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Home My WebLink About5958-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Occupnncy No..Z.~.~.. ..... Date ........... .~..~.t.....2.7. ...... , 1973 THIS CERTIFIES that the building located at Romewood DI'~,v® Street Map No. tto~o~ .~llilock No ........... Lot No.. ~. .... NC..t..t$~.kt~k.... ~r ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ......... .J.~...20..., 1~.2.. pursuant to which Building Permit No...~...~... dated ............ Jt~l~. ~0..., 19~2.., was issued, and conforms to all of the require- -~ei~s of the applicable provisions of .the law. The occupancy for which this certificate is issued is . P~.l~.t~...~...f.~..~.w~...~...~ ....................................... (owner, lessee or tenant) of the aforesaid building. UNDERWRITERS CERTIFICATE No/..~..~..0~..~..1. ..... ~..~.,, .'1..~...1..~.3 .................. FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certi[icate O[ Occupancy No. Z~.~.~ ...... Date ............ . .~t~'....30 ...... , 19. THIS CERTIFIES that the building located at .ROI~O~O .od.. D.~.!V0 ........... Street Map No~0.'~ .ES~lock No ........... Lot No. ~ ....~tt2~...N ~Y? ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ g~...~, 197[. pursuant to which Building Permit No.. dated ...........J~...~.., 19 ~., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ...P~ta~..~. f~l~..d~ll~ .................................... The certificate is issued to . ~ .~ ....... ~ ........................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . ~r .... 17.. 1.~.. bY. R.,..V~.. UNDERWRITERS CERTIFICATE No ..... ~ .................................... ttOUSE NUMBER ............. Street ................................................. Building Inspector FOEM NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE P~,EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 5958 Z Permission is hereby granted to: Date ........... .p..~.A..~.&~..~. ....... ~....-C.A.. ............... 72-- at premises located ot .................................. ,~,.[~..~..~......~..~..~..~. ......... ,Z)..~ ....................................... .............................................................................. ~A....~...l..~..~.c./~ ........................ i ................... ....... A,,e..Z......~.~ ........... ~.~.£.~..a~ ....... ~....s.~..~.~7~ ............ ~....~ ...... ~.~..,o.. ..... pursuant to application dated ~ 0 ,,/(,//x/LT. 19.'~...~-'~ approved by the REGRADING LOT DR~VEWA~ CONSTRUCTION CESSPOOL CONSERUCTION CELLAR CONSJ RUC1 ION OTHER Building Inspector. Do Fee $. · ../~. · ,~.....~.~.. · ..... PERMIT INCLUDES A~;F'P, OVAL TO REMOVE EXCESS FILL FROM ABOVE PREMISES BY Building Inspector FO~M NO. 6 TOWN OF SOUTHOLD Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in triplicate to the Building Inspector with the following; for new buildings or new use: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 19§7), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 New Building ~/ Old or Pre-existing Building Vacant Land · ocat on Of Pro, ................. ........ ................. i¢. ......................................................... Owner Or Owners Of Property ....,~,. ........... ~ ........... ~ ............................................................................... Subclivision .ZJ~.~).I.'L~...~.~0. ...... .~.~ .~.~ ................ Lot No....~. ...... Block No ............. House No....?...~..~.: Permit No ..................... Date Of Permit .................... Applicant .................................................................. Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ....~... ............................... Final Certificate .......................................... Fee Submitted $ .................................... Construction on above described building an~p,~rmit,meets all agFlicable codes and regulations. Applicant ....~,.,~..... ~.- ,~,...~"'~'~ ................................................... Sworn to before me this ................ day of ............................................ (stamp or seal) Notary Public .................................... County FOlt~ ~0. 6 TOWN OF SOUTHOLD Building Delm~tment Town Clerics Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in triplicate to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), No~-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildirlgs. