HomeMy WebLinkAbout6983-z yr�c Town of Southold Annex 6/16/2014
P.O.Box 1179
54375 Main Road
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 36974 Date: 6/16/2014
THIS CERTIFIES that the building SINGLE FAMILY DWELLING
Location of Property: 225 Sigsbee Rd, Laurel,
SCTM#: 473889 Sec/Block/Lot: 143.-2-5
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
pursuant to which Building Permit No. 6983 dated 11/12/1973
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:
one family dwelling with accessory building_
Replaces COZ-5749, dated 1/17/74, to include the accessory building_
The certificate is issued to Drake,Marie
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 3SO-153 1/17/74
ELECTRICAL CERTIFICATE NO. N 137173 1/10/74
PLUMBERS CERTIFICATION DATED N/A
Aut ed Signature
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY (UPDATED)
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building 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 from Health Dept.of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%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 survey 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. May 28, 2014
New Construction: Old or Pre-existing Building: X (check one)
Location of Property: 225 Sigsbee Road Mattituck
House No. Street Hamlet
Owner or Owners of Property: Marie A. Drake
Suffolk County Tax Map No 1000,Section 143.00 Block 02.00 Lot 005.000
Amended Map of Property of
Subdivision—Matti tuck Park Properties, Inc. Filed Map. 801 Lot: 100
Permit No. Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: X (check one)
Fee Submitted: $ 50.00
Applicant Signature
Marie A. Drake
TOWN OF SOUTHOLD PROPERTY RECORD CARD 69
OWNER STREET -> =•.:� VILLAGE DIST. SUB. LOT,Mtjr �C+
h slue go li D . �y
IFOR7 OWNER N E ACR.
Eyy)r-5 F-, eatr,bo S W TYPE OF BUILDING 5�3- ZA&I
RES. y p SEAS. VL. FARM COMM. CB. MISC. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
f
o d I d4,41aZ Z7 ig i 94D 3Sao. W. T, CLAeg V- Ayc 7e Al.s:7' vs7: LgRe
J /,P 7 Edo 'x.29 sat .S — t tS
AGE BUILDING CONDITION 11 z/73 � `
/ 6
NEW NORMAL BELOW ABOVE �
�
FARM Acre Value Per Value
j Acre / �j0 (p
Tillable 1 - 77c�_ -�-►� t��R
Tillable 2 cr p j - riQe- ambo 4l` :5
Tillable 3 -7ZLJ is -y4arit _ ieG��_
Woodland
Swampland FRONTAGE ON WATER
Brushland FRONTAGE ON ROAD C,
House Plot DEPTH
..� BULKHEAD
total DOCK
SURVEY OF
LOT 100
AMENDED MAP OF PROPERTY OF
° MATTITUCK PARK PROPERTIES, INC.
FILE No. 801 FILED JANUARY 12, 1926
SITUATE
MATTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY NEW YORK
S.C. TAX No. 1000- 143-02-05
LC gyp' SCALE 1 "=20'
05� L � ��� MAY 14, 2014
005�C2
Cp 2 �,.z AREA = 7,000 sq. ft.
5
LA 5 101 � �l a\ 0.161 ac.
01
10,In Cp. OLo 0 ��
P.05 ~
o O O U1
N R Fo 22 CER TIFIED TO:
D° 2 ° Fo6N o�SE �6y y � P�j PS 2z� R� N 2�j DECISION 2000 REAL ESTATE SERVICES, INC.
CHICAGO TITLE INSURANCE COMPANY
o NORTH FORK HORIZONS LLC
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N GONG e e o °" RPE a PREPARED IN ACCORDANCE WITH THE MINIMUM
O° , p FSNGO STANDARDS FOR TITLE SURVEYS AS ESTABLISHED
0 S i BY THE L.I.A.L.S. AND APPROVED AND ADOPTED
W ° R\JG1✓P� �a FOR SUCH USE BY THE NEW YORK STATE LAND
CIO PSPNPyt 0 o TITLE ASSOCIATION.
