HomeMy WebLinkAbout28975-ZFORM NO. 4
TOWI~ OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29617 Date: 07/31/03
THIS CERTIFIES that the building ADDITIONS/ALTERATIONS
Location of Property: 220 MECHANIC ST SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 61 Block 4 Lot 17.1
subdivision Filed F~ap No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 3, 2002 pursuant to which
Building Permit No. 28975-Z dated DECEMBER 4, 2002
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 FRONT COVERED PORCH ADDITION, ADDITION AND ALTERATIONS TO AN EXISTING
ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to DONALD C & ANN J WEBSTER
(OWNER)
of the aforesaid building.
SUFFOLK COL~Fi"f DEPARTMENT OF ~EALTH APPROVAL
ELECTRICAL CERTIFICA~E NO.
PLUMBERS CERTIFICATION D;~r~u3
Rev. 1/81
N/A
1114565 05/23/03
07/28/03 DONALD C WEBSTER
'~//~ignature
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 28975 Z
Date DECEMBER 4, 2002
Permission is hereby granted to:
for :
SONYA LYNN KING
220 MECHANIC ST
SOUTHOLD,NY 11971
ADDITIONS AND ALTER3kTIONS TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR
at premises located at
220 MECH3kNIC ST SOUTHOLD
County Tax Map No. 473889 Section 061 Block 0004
Lot No. 017.001
pursuant to application dated DECEMBER 3, 2002 and approved by the
Building Inspector to expire on JUNE
4, 20~
Fee $ 417.00
ORIGINAL
Rev. 5/8/02
Form No. 6
TOWN OF SOUTHOLD ,'7 ..........
BUILDING DEPARTMENT
TOWN HALL
765-1802 ,JUL 3
APPLICATION FOR CERTIFICATE OF OCCUPANCY ~
L_T~O,,,.' ,
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 frown Health Dept. of water supply and sewerage-disposal (S-9 form).
3. ApprovaI 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. Cmmnercial 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 Plamfing Board Approval of complcted 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 sigmed 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, Conm~ercial $15.00
New Construction:
Location of Property: ~,20
House No.
Owner or Owners of Property: _ ~)[,~?~, ~
Suffolk County Tax Map No 1000, Section
Subdivision
Permit No. ~7 ~ ~ ?~q'-- ~. Date of Permit.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~og-, ~
Old or Pre-existing Building:
Street
Block
Filed Map.
(check oue)
,,._7'-.,;../l
Hmnlet
Applicant:
Unde~wvriters Approval:
Final Certificate:
Lot:
(check one)
Applicant Signature
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (631) 765-9502
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Date:
Building Permit No. ~ ~ ~'7~- - 2--
Owner:
(Please print)
(Please pri~ql)
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
Sworn to before me this ~tO
day of~'~] , 20~
4q;~ary eublic~,/~/lf~ County
i~OI^R¥ pLI[I~.IG, State of blow York
bio. §581910
Qualified in Sul~folk County
Commission Expires .lune 30, -,:~o,:~ ~'
(Plumbers Signature)
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD Of FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET - NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of upon premises owned by
DONALD WEBSTER DONALD WEBSTER
P.O BOX 791 220 MECHANIC STREET
SOUTHOLD, NY 11971 SOUTHQLD, NY 11971
Located at 220 MECHANIC STREET SOUTHOLD, NY 11971
Application Number: 1114565 Certificate Number: 1114565
Section: Block: Lot: Building Permit: BDC: NS11
Described as a Residential occupancy, wherein the premises electrical system consisting
electrical devices and wiring, described below, located in/on the premises at:
Basement, First Floor, Outside,
was inspected in accordance with the National [lectdcal Code and the detail of the installation, as set forth below, was
found to be in therewith the 23rd of 2003.
compliance
Day
May,
Name QTY Rate Ratint Circuit Type
Alarm and Emergency Equipment
Sensor 2 0 Carbon Monoxide
;ensor 4 0 Smoke
Appliances and Accessories
Exhaust Fan 2 0 F.H.P.