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in- formation required to prepare a certificate. D te New Building ....ff. ............. Old or Pre-existing Building ............................ Vacant Land ............................ Location Of Property ................................ ,,~,,5.,~,,..~,~,..,.~/....0.?....~,. ......... ,~,..,,-~,,.~,.,~,,.,,~,,. ........ ~Z~ ..... ~ner Or ~nem Of Prope~ ..... ~. ...... ~ ...... ~ ............................................................. Su~ivision ~e~ ~ ~~ Lot No ~ ' Bilk No. House No..~.~ Permit No ..................... a e Of ~ermit ..,.~ZZZZ ....... Applicant .................................................................. Health ~pt. Approval ............................................ Labor ~pt. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate.. ......... .... ............ /'~ ............. Final Certificate .......................................... Fee Submitted $ .................................... Construction on above described building ~nd ~ermit meets t~l al~licable codes and regulations. ............................................................ Sworn to before me this ................ day of ............................................ (stamp or seal) Notary Public .................................... County z~o~ ~o. s TOWN OF $OUTHOLD Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of alt buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, o certifJoate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings end unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 ~ 2. Certificate of occupancy on pre-existin§ dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 ............................. Sworn to before me this .... ....... Notary Public, State of Flew York No. 52-0344763 Su~,~olk County New Building .................... Old or Pre-existing Building ............................ Vacant Land ............................ Location Of Property ..... ~.~.~.....~...~.~?..w...~.~...~.~..~..~..~.~.?.~.!..~.?/.~.i..%.~?;.~'~.~. ........................................................ l Owner Or Owners Of Property ...~.o...~..a...]-.g.....~..t.....G..r..~.~ .............................................................................. Subdivision ...~nS~.~r~,._b~-q:;t;~:J;.~.~ ..................... Lot No ............. Block No ............. House No....~.3.-~.. 6-20-72 .... Donald R. 6rata Permit No.....~ ....... Date Of Permit ................... ~t~8~c~a~ 2 .................................................................. Health Dept. Approval ~.':'..1..~.=.~3.....b.-~...~...-..Y...~..Z...Z..e:.Labor Dept. Approval ................................................ Underwriters Approval~..'~.!.~..~....~...~..1.~.~.~..2.~.! ......... Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate .....X ................................ Fee Submitted $ ..~.~'Z...O....O.. .................. Construction on above described building ak permi~ meat. ts 9~ apj>~able codes and regulations. App cant ~..C~.-../~..~~ ....................................................... SUFFOLK COUNTY DEPARTMENT OF HEALTH H.D.Reference No.~L) APPLICATION FOR APPROVAL TO CONSTRUCT PRIVATE SEWAGE DISPOSAL SYSTEMS APproval to construct said systems is requested,pertinent data herewith: Date 1-Applicant ~ ~. ~ t~ Phone , _~ ,~6-Sub div '~ ~,~ Addres~l~ .~iii~,~ ~ .... % ...... ~ .'~ .7-Section 2-Detailed property location , ~ !-.~_ _x' ~,. ,~,ji~-Lot No. 6 ~ ~ Hamlet :~ ~ '~ ~.~ Town~ ~-~ .... 9-Private wel~?~' 3-Public water supply name Distance to nearest main 4-~ot Size: Width~ ~ft. Lengthl'/o.f~%. (also enter on center plot plan below:) , 5-Dwelling: Single Family Sx]Two Family? ~ YCellar? ~i /.Slab? ; fCrawl Space? 10-Proposed system: Septic tank ~ fPrecast y yCesspools ~__/Shallow pools il-Septic tank inside dimensions: Volume Gals.Length ft. Width ft. Liquid depth 12-Precast sections: / FNumber~_/Square Ft. Cesspools: Block sizeL incs.D___ins. H Total blocks below inlet: .~1 ~2 PLOT PLAN ~ m c ,G 'adc ~o ~ GW.L. · II . ! ins. Capacit~.