Loading...
HomeMy WebLinkAbout29309-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29384 Date: 04/23/03 THIS CERTIFIES that the building ACCESSORY Location of Property: 1450 FAIRWAY DR CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 109 Block 5 Lot 14.8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 18, 2003 pursuant to which Building Permit No. 29309-Z dated APRIL 18, 2003 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to GLENN & TRACY DAVIS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 497116 08/10/99 PLUMBERS CERTIFICATION DATED N/A //AuAoriz-ed Signature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 29309 Z Date APRIL 18 , 2003 Permission is hereby granted to: GLENN & TRACY DAVIS PO BOX 571 CUTCHOGUE,NY 11935 for CONSTRUCT ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. THIS PERMIT REPLACES BP#25835 . at premises located at 1450 FAIRWAY DR CUTCHOGUE County Tax Map No. 473889 Section 109 Block 0005 Lot No. 014 . 008 pursuant to application dated APRIL 18, 2003 and approved by the Building Inspector to expire on OCTOBER 18 , 2004 . Fee $ 150 . 00 / Auth6rized Signature COPY Rev. 5/8/02 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) a�3Lq PERMIT NO. 25835 Z Date JUNE 30, 1999 Permission is hereby granted to: GLENN & TRACY DAVIS PO BOX 571 CUTCHOGUE,NY 11935 for CONSTRUCT ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE IN THE REQUIRED REAR YARD AREA AS APPLIED FOR. at premises located at 1450 FAIRWAY DR CUTCHOGUE County Tax Map No. 473889 Section 109 Block 0005 Lot No. 014 . 008 pursuant to application dated JUNE 24 99 and approved by the Building Inspector. Fee $ 150 . 00 Authorize ignature COPY Rev. 2/19/98 Form No.6 TOWN OFSOUTHOLD BUILDING DEPARTMENT TORN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be tilled in by typewriter or ink and submitted to the Building Department with tfie following: A. For new building or new use: L Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation front Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of I% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and"pre-existing" land uses: 1. Accurate sun ey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$25.00, Additions to dwelling$25.00, Alterations to dwelling$25.00, Swimming pool $25.00, Accessory building$25.00, Additions to accessory building$25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential $15.00, Commercial $15.00 Date. _ L ( New Construction: {� Old r Pre existing uilding: (check one) Location of Property: ' I S U FL I ✓L-c QAA 4 1) /__ U, House No. / treet Hamlet Owner or Owners of Property: V___�Q� �_I L 2 {��^� Cl ✓(�___ _ Suffolk County Tax Map No 1000, Section l t� l Block �XX�r _Lot Subdivision� 1j l3� A n�Afrd. / Filed Map. ___Lot: _ Permit No._�5� 3 S Date of Permit. t�3 O / Cl �j Applicant: ________ Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: / (check one) Fee Submitted: $ G -� WSJ C � Applicant Signature THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1185077 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 Date AUGUST 10,1999 Application No. on file 18728499/99 N 497116 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of GLEN DAVIS, 1450 FAIRWAY DRIVE, CUTCHOGUE, NY in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Fl. OUT Section Block Lot was examined on AUGUST 03,1999 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENJ FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 1 1 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'P1. TIME CLOCKS BELL UNIT HEATERS M SYSTEMS ET DIMMERS AMT. K.W. OIL H.P. GAS I H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS 1 20 Z 40 SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC COND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. 