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Home My WebLink About26966-zFORM MO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27551 Date: 02/07/01 THIS CERTIFIES that the building ADDITION Location of Property: 145 NORTH DR (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 106 Block 6 Subdivision Filed Map No. -- Lot No. -- MLATTITUCK (HAMLET) Lot conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 27, 2000 pursuant to which Building Permit No. 26966-Z dated DECEMBER 13, 2000 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT". ~e certificate is issued to LY~ GOLDSTEIN of the aforesaid building. (OWNER) SUFFOLK CO~ DEPARTM~NT OF PIEALT~ APPROVAL N/A ELEC~ICAL CERTIFICATE NO. PEArDING 02/05/01 PLUMBERS CERTIFICATION DATED N/A · Au or~ ed re Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL COMPLETION OF THE WORK AUTHORIZED) FULL PERMIT NO. 26966 Z Date DECEMBER 13, 2000 Permission is hereby granted to: LYN GOLDSTEIN 300 EAST 71ST ST NEW YORK,NY 10021 for : "AS BUILT" ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. Amended to ianelude 2 decks at premises located at 145 County Tax Map No. 473889 Section 106 pursuant to application dated NOVEMBER Building Inspector. NORTH DR MATTITUCK Block 0006 Lot No. 017.001 27, 2000 and approved by the Fee $ 75.00 /~kut~ignature Rev. 2/19/98 ORIGINAL Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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: i. 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 o{ 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. Fo~sexisting buildings (prior to April 9, 1957) non-conforming uses, or buildings and ','p~e-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 writing to the applicant. C. Fees I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, ~wimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2.Certificate of Occupancy on Pre-existing Buildinm - $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 D .Feb. 5, 2001 ate ......................................... New Constructiom ........... Old Or Pre-existing Building ................. Location of Property ..... I45 NORTH DR. MATTITUCK, N.Y. House No. Street Hamlet LYN GOLDSTEIN Omwer or Owners of Property ................................................................ County Tax Map No 1000, Section. 106 B~ ~ 17.! ............ ck ....... Lot.. Subdivision ................................... · Filed Map ............ Lot ...................... DEC 13 2000 LYN GOLBSTEI~ Permit No...........26966-Z ..... Date Of Permit .... :...~ ....... Applicant .... Health Dept Approval Underwriters Approval Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate .... ~ ..... b d $ 25.O0 Fee Su mitre : ............................. LYN GOLDSTEIN gPPLICANT 765-~.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN~JLATION [ ] FRAMING [ ~ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [~TION [ ] FRAMING [ ]FINAL [ ] FIREPLACE & CHIMNEY REMARKS: jDATE /~////~-~ INSPECTOR ~.,/~~/ 765-~802 BUILDING DEPT. INSPECTION [ ~FOUNDATION 1ST [ [ ~OUNDATION 2ND [ IV] FRAMING [ ] ROUGH PLBG. ] INSULATION ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~ DATE /..~/,~////~ INSPECTOR i/~,~/~.