~f Gals. --1 5 Data Feet LL 0 ~ 2 8 10 12 16 18 The Undersigned CERTIFIES: "Construction of authorized installations will be in accordance with the Suffolk County Health Departments' current Standards, Bulletins, and amendments thereto, covering Private Sewage Disposal Systems". Date Signed Owner or Builder FOR HEALTH DEPARTMENT USE ONLY. Based on the information presented herewith, it is the opinion of the Health Department, that an adequate and satisfactory Sewage Disposal System can be installed on this Plot. . Date Signed (10/65 Revis.) S-15 APPLICATION FOR APPRoVAL TO CONSTRUCT PRIVATE SEWAGE DISPOSAL SYSTEMS INSTRUCTIONS: Applications must be submitted in triplicate 1-Means Owner or Builder. Address to which mil should be directed. 2-Means detailed description of property location, together with street name and distance to nearest intersection of main thorofare, also Hamlet/Village & Township 3-Enter name of Public Water Supply District, together with the distance to their main. ~.Enter Length and Width of Lot under appropriate heading, also enter these dimensions on center plot plan shown on the face of this application. 5-Dwellings: Check-mark "V" items applicable to the proposed new dwelling. 6-Name of sub-division 7-Section Nnmber 8-Lot Number 9-Private well: Enter "No" if Public water supply is available. Enter "Yes" otherwise. PROPOSED SYSTEMS: Answers to Items number' 10, 11, & 12 please consult the Suffolk County Health Department's Standards, Bulletins and Amendments for Sewage & Waste Disposal Facilities. i.e., Part II-Residential Sub-surface Disposal Systems covering Cesspools Part III " " " " " " Septic Tanks Part IV " " " " " " Unusual soil conditions Part V " " " " " " Shallow Leaching Pools PLOT PLAN: The following information is required concerning :the Applicant's Lot: Lot size-Length and Width in feet to be indicated at the LOt lines of the heavy lined square in the center of Plot Plan shown on face of this application. Surface waters-Streams, Lakes, & Bays, etc.', located within a distance of 50 feet of Applicant's Lot lines, must be shown on the plot plan also. Wells and Cesspools now on adjacent lots must be shown on the Plot Plan together with the distance to the Applicants proposed Sewage Disposal Systems and Well. Where no Buildings exist on adjacent lots, state "Vacant" on the plot plan. Streets adjoining applicant's lot to the right, left or rear, enter street name. WELL LOCATION: To locate the well & sewage disposal systems on Applicant's lot, the following Standards must be observed: Well-100 feet minimum distance from the nearest cesspools Well-25 feet minimum distance from rear, and rear sides of property lines Well-10 feet minimum distance from front, and front sides of property lines Well-50 feet minimum below grade for well point Well-40 feet minimum into ground water for well point Well-4 feet 6 ins. minimum below grade to well head and lateral water pipe CESSPOOLS LOCATION: Upon determination of the Sewage & Waste disposal "type of systems" required, the following Standards must be observed for the location of same: Cesspool-10 feet minimum distance from lot lines to center of cesspool Cesspools exterior must be 100 feet minimum distance from nearest well Septic tank exterior must be 75 feet from nearest well Cesspool "Center" must be 12 feet minimum distance from nearest water line Cesspool "Center# must be 15 feet from house foundation Cesspool exterior must be 50 feet minimum distance from surface Waters, Streams, Lakes & Bays, etc. Cesspools must be 20 feet minimum distance from large trees Cesspool center to Cesspool center must be at least 16 feet Cesspool cover top to grade must be held to minimum of I food to maximum of 2 feet Bottom of Cesspool to ground water must be held to minimum of 1 foot 0 0 0 / '6 DRIVE DArE APR 17 1913 The sewage disposal'and water sz~pnly facilities for this location have been inspected by this department and found to be sat isfactor~~ ~. ~/~_~ Chief of General Engineering Services Unauthorized alteration or addition to this suwey is a violation of section 7209 of the New York State Education Law. Copies of this survey map not beming the land surveyor's inked seal or embossed seal shaft not be considered to be a valid copy. ~r~ntees or certifications indicated hereon shall run only to the ~erson for whom the survey is prepared, and on his behalf to the ~tl~ company, governmenta~ agency and iendlng institution limted ~r. on, end to the assignees of the lending institution. Guarantees . certifications are not transferable to additional institutions er