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7 N.Y.S. Lic. No. 50467
y� Nathan4-�ai�t Corwin III
UNAUTHORIZED ALTERATION OR ADDITION
TO THIS SURVEY IS A VIOLATION OF
2 SECTION 7209 OF THE NEW YORK STATE
EDUCATION LAW. Land Surveyor
COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYOR'S INKED SEAL OR
EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BE A VALID TRUE COPY.
CERTIFICATIONS INDICATED HEREON SHALL RUN Successor To: Stanley J. Isaksen, Jr. L.S.
ONLY TO THE PERSON FOR WHOM THE SURVEY Joseph A. Ingegno L.S.
IS PREPARED, AND ON HIS BEHALF TO THE
TITLE COMPANY, GOVERNMENTAL AGENCY AND Title Surveys — Subdivisions — Site Plans — Construction Layout
LENDING INSTITUTION LISTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INSTI- PHONE (631)727-2090 Fax (631)727-1727
TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE.
THE EXISTENCE OF RIGHT OF WAYSLJamoesport,
FFICES LOCATED AT MAILING ADDRESS
AND/OR EASEMENTS OF RECORD, IF1586 Main Road P.O. Box 16
ANY, NOT SHOWN ARE NOT GUARANTEED. New York 11947 Jamesport, New York 11947
34-032
FORM NO. f
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y. �1
1
�I
Certificate Of Occupancy
No. Z5749. . . . . . Date . . . . . . . . . . . . .JaA . . . 17 . . . . .. 19.74.
THIS CERTIFIES that the building located at . . Sigsby -Road • • • • • • • • • • • • Street
Map NoMatt. Pk .Pro lock No. . . . . . . . . . .Lot No. 100. . . . . Mattituck. . . •Xs. . . . . . .
conforms substantially to the Application for Building Permit heretofore filed in this office
dated . . . . . . . . . . . . Nov. . .42., 19. .73 pursuant to which Building Permit No. . . •6983Z
dated . . . . . . . . . . . l-ov. . 4.2 . . ., 19. .73, 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 . .Private• one • family. dwel-ling. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The certificate is issued to . . .NesyT.CoDstruction -Corp• • • • • • • • • . • • • • • . . . . . . . . . . .
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval J.&A. 1.7 • • 1,971+ . . by•R.• .Villa
UNDERWRITERS CERTIFICATE No. N .1317.1.73• • • • •Jan • •10 .1%4 . . . . . . . . . . . . . .
HOUSE NUMBER . . . .235. . . . . . . Street . . . . . .Sitsby•Road•.. • • • • • • • • • • • • • • • • • • • . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Buil"/Ins ector
P)
YOM No. a
TOWN OF SOUTHOLD
BUILDON -OVARTMENT
TOM CLERIIf"tOFFICE
SOUTHOLD, W Y.
BUILDING PEAM11T
(THIS PERMIT MUST BE -KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N° 6983 Z Date ...........................Itoarsia>scr.....1t�
Permission is hereby granted to:
M.B.T Construction Corp
.......Aoz..75tt........................................................
............1JD► t ,tli .,..$lr►' a................................
Build new ams family dwelling
to ............................................................................... ..... ................
................................................................................ .................. ... .......................... ......................
at premises located at ..k.P. r...I.Q.0....... t i'xt{dlt ..�ll> r: 3tlle.....41MAL-1134t.:131......
' I �
..........................vs.....Rigsby...Floud............tea'lubxck....X414................................................
..... .
. ..: ................................ .... ............... ...............
pursuant to application doted ........................ .`:..� ..........,., 197 ..,, and approved by the
Building Inspector.
Fee $..,25*. 0........
up �
Buildirg Inspector ���
WORM No, I
rt
TOWN OF SOUTHOLD />�/j J ,v /��. w S 0
SIIH.Et1Nd DEPARTMENT (` p d- � �s o f
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y, 7'°" Off•` ' � �4�
Examined .... .... 23 ��
........., 19........ cation No.
^�/ 2 SC APP ................................
Approved ...../.".!".....�Z.........., 19. /.. Permit No. ....................................
7GiGo /ata.(a>� MAKIW a/OAP
Disapproveda/c ....................... ............. ............................ ...............