~/ FIELD )iNSPECTION REPORT DATE COlV~'~IEIh'TS ~,~i~ FOD~DA~r IO~ (tsT) 11 FOUNDATION INSULATION PER N. Y. S~CA~ E~m~ {{ CODE FINAL ADDITIONAL COMMENTS: ¥ORl4 NO. TOI~N OF SOUTBOLD BUILDING DEPARTi'fENT TOIqN HALL SOUTNOLD, N.Y. TEL; 765-]802 Disapproved a/c ............. BOARD OF BEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CNECK . . ~ ...................... SEPTIC FORH ................... TRUSTEES ................. (Building Inspector) APPLICATION FOR BUILDING PEP~IT INSTRUCTIONS DaCe.. / .... ............ ,26Oc a. 'Ibis application mint be c~npletely filled in by typewriter or in i~ a~ m~itc~ to the ~fildi~ Ins~ctor 3 ~ts of pl~, ~ate plot plm to ~le. F~ ~i~ to ~le. b. Plot pla ~ l~ti~ of lot ~ of hildi~s ~ ~mi~e, ~letio~ip to ~ioiui~ pr~s or ~lic struts or ~e~, ~ gi~ a ~tail~ ~rlpti~ of l~t of pro~ ~t ~ dr~ on ~e dia~ ~i~ is ~rt ~is a~li~t i~. c. ~ ~t ~ ~ fils a~liati~ ~ ~t ~ ~ ~fore isle of hildi~ d. ~ ~1 of ~is ~li~ti~, t~ hildi~ Ins~ctor i~ill is~ a ~ilding Pemit to the ~pli~t. ~t ~1 ~.~pt ~ ~ ~s ~il~le ~or in~ti~ that tbe ~rk. e. ~ildi~all ~i~or ~ in~le or in ~rt for ~ ~aC~r mtil a~rtifi~te of ~ ~1 ~ ~n ~t~ ~ ~ ~ldi~ ~tor. ~I~ IS ~ff ~ ~o t~ ~ildi~ ~ut for ~e isle of a ~ilding Pe~t ~r~t to the ~ildi~ ~ ~i~ o[ ~ ~ of ~ld, ~ffolk ~, ~ Yo~, ~ o~r ~li~le ~, ~i~es or ~aCi~ ~r ~ ~ti~ of hildi~s, ~iti~s or alteraci~t or for ~al or ~liti~ ~ ~in &ari~. ~ a~limt ~s to ~ly ~ia all a~li~ble l~s, ordi~s~ ~ilding c~ ~ing c~e, ~lati~s, ~ to ~t m~ri~ i~tors ~ ~s ~ m htld~r ~e~ ms~t~. (~ili~ ~mss of ~limt) State ~r ~l!~a ~r, les~, ~ent, arbiter, engi~r, ~ral ~tractor, el~trici~, pier or .......... .................. ' ........................................................................ ~of ~r of ~t~ ........................................................... -..-..-- .-..-- -.-... ..- (~ ~ ~ t~ mi1 or latest d~) / If ~li~t is a ~ti~, si~ of ~ly ~t~ri~ officer. , (l~re and title of corporate offieer) Builders License bb. ,~r:-,...,, .................. Plmbera Licen.~e Ro .................... .... .. Electricians License No ........ Other Trade'a Mcen,se I~ ..... I. l~cation of land on ~Idd~ proposed ~ork ~ill be done ...................... . ....................................... ttouse llx~er Stt~et ltaulet . 15. properly lines. Give street ~er3~r interior or comer lot. I ' l~epair ............ Removal[, ............. Ik~litioo ............ Other ~brk {DeScription) - ~e, ~ o, ~...! ...... ~d ....................... '" If I~i~ss, ~rcial or -. . ' ........... i .... ~r o[ 8tor~es ...... / . . . , , . D~ns:~ o~ entire ~ ~'st~ti~: ~t ..,~;.~ ....... ~ar .,~ ....... ~p~ ,~i~ ~ ~ ......... ............. ~- ~r o~ ~tories .......... f. ......... ;-'~' '~'~":" ~ .... ~---<.Z~ .... mpth ..<~ 4~.,~.~ ~ or ~ district in ~ic ~s ~o~ ~t~ti~ [olate a~ ~i~ 1~, o~i~e or re.latin: ....... ~. ....... ~1l lot ~ ~ .... o ~tr~tor ......... PLOT DIAg~H Imate clearly ~ diarist1 all ~ildi~, ~mflmr ~is~i~ or pm~, ~ t~i~te MI ~t-~ d~nsi~s ~ of indivkkal slgaing contrscLj) ................. I~ax~ duly sworn, deposes a~ ~y~ e is tl,e ................. (~traetor, agent, co.rate ofEicer, et~.) ........................ ~ ~id ¢~mr or ~ers, mgl is duly' ~mtl~oriz~ to Imrfom or h~ lerfo~ fl~ ~id M~l~cat~; ~at att ~tate~nts hak ~e ~ will ~ ~rfon~ in ~orn Lo before me O~i,q ~ / Notary Iktbl~..c~~ ELIZABETH A STATHIS NOTARY PUBL(C, ~ ~ate of New No. 01ST6008173 Suffolk County Teom Exp res J~ lee 8, :ainefl in d~is applicatiou are t~e to the best ol~ his Im~ledge and I~liel~i and m maturer set forth in the application filed therewith. (Sq~na .'ute of AppTic~t) PROVIDE SMOKE-DETECTING ALARM DEVICES AS TO PART. 721.1 N.