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HomeMy WebLinkAbout19148-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19710 DATE: February 5, 1991 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1735 LONG CREEK DRIVE SOUTHOLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 55 Block 7 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 19, 1990 pursuant to which Building Permit No. 19148-Z dated JUNE 22, 1990 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 PORCH & GARAGE UNDER HOUSE The certificate is issued to C. KENNETH & CATHERINE A. MORRELLY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-171444 - JANUARY 29, 1991 PLUMBERS CERTIFICATION DATED JAN. 24, 1991 - MASTER PLUMBING ,~~'l~/ Building Inspector Rev. 1/81 ]1P013ffi NO. f 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) N~ Y ~ ft(: Z Date ..........~..~1.!!!9.,.....2.2 19.~.~ ' Permission is hereby granted to: 1 ~:..~.~:l.~t..~..~:~....h.1.. ...r..~f ....~.,a.l~wn.h.. ........N.:..y.......! .i to ...5~...'k.......t~'lS.... t.J.. 4~...Q.rr4RQ...~-~*~ iD . .........................................................................................o...................................................................... t at premises located at ..l...I..~.~....... ~a.......!.1~:........~tia'.:l:l!:1:°`.:"?-:° County Tax Map No. 1000 Section .......f3..,S.~S..... Block ~.`?..7.......... Lot No....QT. ,,,~~~JJJ q pursuant to opplicotion doted ........`}...P,.K..t!..1 D9~P...., and approved by the Building Inspector. t Fee 5....e~1.7 ~ ~ d~ ~IM......'V1 Building Inspector Rev. 6/30/80 i Form No. 6 TOWN OF SOUTHOLD ~J ~ `~1`,,, BUILDING DEPARTMENT Q ~ ~ TOWN HALL 7bs-lsoz FEB - 5199! APPLICATION FOR CERTIFICATE OF OCCUPANCY BLDG.C3FP'7: s T®WN OF SOUThiOL[7 f .-..,.,,..w~z,~,....,! 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 ly 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 S years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.0p0, Commercial $15.00 Date ~ New Construction........... Old Or Pre-existing Bu/ilding... Location of Property... ;3J ..........:~Q°~C ..4~~G:~k'............. ~,f-2~/~L~....... House No. Street Hamlet J~ Onwer or Owners of Property~r.,:/~O.U.~L.?'~...~.~/~~?~~?7:~10~~..~...,, U~r~,L'CLG1l County Tax Map No 1000, Section.. 0:5:7......Block...,[............Lot 9 -y Subdivision /~Q~J~.(/~a:':~5~.~~/0y4'~ t~cy. a%~.Filed Map..~o:~.~. .,.~Lot....,c... Permit No..[~~"?.9.......Date Of Permit ................Applicant~~:`:~~~'~~.,£/.~~~~.'~.~!~~.!!:~~'~~~` Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: $ ~;c,~; ~ ~ Cd ~197?(~ ~ ~ APPL~r TEL. 765-1802 ~~5~~~0~-CO~~ TOWN OF SOYJTIIObD , ~c OFFICE OF BUILDII~7G INSPECTOR j; n., P.o. Box 72s u' TOWN HALL ''0~~ SOUTHOLD, N.Y. 11971 • 1 C E R T I E' I C A T I O N Date 2°-t SQy'1 ~~'1~t~ Building~~,//Permit No./~/ 9~'S`b~ Owner. P`1enn~-1-h E. l .ca~Q_~-~?~P, ~.~rr~l~~ (pleas/e~'p-rint) Plumber ~l~•?~ ~~C (please print) I certify that the solder used in the water supply system contains less than 2/10 of to lead. (plumber's signature) Sworn to before me this / c~L~ day of ;~~~t% ' ,i 19 YI J~`r _r Notary Public Notary Public, d~3"/ County bOGt}r?~~t, Li;?0 Notazy PnMie, Stem 4t NEw York SuHdk County • No. A8410~ f COmmlaxioa Expita~' od. 39, -F•L• Officers _ a - MAYOR iLLacJe o~ ree ~d~~-~ I yOFFICE GEORGE W. fNBEARD INCORPORATED 1838 ;1~~ (~I g4~~-174a NEW INCOflPOflAT10N APOIL 16fiB N`~ ~ ~'/1~~ I ~SI TRUSTEES HE-INCOflPOPATION UNDEO GENERAL LAW MAY~~B 1@q8}~ 4NA F.