HomeMy WebLinkAbout21321-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-22257 Date APRIL 13, 1993
THIS CERTIFIES that the building ADDITION
Location of Property 1745 NAKOMIS ROAD SOUTHOLD, N.Y.
House No. Street Hamlet
County Tate Map No. 1000 Section 78 Block 3 Lot 35
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 2, 1993 pursuant to which
Building Permit No. 21321-Z dated APRIL 8, 1993
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 PORCH ADDITION TO EXISTING ONE FAMILY DWELLING AS BUILT &
AS PER ZBA #4155.
The certificate is issued to MARY P. FURLONG & ORS.
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE No. N/A
PLUMBERS CERTIFICATION DATED N/A
i� ild ng Inspector
Rev. 1/81
FORK NO. a
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)
NW9 21321 Z Date ...1Izg ........................................... 1999
Permission is h reby grante to*
dy
.. ..� � . ;� ........ ,...........
. . ...... ..... ......
at premises located at .....I7.�. ..G,lfr. . .. . ... . ..........................................................
� ..................................................................................
.......................................................................... .....................................................................................
County Tax Map No, 1000 Section .......7,r....... Block ........ ........ Lot No. ........................
pursuant to application dated ...1.. .'.:g3................................... 19.� and approved by the
Building Inspector.
Fee $...7✓� ...
uilding Inspector
Rev. 6130180
r
Form No. 6 65"3 0 ``5 07
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:
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 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 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
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 $15.00, Commercial $15.00
Date . . , April 2, 1993. . . . . . . . . . . . . . .
w Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . .
cation of Property. . . . . .1745 Nakomis Ad: . , . . . . . Southold, N.Y.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .
. . .
House No. Street Hamlet
wer or Owners of Property. . . . . . . . MARY P. FURLONG & ORS. . . ' . . . . . . . . . . . . • . . • . . . . • . . . . . . .
unty Tax Map No 1000, Section. . . . . . . . . . . .Block. . . . 3 . . . . . . . . . .Lot. . , , 35
bdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . .
xmit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. MIRY P; FURLONG
aalth Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . .
lanning Board Approval. . . . . . . . . . . . . . . .. . . . . . . .
equest for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . .
ee Submitted: $. . . . . ?5:00. . . . . . . . . . . . . . . . . .
M-1802
BUILDING DE".
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ) FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING t ] FINAL
REMARKS: �.
DATE �" �� �� INSPECTOR
APPEALS BOARD MEMBERS ;': �� ''' C4� SCOTT L.RABBIS
G .+
" j Supervisor
Gerard P.Goehringer, Chairman
Serge Doyen,Jr. Town Hall, 53095 Main Road
James Dinizio, Jr. P.O. Box 1179
Robert A.Villa s ;Ig Southold, New York 11971
Richard C.Wilton Fax (516)765-1823
Telephone (516) 765-1809 BOARD OF APPEALS Telephone (516) 765-1800
TOWN OF SOUTHOLD
ACTION OF THE BOARD OF APPEALS
Appeal No. 4155:
Application of MARY P. FURLONG and others for a Variance
to the Zoning Ordinance, Article IIIA, Section 100-30A.3 for
approval of a porch addition with an insufficient rear yard (as
built in 1966 ) . Property Location: 1745 Nakomis Road at
Laughing Waters, Southold, NY; County Tax Map District 1000,
Section 78 , Block 3 , Lot 35 . This parcel is preexisting with
nonconformities as to total lot area in this R-40 Zone District. `.„
WHEREAS, a public hearing was held on February 23, 1993 and
at said hearing all those who desired to be heard were heard and
their testimony recorded (no opposition was received) ; and
WHEREAS, the Board has carefully considered all testimony
and documentation submitted concerning this application; and
WHEREAS, the Board Members have personally viewed and are
familiar with the premises in question, the present use and zone
district, and the surrounding areas; and
WHEREAS, the Board made the following findings of fact:
1. The premises in question:
(a) is a parcel of land situate along the easterly
side of a Nokomis Road„ approximately 700 feet south of
Hiawathas Path, Laughing Waters, Southold;
(b) is improved with a single-family dwelling
structure situated 44. 5+- feet from the front property line,
24.5 feet from the rear property line (including the subject
porch) , and width sideyards at 21+- feet and 29+- feet, at its
closest points.