...............................................................:..........................
o. c
........................ .... ............. .. . ...... .. ...............
(Building- aspector)
APPLICATION FOR' EUILDIN PERMIT
�
.............................
Date ................ .IL
........... ...
'INSTRUCTIONS f�
o. 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 R
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.
O`
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York,and otherppplicoble Laws, Ordinances or v
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances,building c6de, housing code, and regulations, and to
admit authorized inspectors on premises and in buildings for neceslary inspections. ..
r(�_
.
� SignatilrAof appli :or name, if a corporation)
" (Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
. .............. ..................................... ..........
.... .... ........ ................................................
Nome of owner of premises .......... .S`T.......�ms's 4.rrT :..... Lt`. .,. '.................................................
If applicant is a corporate sigpoture of duly authorized offjcer.
� . .. �.
(N me and fifle of corporate officer) J
Builder's License No. .................................................... ,
Plumber's License No. ................................................
Electrician's License No. ............................................ $
ft"VT%-rQ4L► __ PAtz�
Other Trade's License No. ..............................................
17'30
1. Location of land on which proposed work will be done. Map No.: ........................... Lot No. ................
Street and Number ....... .� �i.1t► g.4A..p......
2 Z H! '!'T�.T..`!�a�9r................................... .ri....... �
" Zr
1......... . ..... Municipality
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Exisiting use and occupancy ................................................................................................................................
b. Intended use and occupancy ��\MIt�R.- ¢�rZ\.Q.�i"'L. ..........................................
i
�t1
3. Nature of work (check which applicable): New Building .... ..... Addition .................. Alteration ..................
Repair .................. Removal .................. Demolition.....,......,....... Other Work .....,.......................................... ....
(Description)
4: Estimated Cost .........�:�A ....................................Fee
�.�r...
(to�bepaidonfilingthis ........application.....)...................
5. If dwelling, number of dwelling units ..........................Number of dwelling units on each floor: :
FORM 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 DUPLICATE 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), 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 $5.00
3. Copy of certificate of occupancy $1.00
1 11y
Date .....................t..........................
New Building ....../.... Addition ................ Old or Pre-existing Building ................ Vacant Land ..............
Location Of Property .......LoTlon t MY4TT�TVck„PH�)cr?owrLrikS�...S .4�i.F.lr.k'. ...RD.
Owner Or Owners Of Property ...... Cog?-t!.
Subdivision 1��gTTtTVGic pAzK PRoPky« 1��5 Lot No. .!o�.... Block No. ............ House No.............
. ..............................................
Permit No. .�...$3 MSr Co...riRv�Siotii cep-P,
..:�... Date Of Permit ��.�.�L..�.3....Applicant ................. . . ...........................
Health Dept. Approval ....3SR...!53....................Labor Dept. Approval ................................................
Underwriters Approval ... ...........................Planning Board Approval ........................................
Request For Temporary Certificate ........................................ Final Certificate .........t,�..........................
Fee Submitted $ ..` ................................
Construction on above described building and permit meets all applicable codes and regulations.
Applicant ........ ...1. J..r.... ...............................p.................
Sworn to before met s K ycll& ( l � �'
..........l..7day of ... ...... ................. .5..�.y. (stamp or seal) U;- z SG
J`{ 1
Notary Public .................................... County
c � �
THE NEW YORK BOARD OF FIRE UNDERWRITERS
F
05 BUREAU OF ELECTRICITY
8S JOHN STREET. NEW YORK. NEW YORK 10038
Date January 10 , 19711 Application No.onfile 70()583 N 137173
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the ab~application number in the premises of
gd,S.T. Construction Corp. , Sigsbee Rd. Rt .25 & Peconic Bay Blvd. ,
Mattituck, L. T. n
in the following location; � Q
] Basement I.,Fl. ❑ 2nd Fl. O ut s ide Section Block Lot 1P2
was examined on January 7 , 19 711 and found to be in compliance with the requirements of this Board.
FIXTUREKEPTACLES SWITCHES FIXTURES RANGES COOKING DKKS OVENS DISHWASHERS EXHAUST FANS
OUTLETS INCANDESCENT FLUORESCENT M vA R AMT. K.W. AMT. I K.W. AMT, I K.W. AMT. K.W. AMT. H.P.
