION OR ADDITION To GEORGE KRA£BEL Q CAROL KRAEBEL
4 WILL CONFORM TO THE STANOARDS OF THE SUFFOLY COUNTYDEPARTMENT THIS SURVEY i3 A VIOLATION OF SECTION
OF HEALTH SERVICES. 7209 OF THE NEW YORK STATE EDUCATION
APPLICANT DEPARTMENT OF MEA►'TM SERV�Gt' LAN
.aFrOLK COUNTY DEPS►
ADDRESS OK
COPIES OF THIS SURVEY MAP NOT SEARING
THE .AND SURVEYOR'S INKED SEAL OR
�R A ` OF ('� EMBOSSED SEAL SHALL NOT SE CONSIDERED
TO 9E A VALID TRUE COPY AT
LAUREL
TEL
9SP/O_95-j069 GUARANTEES...NOICATED HEREON SHALL SUN
C/ Q�. a ONLY TO THE PERSON FOR WHOM THE TOWN OF '/ L
I•', TATE / , ',5!!-”
-. SURVEY 15 PREPARED,AND ON HIS BEHALF
SOU�n OIO
TO THE TITLE COMPANT,50VERNMENTAL BY
iA /// 6✓ AGENCY AND LENDING INSTITUTION LISTED
` /��/ HEREON,AND TO THE ASSIGNEES OF THE SUFFOLK CO., N.Y.
sNpOVe0
LENDING INSTITUTION. ;UARANTEES ARE
*THE LOCATION OF WELL(W),SEPTICTANK(ST18CE5SPOOLS(C?)SHOWN HEREON HOT TRANSFERABLE TC ADDITIONAL SCALE: /1 DATE: NO.
ARE FROM FIELD 065ERVATIONSMIOOROATS OBTAINED FROM OTHERS. INSTITUTIONS OR SUBSEQUENT SINNERS, = 40 APRIL /2,/995 I 95-0/7/ `