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HomeMy WebLinkAbout48725-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE „w SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 48725 Date: 1/12/2023 Permission is hereby granted to: Palminteri, Melchiore 69-13 Manse St Forest Hills, NY 11375 To: construct accessory in-ground swimming pool as applied for. At premises located at: 4550 Deep Hole Dr., Mattituck SCTM # 473889 Sec/Block/Lot# 115.-17-2.2 Pursuant to application dated 8/12/2022 and approved by the Building Inspector. To expire on 7/13/2024. Fees: SWIMMING POOLS - IN-GROUND WITH FENCE ENCLOSURE $250.00 CERTIFICATE OF OCCUPANCY $50.00 Total: $300.00 Bui g Inspector q TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 httDs://www.souLholdtowliny.Zov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT N0. �> Building Inspector: IA(JG 12" 20V Applications and forms must be filled out in their entirety. Incomplete BUILDING DING DEioi. applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date:08/02/22 OWNER(S)OF PROPERTY: Name:Athena Palminteri =CTM# 1000-115-17-2,� Project Address:4550 Deep Hole Dr., Mattituck NY 11952 Phone#:(347) 239-0211 Email: Mailing Address:4550 Deep Hole Dr., Mattituck NY 11952 CONTACT PERSON: Name:Athena Palminteri Mailing Address:4550 Deep Hole Dr., Mattituck NY 11952 Phone#:(347) 239-0211 Email:. DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name:John Wysoczanski Mailing Address:Islandia Pools Ltd., 108 Fishel Ave., Riverhead NY 11901 Phone#:(631) 727-6312 EmailJoh n @island ia pools.com DESCRIPTION OF PROPOSED CONSTRUCTION I ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: 00ther-29*4a-inground vinyl swimming pool with propane heater $64,000.00 Will the lot be re-graded? DYes El No Will excess fill be removed from premises? ❑Yes RNo 1 ._............... _. __.r..w w _ .._. . ..... ,.I PROPERTY INFORMATION Existing use of property:Residential Intended use of property:Residential Zone or use district in which premises is situated, Are there any covenants and restrictions with respect to this property? ❑Yes WNo IF YES, PROVIDE A COPY. ❑ Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water Issues as provided by Chapter 236 of the Town Code. 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 other applicable Laws,Ordinances or Regulations,for the construction of buildings, additions,alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code, housing code and regulations and to admit authorized inspectors on premises and in building(s)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. Application Submitted y( rint n " ):Jo n Wysoczanski FOAuthorized Agent ❑Owner Signature of Applicant: Date: 08/02/22 STATE OF NEW YORK) SS: COUNTY OF Suffolk John Wysoczanski being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)heisthe Contractor (Islandia Pools Ltd.) (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have pahee or d to make and file this application;that all statements contained in this application are true r no ledge and belief; and that the work will be performed in the manner set forth in the applic Swor before me this day of r ubli D/V4 D FREEBORN Notary PulAq, Skate of i1 raw Yore � IIt ,�, PROPERTY OWNER AUTHORIZATION Or°'ieluo��r� ' �a�i"oil. urrtWhere thea licant is not the owner (-,or:rnii sion k-xpi ..s Dec, 5, 0� a pP ) I; Ahera-Palminted residing at 4550 Deep Hole Dr Mattituck NY 11952 Islandia Pools Ltd./ John Wysoczanski do hereby authorize to apply on "ehaif to the Town o Southold Bsuilding Department for approval as described 'herein, 08/04/22 Owner's Signature r Date Athena Palminteri Print Owner's Name 2 . ° R `�,' BUILDING DEPARTMENT- Electrical Inspi 'or � p TOWN OF SOUTHOLDa Town Hall Annex - 54375 Main