HomeMy WebLinkAboutELE Development Corp (15) l°11 F00(
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JUDITH T.TERRY � ° ‘ Gym Town Hall, 53095 Main Road
TOWN CLERK 1 0 t P.O. Box 1179
rftSouthold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER �� . �1 Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER -? ,( , �a0��� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER ',/6 ��
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1603 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. #R10-97-0028
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 7.036
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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JUDITH T.TERRY ��I= yt Town Hall, 53095 Main Road
TOWN CLERK ; y Z P.O. Box 1179
v. t Southold, New York 11971
REGISTRAR OF VITAL STATISTICS `Dy ,�#�FaxFax(516) 765-1823
MARRIAGE OFFICER �f �0. Telephone(516) 765-1800
RECORDS MANAGEMENT OFFICER l l `�►
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. 1677 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 above
and make the following recommendations:
APPROVE
DISAPPROVE
Comments:
RECEIVED
MAR 1 9 1997
Signatur -7:44
3 :s .3 ///7
Dated
SouthOkd TOM"A Cl a,
1 fj,UJ-us_atzt
OFFICE OF IIIE TOWN CLERKOc3�FFOur
own of Judith TT. Terry, Town Cleric COQ Application No. //
Town Ilall, 53095 Main Road ` Construction_
P. O. Box 1179 -- --
Southold, New York11971 O Alteration
Telephone .a� Residential -�-
(51 6) 765-1801
Non-Residential
•
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Per-mit No.
Fee $
— — -- DATE / 4,
APPLICANT NAME: L' DeGie'le,j7-7e:41j4_
APPLICANT ADDRESS: U
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
13/4 7417i
LOCAT ION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION :
OWNER OF PROPERTY :..._ Q'OWNER MAILING ADDRESS: 5.4
OWNER PROPERTY ADDRESS :__, /t/3-7/_
TELEPHONE NUMBER OF CONTACT PERSON :____ 72)V
TAX MAP NO. : SectionlOgr Block Oy Lot 7
CROSS STREET : fL,/.719/9f 004_
BUILDING PERMIT NUMBER CROSS REFERENCE :
Siynalu Applicant
RECEIVED BY :
Town Cleric's Office
DATE :
<; t - r.
�e � -� SURVEY OF
s ‘.
0 LOT 12
ti. ?8 S ® ,09 , 0 "EL IJAHS LANE ES TA TES, SECT. 2
o h,IG FILED OCT 8, 1996 FILE NO. 9912
v'-� ,' G
P"‘4 IN AT MA TTI TUCK
mss ' R = TOWN OF SOUTHOLD
4 1r L ` 35.20 31
SUFFOLK COUNTY, N Y.
o > / s 1000 - 108 - 04_ P/0 7. 1 .
,� Scale: 1" - 40
Dec. 4, 1996
2aa y
�
. P HEALTH�RVICRS t
9�P� SUFFOLK COUNTY DSPAitTf�'OF
1Z7mow FOR APPROVAL ,1OR A
cb� SIMILE FAMILY ' ''. ' .« ONLY
k, / - .00 4
d n DATE FEB , } '_.d Hs .i
J APPROVED —
'O, P FOR . 41 - OF a BEDROOMS
5
EXPIRES IgE YEARS FROM DATE OF APPROVAL
V
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c: Ver, r. /4Ezr 'P
I am familiar with the STANDARDS FOR APPROVAL The locations of wells and cesspools
AND CONS TRUC T/Of OF SUBSURFACE SEWAGE shown hereon ore /rom field observoHvhs � '
)1SPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES ..4. .��:�/,ii, N.Y.S. L/C. NO. 496/8 I
and or from data obtained from others. -_' _ �� ;,
rnd will abide by the conditions set forth /herein and on /he •
-c:r. i I- r:; •;-S, P.C.
lermil to construct.
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