HomeMy WebLinkAboutELE Development Corp (12) 0,Off'OgUFFO�,�Co
JUDITH T.TERRY $41Town Hall, 53095 Main Road
TOWN CLERK ; CO3 P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS V O %',� Fax(516) 765-1823
MARRIAGE OFFICER ��y �
RECORDS MANAGEMENT OFFICER N. * %).%'01 0Telephone (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. 1601 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. #R10-97-0025
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 7.033
Cross Street ELIJAH'S LANE
Building Permit Number Cross Reference:
Issue Date: 3/20/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
, 6 (
•
O� 60G .
JUDITH T.TERRY ��_� yet Town Hall, 53095 Main Road
TOWN CLERK ; y Z P.O. Box 1179
REGISTRAR OF VITAL STATISTICS
0 ^7 ,� Southold, New York 11971
MARRIAGE OFFICER :�y 1�' Fax(516) 765-1823
RECORDS MANAGEMENT OFFICER � OI �►�0��' Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER '�����- ,•���
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: February 25, 1997
Transmitted herewith is a copy of application No. 1675 for a Cesspool/
Septic Tank Construction Permit submitted by:
E L E 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.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited al-5o\.-r,
and make the following recommendations:
APPROVE
DISAPPROVE
Comments:
RECEIVE®
MAR 1 9 1997 Signature 7
3 'fir Dated �` O'
. • ~
� ()
0FF|CuvF T|/E TOWN CLERK °
t Town n[ Southold
Judith T. Terry, Town Clerk Application No.
Town ||aU' 53095 Main Road ------
Construction „.~~~
----'--
--
P. O. Box 1179 �
AlterationS«uU*nW' New York 119714� ,4,-#e' Residential
^~'Te!ephnne ' * '
-- -(5l6) 765-1801 Non-Residential________
-
TOWN OF S(]UTH0LD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
•
Permit No.
-----------------
Fee
______Fee $___________
DATE____,21 ,2447_
_--- ________-__._-____---
/\PPL|C/\NT NAME: ��
__- �� 2EDfeiCW, • _-_-______-__
APPLICANT ADDRE5��
- --__ ~^-y_ j/V __ _
[/ Xr_ ___-___--_-'--__--_-__-_--
5EPT|C CESSPOOL
__~-_
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
--------'---'------'
-_-_-----_- _ 2. 0.9.J/95_'_____-_____'_'_- -- --'-___-_-_-_
__-___-'--___-_----____-_--___'_-_--_' - _
____ _ _ _-_--'_-_--'-__-_--___'
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY :
__-__~~- �-'-_-_-__----_-____' __
OWNER MAILING ADDRESS:
- -____-___-___-___'_-____-____'_'_-_--_---_
_ -______ ___
OWNER PROPERTY ADDRESS :
'_-'-_-__ _ -'_______-_-------_-_ _
_ . . _ - ` ._`
TELEPHONE NUMBER OF CONTACT PERSON: 2 2a. ,rev,a
FAX MAP NO. : Section ___ /.0 _ _U/odk �� Loi
�- - -_- «^33_-_-- ___ -
CROSS STREET : f�� '
-__�='^�e�z����.�_-Z�SW.fe_7__-_-__-_'_-__'_'-------------- '-----
BUILDING PERMIT NUMBER CROSS REFERENCE:____________________________
3
'-
Sign -e of Applicant
RECE|VED BY :
Town Clerk's
Office
^-'-'--
DATE :
.
• \ .
e `s' <
'A
Q
0.
—V SURVEY OF •=
P{ P LOT 9
y "EL IJA 'S LANE ES TA TES, SECT. 2
,:i, = � �� � 3' FAT MLED OCT ATTITUCK1996 FILE NO. ss�2
v��'
54 0_
�`) e0
TOWN OF SOUTHOLD ;
Ese���G SUFFOLK COUNTY, NY.P,�9
v 1000 - 108 - 04 - P/O 7. 1 T
,, Scale: 1" - 40'
36
2g• Q Dec. 4, 1996
�s
•cr \
\ REALM SERVICES
r SINGLE MOLT. ' « Qi1LY
R= 2500- FEB 20,4- 4 ,� o - -CO -
39.21, ' DATE . MOM,
POR IrIU► .� L
G VAL
a ta . EXP THREE YEARS FROM DATA.OP A�
J \ ,
1q� �s�
1C4
c P; o'`
7F P;€ 1 cc�c►�
V
Fp CP.