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HomeMy WebLinkAbout11577-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No: Z-26173 Date: 12/17/98 THIS CERTIFIES that the building NEW DWELLING Location of Property: 355 WOODCLIFF ROAD (HOUSE NO.) (STREET) County Tax Map No, 473889 Section 107 Block 7 MATTITUCK (HAMLET) Lot 25 Subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated , 19 pursuant to which Building Permit No. 11577-Z dated MARCH 16, 1982 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, ATTACHED GARAGE AND FRONT AND REAR COVERED PORCHES.* The certificate is,issued to LUIGI & VIRGINIA BUONO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 12-SO-16 ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A *TBI$ UPDATES CO Z-22829 ISSUED JANUARY 7, 1994. / Building Inspector 03/09/83 N-576t80 09/14/82 Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-22829 Date JANUARY 7~ 1994 THIS CERTIFIES that the building~ Location of Property 355 WOODCLIFF DRIVE House No. County Tax Map No. 1000 Section 107 subdivision DWELLING Street Block 7 Filed Map No. MATTITUCK~ N.Y. Hamlet Lot 25 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 5~ 1982 pursuant to which Building Permit No. 11577-Z dated MARCH 16~ 1982 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 ATTACHED GARAGE * The certificate is issued to WILLIAM GILLOOLY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 12-S0-16- MARCH 9~ 1983 UNDERWRITERS CERTIFICATE NO. N-576180 - SEPT. 14~ 1982 PLUMBERS CERTIFICATION DATED N/A *THIS UPDATES CO Z-11615 DATED APRIL 13, 1983. Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.Z. ~..1.6.~.5. .......... Date ....~p?.~.3:...~.3 ..................... 19 .8.3. THIS CERTIFIES that the building ................................................ Location of Property ~/~sS~.o ................ ~ .°.°.d.c..1 ~ ;~rf.e~ q ~.v.e. , . .Hart±tuck ............... County Tax Map No. 1000 Section ...q.0. ? ...... Block .. 9.Z .......... Lot .... 0. 2. .5 .......... Subdivision ..... X. ......................... Filed Map No..X ....... Lot No. X conforms substantially to the Application for Building Permit heretofore filed in this office dated .... ~.a?.q h...5 ......... , 198..2. pursuant to which Building Permit No..1.1. 5. .7.7..Z. ............ dated ...... ~.a.p.c..h..1.6. ............ 198..2., 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 ......... ...a.. p.qi.y .a.t.e.. ? .n.e.-.f.a..m.i.l.y...d.~.e. 1..1.i.n.g.: ......................................... The certificate is issued to ....... .]:~.L.A. ~ .D..H.O..~.E.S. ,...I ~.C.: .............................. (owner, l*~see-o~ of the aforesaid building. Suffolk County Department of Health Approval . ! .2.-.$07.~.6 UNDERWRITERS CERTIFICATE NO ......... .~..5.7.6. .~ .8.0. ............................... Building Inspector Rev. 1/81 TOWN OF~ $OU~HOI~ TOWN HALL SOUTH'OLD, t,l~ Y, BUILDING P,£PJ~IT ! (THIS PERMIT MUST BE KEPT ON THE PP, E/v{JSI~ COMPLETION OF THE WORK'AUTHORIZED) 115 7 7 Z Da~e .,.~ Rev. 6/30/80 Permission' is hereby granted to:/ .............. . ~ ..~ ........... ~& .... .. ..... . .. ~.._ ~o ...~....:.~T~.~Lm...~..~..~.~ .....'7" ~'-"' ~-"- .... ....... ~:.~ ......................................................... ~ ~ ""?"~ ~,.~,=~~.~....~~~....~m. ....... .: ........ .~ ........... ~.. .......................... : ~ ~~~.~.:...-&..~ ................................................ Coun~ T~x Mop No. 1000 Sect,o~ ......... ,Bilk .~ ......... ot No ......... pursoant f~ application doted .. ~...~ .~: and approved by the Building Inspector. ..~. ; ~} ~ding [!~ct°r FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor 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 installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approvat of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topograph ic featu res. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of bui[dings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion/required to prepare a certificate. 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 Date ...~a...~.c.~...9, .1.9.8. ~ ......... New Building XZ . Old or Pre-existing Building ...... Vacant Land Location of Property 355 Woodcli~fe Drive, Mattituck, N. Y. 11952 House No. Street Hem/et Robert Hiltz Owner or Owners of Property ............................................................ County Tax Map No. 1000 Section 107 Block O7 Lot 2,5 Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. , .~.~.5. 77.~.. Date of Permit ..3./~.0./.8..~, .Applicant . .[.n.~e,..~.d..H,o, .al.e.s.,.. ~p.c.: ........... Health Dept. ApprovalS./.?./.8.~, ................. Labor Dept. Approval ........................ Underwriters Approval .[~57.6.1~Q ............... Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... 5.00 / Fee Submitted $ ............................. Construction on above described building and, par4pJ~meets alt appliaehl~ ~de.~ apd regulations. Applicant... . .............. Robert E. Hiltz, l~Lt&nd[ R'61a~s, Inc. 0~~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICAT OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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 plam requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-existlng" laud uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect sigmed by the applicant. '-. ~ If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 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-existinK Buildin~ - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy~- Residential $15.00, Commercial $15.00 Date '-~o~ ~.~. Iqq~... ... Construction ........... Old Or Pre-existing Building ......... ICh .... ' .... ~ s- ~ ~,'~ ~i~... 0.~.~' .................... ~at~on oz ~roper~y .................................. f ' '' House No. Street Hamlet ..... ~. ~(~ · . ............ ,~t~ ~ ~p ~o 1000, Seetion...(O.~ ...... Blec~ .... 0.--7. ........ tot......O%~.... ........... . Abdivision - .. Filed Map Lot .............. :~ait No ................ Date Of Permit ................ Applicant...... ~alth Dept. Approval..... ............ . . . ......Unde~riters Approval..... ................... . arming Board Approval · ~quest for: Temporary Certificate ........... Final Certicate ........... ~e Submitted: $ ............................. ~"~ ~ ............... :~ ......... Form No. 6 TOW~ O~~ SOW ~i; APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 This application must be filled in by typewriter OR ink and submitted to the building inspector with ~he following: 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 plumFer certifying that the solder used in system contains less than 2/10 of 1% lead. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. Submit Planning ~oard Approval of completed site plan requirements. 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 a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in ~riting 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 - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15o00, Commercial $15.00 ........... ..................... Location of Property. ~.~'S' ~'00~ d d(--i ~' ~/Z.,,.~L~' House No. Street Hamlet Onwer Owners of Property ~ County Tax Map No 1000, Section. 7. ....... Lot.. Subdivision ................ t ................... Filed Map ............ Lot ...................... o ..... e Of Permit .. .,. pp cant ..................... · . .Dst ~ .... Underwriters Approval ......... Health Dept. Approval. "/(,~ ~ Planning Board Approval ........................ ~equest for: Temporary Certificate ........... Final Certicate ........... Submitted: $ ............................ ~ ?37f_ ........ ......... CELIC MAIN ROAD / CELIC CENTER PO BOX 786 MATTITUCK, NY 11952 BUS. (516) 298-8000 FAX (516) 298-8133 December 16, 1998 Building Department Southold Town Southold, New York 11971 Dear Building Department: Please find enclosed a completed application for an amended Certificate of Occupancy for the Buono residence in Mattituck. As you know, the attorney for the purchaser of this property requires a Certificate that specifically includes the front and rear covered porches. Once again, I am in your debt. As always, I am grateful for your assistance. Thank you again for your help. Estate Broker FOR OVER 90 YEARS. $ MAKING i~EAL ESTATE REAL Each Office Is Independently Owned And Operated FIEi~ I[~PECTION FOUNDATION (1st) COMMENTS FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION FERN. Y. STATE ENERGY q DE FINAL ADDITIONAL COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITy 85 JOHN STREET, NEW YORK, NEW ~ORK 10038 ..,e ~e~,~,~o~ ~4, ~ ~'~""~" ~'""~"~ ~?