HomeMy WebLinkAboutELE Development Corp (24) 11i2
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• B Town Hall, 53095 Main Road
1� �400 �. P.O. Box 1179
► .�`a� Southold, New York 11971
JUDITH T.TERRY `t. 1 r' TELEPHONE
TOWN CLERK
� (516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1595 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. #R10-97-0016
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 7.053
Cross Street ELIJAH'S LANE
Building Permit Number Cross Reference:
Issue Date: 3/19/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T.TERRY ,ti_ t Town Hall, 53095 Main Road
TOWN CLERK ` y 2 • P.O. Box 1179
•
• Pr? ,t Southold, New York 11971
REGISTRAR OF VITAL STATISTICS %%°b, �`F1 Fax(516) 765-1823
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER : 0,( Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER , .400 i
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. 1682 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.
(44,-y_a at.J
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations :
APPROVE
DISAPPROVE
Comments:
RECEIVED7-'4/'
Signature 7
MAR 191997 3P-
Dated
Southold Town .g
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ojavaccco-
OFFICE OF THE TOWN CLERK cOF/( i'
eaC •
e,of Southold
Judith T. Terry, Town Cleric = Application No/6_ 4
Town IIalI, 53095 Main Road ` Construction
P. O. Box 1179 --__ --
Southold, New York 11971 �1, Alteration
Telephone �1 ' 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 -e2, yy7 ______.________
APPLICANT NAME: ��
-_--------------
APPLICANT ADDRESS: pAlf
ceikxwed,
SEPTIC CESSPOOL_- �
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION :
OWNER OF PROPERTY :
OWNER MAILING ADDRESS: y'tm --------------------- _ -
OWNER PROPERTY ADDRESS :
.._�?'�m�-- _
TELEPHONE NUMBER OF CONTACT PERSON : ?4227. W - _-_- _
TAX MAP NO. : Section /r0". _.----BlocicQ41 Lot 7175 -- �_--
CROSS STREET : ELiy scJ�
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signalr e f Applicant -� -
If
RECEIVED BY :
Town Clerk's Office
DATE:
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SURVEY OF
PSP " LOT 7
1',. • "ELIJAAS LANE ESTATES, SECT 3
2� + /� ~' ,, moo, FILED OCT. 8, 1996 NO. 9912
JA Jf C p� AT MATT/TUCK
� ,��o 0 TOWN OF SOUTHOL D
4 SUFFOLK COUNTY, N. Y.
J
14.
1000 - 108 - 04 - P/071
Scale: 1" = 40'
Dec. 4, 1996
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26 '0
SUFFOLK COUNTY DE2ARTMENT OF HEALTH SLr.RVICES
11
PERMIT POR APPROVAL OP COPPFTRUCTION POE A
SINGLE PAME.Y ONLY
CR 3•s 00- \—? " T ,HS RE 1. O 0 -97: 00/6
92 , DATE ISS REF
APPROVED \ \c,, -rc,,,.,.k,_`-,
�` ` R►• FOR MAXIMUM OFa_BBDROOMS
EXPIRES THREE YEARS FROM DATE OF APPROVAL
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am familiar with the STANDARDS FOR APPROVAL The locations of wells and cesspools 'iv►
D CONSTRUCTION OF SUBSURFACE SEWAGE shown hereon are From field observations ,
f b MKS'. LIC. NO. 496/8
POSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and or from data obtained from others.
will abide by the conditions set forth +�hereln and on the � , ,
p.m', ,.I ,..,,e,‘-Op,int