1 m 2W 1 O 3W 3!0 3W 3,4W PER® OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS 'OF NEUTRAL OTHER APPARATUS: POOL-1 G.F.C.I:-1 ROSLAK ELECTRIC LIC.#3677- ( L P.O.BOX 164 CUTCHOGUE, NY, 11935-2453 GENERAL MANAGER 11 Per This certificate must not be altered In any manner;return to the office of the Board if Incorrect.lnWetgrs may be Identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ME LAN 1 wua,u,wa w a+nw ar.aau,w uo-rnoe .w .uu'm.... ... w.... worn. uum rw r.,,.naW[ '541 .,aL(r.rr•. w rn ......... w r.e 6,N•[er.r•N7..... s.[u r,•n mm t' p•5 it AOVUCANT'____ v AODPESS_____________ TEL q w CJICAC0,TITLE INSURANCE COLIPANY )5)5) )274455 . o TITLE I //1 t' / 9 - (2 `�tl o h 1 � a 4 h � M V\ i ' N O O EV 1 � �M1 Lot 7 1 NV 8.5910`£, IN PPO 00' a , O p bM I p 4 04 x .Y to 4� OP *^* p O •yam I`I 1� „J r„L.`,`�,�•i r.,„4 1 y N •o I f\r cuaraea ' K 88.3910"W' PZO.DO' Lot - 9 1. v."wr •':J ;r ACrr• i a •..vmmrur i Zvi JUlOIYLS/ONYJP/IL(O LW rn(orPlrr or rNt CLCAA'Lw I .'..L vi' Jvrrcr.Acouxrr oN rre.n,[Jn AJ rrerAa Joee .[r,uon. 5 YOUNG t. YOUNG : 1_ NCJ.rCJr YIr(.1Iw/N•JM4CJI r00 DS,I,ANeUr AY[XVC IUYLFNUV. NEW YORK , WI/CR J✓PPLY�PF/YJIr WCLLJ `.'til nLOrM W..OV MO MOWA,IO W.YOUNG , j 'S' .•.e.ry.:.o.u�.,..emu .m�w�oau � °,ik� j `.IIL of New r .......... SURVEY FOR: r . uhYao w, Yc :r _ EVELYN N. SHIELDS LOT 8`FAIRWAY FARMS` .'.:. 4'' R .... • ,M,r. «rx •, w ao, CU TCH00 UE CIIICAeOnV.n. re II ILFAlINIVA4NC[40. j 14 4ii�iw�`"r ,oWN or e5OUTHOLD 1 SUFFOLK CO.. N.Y. httT.n4.✓, . rt ::•i� .. .:i ..•Y .X.0 1�.40' ' OC' ._ �9,,9tC (: _ O , ?A a r.n i I I 7.ti-�2oc cJD o2S 7o Sii� s�r/rli.u4 r'2.v� j 70 .5 I yo �L Jl�L.F CL&JIAY Gy'.FiLS —/.u-���uisa �w.HM��.1'`y �cwc wicL Gc>�us�c.crc� o,�;7rE�L 4.Y�cL� r SJPr�Zricy .¢ r�..cYt /_icgR mss./T wi /�� f�iT�� .3c?�r�uls•9ls.ac� � u�A�Ei2 TACE 1.014L —aE 6H/9.A) u.vA! ' Ai 4eSUFFBI/( ELIZABETH A. NEVILLE ti� OGy��". Town Hall, 53095 Main Road TOWN CLERK h ? f P.O. Box 1179 REGISTRAR OF VITAL STATISTICS M +�' Southold, New York 11971 MARRIAGE OFFICER NFax 1631� 765-6145 RECORDS NUNAGEMENT OFFICER Telephone 16311 765-1800 FREEDOM OF INFORNLaTION OFFICER OFFICE OF THE TOWN CLERK TOXVN OF SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED AT A REGULAR MEETING OF THE SOUTHOLD TOWN BOARD HELD ON MARCH 28, 2000: WHEREAS, there was presented to the Town Board of the Town of Southold, on the 1st day of February 2000 , A Local Law entitled, "A Local Law in Relation to Amending Chapter 100, Section 13, entitled "Definitions of the Code of the Town of Southold (Yard, Front); and WHEREAS, A public hearing was held on this Local Law on the 14th day of March 2000, at which time all interested persons were given an opportunity to be heard thereon, now, therefore, be it RESOLVED that the Town Board of the Town of Southold hereby ENACTS the following Local Law: LOCAL LAW NO; 6 OF 2000 A Local Law In Relation to Amending Chapter 100, Section 13, entitled "Definitions" of the Code of the Town of Southold. BE IT ENACTED by the Town Board of the Town of Southold as follows: 1. $100-13 entitled `Definitions' of the Town Code of