~ - ~ ' N 5 7 618 0 THIS CERTIFIES THAT ' - only the electrical equipment as ~scribed bel~ and introduced by t~ applicant nambd on the abqve appllcatJon number ~n the pretnlses of inlY, W~clif~ ~., B~ez- ~. ~ ~le A~., ~ttit~, N.Y. was examined on ~ ~ ~ ~ and fou.d to be in compliance with the requirements of this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT 19 22 DRYERS SYSTEMS NO. OF FEET OTHER APPARATUS: *Fue~e Applia~ce Feeders; 1-G.-~'.C. Io 1- h~oke De~ec~or E R V I C NO, OF CC COND, A W, G, PER ,~' OF CC COND A W,~. NO. OFNEUTRA~ A W.G. OF HI-LEG OF NEUTRAL 1 4 COPY THIS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, H.Y. 11971 TEL.: 765-1802 Disapproved a/c . (Building Inspector) . '! . APPLICATION FOR BUILDING PERMIT APplication NoZ'..,ff'.~... Z ~. ..... Date .[1 .a .r .c.h. 1981 INSTRUCTIONS a. This application must be completely filled in by typewrRer or in ink and submitted in trq:-Hcate to the Build Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according t6 schedule. b. Plot plan showing lo'cation of lot and of buildings on premises, relationship to adjoining premises or public str¢ or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this ap cation. 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 pen 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 Occupar shall have been granted by the BuiIding Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance ora Building Permit pursuant to Building Zone Ordinance of the Town ~f Soutbold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describ The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in buildings for necessary inspections. .. j c.: ........ . .......... (Signature of applicant, or name, if a corporation) .i.tp.c.k. ,..R:..Y. ,..1.1.9.5..2 ..... (IvIailing address of applicant) State whether applicant ts oxvner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build General Contractor N of fi ' Robert E. Hiltz ~ ,'une owner o ~rcm~ses ........................................................................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. Rober~ E. Hiltz, Pres. (Name and title of corporate officer) Budder s L cens~ No.o ......................... 517-P Plumber's License. No ......................... Electrician's License No.' . 2148J~ Other Trade's License No ...................... - Woodcliff Drive ~ Mat~i~uck, N.Y~ Locafion of land on which proposed work ~vill be oone ....... : ....................................... House Number Street Hamlet County Tax Map No. ! 000 Section 107 Block 07 Lot..2..5 Subdivision ..................................... Filed Map No .... 8Z.-7.9. ..... Lot .............. (Name) State existing use and occupancy of premises and intended use and Occupancy of proposed construction: a. Existing use and occupancy Vacant New Building X Repair .............. Rcmovai .............. Demolition ............ O~her Work ............... ] ~ (Description) , (to be paid on ~ling this application) Ifdwelhng, number ofdwellit g units ... 1 Number of dwelling units on each floor. If garag~ number of cars 1 If business, commercial or ' ' . .. nused occupancy, specify ~atnre and extent of each type of use ...... Dimensions of existing structures, if any: Front. ' , Rear Depth I'teight Ntlm her o f Stories Dimensions of same structure :with alterations or additions: Front ................. Rear ............ Dept}l ......... ~ .... Itei~t ...................... Number of Stories ............. Dimensions of entire new construction: Front ... ~.~L ........ Rear .............. Depth 18 Ntlmber of Stories Height ............... . .......................................... 0fl 1~O ' pth ' Size et:Front ..~.....'......'... Rear................100 ...... De ........ . Date o'f Purchase ' Name of Fenner Owner Zone or use district in which l~remises are situated ................................. ?; ........... Does proposed construcrion violate any zoning law, ordiaance or regulation: .... ~0 ..................... Will lot be regraded ....... ~...' .......... , ....... Will excess fill be removed from premises: Yes . Name of Ov,'ner of pre~nlses ~obo~t g, ~lltZ Address7 Levon ~ne ~_ Name of j}rchirect ........ i ...... . . Addres~ .............. Phone No ...... ~.. ..... Nme of Contractor . .89~9~. ~'. 'h~5~ ..... .Address B~ 11 , ... Phone" 298-~796 PLOT DIAGRAM Locate clearly ~d distinctly ~1 oo'ldings, whether existing or proposed, and. indicate ~1 set-back d~ens~ons fron' roperty ~nes. Give street and block number or description according to deed, and show street names and indicate whethe: :teller or corner lot. w Dcu F 'FATE O F NECChi%) RK .... SS ' ' OUNTY,OF .