¥.S BUILDING CODE. NOTIFY sUILDING DEPARTMENT AT 765-1802 9 AN~ TO 4 PN~ FOP, THE FOLLOWING iNSPECTiONS: 1 i:oUNDATION - TWO REQUIRED FOR POURED cONCRETE 2. ROUGH * FRAMIt;G & PLUMBING 3. iNSULATION 4. FINAL - cONSTRUCTION MUST BE coMPLETE FOR C.O, ALL coNSTRUCTION SHALL MEET THE REQUIREMENTS OF THE STARE cONSTRUCTION & ENEftGY UNDERWRITERS CERTIHCATE REQUIRED c2DES. NOT RESPONSIBLE FOR PLUMBING I i [ i ~ A~UM~ ~ PLqMBER Cg~lO~l & W~ER LINES ~O ON ~EAD CONTENT 8EFOR~ ~s~NG BEPORE COVERING if co,per tublng is used CERtiFICATE OF OCCUPANC~ for water distributing ! S~DER USED IN WATER ~yAem; ?ping sh~e~ SUPPLY S~TE~ CANNOT~. REQUIRED APPLICANT NAME: BUILDING PERMIT REVIEW CHECK LIST 2r'~"~Z ~ DATE REVIEWED: / //~ ~o~tre,~ DATE S~MITTED: / / . SCTM#--- DISTRICT: 1,000 SECTION: /O~; BLOCK: g' LOT:/,>. / PROJECT LOCATION STREET:_ ARCHITECT / ENGiNEER: CITY:/'~azwn,~z-__ SUBDIV. NAME: FAST TRACK: YES oRNO SINGLE & SEPARATE CERTIFICATION-REQUIRED: YES OR NO NOTES: ZONING: PERMIT ESTIMATE AMOUNT:_$ .00 CONFORMING: YES o~3 DISTRIC k__.__~ R80, AC, REQUIRED LOT SIZE: .ftC)/(- _SQFT. ZONING WHERE ACTUAL LOT SIZE FROM~u~REQ ACTUAL LOT SIZE:-2~' O,2~g SQFT. REQUIRED IRED REQUIRED FRONT: p~ ' PROPOSED: ~_' SIDE YD: /~ '/j~' PROPOSED: '.~ ;/ ~4' ' REAR:~' PROPOSED: LOT COVERAGE: ALLOWED: .20 % EXISTING: sf % NEW: sf % TOTAL:2o22 sf ~ % 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 July 1, 1983.) PROJECT DESCRIPTION'(~^LT, ACC OR N/D: AGENCY PERMITS REQUIRED FOR REVIEW NEEDED TOWN SPETIC PERMIT: YES or--~ SUFFOLK COLrNTY HEALTH DEPT: YES or~_.~ (BED #):__ NEW YORK STATE DEC: PR~4)SC 9/1/75 YES o~ SOUTHOLD TOWN TRUSTEES: YES TOWN ZONING BOARD APPROVAL: YES o~ TOWN PLAN. BOARD APPROVAL: YES FLOOD COMPLIANCE ZONE: PRE-FIRM 3/18/80 PANEL #: NYS ENERGY: YES OR NO : ~/,8- EGRESS:__ NOT~S: DTE: / PERMIT//:RI0- FLOOD ZONE: VENT: LIGHT: FEE STRUCTURE: Fa3B~'DATiON: F-,~ST FLOOR-': SECOND FLR : TOTAL: SF -- SF SF ~T SF FEE OTHER FEE TOTAL FEE TOT( SF)- ( .SF)--. SF X $ __ :$ +$ +$ = $ Date AGENCX*,~ERMITS P,~EQUIRED FOR REVIEW Permi_t N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: ,55 :[ 0322544 FOI~4 NO. I TOI~N OF SOUTIt0LD BUILDING DgPARTMENT TOI~I HALL SOUTNOLD, N.Y. I ]97 I TBL: 765- ]802 BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY..... .................. . CHECK . . ~ ...................... SEPTIC FOI~I ................... DEC ........................... TRUSTEES ...................... NOTIFY: CALL . . .7..J..I. . . .... ~., u ?i.,L.,!i!I . .~>..~.~ ....... ~.~ ............... (Building Inspector) , ~ t .................... APPLICATION FOR BUILDING PEP, HIT INSTRUCTIONS 2c.q..o a. 