HomeMy WebLinkAboutELE Development Corp (6) „0,„
.,•ii of F0(,(r�0
Off'
JUDITH T.TERRY �_% ' •` Town Hall, 53095 Main Road
TOWN CLERK ti -'� P.O. Box 1179
y
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax (516) 765-1823
MARRIAGE OFFICER y
RECORDS MANAGEMENT OFFICER \_�lij alg $ o. Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER • iso”
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1668 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. #R10-97-0037
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 7.026
Cross Street ELIJAH'S LANE
Building Permit Number Cross Reference:
Issue Date: 5/15/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
leo?iii �
oil g�FFO��-G"' ��GG
JUDITH T.TERRY = yt 1 Town Hall, 53095 Main Road
TOWN CLERKy P.O. Box 1179
REGISTRAR OF VITAL STATISTICS p �'�w Southold, New York 11971
Fax (516) 765-1823
MARRIAGE OFFICER y 1�
RECORDS MANAGEMENT OFFICER = 46.( 3 $,111 Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER , ,.111
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Buildina Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED : April 23, 1997
Transmitted herewith is a copy of application No. 17 31 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.
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
,ub 'z�
MAY 1 4 1997 ignaty7
Southold Town Clerk
Date ,7
L-101-12" (
OFFICE OF THE TOWN CLERK • '''""""''
Town of Southold 0,,I4001./(C = Application No.1 /�/
Judith T. Terry, Town Clerk ; t� Gy
Town Hall, 53095 Main Road ;� Construction
P. O. Box 1179Prn
Southold, New York 11971 to yc �� Alteration
%A ���'��' $10.00 - Residential
Telephone s
(516) 765-1801 l J
0' $25.00 - Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE
APPLICANT NAME: E . L . -b £-Va__IOfrrs. l3 F Cort
APPLICANT ADDRESS: P. O . -I�QX I I1-I3
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: 44 Yfl .
OWNER MAILING ADDRESS: St4rrIC
OWNER PROPERTY ADDRESS: m e
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section ( Cf.-6 Block 4 Lot 7. z (.o
CROSS STREET: l 1 i ps-In .5 L--ict L
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signatur f Applicant
RECEIVED
RECEIVED BY:
Town CleAR rrii' O7
DATE:
SOuthoId Town Clerk
•
Si
0
Z\e''''
',1 -
4.5%,..
'1:4 CD si( , .4. ...- 0_ -...,...
CZ
0 13
Z6�
P do °�
v0,,°'"� gA\ cry -,
SURVEY OF
�p5g� ���, LOT 21
R •25.00' \ppet / t0� --0,..
`s' "EL UAHS LANE ESTATES, SECT. 2
O• / FLED OCT. 8, 1996 FRE NO. 9912
o °` ?� �� �� AT MA T TI TUCK
2
�• / �- '
SUFFOLK COUNTY,OF ON. Y.
t�5l
\_,A,...,4:c. 920 \ 1000- 108- 04 -P/07.1
Q \ /.�2� �. Scale: 1"= 40'
'V -51' Dec. 4, 1996
t,,VZiekb, ha 26y
oo
r e‘ ( `�; rr° .3-.
ao' ,u 0• 0/
"? i SUFFOLK COUNTY DBPAR4,, TT OF HEALTH SE?VICZS
�•/ P 5 !t Gr/ ,z MP=FOR APPROVAL OF CIJ'1�TAj1t.*!!'ONi FORA
r =VOLE FAN=ganDoigg max
/
Q \•. DATE
2 HS 'Po-g �^ \;
�'. . �. r APPROVED -.1. .4'67't.
• cy
0 -s , FOR MAXNUM OP BEDROOMS '' .,9 1091 l
Q `T 5•h2` EXPIRES THREE YEARS FROM DATE OF APPROVAL EE6 �'"�Sb
e i. o5 t`""
Arc 1, ttify,•/. �P�"
\ -0, 1
AREA = 40,024 sq.ft.
R FOR APPROVAL The locations of wells and cesspools ,r
ANY ALTERAT70N OR ADDITION TO THS SURVEY/S A VOCATION / am familiar with /he STANDARDSS�
of sEcr ,v 7209 OF T?E NEV YORK STATE EDUCATION LAV, AND CONSTRUCTION OF SUBSURFACE SEWAGE shown hereon are from field observations % At•u
EXCEPT AS PER SECTION)209-SLIeLYV/SION 2. ALL CERTFKATbNS DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCESN S. LIC. NO. 49618
HEREON ARE VALD FOR.THSLAP APD COPES rHfR£Cf ONLY i< and or from data obtained lrom others. �.
�OS£AP OR
cc SBEAPPEARS SOK� SEAL OF THE SURVEYOR•
Permilll�cons�ruct.e conditions set forth therein and on the PEGONK SURVEYORS, P.C.
(316) 765 - 5020
•
ADDITIONALLY TO COMPLY WITH SAO LAW TINE mem 'ALTERED BY' P. O. BOX 909
WST BE USED BY ANY AND ALL SURVEYORS UTtIZIN5 A COPY ELEVATIONS ARE REFERENCED 1230 TRAVELER STREET
OF ANOTHER SURVEYOR'S Mur TERMt,S SVC/AS '➢KSPECTED'NO To AN ASSUMED DATUM. SOUTHOLD, N.Y. 11971
'BROUGHT-TO-OArr ARE NOT N COMPLIANCE *ITN THE LAW.
96 - 317 21