HomeMy WebLinkAbout24593-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26094 Date: 11/09/98
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 1260 THE CRESCENT EAST MARION
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 30 Block 2 Lot 23
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 5, 1997 pursuant to which
Building Permit No. 24593-Z dated JANUARY 12, 1998
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 & COVERED FRONT PORCH AS
APPLIED FOR.
The certificate is issued to LOUIS & CAROL WIRTZ
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-10-97-0174 10/27/98
ELECTRICAL CERTIFICATE NO. 20283 06/17/98
PLUMBERS CERTIFICATION DATED 04/30/98 PECONIC PLUMBING & HEAT.
- 4:;;;7 - - �6
wild' g Inspector
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 FULL
COMPLETION OF THE WORK AUTHORIZED)
Date.....JANUARY....... 2........................... 19.,96..,.
24593 Z
Permission Is hereby granted to:
LISO CONSTRUCTION(WIRTZ )
..........I.................................................I............................
661 HERRI,CKS, LANE
...............................
]AMESPORTTNY 11947
to .....CONSTRUCT A,,,ONE...STORY SINGLE. FAMILY. DWELLING WITH ATTACHED
......GARAGE,,AND..COVERED..FRONT..PORCIi..AS APPLIED FDR
..........................................................................................................................................................
............................................I............... ...............................
...... . ............................... . . ........................
at prerplses located at................12b0 THE CRESCENT EAST MARION ..
...................... . . ........................,...............
..........................................................I..............................................,......................................................
CountyTcx Map No. ...,473889..... Section ...030............. Block ....0002........ Lot No. 923...............
pursuant to application dated ...OECCMBER,,...,„5,,,,,,,,,,,,,,,,,,,,,,,,, 19,,,,,97r„„ and approved by the
Building Inspector.
496.d0
Fee$.........................
. ..y, .... w .........
Buil Ing Inspector
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD ' Q'�� `
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:
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 17 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.
3. 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 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-existing Building - $100.00
3. Copy of Certificate of Occupancy - .25C
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
, / Date �(s/ �
dew Construction. . . . ". . . . .JJ. Old Or Pre-existing Building. . . . . . . . . . . . . . . . .
/. _
ocati,on of Property. . . . a7�.� . . . . . .�'/�L. . . - G .�-:S Gt?r iT. . . . . . %
House No. Street Hamlet
rower or Owners of Property. Lq'':� 5 . ' C A (?a,L , / t 0 T7
;ounty Tax Map No 1000, Section. . .::AIP. . . . . . . .Block. . . . . . . . . . . .Lot ?2 ---A> . . . . . . . . . . . . . . .
,ubdivision. .. 4.4. Ai. e-r,.S . . . .Filed Map. .l .dv. '�
✓ � . . .Lot.:� 0,. . . . . . . . . . . . . . . .
'ermit No-J#S' 3.. . . . .Date Of Permit. l��c (. 9 . . .Applicant I i A R
iealth Dept. Approval df� .�-. >7 ���' . . . . . . .Underwriters Approval. . • • • • • • • • •
1>1
Janning Board Approval. .—.- . . . . . . . . . . . . .
request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . .
ee Submitted: $. . . . J.. . . . . . . . . . . . . . . . . . . .
(�c.5.���t� . . . . . . . . . . ."'.�..`:" �.-. Pte. . . . . . . .
APPLICANT
ELECTRICAL INSPECTION SERVICE INC.
375 DUNTONAVENUE
EAST PATCHOGUE,NEW YORK 11772
(516)286-6642
20283
DATE: 6/17/98 APPLICATION No.ON FILE
VILLAGE: EastMarion TOW.. - Soinhold -
ADDRESS: Th C'r .r nt
ISSUED TO: Lisco Construction
WTR09&aW-,BY "Ecti -`
was examined on 6/17198 andfound to be in compliance with the National Electrical Code
LOCATION: Base.. xx 1st xx 2nd. 3rd" Ame
Det.Garage Hot Tub Pool
SW17CHES RECEPTACLES FIXTURES I HEATERS I FANSG.RL AIR.COND.
22 29 18 1-exhaust 4
DISHWASHER DRYER CLOTHES W. GAR DISP. RANGE OVEN SMOKEDETECTOR
1 20Amp. 30Amp. 40Amp. 4
FURNACE OIL GAS CIR. MOTORS BELL TRAN SERVICEDISCONNECT
2-f 1 Win Anis ' rILIW
7 150 UG
OTHER -
EQUIPMENT ,
Outside,Res.
I-air handler
1-microwave
1000-30-02-23
x. _4..2
HUGOS. SURDI
PRESIDENT -
BUILDING PERMITNo..245932 tldscgIffimtemwtnotbeeltaedina manner
7nspeolmsmsyWdmOedbytheicaeft5als .
