HomeMy WebLinkAboutKraemer, Kathllen • /eilOFFO(�-c _
ELIZABETH A. NEVILLE 0141= t% : Town Hall, 53095 Main Road
TOWN CLERK ; y x � P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER �‘y l!Itt Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �,_��l *Dot
FREEDOM
Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ���
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2411 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : SCHEMBRI HOMES INC
Address 1 : 2042 NORTH WADING RIVER ROAD
City St Zip WADING RIVER NY 11790
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-00-0170
Name Of Owner KRAEMER, KATHLEEN
Mailing Address 1 18 CENTRE STREET
City St Zip LYNBROOK NY 11563
Property Address 1 THE STRAND
City St Zip EAST MARION NY 11939
Tax Map No. section 30.00 block 2 lot 75.000
Cross Street THE GREENWAY
Building Permit Number Cross Reference:
---- ---
Issue Date: 9/21/00 .
izabeth A. Ne ille
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE itis_ ?�: Town Hall, 53095 Main Road
TOWN CLERK ; y Z % P.O . Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER \ y ��,1�, Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER ;_�O,, ist .j ,o Telephone (631) 765-1800
FREEDOM OF INFOR.MATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: September 21, 2000
Transmitted herewith is a copy of application No. 2499 for a Cesspool/Septic Tank Construction
Permit submitted by:
SCHEMBRI HOMES INC
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:
/S )
ignatur
d` `/
Date
OFFICE OF THE TOWN CLERK � ,,'"""
Town of Southold .''� OFEllIre . / ��a
Judith T . Terry, Town Clerk ��'0 414a Application No. `� /
Town Hall, 53095 Main Road Z .G Construction � III
P. O. Box 1179 ; c ,z
Southold, New York 11971 : cn 1 Alteration /
Telephone \y0,1� .���e's $10.00 - Residential V
( 51 6) 765- 1 801 '-WO/ * ' $25. 00 - Non-Residential
•
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
RECEIVED
APPLICATION
for SEP 2 0 2000
CONSTRUCTION or ALTERATION PERMIT Southold Town Clerk
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE 940/0 v
APPLICANT NAME: ----- CS-Y17/g / G ZiG
APPLICANT ADDRESS: tee- iV, 1,l1,00Di.uc„ je_j7/(1Iv
__..01�01,v vL-n)
SEPTIC CESSPOOL
.___ ____ IAA/ /tZfe
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSE[) CONSTRUCTION OR ALTERATION :
OWNER OF PROPERTY : 4' 7t Uz�xJ /_4 yy/cj C,,
OWNER MAILING ADDRESS: 4 (8(3X/7' - T
41,05,-.904, 444-----%
OWNER PROPERTY ADDRESS : '4r 73 Ti4Gr 3.72e00-
--w,57-
- -- /Yl A-Re6,0
TELEPHONE NUMBER OF CONTACT PERSON :
TAX MAP NO. : Section A9O0 Block 3O- C. Lot 23"
CROSS STREET : 7-77/774-r Cieciarx) ahst/
BUILDING PERMIT NUMBER CROSS REFERENCE : _ � - : ,,,rFt_
/44r. '
i Signa lie of Applicant
RECEIVED BY :
Town Clerk's Office
DATE :
.
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JOB No 00-37 TAX I.D. No. 1000-30-02-75
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S 6A FILE MAP No. 6266 6/1 1/75
unauthorized alteration or addition to this document is a violation of Section 7209
of the New York State Education Law. SURVEY O F:
certifications indicated hereon shall run only to the person for whom it is prepared LOT 85
and on his behalf to the Title Company,Governmental Agency and Lending
•.,htut;on fisted hereon,and to the assignees of the lending institutions or
supsequent owners MAP OF PEBBLE BEACH FARMS
Oov,es of this document not bearing the professional's inked seal or embossed
sea shall not On considered a valid true copy EAST MARION, TOWN OF SOUTHOLD
i The offsets[or dimensions I shown hereon from structures to the property lines are
'or a s„ecificurpose and use and therefore are not intended to guide the erection of
fences retain g walls,pools,planting areas,addition to buildings or any other SUFFOLK COUNTY, NEW YORK
:onstrucbon
The existence of right of ways and/or easements of record,if any,not shown are SURVEY DATE: 6/27/00 SCALE: "=40
n,-,I guaranteed _..___. .
CERTIFIED ONLY TO: sOPLIEN/f
KATHLEEN KRAEMER ,SQA 4,9 DESTIN G.GRAF
. - .. IN ;.gRAF 4' LAND SURVEYOR
SCHEMBRI HOMES if � �
CC
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'” 73 Woodlawn Road
.� r,;,r `T u r
At
a Rocky Point, N.Y. 11778
By DESTIN G GRAF N.Y.S. LIC No. 5006 . Se"5t 516-821-3442
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