'Ibis application ~t be ca~letely filled in by typewriter or in ink and auhnitted to the ~ilding Inspector 3 sets of plans, accurate plot plan to scale. Fee eecardi~g to schedule. b, Plot pl~ sl~d~g location of lot and of buildings on prmises, relationship to adjoining premises or t~blic streets or areas, and giving a detailed description of layont of property must be dra~m on the diagra~ ~hich is part of chis application. c. ~e ~ork covered by this application may not be ccr~nced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Pemit to the applicant. Such permit shall he.kept on ~ premlr~s available for inspection thronahont the work. e. No buildlng shall be occupied or uned ia ~/aole or in part for any purpose ~&atever until a Certificate of ~ shall beve l~m granted by the Building Inspector. /~FLICATI(Ii IS ,Hamff ~ to the Building Department for the iasuunce of a Building Pemit pursuant to the Buildlt~ 7xme Ordinance o[ the Toan of Southold, Suffolk County, Ne~ York, and other applicable La~s, Ordin~ees or Pegulations. for the coastnmtion of buildings, additions or alterations, or for r~oval or dex~lition, as herein described, lira applicant agrees to eemply with all applicable la~s, ordinances, building code, housing code, and regulations, and to ad.it authorized inspectors on premises and in buildln~r necessary insoectiuns. .... . . . . . . : .... (Signature of applicant, or nane, if'a corporation) State ~thor a. ppl~,cant,.~ o~r~ lesseo, agent, architect, engineer, general cuntracror, electrician, plumber or Imilde .......... .................. .......................................................................... Nare of o~er of premises... ......................................................................... ....... ..... . . ... (as on ~e tax roll or latest deed) / If al~Plicant is a corporation, sit~ature of duly authorized officer. , (Na~e and title of corporete officer) Builders License ~.~... .................. Plumbers License No ............... Electricians Li~ ~. . ............. ...... . ~r ~'s ~ ~ ..................... ~i~ of 1~ ~ ~id~ p~ ~rk will ~ ~ ...................... . ........................................ ~ ~r fit~t ' t~et __ , ~~. ~ ~,i=...;.2.~ .... ~k ....... ,...~....~ .... A~X...~./ ~,~ ...~...~X~.*: ~. ......... m~ ~ ~ ...... ~[ ..... ~ ............... ......... ..... .................. / b. ~ ~ ~ ~ ........ ~., ....... r ................... ~- .......................... i ............ ~' .......... ~l~xun ..... Alteration ......... Repair ............ Remaval., ............ Demolition .... , ....... OUter I~ork .......... , ................. 4. Estimated Cost ,~)0:0.0. fee ......... (Co be paid on fili~ this application) 5. If d~vellitulo nunber of ~llin,, . '~ /1////-~ If ........ ~ anl,s~..f/./..., lt~ber' of d~lling units on each floor .. ,~'ff~.. of .rs ...i .... ....................... ' .... 6. If Ixu{iness, c~ranereinl ...... ?. Dillensi<x~s of ' ", - ! · ' /' // ............. ~.~ ............ ~.r .......... ,.. ~r of Stor ,~i~,t ~. / ; ~ oC Sto~i~. ..... ~"~ ......... . .... ................. Z'," ~ lO. ~te of ~da~ ~/~ ,. - , ~ ~ ~' ~--~ ' ~// .... r .... e ........ ~ o~ ~;o~ ~r ...~¢~. .... <~ /g~, II. ~ or ~ dist~iet in M~id~ ,r~i~ an $i~t~ .................................. ,e ............... 12. ~s Wo~ ~t~ti~ vlotate any ~i~ 1~, ~Z~e or re,latin: ........ ~. ........ 13. Hill lot ~ ~ ..... ~ ~.. H~I ~-s f;ll ~ r~ = ' . ...... C ~ ~6. '", .............. z~ress ................ --, '~y ~ ........ ~ .............................. n~ ~ .......... {5. Is fids p~rty within ~ f~t of a till ~tl~7 ~ ~ ..........