~"WE~PLAN,I• WILLIAM D. ALLEN L/ r~ ~(3'1~~ ~77-0172 STEPHEN L. CLARKE t? ~.J DAVID S. CORWIN ~ " R ~ °51 ~i r ~`sl s Y. ~aifiei i ¢j;iil+l7t }fA~~(41.~)477-1877 GAIL F HOR'fON ' N G I S L A'N ~ a ~ ~.O .i;~ SUPT. OF UTILITIES ~ SUFT. OF WATF,R/WASTF.WAT'HR f.- ~ w JAMES I. MONSELL GERALD W. HICKSON nL.+ 236 THIRD STREET ~ P.O. BOX AH GREENPORT, NEW YORK 11944 January 22, 1991 Mr. Robert Petritsch Suffolk County Health Department Suffolk County Center Riverhead, N.Y. 11901 Dear Mr. Petritsch~ The following water service line was recently connected to the Public Water Supply by the Village of Greenport. The installation was done according to our rules and regulations and, to the best of our knowledge, meets with the Suffolk County Health Department Standards. The location of the work and the date that the job was completed is shown below: C. Kenneth & Catherine Morrelly Lot Number: 7 Long Creek Drive Job Number: F91-77 Long Pond Estates Water District: Outside Southold, N.Y. 11971 Contractor: Larry Liso / 7(rt Foster Date Complete: 10/5/90 If I can be of further assistance please contact me. Very truly yours, ,,r•7w J~-d-~~-Q~^ I Gerald W. Hickson Assistant Superintendent of Public Utilities GWH:cr 100 Years of Community Service , ' ISr?h,~,, TEL. 7C,5-180 S~~F°~."~~c`' To~r~r or souTZZOZ,o ;v~j~i s ...c OPf'ICJi Ur fSUILDING INSPECTOR ~ ';,'r,~'~ ~ TOWN IfALL ~ SOl1T3I03.D, N.Y. 11971 ~~Q r~ . January 30, 1991 C. Kenneth ~ Catheerine Morrelly 14 Greenhaven Way Centerport, N.Y. 11721 'lb LVhcm This May Concern, We are unable r.o complete your Certificate of~Occunnncy because of the follocoinG reason. /1n appl.ic:ation for Certificate of Occupancy is not nn Pi).c. (ENCLOSED) /~~~No Underwriters Certificate on file. / ;J 'f'he chec:f: .i;: (~~Lic~~~~c)4~nut on file.) $25.00 /~D:o 1L;a].th Dept. Approval on file. Nn final insi~~ection has been made. P]ca:;r.. contact: our office on this matter. - Thnnk you for your cooperation. llu.ilding Pcrmi_t: ii 1 9 1 4 8 Z Duildir f Dept. /.k~k/_/ tlo Plumber So Lder: Ccrt.if icatc on file. i ( a!.l }:orr:iit:: iirvolvi.ng plumbing being i~sucd affr_r ,1pril 1,19A4 ) i . p;i..:. . ~`a,.yn;is~ 6, ~.e~a,w~.....x t... 3:x~_-__ ,k s-.,,,.y~'~trta..~"iid''tTAs~i+..:YA:m_,tz-.,,.;. ita,,,9)~3xcea~^1X~6SvRA~S cl£LDyIt:SP~C:IU;7 ~~UA:" ~ CONMENT° ~ ~ 1. ~ _ H _ H ~ FOUNDATION ( 1st ) o ~•i.+ a ~ FOUNDATION (2nd) ~ t7 2. z \ o ~ P,000H FRAME & ~ d~ PLUMBING np1 p 3. y x' 4C N~ _ ~ IIJSULATION PER N. Y. f H A STATE ENERGY ~nnnn ~J CODE x ly y~ ~ F I7J A L ~it/ z ADDITIOIAL MMENTS: x ~ / o x ~ ®/C. CO . ro•~ F-1 ~Y H o „p z 1 1 x m .,.p A G • r ~ H x (JJ d C rn I ~v W H 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ AL P R ARKS: a.~~ . 1 ^ r ~i r ~i DATE INSPECTOR ~G~ r 1`~~~~ T65-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] RO~IGH PLBG. [)FOUNDATION 2ND [ (INSULATION [ ]FRAMING [ ]FINAL REMARKS: _hti r i d~ t DATE d ~ ~`IN8PECTOR (I I ~ l ~ d 765-1862 BUILDING DEPT. INSPECTION [ ]FOUNDATION iST ( ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [~RAMING [ ]FINAL REMARKS: r~-~a*~- DATE ~ INSPECTOR G' / j/ 1 ! Z ~ z~ rss-1su2 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST f 1 ROUGH PLBG. FOUNDATION 2ND [)INSULATION [ ]FRAMING [ )FINAL REMARKS: I DATE d G INSPECTOR I' C~`~ T65-1802 BUILDING DEPT. .INSPECTION [cif OUNDATION i5T [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ 7 FRAMING [ ] FINA®L~ REMARKS: ~ ~~~.~7~%? CI"~..