HomeMy WebLinkAboutKrause I�,jOOFF0`�-0
ELIZABETH A.NEVILLE �' y�: Town Hall, 53095 Main Road
TOWN CLERK ; H Z P.O. Box 1179
REGISTRAR OF VITAL STATISTICS �� Southold, New York 11971
MARRIAGE OFFICER 4 Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER 4_�®1 v��®�i.0 Fax
(631) 765-1800
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. 2489 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : CARL KRAUSE
Address 1 : PO BOX 2060
City St Zip AQUEBOGUE NY 11931
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 # R10-00-0214
Name Of Owner KRAUSE, CARL
Mailing Address 1 PO BOX 2060
City St Zip AQUEBOGUE NY 11931
Property Address 1 655 WHITE EAGLE DRIVE
City St Zip LAUREL NY 11948
Tax Map No. section 127.00 block 9 lot 16.000
Cross Street CONDOR COURT
Building Permit Number Cross Reference:
Issue Date: 12/29/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
/`,11 111\
,00 oma :
ELIZABETH A. NEVILLE1
yJ►: Town Hall, 53095 Main Road
TOWN CLERK ; y 2 P.O.Box 1179
REGISTRAR OF VITAL STATISTICS ` Southold, New York 11971
MARRIAGE OFFICER �� 4� ` ,1� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �__ Ol �ao,',� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ll"
i hili//I
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
•
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: December 26, 2000
Transmitted herewith is a copy of application No. 2577 for a Cesspool/Septic Tank Construction
Permit submitted by:
Carl Krause
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 locati map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments:
'ignature
1.1-1.1- 4:2 / 0
Dated
'' �5 77
11
OFFICE OF THE TOWN CLERK �����• ��{ OUK/� _=
TOWN OFSOUPHOLD 0' ®� GQ�;-_ Application No ::41162
Fi.I7ABETH A.NEVILLE,TOWN CLERK i 0 77� -
P.O.BOX 1179 Construction O�
SOUTHOLD,NEW YORK 11971 : v • T
cti Alteration
Telephone 0,� �Q���', $10.00 - Residential
(G31) 765-1800 - 41 �,t''s $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE /Z- Z/ --- c)-
APPLICANT
a-APPLICANT NAME: difyz-/ ,Z41-1,...5"e—
APPLICANT
Z4 -��
APPLICANT ADDRESS: 6a i../(7!r-2.- % de-*-- D/2 • G am /
SEPTIC a/ CESSPOOL `-�
DESCRIPTION OF PROPOSED C``ONSTT1O,N OR ALTERATION
y ‘7
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALT RATION:
OWNER OF PROPERTY: 2 ` , E -Z44/2-6.-)z-/
OWNER MAILING ADDRESS: pa- #�')e 2_66.
d(ilue G UC-T 1(9.7
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: 722- - F7/-2
TAX MAP NO. : Section /Z-) Block 6 q Lot /6°
•
CROSS STREET: (1vd✓6-a'2 G/
BUILDING PERMIT NUMBER CROSS REFERENCE:
7
gnature of Applicant
RECEIVED BY: ...":7
5---
7n Clleelrk's Office
DATE: 7?-/d-- C-7 l
�, $ufF'OLK COUNTY DEPARTMENT OP HEALTH SERVICES A�ooll SUR' Y' OF -
` PERMIT FOR APPROVAL OP CONSTRUCTION FORA , �c `n� LOT 1.G ::::.-
tSINGLE FAMILY RESIDENCE ONLY AfAP OF
•
d GOLDEN VIEW ESTATE'S
,�+� .\0),. 2La • s FILE No. mo sil o.�uGU r ac, t 9614
2l- .�. R N0. P a, Ly �' SITUATED .4?' :ti
DATE�� 1� �Ob� <'•91)7,14111111 u, ,' u ,
APPROVED ‘W '�, TOWN -4F SOUTHOLD • , .
c r •f»l 'G►
FOR MAXIMUM OF�� ' F SUFFOLK COUNTY, •t E* YORK
EXPIRES THREE YEARS FROM DATE®F APPROVAL e � S.C. TAX No. x000-127`09-16 ;,
�, ''' �ssPoa SCAlE 9'` 40' , �•!'
� �v �,0 NOVEMBER 16, 1999 ' { ••
.ZED
N.
AREA = 40,715.87 sq. ft.
0.935 ac.
n �� \0.o - <•,, .,
CERTIFIED TO:
CHICAGO TITLE INSURANCE COMPANY _ -'
CARL•
KRAUSE -•
�s �g KAREN KRAUSE .u-
S/` _ - 0.
do
• r, �' • �� .-� - --_--, , NOTES.
°G,p ,(�� c'4 - -' --`.- fi 6Q *y 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM
,�;� Q. tG te * EXISTING ELEVATIONS ARE SHOWN THUS:MD y� 0 3�r - __ _-' '�� - 2. REFER TO FILED MAP FOR TEST HOLE DATA.
�J 3. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1,000 GALLONS.
C. (R {��� .fJ + 1 TANK: 9' LONG, 4.-3. WIDE, B•-7' DEEP
, 4. WNW LEACHING SYSTEM FORA 1 TO 4 BEDROOM HOUSE IS 300 eq h SIDEIYALL AREA. ,
/ . 1 POOQL5;�T2' DEEP, B' db.
'1jj O •
��Oa V 44 j G, PROPOSED EXPANSION POOL
L9c. r` y �(S, 0 PROPOSED LEACHING POOL
O� • ° PROPOSED SEPTIC TANK
�� � � ' . O L Id GOA 5. THEOBSLOCATION
ATIO SN AND/OR DATAOBTAINED FROM OTHERS.
HEREONOLS SHOWN ARE FROM FIELD
•
'±L 601'0 . WITH,THE_NAIIAUM ,-.
;ck,
�. �$ O FOR SUCH 115E 8Y N£W YORK POE LANDBY THE UAL& /MOVED AND ••''
y 6 TITLE ASSOCIATION.
w� c t.C. ,« CP. � �rp LAlyp
\ ‘C • 4tG *4 --. • 1 . ‘....) - -
IA_o 1::,..4O6 a o, 7Y�' o�l ;P O . ,
% F A Ai ` * ---- Lid. No 49868
t (^" UNAUTNORQFS ALTERATION OR ADOTION •` `� .•
° - -
nr1 ' 1
W-gas SURVEY IS A VIDIA10N OF O� 7200OF THE NEW YORK STATE r M ,. •
SIL If IN OF Trus SLIMY MAP NOT WRING
r ',=7 '1 A. I `gegn®
THE
D Land Surveyor - •
. ammnrmoms PIpc doo NE am.SHALL RUN
am TO THE mmsoN FONT'11f1OM.1HE SURVEY
IS PREPARED AMD ON MS• TO-THE
Title surveys — subdivisions — Situ Plane — Ccintrvetiosi Layout .
To I 18110-EA TIOA6 SIGNEES 'ME� PHONE (616)727-2090 Fax 010722-500.1,
- tyA�Ep,pp p� oFFrcFs;LOGITm Ar tt*LLdO, •
AUY. AR� d1ARANtEED. - : Ur11onIlan 1'04Nie'T0}t�ilt,,-k•`
Aqudbogua;!Ow York:11021- , Iii*leOd;.4 f iio.