HomeMy WebLinkAboutELE Development Corp (14) r
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JUDITH T.TERRY t h� Gym • Town Hall, 53095 Main Road
TOWN CLERK •=1 Box 1179
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\ Southold, New York 11971
REGISTRAR OF VITAL STATISTICS O � Fax(516) 765-1823
MARRIAGE OFFICERO �Q�'��� Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER ( iNg d
FREEDOM OF INFORMATION OFFICER _ /77-g°9°��
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1662 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. #R10-07-0027
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 7.035
Cross Street ELIJAH'S LANE
Building Permit Number Cross Reference:
Issue Date: 5/15/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T.TERRY $41 Town Hall, 53095 Main Road
TOWN CLERK ; y P.O. Box 1179
',t Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax(516) 765-1823
MARRIAGE OFFICER � 11
RECORDS MANAGEMENT OFFICER JO./ * �a0,111 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 : April 23, 1997
Transmitted herewith is a copy of application No. 17 25 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
Signat e
MAY 1 4 1997
Dated
Sout oid Town Clerk
46/27/
OFFICE OF I HE TOWN CLERK )01+0FOUr
Judith
TT. Terown ry(,rrTown tholClerk -CO, ► Application No/70Z -s
Town Hall, 53095 Main Road ` Construction
P. O. Box 1179 -- -
Southold, New York 11971 Alteration
Telephone AO/ � 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 2/x'4
APPLICANT NAME: �k1.414 �/f/!J/ ear, - — -
APPLICANT ADDRESS: �O ®k //Y3 (24947/ere
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must he attached hereto before permit may be issued. •
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION :
OWNER OF PROPERTY :
OWNER MAILING ADDRESS: i9M "
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON : L
TAX MAP NO. : Section 10$ Block L{'--- Lot
CROSS STREET :
BUILDING PERMIT NUMBER CROSS REFERENCE :
RECEIVED rjnature f Applicant --- —
RECEIVED BY :
�Ir � )ffice
DATE:
Southold Town Clerk
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SUFFOLK COUNTY DEFART�lfOF HEALTH SERVICES
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if, 'N ,V►• y NAxImum or BEDROOMS
ig. !0g'In \ o s ,\9 J EXPIRES THREE YEARS a P` FROM DAIS OF APPROVAL
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. AREA = 40,059 s¢ft. \ a{�4� NElk
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ANY ALTERATION OR AOOUTKW ro TMS SURVEY IS A VIOLATION I ant,familiar with the STANDARDS FOR APPROVAL The locations of wells and cesspools "'•.'�
OF SECTION T209 OF THE A(7 YORK STATE ED(JCA1ICN LAM, AND CONSTRUCTION OF SUBSURFACE SEWAGE shown hereon are from field observeH° I • .:Y
EXCEPT AS PER SECI7ON 720¢SLaLYVIS1oN Z ALL CERTf7CAT1oNS DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCEST Y.S. L/C. Na 49618
HEREON ARE VALID FOR MM MAP AAD COPEES MERE0F OACY!F and of from data obtained front OIAerS. .I
SAO,MAP OR COPES BEAR 774E ORES=SEAL 0P 17+E SURVEYOR and wit! abide by the condlllons set forth therein and on the RW,-S, P
MF/pSE SK.NATURE APPEARS HEREONL permit to construct. `
AOOI raNALL r ro COMPLY KIM SAD LAW ThE TERAS'ALTERED BY- -
MUST BE USED BY ANY APO ALL SURVEYORS UnUzINs A C Y
OP AN017ER SURVEYOR'S MAP. mass oda,AS 'NSPECTED WO 2EVATIONS ARE REFERENCED 12 • — ER STREET
'BROUGHT-TO-GATE'ARE NOT M COMPLIANCE MYTH TIE LAW. To AN ASSUMED OA TM SOUTHOLD, MY. 11971
96 - 31711