Wiring and Devices
Receptacle 23 0 General Purpose
Switch 31 0 General Purpose
Fixture 34 0 Incandescent
Receptacle 8 0 GFCI
Service
1 Phase 3W Service Rating 200 Amperes
Service Disconnect: 1 200 cb
Meters: 1
seal
1 of 1
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
Permit Number
Checked By/Date
MECcheck Compliance Report
New York State Energy Conservation Construction Code
MECcheck Sot°~ware Version 3.3 Release lc
Data filename: C:~rogram Files\Check~VlECcheck\Webster Mechanic Street.cck
TITLE: Donald Webster
COUNTY: Suffolk
STATE: New York
HDD: 5750
CONSTRUCTION TYPE: Detached 1 or 2 Family
HEATING TYPE: Non-Electric
DATE: 12/02/02
DATE OF PLANS: 11/18/02
PROJECT INFORMATION:
Mechanic Street Alterations
COMPLIANCE: Passes
Maximum UA = 343
Your Home - 332
3.2% Better Than Code
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
Ceiling 1: Flat Ceiling or Scissor Truss
Wall 1: Wood Frame, 16" o.c.
Window 1: Vinyl Frame, Double Pane
Door 1: Solid
Floor Over Unconditioned Space
1735 30.0 0.0 61
1616 11.0 0.0 119
255 0.340 87
21 0.400 8
30.0 0.0 57
1: AIl- W/q~d J oist/Truss, 1735
I \
COMPLIANC~ S~ATEMENT: The proposed building represented in this document is consistent with the building
plans, specific~tion~and other calculations submitted with this permit application. The proposed systems have been
designed to me{t the~lew York State Energy Conservation Construction Code requirements. When a Registered
Design Pro fessi~nal hb{ :amped and signed this page, they are attasting that to the best of his/hertknowledge, belief'
and professional )~dgml~ such P~I{ or specifications are in compliance with this Code. ] ]
Builder/Designer ~x~ ~ ~j~ Date
MECcheck Inspection Checklist
New York State Energy Conservation Construction Code
MECcheck Sot~ware Version 3.3 Release lc
DATE: 12/02/02
TITLE: Donald Webster
Bldg.
Dept.
Use
[ ]
[ I
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
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[ ]
Ceilings:
1. Ceiling 1: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation
Comments:
Above-Grade Walls:
1. Wall 1: Wood Frame, 16" o.c., R-11.0 cavity insulation
Comments:
Windows:
1. Window 1: Vinyl Frame, Double Pane, U-factor: 0.340
For windows without labeled U-factors, describe features:
# Panes__ Frame Type Thermal Break? [
Comments:
]Yes[ ]No
Doors:
1. Door 1: Solid, U-factor: 0.400
Comments:
Floors:
1. Floor 1: All-Wood Joist/Truss, Over Unconditioned Space, R-30.0 cavity insulation
Comments:
Air Leakage:
Joints, penetrations, and all other such openings in the building envelope that are sources of air
leakage must be sealed.
Recessed lights must be 1) Type IC rated, or 2) installed inside an appropriate air-tight assembly
with a 0.5" clearance from combustible materials. If non-lC rated, the fixture must be installed with a
3" clearance from insulation.
Vapor Retarder:
Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors.
Materials Identification:
Materials and equipment must be installed in accordance with the manufacturer's installation instructions.
Materials and equipment must be identified so that compliance can be determined.
Manufacturer manuals for all installed heating and cooling equipment and service water heating
equipment must be provided.
Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications.
Duct Insulation:
Supply ducts in unconditioned attics or outside the building must be insulated to R-8.
Return ducts in unconditioned attics or outside the building must be insulated to R-4.
Supply ducts in unconditioned spaces must be insulated to R-8.
Return ducts in unconditioned spaces (except basements) must be insulated to R-2.
Insulation is not required on return ducts in basements.
Duct Construction:
All joints, seams, and connections must be securely fastened with welds, gaskets, mastics
(adhesives), mastic-plus-embedded-fabric, or tapes. Duct tape is not permitted.
Exception: Continuously welded and locking-type longitudinal joints and seams on ducts
operating at less than 2 in. w.g. (500 Pa).
Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions.
Cooling ducts with exterior insulation must be covered with a vapor retarder.
Air filters are required in the return air system.
The HVAC system must provide a means for balancing air and water systems.
Temperature Controls:
Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space
temperature set point of the largest zone.
Electric Systems:
Separate electric meters are required for each dwelling unit.
Fireplaces:
Fireplaces must be installed with tight fitting non-combustible fireplace doors.
Fireplaces must be provided with a source of combustion air, as required by the Fireplace construction
provisions of the Building Code of New York State, the Residential Code of New York State or
the New York City Building Code, as applicable.
Service Water Heating:
Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the
water heater has an integral heat trap or is part ora cimulating system.
Insulate circulating hot water pipes to the levels in Table 1.
Circulating Hot Water Systems:
Insulate circulating hot water pipes to the levels in Table 1.