BLUE ORIGINAL YELLOW COPY PINY COPY OFFICE
}}
Town Hall, 53095 Main Road o x Fax (516) 765-1823
P. O. Box 1179 ' �^ C^�. Telephone (516) 765-1802
Southold, New York 11971 4 y� ��!y,'
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
C E R T I F I C A T I O N
DATE: ag 6-108"
Building Permit No . a El 3 7—
Owner:
Owner: wL (Z12
(please print) �/
Plumber: �i'col7lG Ruldl,611dC- � hOW'r/N;
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
Y
( u s Signature)
Staoyyrn to before me this !�p�
,tel day of Cz 19 J O
Notary Public , C County q /�
J"
8AA3'' XI
Notary Pu54c. of Cow York
No.01u74;; ;C2
Qualified in Su(:olk County
Commission Expires Sept.30,19
o�o��gOFFO(kcoG`
y
Town Hall,53095 Main Road Fax(516)765-182365-1802
P.O.Box 1179 Telephone(516)7765-1
Southold,New York 11971
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
July 20, 1998
LISO CONSTRUCTION CORP.
P.O. Box 439
Jamesport, New York 11947
RE: WIRTZ, 1000-30-2-23, 1260 The Crescent, East Marion.
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
XX An application for Certificate of Occupancy is
not on file. (Enclosed)
XX No Underwriters Certificate on file.
XX The check is (not on file. ) $25.00
XX No Health Department Approval on file.
No final inspection has been made.
XX No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984) .
BUILDING PERMIT # 24593-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
.,
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765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
( ] FOUNDATION 2ND ( ] SOLATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE A CHIMNEY
REMARKS:
C
DATE INSPECTOR
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ) FOUNDATION 2ND [ ] IN ATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE A CHIMNEY
REMARKS:
DATE INSPECTOR
d
7i
765-1802
BUILDING DEPT.
INSPECTION
( ] FOUNDATION IST [ ] R GH PLBG.
[ ] FOUNDATION 2ND [ INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & C IMNEY
REM S: ����✓ /, ��,
DATE 3 d� �� INSPECTOR
G/
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] R UGH PLBG.
[ ] FOUNDATION 2ND [ INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REM KS:
DATE 3 /9 � INSPECTOR
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ROUGH PLBG.
[ ] FO NDATION 2ND [ ] INSULATION
[ FRAMING [ ] FINAL
[ ] FIREPLACE` & CHIMNEY l�
REM KS: C7 Z - •���
DATE 1/O INSPECTOR
M-1802
BUILDING DEPT.
INSPECTION
[ 7FNDATION 1 ST [ ] ROUGH PLBG.
NDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: .
DATE T INSPECTOR /a
765-1802
BUILDING DEPT.
1 NSPECTION
FOUNDATION IST ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE A CHIMNEY
REMARKS:
e,z ,�
DA INSPECTO
ry
Yy
M-1802
BUILDING DEPT.
INSPECTION
[ ) FOUNDATION IST [ ] R=ULATION
PLBG.
[ ] FOUNDATION 2ND [ ] I
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
REMAR : / �
r
DATE INSPECTO
1
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN�#IJLATION
[ ] FRAMING [AJIFINAL
[ ]
FIREPLACE
,& CHIMNEY
REMARKS:
✓ C/
Xt'9- ✓t
DATE INSPECTOR
BOARD OF HEALTH ..-.: . . . . . . . . .
FORM NO. 1 3 SETS OF PLANS . . ....
. . . . . . . . .
TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . .
BUILDING DEPARTMENT CHECK . . . . . . . . . . . .. .. . . . . . . . . . .
TOWN HALL, SEPTIC FORM . . . . . ... : . . . . . . . . . . .
S -
D NOTIFY: L14 P-cx L.I -
CALL
m mined....��/...... 19.��
, p MAII. TO: . . . . . . . . . . . . . . . . . . . .
Approved—//.ZA......, 19,97 Permit .12 LDG'DEPt. ....................................
Disapproved a/c ............................. N F S t ....................................
(Buil o )
APPLICATION FOR BUILDING PERMIT .y
INSTRUCTIONS
a. This application mist be completely 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 stowing location of lot and of buildings on premises, relationship to adjoining premises or public
streets or 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.
APPLICATION IS 103EBY MW 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 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.
...L.1 Lr� r l s,).t.G.d.R�:................
..............
(Signature of applicant, or name, if a corporation)
Po ,i3o-/.!.1".h.r3.. r� . sPar�it�.l :�l
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
....................�.1 l '� n ..�. a?! li g �e f! :............................................................
...