- '0 VWV'"~ L~ G' 6~' d 4 r I 1 ~ ~ > ~i DATE 1" D~ 'INSPECTOR New York State Department of Environmental Conservation Reglon 1 Headquarter v SONY, Bulldfng 40, Stony Brook, NY 11794 DATE: April 27, 1990 _ Re: 1-4 738/00 134/0000 1-0 Thomas C. Jorling Owner J. D. Forchelli Commissioner Mr C. Kenneth Morrelly ]4 Greenhaven Way Centerport, NY ]]72] Dear Mr Morrelly, A review has been made of your proposal to: construct a single family dwelling, pool, deck, driveway and septic system as per attatched survey by Roderick Van Tuyl, P.C. , dated March 27, 1990. LOCATION: 14 Greenhaven Way Center Port, NY SCTM 1000-055-7-4 Based on the inEornlati.on you have submitted, the New York State Department of Environmental Conservation has determined that the xxxXx project is: Greater than 300' from inventoried tidal wetlands. _ Landward of,a substantial man-made structure greater than 100' in length which was constructed prior to 9 20/77. xxX Landward of the 10' above mean sea level elevation contour on a gradual, natural slope. _ Landward of the topographic crest oP a bluff, cliff or dune which is greater than 10' in elevation above mean sea level. Therefore, nu permit is required under thr 'Pidal_Wetlands Act (Article 25 of the Environmental Conservation f,aw). Please-6e advised,~however, that no construction, sedimentation or disturbance of any kind may take place seaward of the 10' contour or topographic crest without a permit. It is your responsibility to ensure that al] necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation i.n this area as a result of your project. Such precautions may include providing adequate work area between the 10' contour or topographic crest and the project (i.e. a 15' to 20' wide construction area) or erection of a temporary fence, barrier, or hay bale berm. Please note that any additional work, or modification ko the project as described, may require authorization by this Department. Please contact this office if such are contemplated. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Very truly yours, / - c C ~--~i n~v~-C ~ . 1..--~ (J ~'W--- Ueput:y Regional P mit Administrator ~'~FOL!(r~- TRUSTEES ~ ~ SCOTT L. HARRIS John M. Bredemeyer, III, President Supervisor Henry P. Smith, Vice President ~'r'~(fl ~ Town Hall, 53095 Main Roac Albert J. Krupski, Jr. P.O. Box 1179 John L. Bednoski,Jr. Southold, New York 1197) John B. Tuthill BOARD OF TOWN TRUSTEES Fax (516) 765-1823 Telephone (516) 765-1892 TOWN OF SOUTHOLD Telephone (516) 765-1800 May 25, 1990 Mr. & Mrs. C. Kenneth Morrelly 14 Greenhaven way Centerport, NY 11721 RE: Waiver requestslSCTM #1000-55-7-4 Dear Mr. & Mrs. Morrelly: The following action was taken by the Board of Trustees at its regular meeting held on May 24, 1990: RESOLVED that the Board approved your request for a waiver to construct a single-family dwelling that will be no closer than 120 feet from high water mark and no closer than 100 feet when deck is added. The following condition applies: No disturbanG~;within 30 .feet of the existing large trees that are on top of bluff, which will allow for an automatic buffer. Location of property is Long View Drive, Southold, NY. Please return to the Building Department for a determination on the need for any other permits which may be required for this project. Very truly yours, John M. Bredemeyer, III President, Board of Trustees JMB:jb cc: Bldg. Dept. CAC File / ' THE NEW YORK BOARD OF FIRE UNDERWRITERS PAG$;1`-''". 