HomeMy WebLinkAboutELE Development Corp (2) / �OFFOlit
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JUDITH T. TERRY �I_� Gym��� Town Hall, 53095 Main Road
TOWN CLERK ; c/3 -'- , P.O. Box 1179
Pr" Southold, New York 11971
REGISTRAR OF VITAL STATISTICS • �� Fax (516) 765-1823
MARRIAGE OFFICER ‘.**
RECORDS MANAGEMENT OFFICER - 411 0
� .�t ,''N.,�
6, Telephone (516) 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. 1666 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : ELE DEVELOPMENT CORP
Address 1 : P. O. BOX 1143
City St Zip CUTCHOGUE NY 11935
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. SCHD REF. #R10-97-0062
Name Of Owner ELE DEVELOPMENT CORP
Mailing Address 1 P. O. BOX 1143
City St Zip CUTCHOGUE NY 11935
Property Address 1 GABRIELLA COURT
City St Zip MATTITUCK NY 11952
Tax Map No. section 108.00 block 4 lot 7.024
Cross Street ELIJAH'S LANE
Building Permit Number Cross Reference:
Issue Date: 5/15/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
4101/Ir 10e°
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JUDITH T.TERRY ti_ Town Hall, 53095 Main Road
TOWN CLERK y 1 Q P.O. Box 1179
i Southold, New York 11971
REGISTRAR,OF VITAL STATISTICS t%tx6, #
MARRIAGE OFFICER y
�� Fax(516) 765-1823
RECORDS MANAGEMENT OFFICER -- 4 40Telephone Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER "I
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
OA1'{D : April 23, 1997
Transmitted herewith is a copy of application No. 1729 for a Cesspool/
Septic Tank Construction Permit submitted by:
ELE DEVELOPMENT
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.
6f1---1/1-ce•c_
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE
DISAPPROVE
Comments:
RECEIVED
Si• at e
MAY 1 4 1997 0r-/
Da d
Southold Town Clerk
OFFICE OF THE TOWN CLERK ro"
Town of Southold •''"c.' ULK`► -
Judith T. Terry, Town Clerk ;t% 4.,. Application No./702?
o 06t
Town Hall, 53095 Main Road ; '� Construction
P. O. Box 1179 Alteration
Southold, New York 11971 :
Telephone �Q���'� $10.00 - Residential
(516) 765-1801 ' l + ����'� $25.00 - Non-Residential
-- . ..l•
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE
APPLICANT NAME: 6" . L. o m JO+ Co Y p .
APPLICANT ADDRESS: P• C7 • ---- s•OX ( 1
� .1..4C-V CD L N.�( • l
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: t9-1Y1C
OWNER MAILING ADDRESS: 4c4-1'Y1C__
OWNER PROPERTY ADDRESS: e._
TELEPHONE NUMBER OF CONTACT PERSON: 72-2- - 5/ 1-1 (23
TAX MAP NO. : Section 1 0% Block Lot 7. 2- 4
CROSS STREET: L I j Rh 'S ( A-K) c_
BUILDING PERMIT NUMBER CROSS REFERENCE:
f .GQ�
ignatur Applicant
RECEIVED B Y : RECEIVED
Town Clerk's Office
DATE: APR 2 3 1997
Southold Town Clark
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'( P nx 9 ����, SURVEY OF
ei - moo. LOT 19
-3, "ELIJAHS LANE ESTA TES, SECT. 2
R : 2s 'oma FLED OCT 8, 1996 FILE NO. 9912
!Jf L • 'ho `� AT MA T TI TUCK
Zo E' TOWN OF SOUTHOLD
o ��`� SUFFOLK COUNTY, N Y.
6, \ 1000- 108- 04 -P/O 7.1
\C-1.)? a i Scale: 1/1= 40'
e >77- 36 Dec. 4, 1996
r': b (5° 26C3. 1p
5 c:'o SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICE:
`o._3., '/ O PM=FOR APPROVAL OF CONSTRUCTION YO'R A
/
pD `\ ;.Ir y<� MOLE FAMILY RESIDENCE ONLY
-� O. k DATE n l ii 113 PSEF.NO. 7\i 0_7 1 _DO ��,
..v
nk„\ o
e �CL APPROVED �tL
llr
.
FOR MARLiIM OF il BEDROOMS
e
EXPIRES THREE YEARS FROM DATE OP APPROVAL
,..._ /`r O �\92C r'v 7 1 o };.zs'. �. •14i/:i'r,•tua�
0 52 ��
0:z 5 ^ "9 40,1'0.) ,
Or
517 is
ARA = 40;y142 sq.ft. li :..
%ANY TERAT/ON OR ADDITION TO THIS SURVEY IS A VIOLATION I om familiar With the STANDARDS pR APPROVAL The locadens of wells and cesspools . ' • % OQ
.
OF SECTION 7209 OF THE NEW YORK srA r£EDUCATION LAW, AND CONSTRUCTION OF SUBSURFA:E SEWAGE shown hereon ore horn field observations /, . a <'-"
ExCEPT AS PER SECTION 7209-SLBCYVISION 2. ALL CERTFKATIONS DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES end or from data obtained from olhers. / ' ��!iv) $ NO. 49618
HEREON ARE VALE FOR THEAP APD COPES Tr-EREOF ONLY E and will abide bythe conditions se! for' Therein end on the
SAID MAP OR COPES BEAR IMPRESSED SEAL Of THE SURVEY OR 'PECONI SU- E •- ".C.
WHOSE SIGNATURE APPEARS HEREON permit to construct. (5161 765 - 5020
ADDITIONALLY TO COM°L Y WITH SAD LAW THE TERM 'ALTERED BY' P. 0. BOX 909
MUST BE USED BY ANY APD ALL SURVEYORS UTI./ZING A COPY ELEVATIONS ARE REFERENCED 1230 TRAVELER STREET
OF ANOTHER SURVEYOR'S MAP. TERMS SUd AS ':N.SPECTED'AND TO AN ASSUMED DATUAC
BROUGHT-TO-DATE'ARE NOT N COM°LUNC£ wrr,+ THE LAW. SOUTHOLD, N.Y. l/971
96 - 317 19