Nowof owner of premises .Y( ��.....................................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate o£ficer�
Builders License No. .�3.6t:3 0..RM.......
Plumbers License No. ...1.4r. F ..........
Electricians License No. 7
.....................
Other Trade's License No. .:::................ t
1. Location of land on which proposed work will be done...W/ .../,� Z..t 2.`. 5 G i�Rt L-�s b s/d G aLa
o6sw
........................... �.Ffl G ( ,EScr +lt frS ! 1" Prz1uri.
.......................................................................
House Number Street Hamlet
Canty Tax Map No. 1000 Section ...�a d........ Block .A P%......... Lot .. � ��.........
Subdivision 1�c 61�L (�i r?�l1 pi(?.�1-$.... Filed Map No. ..... Lot .2-2 ..........
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .............................................................................
b. Intecded use and occupancy �.u"?. .......bj�
.................................
3, Kiture of work (check wdridr app- pfi livable): li_wu IAuildiog .Z.. Addition .......... Alteration ........ ..
Itelxuir ............ RivovalI.......... beivolition ............ Other Work ..................................
IS O)Lscription)
4. Rsl.iseted Cost
.. . . .................................
• (xr filing this applicaClon)
5. 1f (k4elItng, unifier of dwellin,, units ... I�nher of. cA 1 g units on each floor
garage, -1y •C.-.pm
]P rxnirer of cars ...� .,
fi. If Ixmueas txanrercial or mixed Occup ncy,{ f Ft FY nate ext e t of each type of use......................
7. Dimensions of existing structures, if any: Front................ Rear ............... Oepth .................
lk:iydrC ........................�I. Rnber of. SLories .......................
Dinensinus of stare structure with alteratl6ns or,additiphs: Front ............... Rear ...............
,..
Depth .....:... �rC ..........:......... N hirer cif Stories ...............
......... ..
" 7
Diners ...... / ... .... action: lhncrt ..a.'�. .:....:. 'Rear ...•7.5........ Depth ..........
!l. O-iolt: ...... new constrt Mnber of Stories ......
1.
• .. Q �....p0.. p v���.
..//.f�� ......... Rear . .. I1elh .. ...........
c Sire of lot• 1(rurrC .....
10. (kite of hnrdrase ....... Wave of Forner Owner .......................................
11. 7nne or use district in whic3r piemises are situated ..............................................................
12. lkres proposed construction viol,ate any zoning law, ordinance or regulation: .lvd.................. \
.......... Will excess fill Ire removed frau preinises: YRS 00 A.&WOA-1l._/
M. Nares of (xnerof remises �oy,,i„ wl� 12.,_,,, Address .IcyR�[.(�nN!Kr.�1( ?'!y!`A1nae No�?GL:41
13. Will lot Ire regraded .3 A
Nave of ArdritecC V41`l Tr.'•. .. ?n..D L,N•U,•D,;-,1�.w . Aridness f14 g, �'R-.!s�•!?'!!v... I1wm No.
Nine of CnntractorL. 5a, CgTI !.41RAP.......... hklreaa PR.434l!.H3.`l. 1.9k17� elf- drone
15. is this property within 300 feet of a tidal wetlarxl7 * YES .......... N3 t..
*IF Ylls, sarnimn 'tam -imsms whirr MAY Rg R1Z)I im).
PLOP DIAGRAM
I
Inc:ate clearly and distinctly all Ixuildings, uluelher existing or proposed, and indicate all set-back dimensions
(rani property lines. Give street and block rrnler or description according to deed, and show street nares and indicate
u4tedier interior or corner lot.
SfRll: (AF PAW Y(AU(,
Ss
MiNlY (Ne .......................
-•••��•`!'c•:'•'�•d:'j:c�•.t !.AO.. Q:...................I)eing' duly rworn, delxvscs and says that he is the applicant
(Nana of individual signing contract)�
alxrve nvaned,
lk in the ...5;.P k(4`X L �-
`.... ................... ..................................................
(Cc)ntracLor, agent, corporate officer, etc.)
of: said (mer or owners, aril is duly ' t.horized to perforin or have 1erforned the said work and to rnrnke and file this
applicatiar; that all statenents ccmt7 ed in (his application are true to Une teat of his knowledge andIxaliefi and
(haL the work will lie perfonred in Lhe ntaner net forth in Lhe application filed therewith.
.ti
M)rn to before se this
ee& Q
......a 0.........(Jay of �O!!�Yh T -...19.1.7....
dxrtary 1'rdrlic ../ ... � ...........