1000088 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date JANUARY 29,1991 ApplicaHonNo.onfile 70992190/90 N 3.71444 THIS CERTIFIES THAT - ~ , only the elec[ricol equipment as deacrihed 6elom and introduced 6y the opplicant homed on the alcove application numher in the prerreiaea of _ M MORRELLY, 1735 LONG CREEK DR, SOUTHOLD, N.Y. in thefollouinq hlcation: O Bnaement ©lst Fl. ?x- 2nd F7, GAR/ATTIC/Ol1T 'Section "~~~~Black "•~Lot accts examined on JANUARY 18,1991 andjound to be in compliance with the reggireneenta a(thia Board. FIXTURE ECEPTAClES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FIUORESCENi OTHER AMT K W. AMT. N. W. AMT. KW. pMi. K W AMT. H.P. 29 42 31 28 1 i 10.2 1: 1.2:3 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BEII UNIT HEATERS MUlT1.0UTLET DIMMERS ' AMT. N. W. Oll H. P. GAS H. P. AMT. NO A, W. G AMT. AMP. qMT. AMDS. TRANS. M1i H p SYSTEMS AMi WATTS NO. OF FEET 1 30 ~ ~ - 4 600Fw~. SERVICE DISCONNECT NO.OF ~ 5 - E ~ ~ R- V, ~ ~ 1 ~ C • . -E ~ i AMT. AMp. TypE METER 1.0'IW 1,a TW 3.e3W 3,d AW NO.OF CG COND. A.WG NO OF H44EG AW.G NO. OF NFUlRAlS ~'A.WG EGUIP. PER % OF CG COND OF MbIEG OF NEVTRAI 1 200 CB 1 X 1 2/0 1 2/0 OTHER APPARATUS: 28W.WOLL HEATER-1 SMOKE DETECTOR:-2 L~t~.~:E~ -mac BOB'S ELECTRIC SERVICE LIC.#694 :;,;I_;, 20 POPLAR AVE. FARMINGDALE, NY, 11735 cENERA~ MANAGER / 11.... _ Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. D BOARD OF'HEALTH•••.•••••••:• v ~ 3 SETS OF PL.\NS FORM NO.1 SURVEY ~y~t TOWN OF SOUTHOLD CNECS ,R~1 ~y ~ BUILDING DEPARTMENT SEPTIC r•alirt E; l.7 _,___~~~~/t TOWN HALL BLDG.O£PT. i $OUTl~OLD.N.Y.11~J71 NOTIFY; TOWN OF SOU1'H(~(.D._„__,; TEt.: 7G5~1II02 CALL . . 19gU hIAIL T0: Xlmint:d ~M3, . ,ppravcd iSk!~F. ?ez 1924. Permit No. ~ g. t • • • • . IisaPProved a(c C~~ . (uuiiding inspector) APPLICATION FOF BUt! DING PERMIT Date W~:.. 159-.9 INSTRUCTIONS y~ ' a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Buildin; inspector, \vith 3 ets 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 tr` areas, and giving a detailed description of layout of property must ba drawn on the diagram which is part of this appli- :ation. 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 ,hall 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 ;hall have been granted by the Building Inspector. APPLICATION [S HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the luilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ?.cculations, for the construction of buildings, additions or alterations, or for removal or dcmalition, a herein described. Che applicant agrees to comply with alI applicable laws, ordinances, building code houst c rcm~iations, and to unit authorised inspectors an pretenses ono in building for necessary ins ~ ions. G/ . • Signature of applicant, or'n/ame, if a orporatton) (Iwiailing address of applicant) 'Mate \vhether applicant is owner, lessee, agent, architect, engineer, General contractor, electrician, plumber or builder. ...........~GG!~~~ ~_~7,E,c/E.Eat"~L,.~~!~:?T,~'r~~TQ~......... lame ofowncrofpremises _ (as on the tax roll or latest deed 'applicant is a corporation, signature of duly authorized officer. ; ' (Name and title of corporate officer) Builder's Liccnsc No. Q(,~1lJ~t.~. . 2GG14~-P Plurnbei s Liccnsc No. . Electrician's Liccnsc No. ...4?.~4............ " OtltcrTradc's Liccnsc No . • Location of land on which proposed work will be dorc; ' ' ' Eloust: Number ~ Street. ' ' Hamlet ~7~ra, Blouk 4~ Lot . 4 ~ County Tax ,flap No. 1000 Section • • • Subdivision-:dh1G,!:-e?~1Q• EaC(IT~S,........ Fitcd hfap No. •~~,G~~..... Lot (Name) State existing cue and occupancy of premises and intended use and occupancy of proposed construction: o EXistinguscan ...~~D p~p......... d occupancy ~vi"1sQ y i. Intended use and 1~GC.;~...