Swimming Pools:
All heated swimming pools must have an on/offheater switch and require a cover unless over 20%
of the heating energy is from non-depletable sources. Pool pumps require a time clock.
Heating and Cooling Piping Insulation:
HVAC piping conveying fluids above 105 °F or chilled fluids below 55 °F must be insulated to the
levels in Table 2.
Table 1: Minimum Insulation Thickness for Circulating Hot ~?ater Pipes.
Insulation Thickness in Inches by Pipe Sizes
Heated Water Non-Circulating Runouts
Temperature (F) Up to 1" Up to 1.25"
170-180 0.5 1.0 1.5 2.0
140-160 0.5 0.5 1.0 1.5
100-130 0.5 0.5 0.5 1.0
Circulating Mains and Runouts
1.5" to 2.0" Over 2"
Table 2: Minimum Insulation Thickness for HV/IC Pipes.
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Piping System Types Range (F) 2" Runouts 1" and Less 1.25" to 2" 2.5" to 4"
Heating Systems
Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0
Low Temperature 120-200 0.5 1.0 1.0 1.5
Steam Condensate (for feed water) Any 1.0 1.0 1.5 2.0
Cooling Systems
Chilled Water, Refi'igerant, 40-55 0.5 0.5 0.75 1.0
and Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD (Building Department Use Only)
BUILDING PERMIT EXAMINER CHECK LIST
APPLICANT:
SCTM# DISTRICT: 1,000, SECTION:
STREET ADDRESS: 7~0 ~'~£ e M$¥,~
PROJECT DESCRIPTION:
ESTIMATED PROJECT COST~
DATE REVIEWED: ]~/ }l /Z
DATE SUBMITTED: !2 / J' /~
,BLOCK: ~ ,LOT: /7, I
%' CITY: __~0T34~l~-' SUBDIVISION', _t~/~
ARCHITECT~ 7' ~,c~ e 4:1c'[ FAST TRACK? ~.
SINGLE & SEPARATE CERTIFICATION-REQUIRED? ffi NOTES: ----- ' ....
LOTS 40,000SF -100*24. Lot recognition.(CREATED before June 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100-25 Merger (A nonconforming at any time after
ZONING DISTRICT:
REQ. LOT SIZE: ~
REQ. FRONT [
REQ. REAR ~'7
~> CONFORMING? kg
ACT. LOT SIZE: ~ REQ. LOT COV.~ ACT. LOT COV. 7o
PROP. FRONT 2.-~ .~Q SIDE / e;/~ ~' ACT. S1DE~ Z
PROP. REAR REQ. HEIGHT PROP. HEIGHT
WATER FRONT? ~ DESCRIPTION:
PANEL #: /~? FLOOD ZONE: ,~. , ~
APPROVALS REQUIRED
SUFFOLK COUNTY HEALTH [~T: YES or(~ (BED #): DTE:
TOWN SEPTIC RECEIPT: Y ortN~
NEW YORK STATE DEC: ,nn~ YES o~ _
SOUTHOLD TOWN TRUSTEES: YES orl~* _
TOWN ZONING BOARD APPROVAL: YES or~[ _
TOWN PLAN. BOARD APPROVAL:
· ow TORICALPRE
EGRESS (18 H rain? 4 sq total) ~ VENT (SQ. Fr. x 4%).
BUll.DING PERMITS OPEN/EXPIRED: BP -Z / C/0 Z-
F-_.AVE PRE CO'S: Y OR N BP
NOTES:
/ / PERMIT #:RI 0-
LIGHT (SQ. Fr. x 8%). _
-Z / C/O Z- ,
FEE STRUCTURE: FOUNDATION:
FIRST FLOOR:
SECOND FLOOR:
OTHER:
TOTAL:
1. ( SF)- ( SF)=, SF X $__
2. ( SF)- ( .SF)= SF X $__
SF
SF
SF
SF INIT
SF FEE
=$ +$
=$ +$
OTHER TOTAL
+$ FEE ~ql"~
+$ = $
765-zSOZ
BUILDING DEPT.
INSPECTION
[~/FOUNDATION 1ST [ ] ROUGHPLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ."
DATE
INSPECTOR
765-1~02
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [//']ROUGH PLBG.
[ ] FO/.UI~ATION 2ND [ ] INSULATION
[ ~/FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
DATE
INSPECTOR
BUILDING DEPT.
INSPECTION
[ ] FO~JNDATION 1ST [ ] ROUGH PLBG.