subsequent owners. SURVEY FOR DONALD GRATA AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY~ N. Y. SCALE ~ I': 40' JUNE 15~ 1972 AUG. 31, 1972 SEJ~T. 18, 1972 REFERENCE, ROSEWOOD ESTATES MAp NO 5~40, FILED dAN. 24,1949 OUANANT~D TO, SECURITY TITLE & GUARANTY COMPANY DONALD gRATA LAND SURVEYOR RIYEN#EADa N.Y. APPLICATION FOR BUILDING PERMIT Dote .................... , INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with~ 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 diagram which is part of this application. c. The wo~ 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. Shch Permit ahall be kept 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 OccupencY shall have bee~ granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant totbe Building Zone Ordinance o~ the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Reguillti¢~ll, f0r ~he construction of bui.ldings, add t OhS or alterations, or for removal or demolition, as herein described, The applicant agrees to comply wMLMi epfllir,~ble law~, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building~ for ~ insPections. (EdQnature o$, gpplica0t, or gal~, If a c~re,tignJ~ ~ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .~..~ ~[e~:t*At~ 2...~.. tlOJ,~,Z'~l~ ~d.~etrr,~ ~41:e ~eak:eNcOB~ Ne~ · If applicant is a corporate, signature of duly authorized officer· (Name and title of corporate officer) * ~ ~z ~/~ (6) 1. Location of land off which proposed work will ~e do~e: _NJap_Nc~A ....~j~jl~.~J~A~~ No...~.. Str,t and Numar..~..~~~.:..~__._...__.~..._...__...~ ..... ..... ........... ........ 2. S~ ~xi~ ng u~ and occupancy of pmm~s, and intended use and ~cupancy of propo~ con~ction: . ...... ........ Ex~ng ~ and ~cupancy .............................................................. b. n~n~d u~ and ~upancy ................................................................... Nature of work (check which applicable): New Building ....................... Addition ..................... Alteration .............. ~ · Repair ......................... Removal ......................... Demolitio, g ~u. · Other Work .............................. .~:..,. ~ t~.a' i ~ dl~:~ (Description) Estimated Cast ..... ~?..~..~...w.. ......................... Fee ...~..~..~..~1~. ....................................... i...i. ........ (to be paid on filing this application) If dwelling, number of dwelling units ......~.~ ..... Number of dwelling units on each floor ....... ~ .......................... If garage, number of cars ............................................................................................................................................ If business, commercial or mixed occupancy, specify nature and extent of each type of usa ....l~& .......................... Dimensions of existing structures, if any: Front .....~..A. ........... Rear ........................... Depth ................................... Height ........................................................... Number of Stories ............................................................................. Dimensions of same structure with alterations or additions: Front .......................... Rear ......................................... Depth ............................................. Height ......................................... Number of Stories ........................................ 8. Dimensions Df entire new construction: Front ...G~E..t.~.?. .......... Rear d~..~.6,.I. ................ Depth .~,~.~J.~ .................... Height ................................................. Number of Stories .~. ................................................................................ 9. Size of lot: Front ...................................... Rear ........ ~.[~.~ ................. Depth ......[I~ ............................ 10. Date of Pur~a~ ..~. .................. Name of Former Owner .~...~..~..~.~.~,~. ........................ 11. Zone or u~ di~rict in which premiss are situateo ..................................................................................................... 12. D~s propo~d con,ruction violate any zoning law ordinance or regulation: ....~ .................................................... ~ . 