the Town of Southold is hereby amended as follows: YARD, FRONT-An unoccupied ground area open to the sky between the street line, or between the street line established by the Official Map of the town or an approved subdivision plat, and aline drawn parallel thereto. Except. if the owner of the lot does not have the dpht to use or travel over a bordering street, right of way or street line, the side of the lot borderina that particular street, richt of moray or street line shall not be considered to be afront yard and any accessory structure placed in such yard shall comply with the applicable sidevard setbacks for the zoning district within which it is located. FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL DATE; July 14, 199 TO Glenn & Tracy Davis PO Box 571 Cutchogue N.Y. 11935 Please take notice that your application dated June 22, 1999 For permit to construct an accessory in rgroundpool at Location of property 1450 Fairway Drive Cutchoogue County Tax Map No. 1000 - Section 109 Block 5 Lot 14.8 Subdivision Filed Map # Lot # Is returned herewith and disapproved on the following grounds pursuant to Article III Section 100-33 In the Agricultural-Conservation District Ofd Low-Density Residential R-80 R-120 R-200 and R- 400 Districts accessojy buildin s and stru ures or other accessoryuses shall be located in the required rear yard proposed project is located o a parcel with road frontage on east (Fairway Dr) and on the west (Praity La.) , this parcel has two ont yards proposed placement of the pool is within one of the front yards. Please note Pool is partially completed at this time a permit was issued in error by the Building Dept based on the information supplied with the original application. Subsequent to that time additional information was received regarding the second front yard Authorized ature M-1802 BUILDING DEPT. 1 NSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU N [ ] FRAMING [ FINAL [ ] FIREPLACE A C/HIIMNEY REMARKS: DATE INSPECTOR ,�p.( COMMENTS CLD INSPECTION REPORT DATR ----------—------------------------ v�' MMAT I ON OST) �q )UNDATION (2ND) q qILI M M A q � OUGH FRAME b PLUMBING u i f_� � u q �q 1 q �l q 1 NSULATION PER N. Y. G y ?C STATE ENERGY CODE w u p p H q q dhJ q M� p L q FINAL ADDITIONAL C NTS: J 0 9 S Y Cil n� . H o� - -- - - -- - - ---- - cam' ce BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-10802 NOTIFY: -4 � n � � � Ex mined...�?�? 4......., 194`.1 \l,Q,t'`.vv/_g � ;�—' MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved....�?� ' �....... 19A� Permit No. .......... .................................... Disapproved a/c .................................. .................................... ...................................................... (Building r) l ��p APPLICATION FOR BUILDING PERMIT BDG.DEPT. SOUTHOtD INSTRUCTIONS a. 'ibis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wi 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPL.ICMON IS HELE6'I MALE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk Canty, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or forre oval or demolition, as herein described. The applicant agrees to comply with all applicable Ji" , OrdjirBmlC 6,Rbuilding code, lousing code, and regulations, and to admit authorized inspectors on premists.andiiin.boMingifortbe ssary inspections. .................... (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ...............,"' p&) ./f•L7�/.................................................................................... Name of owner of premises ..... 