(c) is located in the R-40 Zone District as adopted
in the Master Plan revisions dated January 10, 1989.
2 . By this application, appellants have requested approval
of an enclosed porch (21 x 16+-) attached to the rear of the
existing dwelling. The dwelling was built between 1964 and
1
.sue � ••/1r _
Page 2 - Appl. No. 4155
Application of MARY FURLONG
Decision Rendered February 23, 1993
1966, and the porch shortly thereafter ( 1968+-) . The porch does
not meet today's requirements for a 35-ft. rear yard setback.
The applicant states that the porch was built in 1968 and she
believes no building permit was obtained for the porch since it
was built on an already existing concrete patio by adding cement
blocks around it and then screens. Copies of the builder' s
contract and specifications have been submitted for considera-
tion.
3 . Today' s setback requirement, under Article XXIV,
Section 100-244B requires a minim-am rear yard setback at 35
feet. In 1968, the rearyard requirement was 25 feet as
provided by the Zoning Code in effect in 1968 (see Section 308) ,
and which also provided for further relief for a 15 feet setback
(copy of 1968 zoning regulations have been made a part of this
file for reference) .
4. The amount of relief requested by this application is a
reduction from the 1968 requirements of one-half ( 1/2) foot, and
15.5 feet reduction from today' s requirements, for a 24. 5 ft.
rear yard setback.
5. The need for this relief would not be alleviated 'if the
subject porch construction were to be located in any other
manner on the premises.
6. In considering this application, the Board also finds:
(a) that the porch has not been and is not adversely
impacting the essential character of the neighborhood;
(b) that the relief requested will not have an
adverse effect or impact on the physical or environmental
conditions in the neighborhood or district;
(c) that the construction under consideration
involves an porch (enclosed patio) as exists and shown on the
September 18, 1992 survey prepared by Roderick VanTuyl, P.C. and
the grant this variance does not cause or create an increase in
any dwelling unit density pertaining to this property or cause a
substantial effect on available governmental facilities;
(d) that there is no other alternative feasible for
appellants to pursue;
(e) that the benefit to the applicant will not be
detrimental or cause any adverse effects to the health, safety
and welfare of the community;
Page 3 - Appl. No. 4155
Application of MARY FURLONG
Decision Rendered February 23, 1993
( f) that in considering all of the above factors, the
interests of justice will be served by granting the relief
requested and as conditionally noted below.
Accordingly, on motion by Member Wilton, seconded by
Chairman Goehringer, it was
RESOLVED, to GRANT approval of the location of the enclosed
patio (porch) at 24. 5 feet from the rear property line, as
requested under Appl. No. 4155 (Mary Furlong) .
VOTE OF THE BOARD: Ayes: Messrs. Goehringer, Doyen,
Dinizio, Villa and Wilton. This resolution was duly adopted.
lk
GERARD P. GOEHRINGER, CHAIRMAN
FORM NO.3
TOWN OF SOUT-IOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
Date . . . .NOVL,TMBER,20a 1992. . .
To Rudolph P. Bruer, Atty .- (Mary. P. Furlong, Guida Molina 6 wife
P.O. Boa 1466 — Main Road
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Southold, New York 11971
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PLEASE TAKE NOTICE that your application dated" . )0/23/92 REC. 11/13/ 19 92
for permit to . . . . . .CAN TRU,CT, PORCA ADDITION, , (AS.BUILT
Location of Property . . .1745 NAKOMIS ROAD SOUTHOLD, N.Y.
. . . . . . . . . . . . . .Street. . . . . . . . . .
. . . . . . . . . . . . . . . . . . . .
House No. Hamlet
County Tax Map No. 1000 Section . . . . 7A , , , , , . . Block . . . 3. . . . . . . . . . Lot . . .35
Subdivision . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . . . Lot No.
is returned herewith and disapproved on the following grounds . UNDER.ARTICLE IIIA
. . . . . . . . . . . . . . . . . . . . . . . . .
SEC; 100-30A.3 PORCH ADDITION HAS INSUFFICIENT REAR YARD.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . ACTION REQUIRED BY THE ZONING BOARD OF APPEALS.
. . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
/II ing ect0r. . . . . . .