13. Willlot~m~aded ..................................... Wdl excess fill be removed from pmmi~s: [ ] Y~ ~ No 14. Name of O~er of p~mi~s ....................................................................................................................................... ama of Architect ..............................................~ .............................. , ........... . .LK,~e. LG ~.~{& ~:J.:~ ;io~];zoo~ ~e ~;~'~"~'~ .............. Name~of Contractor ........................................................................... ~, {Address) (Phone No.) PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all sat-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate wheth- er interior or corner lot. o STATE OF [- OT COUNTY ,.) < .......................................................................................................... ~ing duly s~r~, de~s and ~ays that he is the applimnt above named, ~Na~ of individ~l siNing con~act) Ha i~ the ................................................................................................................................................................................................................. { Cont~tor, ~nt, coyote o~cer, etc.} o~ aaid o~nar or own~a, and i~ duly auth~ ~ ~ or ha~a ~rformad tbe aaid w~rk and to mak~ and fil~ ~hi~ aO~li~tion; that all atat~man~ eontainad in thia a~glieati~m~.t$~~ k~owl~d~ and ~liaf~ and tha~ ~ha work will ~ ~orm~ ~t fo~h in the appli~tion fil~ t~r~i~-0344963 Suffolk Coun~ .............. .......... ....... / 2 ~ , '- ...... t~--_........~..~:~...;~ii~) ..................................... · THE NEW YORK BOARD OF FIRE UNDEI WRITERS BUREAU OF ELECTRICITY [~ ~'[;' 85 JOHN STREET. NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the electrical equipment os described below and introduced by the applicant named or~ the above application number in the prernises of Donald R. Orata, s/s Rosewood Dr., 300' w/o Cox Neck Rd., Mattlt uck~ L.I. in the following location; ~.J Basement [] 1st FI. [] 2nd FI. Otl ~ S i(le Section Block Lot w.. e.a.i.~a o. AUgUSt 13, 1973 anafo.nd to be in compliance with the requirements o/this Board. F XTURE I BXTURES RANGES COOK NG DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ~ECEPTACLES SWITCHES INCANDE$CE 4T FLUORESCENT ~VEA~Ci~URRY WT. K.W. AMT, K.W. ] AMT, K.W. ~V~T* K.W. A~T. H.P. DRYERS I FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIALRECPT TIMECLOCKS I ~ELL ]UNITHEATEE~ MULTI-OUTLET DMMERS ,~V,T. K.W. OIL fl, P. GAS H.P, ~,T. NO. ~,.W.G. MT. ~.P. ~/,T. ~PS. TRANS.~H.p. N~'SoTF FEMESET ~T. WATTS # 1 3 6 1 3C 1 1 100 CB x 1 2 1 OTHER APPARATUS: *Wugnaces: ~-l/Shp, 1-!/1;?bp George Plekut, 50verton Pass, ,~t.J~es, L.I. 11780 GIN~RAL MANAGER COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 0 0 .DRmlVE Unaut~or~zed alteration or addition to this survey is a violation of section 7209 of the New York State Education Law. Copies of this survey map not bearing the ~and surveyor's inked seal er embossed seal shall not be considered to be a valid c~py. Guarantees er ¢ertJficali~s indiceted hereon shall run only to the person for whom the survey is proW:ired, and on his behalf to the title compeny, governmen, tal agency and lending institution listed hereon, and to the assignees of the lending institution. Guarantees or certifications are not transferable to additional institutions or subsequent owners. SURVEY FOR DONALD GRATA AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SCALE: I": 40' JUNE 15, 1972 REFERENCE: ROSEWOOD ESTATES MAP NO. 5240, FILED JAN. 24, 1969 gUARANTEED TO' SECURITY TITLE ~ GUARANTY COMPANY DONALD 6RATA LAND SURVEYOR N.'ES. LIC. NO. RIVERHEADm N.Y. 6 0 0 0 DRIVE 285.66' Unauthorized alteration or addition to this survey is a violation of section 7209 of the New York State Education Law. Copies of this survey map not bearing the land surveyor's inked seal or embossed seal shaft not be considered to be a valld copy. person for whom the survey is prepared, and on his behalf to the hereon, and to tee assignees of lhe lendJng,~nstitution. Guarantees SURVEY FOR DONALD GRATA AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY~ N.Y. SCALE; I"= 40' JUNE 15, 1972 AUG. 31, 197~ REFERENCE: ROSEWOOD ESTATES MAP NO. 5240, FILED JAN. 24, 1969 gUARANTEED TO; SECURITY TITLE ~ GUARANTY COMPANY DONALD 6RATA LAND SURVEYOR N.YS. LIC. NO. EgT~S RIVERNEADI N.Y. 'd '0 ~ ~ ~e ~ker c~not LOT, IBER SPANS TO COMPL Y~ lrdlTH STATE AND LOCAL CODE. ,I ,t CONSULTANT L TULLY