4 !15 ............................................. (as on the tax roll or latest deed) .. A If applicant is a corporation, signature of duly authorized officer. Z. .....`��'tS......... (Name and title of corporate officer) Builders License No. ...... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... I. Location of land on which proposed work will be done.............................................................. � 4U��.....c�l�-/1��F................... T�r. ....................... ................� ' House Number Street / Hamlet Canty Tax Map No. 1000 Section ....lU 5....... Block ..5............ lot ...... Subdivision'rY!?6:!�9Y... fl�!.`r5............. Filed Map No. ZIP1,4i........ mot ...$.......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .,�lc `i!rL7...f�...`1/�Y... s� ��.!. ..�............ .`�:..�..�.Y ... b. Intended use and occupancy .M4: .4... 3. Kl.ure of work (check which applicable): New Building .......... Addition .......... Alteration .. . ......... Repair ............ Renal ............. Demolitionh � :er Work . / —' (Description) i. Estimated Cost .. O;C1�............ fee ............................... (to be paid on filing this application) i. if dwelling, nxmiher of dwelling units ............ lumber of dwelling units on each floor ... ..... ........ Ifgarage, ember of cars ...................................... i. If business, commercial or mixed occupancy, specify nature and extent of each type of use....... ............... r Dimensions of existing structures, if any: Front._7Z........ Rear .22.......... Depth Sy............. Height ..,le................... Number of Stories ..A5............... Dimensions of same structure with alterations or additions: Front ............... Rear Depth .................... Height .................... Number of Stories ............... I. Dimensions of entire new construction: Front ................ Rear ............... Depth ... .... ....... Height ......................... Number of Stories ..................... I- size of lot: Mont .-165..O! ....... Bear .../.b.5.:vu.'..... Depth . '..l.2..0. ?t�........ 10. Date of Purchase ..................... Name of Former Omer ........................................ il. Zane or use district in wihidh premises are situated -��.................... ..:�.. ....... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................ r - 13. Will lot be regraded .' .�............ Will excess fill be removed from premises:' M_ NO 14. Names of Owner of premisesikA,U..+.1.ti?AX.-_,y� Ie>Address � � c�le��vay? cam. Phone N,n. 7.3y.. .,`/ Mahe of Architect .................................... Address .............................. Phage No. ........ ...... Name of Contractor ................. Address 5. is this property within 300 feet of a tidal wetland? * YES .......... NO .......... *IF YES, SaTMD TOM TEQISIFLS PMIIT MAY BE RWRED. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions yam property lines. Give street and block nrnber or description according to deed, and slaw street names and indicate Ahether interior or corner lot. tom' � ��2ucY a,' POOLLTIOCOD "IMMEDIATELY" A PPUVEc'► NS I;�TQ.5235 UPON COMPLETION DATE: �O �9 9 R P # BEFORE"MTER" FEE'. NOTIFY BUILDING L,_ 4R. ENI AT 765-1802 9 AKA 1C 11 , OCCUPANCY OR FOLLOWING NSPECTIONSj FO" THE W USE IS UNLAWFUL i FOR POURIEODCONCRETE SQUIRED WITHOUT CERTIFICATE 3. INSULATIONAMING & PLUMBING 4. FINAL - CONSTRUCTION MUST OF OCCUPANCY BE COMPLETE FOR C ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. UNDERWRITERSCERTIFICATEE STATE CONSTRUCTION & ENERGY REQUIRED CODES. NOT RESPONSIBLE FOR rATL Of N�: / DESIGN OR CONSTRUCTION ERRORS OBNIY .....................being duly sworn, deposes and says that he is the applicant Name of individual signing contract) bove named, nn eis the .......4:.v!.../.....! 7d�................................................................. (Contractor, agent, corporate officer, etc.) f said Omer or owners, and is duly authorized to perform or have perforved the said work and to make and file this pplicatiah; that all statehhents contained in this application are true to the best of his knowledge and belief; and hat the work will be performed in the mnarner set forth in the application filed therewith. worn tobefore this of 19....4. Notary Publ. ...... ./... (Signature of Applicant) L Naw Yak NM Notary OuaINW in Suffolk Cowtprv�. Communion Expires Dec.8, ' a e TOWN OF SOUTHOLD PROPERTY..�tF�CORD CARD 109- .s"- /s� 8 OWNER STREET KEEP VILLAGE DIST, SUB. LOT LF12nnv4 Trac. fplRW N / V6 J �n �i FORMER OWNER N E lanj ` S W TYPE OF BUILDING �Q•CR.c v �.c-s>�.�•tib a Y r RES�?%o SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS �On moo / .? ;�,:�/;:v 2/77 BLD / a-R 92'7'72 LA. Pvr D E l( //3 .(,///77Solo �lkdoo f�/xwia ts�00 /GGG++pp ^ 6 00 /1ep ✓ // Z /IV S^�� d/�'�,500 /.J'n6enc/� fc. .S�7ie�a�S SSSro rr n v p p so a 0o zao 9000 / 6 • s I-�ll���000� 8r51e( -� 118aIp170 -�Onr. *w� fo lavi5tw(� aYO,oaT a illoble FRONTAGE ON WATER /oodland FRONTAGE ON ROAD �� ' leadowland DEPTH .79J ouse Plot BULKHEAD Dtal COLOR ^✓A.. TRIM IL s „ t T - r- + I I I 1 1law Y - -+ T j 772, L i I I _ Foundation / Bath y Dinette - Basement Floors K. r -- } Ext Walls Interior Finish LR. — ---} -- I Fire Place Heat Y" hy�A DR. Type Roof L Rooms lst Floor BR. Recreation Room Rooms 2nd Floor �— FIN. B f Dormer ,iveway 7-2ti7 %47 -—6=6��..Irrrrwraor� TEE LANE ' ;;„"..�NA`i1 u•i of•r ins aaniu no:N Win'na n1•. I • '• . 1, / I..+n..n P1/01/• 1,1"..IM 'ddI.1nN.[I D .N4 f0.10.M.. Iw 111.01..1 M IM .VI/NI[OYIII MN.IY[. . i•/ f a4 t APPLICANT-- _ --.-- _._.____ _� � AOORE55------------- TEL ..___ CI11CACO JITLE INSURANCE COUPARY . . Y (SISI i2T-44i5 o TITLE 11{ � ' e r 1 n a • v u �1 yy ♦ /YI v y . S h � U R n I � N \T O o W b ' Lor 7 O dd o EVY B•J910 F �[ 11000, e u IN •L N K �� :aR. Yi W " X �W P M—I IANN y h W w ~O ?7 Yl � •J'4 ' wR 11: Ll' .�pppT. I Y 'it C,• ! I ,lyl x80.5970"W. 110.00' t.wai • I Lal 9 VICIMr y [0001VISIONNAPfR[o(N rnroffIrf of rwfcLeRNOf I .wyr i• sufrr(6 rouxrroN fro FS IPT4 ASfr([MA 6069 YOUNG R YOUNG 1- ., NfAJ[Jr NYrCJ. w/(fJ. IDD OftpND[6 AVENUE. 61Yp N[AD. NEW YD6N WI(FR JVPP(Y-PRrvI RIVArr r[w[l(J �YY� .LO.N YOYNO NOWAYOU" } ' T aY(o[Nrw SURVEY FOR; Yy�1,NO w,l •r -•t. •..11.•'11-11"M EVELYN N. SHIELDS ;1 P LOT B"FAIRWAY FARMS" iE i` 4\ k ..1111.. ...•.. •+•/1 �I OV ANANI.ID tOI CUTCHOOUE CNKAOO TITLE INLY6AN[E co, It 11 IW°e .own or ISOUTHOLD I Y .6 w .. SUFFOLK Ca.N.Y. 6,F1jtdhF4 W v' _^ �;•.I :I ....... I,,• •:• 19.1976 T�,.`,�. h1'.• .. 11.11 .. ... .._—___--..., 4 ao'x y� -Z-Al u�D o2S� I yo. l ,S�c�CLas��x �-/.11�,Z�cx.s� �t-v.NM;A� �7t�L G-ycL Cc>.t15�c.G>t�lj O.�;jyE�L 4Y9LL� 6JPx2;5�t4 IW-W R77A?I* SO0- ",4 �FiC10E W/LL �E L'NR� cJ 1LNrC 7 fig t�/LL NEC> ne.x G�Z,E