Road - PO Box 1 ZOO Southold, New York 11971-0959 m� ' " - Telephone (631) 765-1802 - FAX (631) 765-9502 r gerrd5southoldtowr1 I'lly gov seand southoldtownn . ov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 08/01/22 Company Name: MRJ INDUSTRIES Name:John Ferguson License No.: -15— email: Phone No: (347) 239-0211 ❑✓ l request an email copy oftClArtMicate of Compliance Address.: 4550 Deep Hole Dr., Mattituck NY 11952 JOB SITE INFORMATION (All Information Required) Name: John Ferguson Address: 4550 Deep Hole Dr., Mattituck NY 11952 ................. Cross Street: Phone No.: (347),239-0211 B!dg.Permit #: email: Tax Map District: 1000 Section: 115 Block: 17 Lot: 2 BRIEF DESCRIPTION OF WORK (Please Print Clearly) wiring and bonding new pool construction wiring and bonding new pool construction wiring and bonding new pool construction. -..� Check All That Apply: Is job ready for inspection?: []YES ❑✓ NO ❑Rough In ❑Final Do you need a Temp Certificate?: [-]YES ZNO Issued On 08/01/22 Temp Information: (All information required) Service Size ❑1 Ph ❑3 Ph Size: A # Meters Old Meter# �,'ew Service ❑ Service Reconnect ❑ Underground F—]overhead � g E 0 ❑ ? ❑� � i `..Und r round Laterals 1 2 l-1 Frame Pole Work done on Service? �` � \ddiiionai Information; PAYMENT DUE WITH APPLICATION Cleclrical Inspection Form 2020:xlsx Building Deartme t Application AUTHORIZATION (Where the Applicant is not the Owner) .q bn /)7!?" , g ysslj m' I PJ residin at p � ' �_._ (Print property owner's name) (Mailing ddress) do hereby authorize �514nc)I-A PL ��mmmmm to apply on my behalf to the Southold Building Department. wnem''s Signature) Dat ) P4J1 (Print Owner's Name) ...... HM ENGIINeEoERING P.C. 14 EAST NORTHPORT,NY 11731 TEL:516-476-5392 AIJ13 2 21"192 � EMAIL:HMARNIKA@OPTONLINE.NET !, ' BUILDING DEP 6: TOW 11 0 August 09, 2022 Town of Southold Building Department Town Hall Southold,N.Y. 11971 Dear Sir/Madam: This is to certify that the drainage facilities to be used exclusively for the construction of a swimming pool on the premises of: Palminteri Residence 4550 Deephole Drive Mattituck,N.Y. 11952 will not require draining because the pool is constructed with a vinyl liner. The pool water will be continuously recirculated through the filter and will be reused from year to year. The drainage from the filter backwash will be piped to a drywell located on the subject lot and will not interfere with the public water supply system, existing sanitary facilities, adjoining property owners, public highways or private roads. Sincerely, HM E gineering P.C. ry arnika,P.E. Workers' CERTIFICATE OF INSURANCE COVERAGE s Compensation r i Board DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW � �P d Paid � �- � PART 1.To be completed b Disability an Family Leave Benefits._ its Carrier or Licensed Insurance Agent of that Carrier _.. . 1a.Legal Name&Address or Insuredaddre use street _. �( � ss only) 1r5.Business felc.Irhortca IViarrsbcr or Insured ISLANDIA POOLS LTD. 108 FISHEL AVENUE 6317276312 IVERHEAD, NY 11901 1 c.Federal Employer Identification Number of Insured Work Location of Insured (Only required if coverage is specifically limited to or Social Security Number certain locations in New York State,i e, Wrap-up Policy) 11-2915556 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Standard Security Life Insurance Company of New York Town of Southold 53095 Main Road 31b,Policy Number of Entity Listed in Box"l a" Southold, NY 11971 69146-00 3c.Policy effective period 1/1/2014 to 3/20/2023 4. Policy provides[he following benefits: IJ A. Both di A.)ility and paid family leave benefits.. B. Disability bonefits only. FI C.Paid family leave benefits only 5. Policy covers: F] A.All of the employer's ernployees eligible under tare NYS(Disability and Paid Family I....eave Bonefit.s I...aw. B.Only the following class or classes of employer's employees: Under penalty of perjury.I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS Disability and/or Paid Family Leave Benefits insurance coverage as I Isl •1d above. nit DateSigned 3/21/2022 BY hdarla uirairo�>r�Kurar�trorNY ...................... ..... ........m.,,,.