~.i · ....... ·.. ROBERT. B....HII3[T.Z, ................ being duly sworn, deposes and says that he is the applican_ (Name of indMduaI signing contract) ~ove~named. , e is the Contractor ! I (Contractor, agent, corporate officer, etc.) f said owner or owners, m:d is du y authorized to perform or have performed the said work and to m~e and fi thi )plication; t]mt all statements cohtained, in this application are true to the best of his knowledge anti belief; and thbt tl~ · ork will be performed in the man.ncr set forth h~ the application riled therewith. ~vom to before me this ............ . . .day:o .....a= Made the 4th day of November nineteen hundred and ninety-three ~ct~3[CII RICHARD ZUMMO, 333 Route 25A Rocky Point, NY duly appointed in the action hereinafter mentioned, Grantor 11778 Referee WILLIAM GILLOOLY, ~d ~k Village Lane Orient, NY 11957 that the Grant.or, the Referee appointed in an action between THE GREEN POINT SAVINGS BANK and MICHAEL T. DICKSON CATHERINE L. DICKSON SOUTHOLD SAVINGS BAi~K RICHARD JOHN GILLOOLY CHRISTINE GROBE SOUTHOLD POOLS,, INC. LYNDA DICKSON plain~iiY foreclosing a mortgage recorded on the 13th day of May and eighty-three fn the or'ce of the Clerk Suffolk , in liber 9559 of mortgages, defendants nineteen bzmdred of the County of at page 98 , in pursuance of a judgment entered at ~x/~mx~k~mxm~X~ an IAS Part II, of the Supreme Court of the State of New York, County of Suffolk on the 26th day of May nineteen hundred and ninety-three and in consideration of ONE HUNDRED THOUSAND and NO/100 ................................. ................................... ($100,000.00) ............. Dollars paid by the Grantee, being the highest sum bid at the sale under said judgment does hereby grant and convey unto the Grantee, all the right, tltIe and interest of the defendants in and to ,Cz55 Woodcliff Drive, Mattituck, New York and more particularly described in Schedule "A" annexed hereto. ATTACHED TO DEED DATED 11/04/93 from RICHARD ZUMMO, as Referee to WILLIAM GILLOOLY SCHEDULE "A" ALL THAT CERTAIN PLOT, PIECE, OR PARCEL OF LAND, SITUATE, LYING, AND BEING AT MATTITUCK, TOWN OF SOUTHOLD, COUNTY OF SUFFOLK AND STATE OF NEW YORK BEING MORE PARTICULARLY BOUNDED AND DESCRIBED AS FOLLOWS: BEGINNING AT AN IRON PIPE ON THE WESTERLY SIDE OF WOODCLIFF DRIVE 325.0 FEET NORTHERLY ALONG SAID WESTERLY LINE FROM THE COBRER FORMED BY THE INTERSECTION OF TF~E WEST SIDE OF WOODCLIFF DR~VE WITH T~E NORTH SIDE OF BROWER ROAD; SAID POINT OF BEGI~rNING BEING T~.E NORTHEASTERLy CORNER OF I~%ND NOW OR FORMERLY OF~c~S~~ ARD FROM SAID POINT OF BEGINNING; RUNNING THENCE ALONG SAID LAND NOW OR FORMERLY OF ~RCOXS, SOUTH 71 DEGREES 42 MINUTES 40 SECONDS WEST 135.0 FEET TO AN IRON PIPE AND LAND OF SCHMIDT; RUNNING THENCE ALONG SAID LAND OF SCHMIDT AND ALONG LAND NOW OR FORMERLY OF~/~O~ .~.~.N~ NORTH 11 DEGREES 17 MINUTES 20 SECONDS WEST 100.0 FEET TO ~ IRON PIPE ~ ~o NOW Oa FO~ o~ ~ THENCE ~ONG SAID L~D NOW OR FO~Y OF ~D, NORTH 71 DEG~ES 42 MINUTES 40 SECONDS EAST 135.0 FEET TO ~ IRON PIPE ON SAID ~STE~Y SIDE OF W~DCLIFF DRIP; THENCE ALONG SAID WESTERLY SIDE OF WOODCLIFF DRIVE, SOUTH 11 DEGREES 17 MINUTES 20 SECONDS EAST 100.00 FEET TO THE POINT OR PLACE OF BEGINNING. FOR INFORMATION ONLY: DISTRICT 1000 SECTION 107.00 BLOCK 07.00 LOT 025.000 BOXES ~ THRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING L/P~ TORRENS [: NOV ~7 ~95 L'D~A~O P. RObfA- ' Cc~ificatc 0 Prior 4 I FEES Page / ~iling ~ee [ ~ . ~o~gage ~t. ~ 1. B~ic T~ ~andling T~-584 ~ .~ 2. SONY~ Notation Sub Total EA-5217 (County) ~. ~ Su~ ~ot~ ~. ~. SpecJ~aa. ~.... EA-5217 (State) ~ ~.~, ~~ TOZHeid for Appo~ionmentMTG' T~ ~. KP.T.S.~ ~. ~ Dual Town Dual County Comm. of Ed. Affidavit M~sion T~ Ce~ified Copy The prope~y covered by this mo~gage ,/~ is or ~iil be improved by a one o~ two Reg. Copy Sub Tot~~ ~-- family dwelling only. Other G~D TOT~. ~ ~NO, ~ee appropriate t~ clause on page ~ of thi~ instrument. ~ ;~ Real Prope~y T~ Semite Agency Verification ~ Title Compan~ Information ~ ~o[~ ~ Di~t Section Block Lot ~ ~ Comply Name lnitialn Title Number ':'~7 ':'l FEE P~ BY: ~ ....... ~ ~ . GOUNT~ ROAD Payer OR:, ~co~ & ~TU~ TO ~,,,,, (ADDRESS) ..~.- Suffolk Coun~ Recording & Endorsement Pa~e This page forms part of the a~ached ~eed, Mortgage, etc.) ~ (~t~ ~ ,t~ The premises herein is situated in s~r~on~ co~s~, s.w YO~. To I. th. ToW~ or In the '~LAGE to0.O0'