-D04ORES L. USO (Signature of Applicant)
Not
a�y Fublio,State of New York
Suffolk County•No.48410
COMMISalon Fxores Oct.31,
�y�y� f Res S.t¢�
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SURVEY OF
LOT 22
MAP OF
PEBBLE BEACH FARMS
FILE No. 6266 FILED JUNE 11, 1975
SITUATED AT
EAST MARION
950 TOWN OF SOUTHOLD
a� SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-30-02-23
Ny SCALE 1"=20'
AUGUST 14, 1997
��� ry0
� 6 AREA = 22,182.89 sq. ft.
0.509 ac.
R�20.00,
L'31.42'
CERTIFIED T0:
FIDELITY NATIONAL TITLE INSURANCE COMPANY
STG ASSOCIATES, Inc.
LOUIS WIRTZ
Hca, CAROL WIRIRTZ
l
y
N
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NOTES.
1�1. 1 . REFER TO FILED MAP FOR TEST HOLE DATA.
A �• 2. EXISTING ELEVATIONS SHOWN THUS:sva ARE REFERENCED TO AN ASSUMED DATUM.
3. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE 15 1 ,000 GALLONS.
• 1 TANK; 8' LONG, 4'-3" WIDE, 6'-7" DEEP
4. MINIMUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 sq ft SIDEWALL AREA.
n4 A 1 POOL; 12' DEEP, 8' dia.
`f\ 5. IF CLAY IN THE LEACHING POOL AREA IS FOUND, IT MUST BE
�` t{LCv'-14L'Ci
�� SuffDlj.i°unty � EXCAVATED AND REPLACED WITH CLEAN SAND.
A o 8 NOV 111997
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"�""1 Orr G a PfRI TION 1TgP � AIy@% REMIRED ^ UNATHORRED ALTERATION OR ADDITION
WNRM TO THIS SUR� IS A OF
SECTION 72nD OF THEWNEW TIYORK STATE
EDUCATION LAW
SUFFOLK COUNTY DEPARTMENT OF HLUTH SBRVICBS COPIES OF THIS SURVEY MAF NOT BEARING
'p 1p PfiRp9T POR APPROVAL DIF CQ�IAiICfLON DDRA TTO BE A VAUD TRUE COPY.
HE LAND SURVEYOR'S LAKED SEPL DR
EMBOSSED SEAL SHALL NOT BE CONSIDERED
\ G�' CERIIFICAIONS INDICATED HEREON SHALL RUN
69 FAFAA3.Y IrT2xFS4'OStNGE ONLY ONLY TO THE PERSON FOR WHOM THE SUR
�yp S Q / IS PREPARED, AND ON HIS BERAV TO THE
DATE L 3 9� H8 NO - /'� -{/ ��7 TITLE COMPANY, GOVERNMENTAL AGENCY AND
ON. AND
APPROVED TUNOLENDING CERTIFICATTIIONS ME NOTTN USTED ETRANSFEMBLE.
TO THE ASSIGNEES OF THE LENDING INSR-
i FOR MAMMM11M OF BFDROOMS THE E%ISTANCE OF RIGHT OF WAYS
EXPIRESTHREE YEARS FROM DATE.OF APPROVAL AND/OR EASEMENTS OF RECORD, IF
- - ANY, NOT SHOWN ARE NOT GUARANTEED.
PREPARED IN ACCORDANCE WITH THE MINIMUM
STANDARDS FOR TIN£ APPROVE AS O ADOPTED BY THE LIKLSJoseph A. Inaeano
FOR SUCH USE BYNTHEN W YORKN STATDF -ANO
P �/ w+
T°LE ASS°`IA°°N. Land Surveyor
A.A
`A
O Title Surveys - Subdivisions - Site Plans - Construction Layout
--
* PHONE (516)727-2090 Fax (516)722-5093
at
N OFFICES LOCATED AT MAILING ADDRESS
n e ''' N Y S. Lia. No 49668 One Union Square P.O. Box 1931
Aquebogue, New York 11931 Riverhead. New York 11901
97—d
SURVEY OF
LOT 22
MAP OF
PEBBLE BEACH FARMS
FILE No. 6266 FILED JUNE 11, 1975
SITUATED AT
EAST MARION
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
N, S.C. TAX No. 1000-30-02-23
r SCALE 1"=20"
o DECEMBER 8, 1997
JANUARY 27, 1998 FOUNDATION LOCATION
CERTIFIED TO:
FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK
$ STG ASSOCIATES, Inc.
A
LOUIS WIRTZ
CAROL WIRTZ .
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Joseph A. Ingegno
Land Surveyor
Title Surveys — Subdivisions — Site Plans — Construction Layout
PHONE (516)727-2090 Fax (516)722-5093
OFFICES LOCATED AT MAILING ADDRESS
One Union Square P.O. Box 1931
Aquebogue, New York 11931 Riverhead, New York 11901
97-466C
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