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HomeMy WebLinkAboutELE Development Corp (19) oo SUFFolit o o - JUDITH T.TERRY ,•=� Gy< Town Hall, 53095 Main Road TOWN CLERK o P.O. Box 1179 s y Z s Southold, New York 11971 REGISTRAR OF VITAL STATISTICS % O �, Fax(516) 765-1823 MARRIAGE OFFICER �=y 11 RECORDS MANAGEMENT OFFICER N. -4 1,'•,106 Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER = to° OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1623 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. #R10-97-0034 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 7.041 Cross Street ELIJAH'S LANE Building Permit Number Cross Reference: Issue Date: 3/20/97 Judith T. Terry Southold Town Clerk (TOWN SEAL) , , �� nlUti D1b MAS • i • • , E. Town Hall, 53095 Main Road I a P.O. Box 1179 4� O ��� Southold, New York 11971 1 JUDITH T.TERRY t�. ''� TELEPHONE TOWN CLERK ,`lb (516) 765-1801 REGISTRAR OF 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. 1 695 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: RECEIVED .��� •�''-lam 1597 SignatMAR 21 � • Dated t,[jLU tcLtzl OF ICL c,)1= IItE TOWN CLERK vc31FO(,�`0 SOuthold Judith3T. Terry, Town ClerkApplication No. I G 9� Mown I Tall, 53095 Main Road ` 8 Construction P. 0. t3 o x 1179 to ---------- Southold, New York 11971 O 1, Alteration-- Telephone 401 NoOr"' Residential (516) 765-1801 _"r'rri Non-Residential. TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ DATE_____2442 --- -- APPLICANT NAME: --FEE- "Ola L tJ APPLICANT ADDRESS: pp Se., SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION ---- _BIAM06dr77 ---1_- /1 --- LOCATION MAP: Must be attached hereto before permit may be issued. • LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION : OWNER OF ------1 -------------.----------- ---------------_---- OWNER MAILING ADDRESS: OWNER PROPERTY ADDRESS: ,,9/72 ._-_---- _ TELEPHONE NUMBER OF CONTACT PERSON : 7,2a7- G TAX MAP NO. : Section /De Block o LOt_. 7_3_/./. - _ CROSS STREET : ,&14.27-51-/y25 BUILDING PERMIT NUMBER CROSS REFERENCE: ignat - of Applicant-- -- .y- RECEIVED BY : own Cleric's Office DATE : 3 /(3 /7 P �� ti s c?.0.b. t`' L 5 2I A' SURVEY of t df`J` 9 , -tt ,,� LOT' 17 '00• C "ELIJAHS LANE ESTATES, SECT. 2 s, °e h� CIQFLED OCT A 1996 FLS'NO. 9912 4 • ,4 t AT MATTITUCK z . . . • �'� TOWN OF SOUTHOLD '� oe. �'y SUFFOLK COUNTY, N Y. s � � d . - 08 - 04 — P107.1 P� X000 ) rS� P`°� ,� _ '40' a Scale: 1" efr ' Dec. 4, 1996, Ip 4,`" 9 652 nn� ZOt- iif L// 2 1 '04 'I . SUFFOLK COUNTY DBPARTMEN'r OF HgALTH SERVICES P FOR APPROVAL��rf�lTRu��FOR A 't #°' v,. ONLY ,� (SCJ SINGLE FA11�.. '� , . DATB �'EB �r1 .:: R ir •"2 . D3 r .'f 5 .‘"*C'" APPROVED r ... _ ii P� ; FOR MAatn su,OF © , •� 5N' ,�9 APPROVAL , ��t► EXPIRES THREE YEARS FROM DATE OF • 5� AREA = 43 646 sq.f#. ;071.; =