HomeMy WebLinkAboutELE Development Corp (3) At
o,/O'�SUF FOL,�c
JUDITH T.TERRY �•
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� � Town Hall, 53095 Main Road
TOWN CLERK , y -'�
P.O. Box 1179
• Southold, New York 11971
V
REGISTRAR OF VITAL STATISTICS O 11
MARRIAGE OFFICER y �111 Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER `-�0,/ *06°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. 1621 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : ELE DEVELOPMENT CORP.
Address 1 : P. 0. 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. #R10-97-0036
Name Of Owner ELE DEVELOPMENT CORP.
Mailing Address 1 P. 0. 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 7.025
Cross Street ELIJAH'S LANE
Building Permit Number Cross Reference:
Issue Date: 3/20/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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•
' '` • MAR 1
i 0' Town Hall, 53095 Main Road
1) •
1•1 -1" 77."-'.!'
Box 1179
siAV" .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
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: March 13, 1997
Transmitted herewith is a copy of application No. 1692 for a Cesspool/
Septic Tank Construction Permit submitted by:
ELE Development Corp •
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.
b�,vx-acc�
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
MAR 2 1997
Dated
Signator
n-10",eA .,r ,
1
,r71tCCC� .
OFFICE.OF 111E TOWN CLERK Oc3�FF001- �,'
Town of Southold
Application A lication No. / q
Judith T. Terry, Town Clerk �C Z C p L� 6
Town I tall, 53095 Main Road ` Construction
P.. O. t3 o x 1179 to
Construction_ `."---_____
New York 11971 O ff, Alteration Telephone
*01 t 1, . 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 $
DATE 24.4./177
v/77
APPLICANT NAME: 4—I
APPLICANT ADDRESS: p
--_ _L it.- AA.__1/ii --__ _ _____------- ----__
SEPTIC CESSPOOL i,,./---
DESCRIPTION
„ —
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
81?0aM----- ! 8/9/
LOCATION MAP: Must be attached hereto before permit may be issued.
- LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY :
OWNER MAILING ADDRESS: 541 —_----_--________--
OWNER PROPERTY ADDRESS: 41,
TELEPHONE NUMBER OF CONTACT PERSON : __7. --_,.5.1-4/
�_-----------------.----
TAX MAP NO. : Section v Blocic 7
CROSS STREET : Z/„j 44 /,yivl--
BUILDING PERMIT NUMBER CROSS REFERENCE :
—Srgnai - of Applicant
.,”
RECEIVED BY : Axe..
Town/
Cleric's Office
DATE : r3 /
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c.0'nz o ���, SURVEY OF
re t3� LOT. 20 , .
el %% �0" "ELIJAi S LANE ESTATES, SECT.
`a+_ .A FLED OCT a 1996 ALE NO. 9912
AT ASIA T TI TUCK
fr TOWN OF SOUTHOLD
P ,t' 00'' SUFFOLK COUNTY, NY.
.. 1000 - 108 - 04 - P/O 7.1
. Scale: 1 = 40
oma, Dec. 4, 1996
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SUFFOLK COUNTY DRPARTMENT OF HEALTH SFRVZCES
IP. PERM FOR APPROVAL OW CONSTRUCT/ON TRUCT/ON FOR A
G
d`' SINGLE FAMILY A�CSOKNCE ONLY
'p. d DATE FEB 7b `LI b0
- APPROVED `r J~�a
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% FOR MAXIMUM OF id BEDROOMS V1
'IP: .‘ ..d
E3CP1RES THREE YEARS FROM DATE OF APPROVAL
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‘4,4 \ , AV* NE/ri,
igke
C-
w A nag I ani oa if with Ms STANDARDS FOR APPROVAL The locations o/ wells and cesspools -u % 494l
7.4 LAM, AND cavvyttTO' OF.7SUSlURF•ACE l SIEWyAC<GE,Cs, rc shown
i►heerror n Anarne nfhmn.IAeld nonb,seria.lfons
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