THOMAS J. FISHER
RV 1/80
FORM NO.a
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
Date . . . . . . . . . . . . . . . .. 194
To
� . � . . . . . . . . . . . . .
PLEASE TAKE NOTICE that your application dated �� lf'1/1 �. //��., 19 9.y
for permit to � .. . . . . . . . . . . . . . . . at
Location of Property . . �7. v`�. , . , . . . , ,.� , ��. . .
House No. Street
County Tax Map No. 1000 Section . . .�77 . . . . . . Block . . .,- . . . . . . . . Lot . . . . . . .
Subdivision . . . . . . . . . . . . . . . . . Filed Map No. ... . . . . . . . . . . . ./. . Lot No. . . . . . . ... . . . . . . . . .
is returned herewith and disapproved on the followin; gro ds
yy . . . . I . . . . . . . . . . . .
L�I. . . . . .a . ... . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Bui in nspecto;
RV 1/80
. I�1 F . . . . . . . . .
BOARD OF HEALTH
Via, a FORM NO. 1 3 SETS OF PLANS
v q, I'' 4OWN OF SOUTHOLD SURVEY . . . . . . . . . . . . .
`� �60ILDING DEPARTMENT C11rcK . . . . . . . . . . . . . . . . . . . .
�m I; TOWN HALL SEPTIC FORM . . . . . . . . . . . . . .
CiLDG.DEPi. SOUTHOLD, N.Y. 11971
TOWN 1FSUJ IaG9.,??:___... TEL.: 765-1802 NOTIFY :
CALL . . . . . . . . . . . . . . . . .
Examined !O , , , , , , , 19 .. y / MAIL TO :
Approved . � � �ermit No. �/ _ . . . . . . . . . . . . .
Disapproved arc . . . �� .��2/ . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date .October, . . . . . . .. 1992 ,
INSTRUCTIONS
a. This application must 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 showing 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 appli-
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 issued 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 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 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.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Signature of applicant, or name, if a corporation)
P.O. BOX 1466, MAIN RD. , SOUTHOLD, NEV; YORK
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
. . . . . . .AGENT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Name of owner of premises . .MARX .P., FURLONG . . . . . . . . . . . . . . . * . . . . . . . . * .
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
t, c
. . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Name and title of corporate officer) 'U t-J",E w 1ti 0�
rt 17
Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . . %. ua u x ci? ys '
Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . v `v l C t` � IT CLH
{� n,
Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . '���.� � � ��"I
1: rrr � Jpf
Other Trade's License No. . . . . . . . . . . . . . . . . .. . . . .
1. Location of land on which proposed work will be done._ .NAKQMI3 AQAR,. .LAU,GRI,NG :WATER,, , , , , , , , , , , , , , , ,
SOUTHOLD, NEW YORK.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
House Number Street Hamlet
County Tax Map No. 1000 Section .Q7$,QQ. . . . . . . . . . . Block . . .Ql.,00 , , . . . . _ . , . Lot 035,.000, , _ , , , , , , , ,
Subdivision .LAUGH ING WATER . . . Filed Map No. Lot . . . . . . . . . . . . . . .
(Name)
2. State existing use and Occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy . . . EXISTING.V010. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Intended use and occupancy . . EXI5TING.n90. . . . . . . . . . . . . . . . . . . . . . . . :.,. . ::,'; . . . . . :,. . . . . . . . . . . . . . .
Repair . . . applicable): New Building . . . . . . . . . . Addition . . . . . . . . . . Alteration Nature
. . . . . . . . . .
3. Repair of work .check which. Rmoval . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . .
(Description)
4. Estimated Cost . ,�-00 ¢.i. . . . . . . . . . . . . . . . . . . . . . . . . Fee . y�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(to be paid on filing this application)
5. If dwelling,number of dwelling units . . . . . . . . . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . . . . . .
If garage,number of cars . . . . .
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . . . . . . . . . . . . . . . . . . . .
7. Dimensions of existing structures, if any: Front . . . . . . . . . . . . . . . Rear . . . . . .'... . . . . . . Depth . . . . . . . . . . . . . . .
Height . . . . . . . . . . . . . . . Number of Stories . . .
Dimensions of same structure with alterations or additions; Front . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . .
Depth . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . .i.. . . . . . .
8. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear . . . .,./. . . . . . . . Depth . l6, .'�';. , . , • .
Height . . . . . . . . . . . . . . . Number of Stories . . . . ./ . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9. Size of lot: Front . . . . . . . . . . .'. . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . .
10. Date of Purchase . .October .1$- .1992 . . . . . . . . . . . Name of Former Owner Guido ,& .Elizabeth .MOIinQ . . . . .
11. Zone proposed premises are situated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12. Does pro osed construction r use district in whichviolate any zoning law, ordinance or regulation: .Yq- . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13. Will lot be regraded . . . .No. . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes 140
14. Name of Owner of premises klaxy.V, .V%' ?4fig. . . . . Address 174 Nakomis Rd; , , , Phone No. . . . . . . . . . . . . . . .
Name of Architect . . . . . . . . . . .1 . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . .
Name of Contractor y . . . . . . . . : . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . .
* 00 feet of a tidal wetland? *Yes, , , , , , , , No. x . . . . . .
15. Is this property within 3,
If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions fzom
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot,
N
C
•n
DO
K
> 6,, NOVOMIS ROAD
4=&P
AS NOTED I -
-1 1—_ N,5°q5 w. 115.0 e7O M HIAWATHAS PATH"
DATE; .i # _.--.._ _.
FED ' V 0 B' � o m
tdOT4tU1LDINGEPARTM
."64007 9 AM 4 PM FOR THE N u �+ R o
FOL40WIIVG INSP IONS: E n--�_ v I r m
1.`ffIgVDATION u TWO REQUIRED .
P !POURED C NCRETE m
2. ROUGH - FRAMING & PLUMBING � a 16TORY Fa.HR. y � �n
3. I"UI.ATION Z CELLARxW..Y z <
4. 0AAL - CONSTRUCTION MIDST ° �
BE COMPLETE FOR C.O. m B K �r�y i m
ALL, CONSTRUCTION SHALL MEET 9 r
THE $OOUIREMENTS OF THE N.Y. 5 u o
STATE ,.CONSTRUCTION & ENERGY O ROW OF CERA25 ON LINE o
C� 40: NOT RESPONSIBLE _FI _
DE414N OR CONSTRUCTION ERRORS
COLAVITO NELSON
STATE OF NEW YORK, S $
COUNTY OF . .SUFFOLK
(Name . . individual UDOI n�con, ,BAUA , being duly sworn, deposes and says thatShe is the applicant
tract)
above named.
e is the . . . . .(ATTQRN$X). . . . . A . . T . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Contractor, agent, corporate officer, etc.)
GEN.
of said owner or owners, and is duly authorized 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 filed therewith.
Sworn to before mg this
. . . . . . . . . . . . . . . . . . . .day of./.�I. -OG;TZBER . . . . . . . . . .. 19 92.
Notary Public, Qy, , -,t!u U 1, , , , , , Count of lk
Notery Publi StM9 York .• • • • . . . . . . . . . . . . . . . . . . . . . . . . . . .
BESSIE L AU
QusiNo.6n 32itko CouhN DOLPH BRUER (Signature of applicant)
CommMdon EXPirem l 3� ,t B��
•a
kn
MAP OF PROPERTY
SURVEYED FOR
3 i MA
REALLY MARV P .FURLG'N{v
I AT
N.84'21'E. 110.0 r
o tow of cEOARs ON LINE o TOWN OF SOUTHOLD,_N,Y.
U
c — --- Nca. 2 w \\ I
W y
SLACICrOP GAR. Ln
-� : I
Inr
! (' + 0 '•Y::,y Yes ..._ - `
I U-) f
v I
ROW OFI EDARR ON LINS �
SCP,LE-30'r I ,
c 110.0 J �.,
.'' = ( O<MO N UM ENT9421'W-
4S� tZlrAP!TO AREA,12,650 S.F(0.29AC-)
i
f
j GUARANTEED TO SOUTHOLD SAVINGS BANie ¢
PECONIC ABSTRACT,INC.
i 5UFF CO.TAX MAP DATA:IOOO=78-3-95 AS 5URVEYED SEPT.2QL�2 j
-- - ROGER V 4 VAN Tuv�,Qc.
ee. V._.... _7-,.
LIC LAND 9JQVEYORS - —G2EENPOP-T,!SLY.