7 18 a 'r 1 f
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAIRK'PT TIME CLOCKSBELL UNIT NFATERS MULTI-OUTLET DIMMERS
SYS
PMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. "T. "P. AMT. AMPS. TRANS. "T. M.P. NO.OFTEMS FEET MT. WATTS
1 3 6
SERVICE DISCONNECT NO.OF S E R V I C E
AMT. [771,
. WIT METER 1$tW 1 0 3W 3 3W 3.4 AW NO.OF CC COND. A.W.G. NO.OF HI LEG A WI'G. NO.OF NEUTRAL$ A W.G
EQUIP. PER b OF CC.COND. OF HI-lEG OF NEUTRAL
1 - CB X 1 2./0
OTHR APPAR7US:
g'•otor s : 1-1/2hp
Water heater/s/ 1-4.5kw
Ronald R. tennis
PO 3oX 204
GENERAL griddle 1slnW(1, L. I. 11953
11 AOFR
Per
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
SUFFOLK COUNTY DEPARTMENT OF HEALTH Health Department ?�a/��
Reference Number �J
APPLICATION FOR APPROVAL TO CONSTRUCT
A PRIVATE SEWAGE DISPOSAL SYSTEM AND A.WATER SUPPLY
1 . Applicant hS r" C0tN 0^Jt;TQi)- PhoneZ9Y' 1 5. SubdivM*0t1"( c„ PMe1G
Address %*-A -14g, � K , 6. Section "r%V0 p «►N
2. Property Location S�"C IMS LLP, Z y V `T04ri., -7. Lot Number 100
Mj4w 8, Private WeTT---*1iK—
Village Towns h ip of 41> 9. Public Water�
3. Public Water Company Name NO a%-A Distance to main •�'
4. Lot size: Width. Yo feet Length 140 feet
10. Sewage Disposal System:, (For Health Dept. Use)
A. 00
septic tank:
Precast "Equivalent Block
B. Leaching pools : i
Number of pools �
Precast✓erBlock Special
11 . If private well , fill in the
following blanks:
A.; Tank capacity 4 L gallons
B. Pump G.P.M. - s
t5 C. T tal well depth -
w> th
d). DUth to ground waterer ZOO`•
,- :E. Argunt of water in well 40
N '
Tho urdersi ned CERTIFIES: "Construction of authorized in6tallations will be in accordance -
wiCb_the folk County Department of Health's currents indards thereto. This application
wiV be va d for one year from the date of approval indicated below-and may be renewed if
a current Pcal Building Department Permit is in effect. c '
Date 1Signed v
FOR HEALTH DEPARTMENT USE ONLY:.. Based on the information presented herewith , it is the
opinion of the Health Department'M an adequate ami satisfactory Sewage Disposal System
and Water Supply can be installed on this plot.
APPROVAL DATE SIGNED���� -� --
S-15
Rev . 4/l/73
RQARSUFFOLK URTY HgALTH DEPART"63T�f
M
A N 171974
H. D. REF.
The sewage disposal and aster supply 171 1 ,.3 5 PH 3 26
�
�.,„ n
facilities for this location have been f�\vf
inspected by this department and found
to be satisfactorp
HR L�
1g Chief of eneral EnBinee�'ing� y,
Oo Services c
G7�,
Q $
(T) 0 IDI 14Q�sl,4o.6 N 3 0
-
0 m
• ?' 0 O rFCSPOOLS
m Nt,E N _���E. '�01 I THE LOC TION Or L'JFILS AflD �. pTIO S
�/ 1 it P�. nnlir
O_ 9022 e'�aP A ✓` /� 3� SHOLOC 01'HER
N 6 Ga'• ' s�' i I �. AND/OR
\� � � IG.9 � f a},✓y Ya � � ,� j �A,ae 'r. 0 �p
,a �; �, 1 ♦ F,. ��' i 9ya3 .. Cl'Qom. C1
i Z �� o i✓^'° .+, as 's. , NOTE:
tR 72
.� • _MONUMENT
SUBDIVIS/ONMAPF/GEDINTHEOFF/CE
1m OFTHEC FRKOFSUPF6YKCOUNTYON
IAN./2,/926ASF/LENO BO/.