__,....................e... JI Cl.]CU[e.:C7t insurance— _— ... ......,.,�— (Sig earner's al„ 5 Licensed Insurance Agent of that Insurance carrier) Telephone Number _(212) 355-4141_ Name and Iihe SUPERVISOR-DBL/POLICY SERVICES IMPORTANT: If Boxes 4A and 5A are checked, and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE. Mail it directly to the certificate holder. If Box 4B, 4C or 5B is checked, this certificate is NOT COMPLETE for purposes of Section 220, Subd.8 of the NYS Disability and Paid Family Leave Benefits Law. It must be mailed for completion to the Workers'Compensation Board, Plans Acceptance Unit, PO Box 5200, Binghamton, NY 13902-5200. _ ensa...m. ��.._.(I.....ox 4C or 5 ."_ .._ m_ ... � orvt sexed F' � . r5� Corpyp � B of Part 1 has been checked �.. p °� tion Board (only rf B .. �.. mm_�.. PART 2.To be c _ he 9VYS-5—W"o- State of New York Workers'r ompen a i Board According to Information q"nairrtained by the NYS Works+ rs`Con'q)ensatton Board, the above-named employer has complied with the NYS Disability and Pakl 'Family Leave Benefits Law w th respect to all of his/her employees. Date Signed Workers By Compensation ...._.... (Signature of Authorized NYS ������ .. .,.._.. ....._._....._. ...._ .,,.�...... .,,. nn Board ISrvsfSfoyee) Telephone Number Name and fitlf. ase Note: Only insurancrrrcarrier o . leave benefits rc IVY crDB 120.1 Insurance brokers are NOT authors d to s a agents of those insurance carriers � sue Form ak:rui arid lard tarnrl leave benefits licensed to write �` disability � F Y � p and NYS licensed insurance ed to ts. T authorized to issue this form. DB-120.1 (10-17) III liiuiiiiiiiiiiiiiiiiiiiii�iiiiiii�iiuiiiiilllJill Additional Instructions for Form D13-120.1 By signing this form, the insurance carrier identified in Box 3 on this form is certifying that it is insuring the business referenced in box 1 a"for disability and/or paid family leave benefits under the New York State Disability and Paid Family Leave Benefits Law. The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed as the certificate holder in Box 2. The insurance carrier must notify the above certificate holder and the Workers' Compensation Board within 10 days IF a policy is cancelled ctur' t,O ru;repayment of prerniums or within 30 days IF there are reasons other than nonpayment of premiun•is that cancel flue l,o icy or elurninate the insured from coverage indicated on this Certificate. (These notices my be sent by regular mail.)Otherwise, this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent, or until the policy expiration date listed in Box 3c, whichever is earlier This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Disability and/or Paid Family Leave Benefits contract of insurance only while the underlying policy is in effect. Please Note: Upon the cancellation of the disability and/or paid family leave benefits policy indicated on this form, if the business continues to be named on a permit, license or contract issued by a certificate holder, the business must provide that certificate holder with a new Certificate of NYS Disability and/or Paid Family Leave Benefits Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Disability and Paid Family Leave Benefits Law. DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW §220. Subd. 8 (a) The head of a state cr municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in employment as defined in this article, and not withstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that the payment of disability benefits and after January first, two thousand and twenty-one, the payment of family leave benefits for all employees has been secured as provided by this article. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal department, board, commission or office to pay any disability benefits to any such employee if so employed. (b)The head of a state or municipal department, board, commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in employment as defined in this article and notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that the payment of disability benefits and after January first, two thousand eighteen, the payment of family leave benefits for all employees has been secured as provided by this article. DB-120.1 (10-17) Reverse � „ � DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE o2/11/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsenlent(s). oON1Acro PRODUCER NAME: Comm) 414-7ercial Su . ,Pori 631 390- Edgewood Partners Insurance Center RHONE 1666475 F^WC,,,es} S I 9700 40 Marcus Drive 3rd Floor l E-MAIL ta4� RE5 ;, tiasozcerd a @epicbrokers.com ....... ®,. Melville NY 11747 RAGE NAIU# 1NSURC'R A.HAR . ...� FORD FIRE & CASUALTY TY GRCdDI.. ........ 00914 .... INSURED ... ........ ........... NSURER6 'Tw chnology.....insurance COtkti�Sany,,- :IGS _,. ......... Islandia Pools Ltd, 9NSURER C: .A ., ...,.__...... ..... . .., .w ....... 108 Fishel Avenue INSURER _. _....,. —..... Riverhead NY 11901 INSURER E _. ......... _.__ ._... dNS4JRE.R.F: COVERAGE$ CERTIFICATE NUMBER:Cert ID 316 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIR(.iiiMI::::NT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERI'AIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CLAIMS. _ .. „„ TYPE OF INSURANCE ADDN Sh&B.01 _.., k 1'LICY'NUMBER..._ �..IM6WdPCY�!YY�MM;D�DIYYYY.1,EFF CCNEXP,�..... ,,,,,, .... LIMITS --- 1,000,000 NS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAI EXCLUSIONS IwI CLTR coMMERCIAL GENERAL LIABILITYA t;I...AIM�`MlkllC< X J)C:CUIi12UUNOZ9731 04/25/2'0"Ll 09/25/202 .MED EXEEN� EacccLrrrrnc $ 300,000 } rry one paarsun) $_ 5,000 I _PERSONALINJURY '� 1,000,000 4 CCIV{ ACeL,IdC rAl I14::iI F�Id GENERAL AUkF'C'rtTC 6 2 .000 .000 -CAILIIiWI - _�u ._ _ .,,.�.... mw .00,000 C V^Bn;a•� L ' �PRODUCTS COMP/OP AGO � 2,000,000 k 000 r)I Ar u Y ONiI"I' L.,i'ur` �..-.,, ........, I ,R.Nv�&SVt k U.�46+«Gl fmd.pMIT ..._...,..�.... ,�. ........m—,...>i ......�..............— uCOMObILELIAYn1...11'� 04.,. .. _ $ X000 0 A A ANY AU tJ Y INJURY(Per person) $ 12UENOZ9729 /25/2021 04/25/2022 BODILY OWNED ....X CHFIDUI.LD Yf1AfwlAe�r $ BODILY INJURY(Per accident} j AUTOS ONLY I�, ATI O � ...� 4illdl f:k NON OWNI!::D i F'NC„7'E6tl" G E $ _ 0S CONI Y I I a K.idenuR ..,.�..._ X AU"Y OS C?IVIY ,_. 1 Alli. .........�—�'r,...-,.•.-- _ ........... �Pdrr 9� ..,..:�- � X A X UMBRELLALIAB X 12HHUOZ9730 �04/25/2021I�04/25/2022,, LACHOGGURB EW"' $ 1x.... 000 rJCCUR - _.._ e,,,, �nll MnDE At r I�rcA"r� a 1,000,000 EXCESS LIAR -- PER X %rATIO41A8 10 000 TVdC3961B44 04/25/202104/25/20221 � ......._,_. _ .... 1 X "w'dh�"filJhi4 0 Pi - WORKERS COMPENSATION —.. � B rt�Yri�`'+.�`,J0 dt9t^14 Wkr;Pi hM�`1`u^dL(diLXC.d;;,%.JI IV, Y NIA, I .„E L,D SEASEOIDENT $EA EMPLOYEE $,. 1,000"000 .. AND EMPLOYERS'LIABILITY a 1,000,000 'r r�I (Mandhito y in NH) ., ".. .. tlit%Lnlll r1,000,000 E,L.,DISEASE-Pd.DLICY'LIMIT $ IG�IlxylOrg.d#'#"RAl,.ph.)II m�ttl<y�r _ ...-.. �-�- r $ I � I S DESCRIPI,ION..OF O -___..�..................... -.. �- OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,.Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of Southold 53095 Main Road AUTHORIZED REPRESENTATIVE Southold NY 11971 L- `4 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Daae ' of IN Workers' CERTIFICATE OF "STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured Islandia Pools Ltd.. (631) 727-6312 1 c. NYS Unemployment Insurance Employer Registration Number of 108 Fishel Avenue Insured Riverhead NY 11901 Work Location of Insured(Only required if coverage is specifically limited to 1d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 112915558 .._ 2.Name and Address of Entity Requesting Proof of Coverage 3a. Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) TECHNOLOGY INSURANCE COMPANY I Town of Southold 3b.Policy Number of Entity Listed in Box"l a" TWC4085017 53095 Main Road Southold NY 11971 3c. Policy effective period 4 25 2022 to 0425 202 3d.The Proprietor,Partners or Executive Officers are included.(Only check box if all partnerstofficers included) all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box"1 a"for workers' compensation under the New York State Workers'Compensation Law, (To use this form, New York(NY) must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2", The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a.policy is canceled due to nonpayment of premiums or wpthin 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the Coverage indicated on this Certificate. (These notices may be sent by regular rr'tall,)Otherwise,this Certificate is valid for one year after this forma is approved by the Insurance carrier or Its licensed agent, or until the policy expiration date listed in boar"3c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers' Compensation contract of insurance only while the underlying policy is in effect. Please Note Upon cancellation of the workers'compensation policy indicated on this forma, if the business continues to be named on a permit, license or contract issued by a.certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complyingwith the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury, I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved bya NE House Account (Print name of authorized representative or licensed agent of insurance carrier) ,/ _n . Approved by: C-44ja— (Signature) (Date) Title: Leonard Scioscia Telephone Number of authorized representative or licensed agent of insurance carrier, (866) 41.4-7475 Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT authorized to issue it. C-105.2 (9-17) www.wcb.ny.gov OWNSIC, SUFF.CO.149ALTH DOM APPROVAL H.S.NO. .SOX the sewage disposal'and water "Molly Y,.t' 8-4Z49 , facilities for this location hare been tnspeeted by this department and fouve ARG: i ;La :7 'g.t� tut satisfactory... a �� �M ilS`• HaveaT ' cc ri.&:ilk✓'. CC's Y-, I ,as° SCALSt ! ms+,rn, V.F {',�aC,�7}�. THIS sug - Is A VIOLATION OF CTION 720 OE THE NEW YORK STATE Lli t�1 uCATION uw. 'V V PIES OF THIS SURVEY MAP H01t HARIHO E LhND SURVEYOR'S INKED SEAL.OA ♦ EO&SED SEAL SHALL NOT TE CONSIDERED -A YAEA TRUE COPY. P INDICATM-KREON'SHALL-RUM T TO THE PERSON EOR WHOM THE WAVER MBAR ,AND ON HIS SENALT TO THE EEEE COMPANY,GOVERNMENTAL AOENCV AND INSTITUTION LISTED HERIcON,.AND TIE ASSIGNEES Of THE LENDING RVSTi• UTEON.GUARANTEES ARE NOT 1'RANSTERAELE O ADDITIONAL VOTITUTIONS OR SURSIOUENY .. WNERS, 04-r 5,)"u ad Oct. b't979 TtaWN Q Rix EARN TUVL. P. C. Scxr�atot_o,N.Y. lL�R vd,,...- ME a"—sumvivOW54AWWWOR, u ik Ga.-,%yx Ma ''aignORf'EurE;p,'�t.,J13L1,5pct. 111,e!N�!'7YfiZrr,+ Tu"HOI A Burr.Co.asrr:aw NC u.Tra menvoom !L^�TWOUNT Or, s SN ' FOR APPROVAL Or CONSTRUCTION ONLr Twc WAY" SUPPLY AND SsWASE 1~ aATEr: DISPOSAL srsTmt "M THIS Rt81- 3ernd . MmCs -VALL COW4AW To Twe yPT7hk".1 H.S,Rap.NO.: STANDMOS Or SUPrOLK CO. 09". Or "KALTw. 11s,RVF0'aET. A"ROVCD: ' tlti fT' APPLICAFn' - A? 2tit — SEE,