HomeMy WebLinkAboutKraebel, Joanne + ;
Town Hall, 53095 Main Road
P.O. Box 1179
-_wet 1 � .s� Southold, New York 11971
JUDITH T.TERRY ���� TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 376 R Residential X Non-Residential
Fee $ 10. 00 Septic Cesspool X
PERMIT ISSUED TO:
Name : KRAEBEL, JOANNE SIDOR
Address 1: P. O. BOX 16
City St Zip LAUREL NY 11948
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY HEALTH
DEPARTMENT 7/12/88.
Name Of Owner KRAEBEL, JOANNE SIDOR
Mailing Address 1 P. O. BOX 16
City St Zip LAUREL NY 11948
Property Address 1 BRAY AVENUE
City St Zip MATTITUCK NY 11952
Tax Map No. section 126.00 block 9 lot 9. 000
Cross Street PECONIC BAY BLVD
Building Permit Number Cross Reference:
Issue Date: 7/20/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
oc�UFFDL��;" I JUL 15 I'•'•
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tr5F_ , a:: , Town Hall, 53095 Main Road
�'' •• P.O. Box 1179
•
_Vf •s\ it Southold, New York 11971
•JUDITH T.TERRY
„e ,,�I1 TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Victor Lessard, Southold Town Building Department
From: Linda Cooper, Southold Town Clerk's .Office
Dated: July 15, 1988
Transmitted herewith is a copy of application No. 378 for a Cesspool/
Septic Tank Construction Permit submitted by:
Joanne Sidor 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 and return 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 X
DISAPPROVE nn
Comments: G�.o 'ca► o-� 0. a SCR C �►- '4 s
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•
Signature
\ c1\Dated
OFFICE OF THE TOWN CLERK c0F01k7.-
Town of Southold
Judith T. Terry, Town Clerk Application No.37(r
Town Hall, 53095 Main Road `_ Construction
P. O. Box 1179 Alteration
Southold, New York 11971
Telephone °_1 4( 0, � Residential ,,,�/
•
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ !d
DATE "7//5'Jq'S
APPLICANT NAME: Joanne_ cS'IDo2_ kra.e b,.
APPLICANT ADDRESS: P.0 . gox 10
L v e_ I tJ� t ►��#�
SEPTIC ../CESSPOOL/
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
0a,ife..vnpOra L-- ACA
LOCATION
p�
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: �c nne ��c �C1/G `o I
OWNER MAILING ADDRESS: P.D ir; (0
LcA.vre I I\ 1 \Ccki
OWNER PROPERTY ADDRESS: P3 rcALA -P Jen J e_
m A` (t o c_ t•-)LA 11c-k 5 �
TELEPHONE NUMBER OF CONTACT PERSON: oaVS--%pA (p
TAX MAP NO. : Section 12 (P Block 0 / Lot CCD
CROSS STREET: P&&Dn‘C. ()Dc _Ni/o1M�. �LcIL
BUILDING PERMIT NUMBER CROSS REFERENCE:
•
A-tC146` AioLL
Signature of Applicant
RECEIVED BY: ceL: i (1 �c J
maivawn Jerk's ffice
DATE:
JUL 151908
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