6220�yy. Jot 99 REVISIONS YOUNG & YOUNG
5.69DEC.31,1973 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK
ALDEN W.YOUNG HOWARD W.YOUNG
PROFESSIONAL ENGINEER AND LAND SURVEYOR
iLAND SURVEYOR. N.Y.B. LIC. NO.11645 N.Y.S. LIC. NO. 45698
SURVEY FOR:
UNAUTHORIZED ALTERATION OR ADDITION TO CLEMENT BAYLIS S HARRIET BAYLIS c
D THIS SURVEY ISA VIOLATION OF SECTION LOT N0. 100, AMENDED MAP OF MATTI coFARK
LAW. OF THE NEW YDRN STATE EDUCATION
`AW PROPERTIES,INC
CONES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYORS iMKEO SEAL OR
EMSOSSEU SEAL SHALL NOT BE CONSIDERED
TO BE A VALID TRUE COPY AT LAUREL GUAR N EEC
GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE TOWN OF SOUTHOLD
SURVEY IS PREPARED,AND ON HIS BEHALF 4b 95
TO THE TITLE COMPANY,GOVERNMENTAL
AGENCY AND LENDING INSTITUTION LISTED BY
HEREON,AND TO THE ASSIGNEES OF THE SUFFOLK CO., N.Y. s dAN �e
LENDING INSTITUTION. GUARANTEES ARE
INSTITUTIONS ORLSUBSEUOTTOWNERS. SCALE: I° = 30� DATE: OCT. 5, 1973 No' 73 - 47
KRE 17$183 673 40571-
rEsr t/o« I
�D oo To .o sow Y /com
RO /n 3o id o snr,d
MAIN r,
o I
o s` ci
1
o_ p t ao t) 140-00 61,s�
m 00
C�1 , "E pt I
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a \ 1. -3
61.IG 9 .1k•• f `� .5. 20 0 "_°o a a O
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t r` 21 NOTE-
-2,
OTE-
s f 0 p0 \ . jw =MONUMENT
s S418D/V/S/ON MAPF/LED/N THE OFF/C£
OF THE CLERKOFSUFFOLKCO11NTrON
JAN,12,1926ASF1LENQ801. p
D q0 �✓ ,Qprw 99 REVISIONS YOUNG & YOUNG
S•6g022 �'p GQn{) 400 OSTRANDURNEW YORK
4 J AL.DEN W.YOUNG HOWARD W.YOUNG
PROFESSIONAL ENGINEER AND LAND SURVEYOR
LAND SURVEYOR. N Y.S LIC. NO, 12843 N.Y.S LIC. NO.43823
/
SURVEY FOR.
y0 UNAUTHORIZED ALTERATION OR ADDITION TO
o THIS SURVEY IS A VIOLATION OF SECTION CLEMENT BAYLIS 81 HARRIET BAYLIS
72209 OF THE NEW YORK STATE EDUCATION LOT NO 100LAW , AMENDED MAP OF MATTITUCK C�
PROPERTIES,INC.
\ \ COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYORIS INKED SEAL OR ����=�J`k... �,r �
EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BE A VALID TRUE COPY AT _ GUARA E - d:
a
\ GUARANTEES INDICATED HEREON SHALL RUN 6I
w- \ ONLY TO THE PERSON FOR WHOM THE TOWN OF SOUTHOLD
SURVEY IS PREPARED,AND ON HIS BEHALF 1
\ TO THE TITLE COMPANY,GOVERNMENTAL
\ AGENCY AND LENDING INSTITUTION LISTED *� BY
HEREON,AND TO THE ASSIGNEES OF THE SUFFOLK CO., N.Y.
LENDING INSTITUTION GUARANTEES ARE
NOT TRANSFERABLE TO ADDITIONAL SCALE: n r DATE: �`I +O. �pe`��•
INSTITUTIONS OR SOBSEQUENT OWNERS, 1 = 30 OCT 5, 1973
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