~~~~~-.l b•W~~lt•~~:...,`. ~ occupancy , ' v m Nature of work (cheek which applica¢le); New Uuilding . Addition Altcratiou Repair Removal Demolition ..............Swimaing pgQ~k~_t~ -j- ,'u~;l~; . Tennis~Court~. Accessory Building..........Fence ......-Other tJork:_. Estimated Cost .~.~~~.a~.~ Fee g untts~, • (to be paid on (ding this appplication) 1f dtvcllin nu:nbcr oC dwcllin Nuntbcr of dwelling units on each door , , , Ifgarace.numbcrofcars iC business, commercial or mixed occupancy, specify nature and extent of each type oC use . Dimensions oC existing structures, if any: Front . Rear . Depth . Hci.lit Number Of Stories . . Dimensions of same structure with alterations or additions: Front Rear , . Depth . . . Ilcigltt Nuntbcr of Stories . pimensions of entire nett' constntctic~n: Front . ll~. Rear ..Q. Dcoth ..4bS~ . Hei_;ltt ~ Number of Stories . . 51LC o[ IoL• Front . Rear... ,144.~<.?~ , Depth ZZ~ r4:~ . . Date u: Purchase , I ~ V , ~ • 'NCH l.l, • . Name ofl=onncr Owner .,:.Q s X0.4-• • . ,7.or•.c: or use district in which premises arc situated • • • • - • . . . Does proposed construction violate any zoning law, ordinance ar regulation: . Hill lot be rc;raded - . ~Q, , , _ Nill c~,cess Lill be removed, f o{n~z .emiscs: Yes No1~ Name of Owner of prcmisea~•.F~~c.~-tl; •~-~;k (`'jo2Q~~Addres~' ~ ~'?t~~~nl'(;l.;pr~ 11D~': p)t f ne No. ~S'7: ~ .7.. , l.G~ Name of Architect . ~S,l.~h.1 ,~Q, , • ~ - ,Address /~t~rhSS~-,~4;(~1T.4-L~'1 -one No. Amt Name of Contracto~s~ I~~,~-~', ~~LL,'~, , , , • , , , Addr~s~. L7aV~'i~HWV~-:~? GC~frone No. Z~~~-~'tt ~?~?~-37. . i-Is this propertq locate within t00 feet of a tidal wetland? *YGS.~!_:NOd... *If pes, Southold Town Trustees Permit may be required. PLOT DIAGRAt4f Locate clearly and distinctly all bui}dings, whether existing or proposed, and. indicate all set-back d'unensions from • operty lines. Give street and block nun}ber or description according to deed; and show street names and indicate whether tcrioz or corner lot. ' i ' ~ i • I r i I i • I~ rnTEOF~e~vYOar, 5s 'OUNTY OF i • • • • ~ •(1`amc oC individual signings' ~ • ' ' ' ' ' • • being duly sworn, deposes and says that he is the applicant ` contract) hove named. .c isthc ' . . (Contractor, agent, corporate oCficcr, etc.) - ~ - C said otvncr or owners, and is duly aiuthorizcd to perform or have performed tltc said work and to make and Cile this tplication; that all statements contained in this application arc true to the best of his knowledge and bclicC;and that the ork will be pcrfomtcd iu the manner syt forth in the application lilcd therewith. ' 'wom to before me this , ~ ~ .day of I~!. ~iL;''`?- 19y~ • otary Public, ~ .A~Q County , NOTARY P!!BL Sbte of New Yak -~-~-xre.~ • ~ •Q ;~~C~ No. 4707878, Suffolk Countf~ • n TamfacpiresMsroh30,19^rr ($~,naturcoCaPPlicant) • ~ a ~ I t~ .~s..:; 1~ ~r11 ~ ~ _ 1 t ~ ~ _ ",ts tF C31 t ~ t• 15! ~ j r ,i t ~ i:.. 111 ~ ~~n o`~ ~ f~ C7 Ca ~ iAI ~ ~J~"~ r ~ ~m r.G ~ , a. Tf ~ ~ ll ~ k _ _ Y:Y 1 ` ~ J,i i i-- ; 11 ~ ! ~ ~ ~ ~a r_ ~ ~ r_,~``F kfl f 4? ~ i eat _ w I 'te 1_3 f•' ~ .~~f~, it yy {'rte. ~ ( ~ - I f • i ~ ' r ~ ~ `VJ~ r ~ r ° yt ~ ~ ~ ~ ~ ~ ~ ~ r-~ C`j ~ ~t 1 r~11 ( rl - - - n3 o i ~ ~ n Q _ V r ' Fes, tJ7 t' r`~ w r ~ , f.:. +~F ~ ry(~y tr~, fl fn-. ~ ~ ~ 1~,1 ~ ~ ~ t(1 . ~ i r . m t 1 ~ ^.7 J 4 , ~ ~ ~r l ` ~ ft1 si7 ,X` ~ .I ~7 f ~ c i it f ~ ~ ~ u ..I L'F ' ; - rt* rv { ~ ~ , t C~~~ _ era, i ® t~F, r.7 r i 1. t. l:" r. ~ `~3 j ~ OI- ,'~~rx ~ ~Za ~ • r.,. 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