HomeMy WebLinkAboutELE Development Corp (17) ie"
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JUDITH T.TERRY04 %� Town Hall, 53095 Main Road
TOWN CLERK j y P.O. Box 1179
PP" Southold, New York 11971
REGISTRAR OF VITAL STATISTICS O �, Fax (516) 765-1823
MARRIAGE OFFICER "44. 4 11
RECORDS MANAGEMENT OFFICER ��•• %ov Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER -"I
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1624 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. #R10-97-0033
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 7.040
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 '•. TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR 01 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. 1696 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.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE
DISAPPROVE
Comments:
RECEWED
MAR 2 1 1997 Signature
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��, Town mss. Date
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OFFICE• OF I llE TOWN CLERK %c3\\
Town of Southold Application No. / l.e'
Judith T. Terry, Town Cleric
1 own Hall, 53095 Main Road ` Construction
P. O. Box 1179
' Alteration
Southold, New York 11971t- ---- - --
Telephone 1#01 #t �0 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 ---- - J2IA7
APPLICANT NAME: —_- f1 ._ ,eka V/'171 / Cale, -- - -
APPLICANT ADDRESS: D ae //y.
----ca r/-oG---- --//
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
•
LOCAT ION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION :
OWNER OF PROPERTY : 57h1
OWNER MAILING ADDRESS:__ t'91' __.._..__._..- -- -
OWNER PROPERTY ADDRESS :--_Sg/J7 _-
TELEPHONE NUMBER OF CONTACT PERSON : 7,2. -570/_.0_ --`-
TAX MAP NO. : Section Q Block Q Lot
CROSS STREET :
BUILDING PERMIT NUMBER CROSS REFERENCE :
Signa r of Applicant -
RECEIVED BY :
Tpwn Clerk's Office
DATE: 3 ( ( 1 f.?
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"ELIJAHS LANE ESTA TES, SECT. 2
Ste. (°11 FLED OCT 8, 1996 FLE MO. 9912
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ATMATTITUCK
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Co. SUFFOLK COUNTY, NY
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Dec. 4, 1996 -
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SUPPOLLC COUNTY DEPARTMENT OF HEALTH SERVICES
o POUR?POR APPROVAL Or CON/TTRRUCTLON FOR A
44. SINGLE FAAGLY ' -II I• + «: ONLY
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,; :1 ' APPROVED I
• ' 0 OF 0 BEDROOMS y
EXPIRES THREE YEARS FROM DATE OP APPROVAL
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