[ ~/I=OUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] F~&CHIMNEY
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
["~ INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS ' -'
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] ~'I~LBG.
[ ~-']"'iNSU~TION
[ ] FRAMING [ ] FINAL
] FIREPLACE & CHIMNEY
REMARKS: ~ ~/~'~
DATE
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATIONlST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
REMARKS: ~-//~ ~-~//
[ ]ROUGH PLBG.
[ ]~k. ATION
[~/]~ FINAL
DATE
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING
[ ] ROUGH PLBG.
[ ].~U~ATION
[ ~]' FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~ ~
-
INSPECTOR
TOWN OF SOUTHOLD
BUILDING DEP.~0RTI~IENT
TOWN HALL
SOUTHOLD, N~d 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
w~vw. northfork.net/Southold/
PERMIT NO.
/
Examined /2{~/l/ ,20 ~
~Z/~ ,20 2./
Approved
/
Disapproved Wc
Expiration ' ~ ,20/
BUILDING PERMIT APPL4CATrON CHECKLIST'
Do you have or need the following, be~or~ appl'ying?
Board of Health
3 sets of Building Plans
plarmmg Board approval
Survey
Check-a;~
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date
INSTRUCTIONS
,20
a. This application MUST be compl,~tely filled in by typewriter or in ink and submitted 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 waterways.
'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 a permit
shall b.e 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 what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendmants or other regulations affecting the
property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
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, Ord/nances or
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 code, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
f - (Signature Of applicant or name, if a corporation)
State whether applicant i,s owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Nameofownerofpremises ~'7~...~.,../.~//e,~- ~)-~v. /-'~zs7~e'~''
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly author/zed officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which proposed work will be done:
House Number Street
Hamlet
County Tax Map No. 1000 Section
Subdivision
(Name)
Block t9 ~'
Filed Map No.
Lot / 7- /
Lot
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ~e-~/,¢~t- ~_ __
b. Intended use and occupancy
Addition ~ Alteration
3. Nature of work (check which applicable): New Building_
Repair Removal Demolition
4. Estimated Cost "~;,~ ~'~;~ -- Fee
5. If dwelling, number of dwelling units /
If garage, number of cars '~-
Other Work
(Description)
(To be paid on filing this application)
Number of dwelling units on each floor !
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimens~onsofex~st~ngstmcttu:es, ff any: Front 7~' 7 Rear
Height [~ · ? Number of Stories
9. Sizeoflot: Front
10. Date of Purchase ~[~/~; ~' 2__
11. Zone or use district in which premises are situated
Dimensions of same structure with alterations or additions: Front
Depth ~ x/Z;-'--~ Height /~'~' ?
Dimensions of entire new construction: Front 7 ~'L 2"
Height /~ ' ,~ Number of Stories
Number of Stories
Rear '-fl ~--/- '~" .Depth
/
P. ear Depth
Name of Former Owner ~'~,~,,~,~ ~--
Depth ~.~- L ff
Rear
/
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO
13. Will lot be re-graded? YES__ NO'~x Will excess fill be removed fi.om premises? YES NO
14. NamesofOwnerofpremises ~,~ /dd~e~7Lr-~-- Address
NameofArchitect c,~'~ )c~,/-/~-;r~ Address J-/,~-7%,- /.-,w~ ~'- PhoneNo
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet ora tidal wetland? * YES __ NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OF )
?'~,s~',~ ,~t./~,~ (,O. /.d_J~' ~f'~'~/e~.- being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
(Contractor, Agent, Corporate Officer, etc.)
of said owner or owners, and is duly author/zed to perform or have performed the said work and to make and file this application;
that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be
performed in the manner set forth in the application flied therewith.
Sworn to before me this .~
,~/-~ dayof~--/.~_.c.. ~ 20r~Q
~/ U Notary Public
Signature of Applicant
JOYCE M. WILKINS
Notary Public, State of New York
No. 4952246, Suffdk County
Term E~q~lre~ June 12, ~-~:2 C :.~
<2>
'~o~".~Oo.~s.
AREA = 12,569 sq. ft.
SURVEY 'OF
PROPER T Y
A T SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N Y
1000-61-04- 17.1
Scale: 1" = 30'
Mar. £2, 1996
CERTIFIED TO'
SONYA LYNN KING
Y/AL TER COLE BRIGHAM III
.40UEBOGUE ABSTRACT CORP.
652-S'5079
(516) 7~
P. O.B(
1230 TRAVELER
SOUTHOLD, N. Y.
LIC. NO. zt961B
S TREE T
11971
96- 135