~ i PLOT DIAO~H I~ate clearly ~ dlsti~tly a~l ~ildi~, ~r ~isti~ or pm~, ~ i~i~te all ~t-~ d~nai~ ~ p~r~ li~s. Ui~ stye ~] bl~ ~r or ~seripti~ ~cofli~ to ~, ~ ~ $t~t ~s ~ iMi~te ~r interior or co~r lot, ...................................... ' .................. beir~; duly s~m, deposes and ~ays tha~ he is tim of iMivial si~it,g c~tract) the (~tractor, agent, Co'rate officer, etc.) ............................ mtd I~r or ~mrs m~] is duly ~l~ori~ to l~rionn or ll~ [~r~oa O~ ~id ~A m~ to ~ ~ file this icattun; ~mt all state.nra conta[~ in this aH)I. icatlon are tn~ to fl~e best of his ~1~ a~ ~lie[j EUZABE'm A 8'I'A NOTARY PUBLIO, 8tat~ ~ No. 01 ST6008173, Surf( Term Expirea June 8 'HIS f New¥olk Ik County ($ff~ .~re of Appl, J,c~nt) SUDSYSTEM Walls (Opaque) Glazing /7 % Doors ceiling/R~3of (Opaque skylights % Floor [:oundat~oL Walls slab Insulation AREA TOTAL 171 Design Criteria 6,000 Degree' Days O.A. 10°F i.A. 7O°F DATED: REMARKS t, lo res; Huild].ng Envelope Systems to meet requirements of 7B15.2 HVAC Equipement ~o meet requiremen%s of, 7B15.11 HVAC Systems to meet rsquiremen~s of 7815.1'2 Duct Systems to meet requiremeitts of 7~15.i3 Ventila~iol~s Systems to meet requirements of 7815.14 l~]sulaticn of Piping Systems to meet requlre %e! ks of.' 7815.15 Service Waker Heating Systems & Equ~pnent to meet requireme~t$ of 7~15o21 ~ s of 7~].5.31 ~lectr~.cal & Lighting Systems & Equlp~e! t to meet requlrel~eut To the best of my knowledge, belief, & professional judgement, these plans are compliauce witi~ the code. ~ L~~ r Lot ~1 Lo! 20 NOTE · ~ MONUMENT ~] -' STAK£ LOTNUMBERS R~P£~ YO SUBDIVISION MAP OP . SHORE ACRES ', FI££D IN i'HE OFFIC~ DP YH~ CIE, gK OFSUFPO£K COUNI'y ON ,),4N. $ ~ 191~ AS M,4P NO. 41 SURVEY FOR LYN B. GOLOST'~IIV Px~RT OF/OTS I~, 20, 21 ~9 LOT 22, AT M,~TTITUCH TOW~ OF $OUTHOID SUFFOLK COUNTY, NEW YORK '~ UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY I$ A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. ~'COPIES OF THIS SURVEY NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSEO SEAL SHALL NOT SE CONSIDERED TO BE A VALIO TRUE COPY. 'ROUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY~GOVERN- YOUNG a YOUNG ALDEN W.'YOUNG,PROFESSiONAL ENGINEER AND LAND SURVEYOR N.Y.S. LICENSE N0.12845 HOWARD W. YOUNG, LAND SURVEYOR N.Y,S. LICENSE NO. 45893 -- 40 86- 1393 NDE'R AVENUE RIVERHEAD , NEW YORK i ! ~ot f Lo/I~ Lot 21 /o/ 20 NOTE ' · = MONUMENT ~ = ST,~KE L OTNUMBERS REFER TO SUBDIVISION MAP Of "SHORE' ,dCRES ", PILED IN THE OFFICE OF THE CLERK OFSUFFOLK COUNTY ON JAN. $, 1914 AS MAP NO. 41 SURVEY FOR LYN B. GOLOS~'EIN PART OF LO TS 19, 20, 21 ~ LOT 22, AT MATT/TUCK ]'OWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK ~*UNAUTHORJZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OFTHE NEW YORK STATE EDUCATION LAW. " SHORE ACRES " DATE : DEC. 2~ 1986 SCALE: I "= 40 ' NO. ; 88' 139.= GUARAN'I~-ED TO: SECU/~ITY T/TL~ ~ '~UA/fANTY CO. · K-COPIESsuRVE¥OR,$OF THIS SURVEY NOT BEARING THE LANO LON6 mn~m .' · INKED SEAL OR EMBOSSED SEAL SHALL COMP. NOUARANTEES INDICATED H~REON SHALL RUN ONLYTO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERN- MENTAL AGENCYAND LENDING INSTITUTION LISTED INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT J~ B V~I I~l~ ~ V~l I~1~ 4~TRANDERAVENUE J~ /UUI~ ~ I~UI~ RIVERHEAD,NEWYORK J~ AND LAND SURVEYOR N.~S. LICENSE N0.12845 J & ~ HOWARD W. YOUNG, LAND SURVEYOR L ~ I N.Y.S. LICENSE NO. 4589~ i I ,, , i I ! ii ii' '~,~'~O