HomeMy WebLinkAboutKruse, Wilfred �,.��coV 011l� ,oli
JUDITH T. TERRY .G . Town Hall, 53095 Main Road
TOWN CLERK : 1=1
►Z P.O. Box 1179
�� Southold, New York 11971
REGISTRAR OF VITAL STATISTICS = Vv ��� Fax (516) 765-1823
MARRIAGE OFFICER -7- ''`^ ASO �� Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER '7(/14 P it..
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. 1141 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : WILFRED AND DILLAYE KRUSE
Address 1 : 600 LILAC LANE
City St Zip CUTCHOGUE NY 11935
Descripton of Proposed Construction or Alteration
ADDITION OF AN OVERFLOW CESSPOOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS
BUILDINGS, PROPERTY LINES, WATERS BODIES, AND MINIMUM OF 2' ABOVE
GROUND WATER. EXCAVATION INSPECTION REQUIRED.
Name Of Owner KRUSE, WILFRED AND DILLAYE
Mailing Address 1 600 LILAC LANE
City St Zip CUTCHOGUE NY 11935
Property Address 1 SAME
City St Zip 0000
Tax Map No. section 104.00 block 1 lot 24.000
Cross Street STERLING ROAD
Building Permit Number Cross Reference:
Issue Date: 5/26/94 Judith T. Terry
Southold Town Clerk
______ (TOWN SEAL)
♦' i I////I♦ .. / / L�
,,., --.,FFOLKCD�i
JUDITH T. TERRY :,, iG ; Town Hall, 53095 Main Road
TOWN CLERK : =v /Z P.O. Box 1179
tin W Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ‘‘%a40
VO �� Fax (516) 765-1823
MARRIAGE OFFICER `^ �0 ��� Fax
(516) 765-1801
RECORDS MANAGEMENT OFFICER '��'�/,�'i/�/e/i�
FREEDOM OF INFORMATION OFFICER Iiv
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: May 24, 1994
•
Transmitted herewith is a copy of application No. A1183 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Wilfred and Dillaye Kruse (work to be done by Grefe) .
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 this office.
Thank you.
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE - c/
Q(CAYATIMI INSPECTION
DISAPPROVE - RE 14
RED
RRGG
COMMENTS: '' 1 � '
/ // ,.:• -//
/ // r / .I /,'
.
4o _ 4./ ` � e
_____6V
Ar
/Z19-?"(
t j 0 'I C RECEIVED
9
'r is
iJ ' MAY 2 6 1994 ` .
2 Signature /
Clerk SouthddSX
Dat
OFFICE OF THE TOWN CLERK """'''
Town of Southold x.04' tFUtKcA" /
Judith T. Terry, Town Clerk ;' �� OGS: Application Nd. / 3
Town Hall, 53095 Main Road ;�� Construction
P. O. Box 1179 s = m v
Southold, New York 11971 •IP W$
Alteration
Telephone ` 0 ���C',' $10.00 - Residential 47
(516) 765-1801 =��'L 4t •' $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 ,5—/ y/
APPLICANT NAME: //1-. ,/ 120, Q,, �US e,,
APPLICANT ADDRESS: 6oI i Llic_ ,fie.
�'dC-ha Cle '0. . 9 a 6---
SEPTIC
SEPTiC CESSPOOL
QOer F/D uJ CeSS J°o oL
DE
CRIPTION��// OF PROPOSED CONSTRUCTION OR ALTERA ION — es 4'" ,s-/c e..
q �1eci..5 - /c ' ,V Qrer� (i)e-/1 - 4-,1
CP-0-7
7_ j 451-;
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTER TION: /41.1
OWNER OF PROPERTY: /=�' L�)yr-2////, -e e•
OWNER MAILING ADDRESS: 60 U
/ Ate_ e6,,,,(4..„
6-2f4cialtAL./ z:zefigl----
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: 6a.,sc� f\---2__ (F-6,
TAX MAP NO. : Section /0 V Block 1 Lot
CROSS STREET: 42-1L 1e_
BUILDING PERMIT NUMBER CROSS REFERENCE:
gnature of Applicant
RECEIVED BY:v� �-�i
R E C L�toW� Clerk's Office
DATE:
MAY 2f 1994
Southold Town Clerk
( 33 '
Ite
t
\LY
a / ,
4" l'
� � -fobs /1 /Aeverz) ,,