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Home My WebLink About18666-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218591 Date NOV. 24, 1989 THIS CERTIFIES that the building ADDITIONS Location of Property 410 CEDAR DRIVE MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section 106 Block 10 Lot 19 Subdivision MATT. DEV. CO. INC.Filed Map No. 776 Lot No. 8 & 9 conforms substantially to the Application for Building Permit heretofore filed in this office dated NOV. 15, 1989 pursuant to which Building Permit No. 186662 dated NOV. 24, 1989 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 DECK AND GARAGE ADDITION . The certificate is issued to MABEL LIDFORD (owner, xxxxxxxxxxxxxxxx) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NfA UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~r3-c. ~ Building Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218592 Date NOV. 24, 1989 THIS CERTIFIES that the building ACCESSORY Location of Property 410 CEDAR DR. MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section 106 Block 10 Lot 19 Subdivision MATT. DEV. CO. INC.Filed Map No. 776 Lot No. 8 & 9 conforms substantially to the Application for Building Permit heretofore filed in this office dated NOV. 15, 1989 pursuant to which Building Permit No. 186662 dated NOV. 24, 1989 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 ACCESSORY SHED. The certificate is issued to MABEL LIDFORD (owner, xxxxxxxxxxxxxxxx) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A iC ,Cif C94. Q,L CN~..- ilding Inspector Rev. 1/81 roast xo. 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) N O 8 U~ 6 Z Dote .A!.P.?dA'N^K;rl. ~J" 19.R..1. Permission is hereby granted to: .Y:1~~......~:...~~ . to . at premier ses/located at v..... ~ .............!..1..!~:. County Tax Map No. 1000 Section .....I Block ........~.~.....v..gLot No....~..d pursuant to application dated ....~.8"?~0..":t:a`^~-4.... ~.ti~ 19.0...1.., and approved by the Building I/n'spector. Fee 9 c Buildin I for Rev. 6/30/80 .v f TOWN OF SOUTHOLD BUILDING DEPARTMENT ' TOWN HALL SOUTHOLD, NSW YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE .Navembez S1, .19.89.. . NEW CONSTRUCTION ...x...OLD OR PRE-E%ISTING BUILDING......VACANT LAND........ Deck and Garage addition Location of Property._410 Cedar Drive: Mattituck,_New.York HOUSB•NO. STREET HAMLET Owner or Owners of Property ...................M~f'l.l.~d~4~d County Taa Map No. 1000 Section ._146.•DOBlock .Lo:94.. Lot ..Q1,9,.OQQ, SubdivisionMcatCl.tu~k,D,evg~gAmepX,C~o,.,, Filed Map ~J~...Lot..$.~nd,g_, Permit No. ..........Date of Permit ..........Applicant .Mahel.Lidfoxd....... Health Dept. Approval Underwriters Approval.............. Planning Board Approval Request for Temporary Certificate Final Certificate Fee Submitted: $..25..00 APPLICANT...~S.~.~~.~~~1~~............ 3~G6~ C a Z /~S" y/ y/~y rev. 10/14/88 y , _ _ TOWN OF SOUTflOLD BUILDING DEPARTMENT ' TOWN BALL SOUTflOLD, NEW YORK 11971 7b5 - 1802 APPLICATION FOR CERTIFICATE OF OCCDPANCY DATE .Novembez 9..19.89.. . NEW CONSTRUCTION ...x...OLD OR PRE-ESISTING BUILDING......DACANT LAND........ Accessory shed Location of Property „ 410 Cedar Drive, Mattituck,_New.York BOUSE.NO. STREET HAMLET Owner or Owners of Proper[y ...................MdbE1.l+id~4Ld County Taz Map No. 1000 Section ..1Q6•DDBlock .LQ•94.. Lot ..4~.9•oA4. SubdivisionMattl.tupk,IZeygigg~ept.G4•.. Filed Map TI~...Lo[.. $.a~d, Permit No. ..........Date of Permit ..........Applicant .Mahel.Lid£oxd....... Health Dept. Approval Underwriters Approval.............. Planning Board Approval Request for Temporary Certificate Final Certificate Fee Submitted: $..25,Op !?i .O 2 (FS~( 2 APPLICANT.1i'(~c;S;?~.~:. ~ ~ ~ 3 ~6~~ CC// ~~~1 ~/~9 rev. 10/14/88 lAW OFFICES WICKHAM, WICKHAM &BRESSLER, P.C. MAIN ROAD, P.O. BOX 1424 MATTITUC K, LONG ISLAND WILLIAM WICKHAM NEW YORK 11952 MORTGAGE OFFICE ERIC) BRESSLER ABIGAIL A. WICKHAM 516-298-5300 516-29 B-6353 TE LEFA% NO. 516-298-2012 DANIELC ROSS TELE FAX NO. 516-298-8565 KAREN) HAG EN RUBE RTF SULLIVAN November 14, 1959 Town of Southold Building Department Town Hall Southold, New York 11971 Att: Georgia Re: Lidford to Wells Dear Georgia: Enclosed please find the following: 1. Building permit application for accessory shed (survey attached) 2. Building permit application for deck and garage addition (survey attached) 3. Three sets of construction plans for deck 4. Three sets of construction plans for garage addition 5. Application for Certificate of Occupancy (accessory shed) 6. Application for Certificate of Occupancy (deck and garage addition) 7. Consent to Inspection 8. Our check If2006 in the amount of $125.00 We will submit the Fire Underwriters Certificate as soon as we receive same. Very truly yours, "!!33//anet A. Walsh Secretary to William Wickham /jaw Enclosures . , :L ! wV ?OUNDATI0:3 (lSt) ~I I~ _ 1 N~ ?OUt1DATI0;1 (2nd) - , `o L ?OUGH FRAME & I ~ PLUMBING y V H ~ 3. n Ii1SULATIOP! PER N. Y. I ~ ~ ~ ~ STATE E1IERGY CODE I s ~ a. u ~ off. ,~c FI;lAL ADDITI011AL COMMEIITS: x ` , m • - x ' r) H ~ ~.N ~ ~ H H O ~O ~ m - f w e m a ~!p tp i N% io ug U ~ ~j * a~ ~ ~ ~ ~ - - - r - z O O d~ Q ~W - - ~ cG tll ~l ~ ~ O~ FORM N0.3 TOWN OF SOUTHOLD BUILDBVG DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL ~ Date .../.,l/.~.?1 19 . ~.I~. 57`"x. r-?.~'~~.. l!~~s~ PLEASE TAKE NOTI~CE~th~at your application dated , , , , , , , , , , , „ 19 . for permit~!~ a-r/.4k~%IIG~I.BrI. ~q~ /¢~lrJ~~~a2~~1",r'~i"Y.l(~~{, •~/~~~G•.s~. at Location of(P/roperty ....~flD ...............Ga:~G..~~/.%bGUL°/7 House No. Street ~ ~ ~ ~ ~ • County Tax Map No. 1000 Section .~4 Block .....~0 Lot ....~;I . Subdivision Filed Map No. Lot No.......-.D........ . is returned herewith and disapproved on the following grounds . ~~,~.s...~4G~Q . . 9,~~.era.../4.0..-: a .lsl.. .tip . ~G:'~'~f~~c~c~iB~J..~.~a-~ Bui~ ~ ing Inspector RV 1/80 LAW OFFICES ~ L (f WICKHAM, WICKHAM & BRESSLER, P. C. P. O. Box 1424 ~ _ ~ Mattituck, New York 11952 (516) 298-8353 BLDG. DEPT 70WN OF SOUTkIOLD To: Southold Town Building Dept. Date: November 30, 1989 Town Hall Southold, New York 11971 Re: Lidford to Wells Att: Geox is The accompanytt'2g papers pertain to this account: .......Mortgage Bond .......Title Insurance Policy .......Mortgage .......Release .......Building Loan Agreement .......Satisfaction .......Deed ..Survey .......Extension Agreement .......Tax Bill or Receipt , ..Our Bill .......Closing Statement ,Termite Inspection Amm'ttzation Schedule Water Test Results .......Title Company Receipted Bill .......Certificate of Occupancy .......Broker's Receipted Bill .......Assignment .Other ,......Escrow Check ....X..Other copy of Fire Underwriters Cert. .......Fire Insurance Policy .......Other _ ~ r y n p i Y.i I t _ p ~~Ll' t 3 i i i r i THE NEW YORK BOARD OF FIRE UNDERWRITERS PACE ; ~ 15674 BUREAU OF ELECTRICITY BS JOHN STREET, NEW YORK, NEW YORK 10038 9 Date NOVEMBER 16,1989 Application No. on file 66089989/89 H 012885 ++,d Tiii9 CERTIFIES THAT only the efectrtcal equipment as described below and introduced by the applicant named on the above gpplicgtion number in the premises of MABEL J. LIDFORO, 410 CEDAR DRnnIVE, MATTI7UCK, N. Y. J in thefollouing location; ? 8asement UG Ist Ff. ? Pnd P'l. GAR •Sertion Block Lot u~qs examined on NOVEMBER 13 , 19 89 artd found to 6e in et~nLplignce with the requireutenta of this Board. FI%TURE KEPTACLES SWITCHES RXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS GUTlETS INCANf1ESCENT FLUORESCENT OTHEfl AMi. K.W. AMj. K.W AMi. K.W. AMi. K.W. Alai. M. P. DRYERS iURNACE MOTORS fUTURE APPLIANCE FEEDERS SPECIAIRK'?T i1ME CLOCKS BEII UNIT HEATERS MULTI-OUiIEi DIMMERS AMI K.W. WL N.P GAS H. P, AMT. NO. A.W.G. AMT. AMP AMT. AMP$ TRANS. AMT. H P SYSTEMS AMT WARS NO.OF FEET SERVIC! DISCONNECT NO.OF S E R V I C E AMT. AMP. ryPE METER I.R tW 1 / [W ~ % 7W 3 X tVt NO. OF CC COND. A W. G, Np. Oi In.IFG A. W. G NG Of NFUIRAlS A W. G. EQUIP. PE4 / OF CC CON[!. Of HFIEG OT NHlTRAL DINER APPARATUS: *NO VISUAL DEFECTS: 'An electrical survey has been made of the exposed electrical equipment in the premises indicated." 'NO obvious unsatisfactory condition was found. i - , . -E'~ i WZCKHAM WZCKHAM/BRESSLEft MAIN RD. P.O. BOX 1424 ~~~MANAOBR MATTITUCK, NY, 11952 it Per This certificate must not be oltered in any manner; return to the office of fhe Board if incorrect. Inspectors may be identified by their cred ntigls. B-QY~ i ~F~L A~EN~E P \ ,e'. ~r o G1~ \ ~ _rl 'u*. yO.U`' Lro e o. `9' Ip ? m h2 os so~v~ ca a oEO o - o, G ~ c?`° • c b d. 1 ate( ~ ie / V `t , c~. apt `Z rY ~r~`O `c ll" . ~ W aM o` v~ , o `~i+ g / Q $ ~0~ ~oo° ~ - - - - - ~ ~ ~ 00 ~0 ~ 0 0 0\ °0 5~ ~ \ 1. ~o \ rE: I =MONUMENT 'UBO/V/S/ON MAP F/LED /N INE OFF/CE F THE CL ERK OF SUFFOL K CIX/NT Y ON ar/,/s23aSF/LENO.l76 SURVEY fOR ''/FFOL K CO. TAX MAP DAVID B. WELL S ST. /A00 SECT /06 BL. /O LOT l9 LOT NOS. 8 B 9, "MATT/TUCK DEVELOPMENT CO, /NC. " TAL AREA = /5000 SE A7 MATT/TUCK DATE SEPT ~B,/9 TOWN OF SOUTHOLD SCALE: /"=40' SUFFOLK COUNTY, NEW YORK No. B9-/o22 r UNIUTMORIZEO ALTERATION OR ADDITION TO THIS GUARANTEED TO SURVEY IS A VIOL A710N OF SECTION 7209 OF THE DAV/O B. OF N NEW YORK STATE EDUCATION LAW. CH/CAGG / l N COPIES OF THIS SURVEY NOT BEARING THE LAND ~ MPANY SURVEYOR'S INKED 9EAl OR EMBOSSED SEAL SHALL SONY 8 ~~i ¢ti{/Q~7 ` C NOT 9E CONSIDERED TO BE A VALID TRUE COPY ROUARANTEES INDICATED HEREON SHALL FUN ONLT TO O ~ THE PERSON fOR WHON THE SURVEY IS PREPARED, ~ d' G ANO OM HIS BEHALF TO 7NE TITLE COY PANY, GOVERN- S MENTAL AGENCY ANO LENDING INSTITUTION LISTED NEREON,AND TO THE ASSIGNEES OF THE LENDING - INSTITUTION. GUARANTEES ARE NOT TRANS FERARLE - TO AODI TION AL INSTITUTIONS OR SU•SEOUENT OWNERS. L N DISTANCES SHOWN HEREON FROM PROPERTY LINES 4 TO E%IS TINO STRUCTURES ARE FORA 9PECIf IC IURPOSE ANO ARE NOT TO 8E USED TO ESTASLISN ~fFD pa' PROPERTY LINES OR FOA THE ERECTION OF FENCES. /AHD $ .a~7 YOUNG a YOUNG 400 OSTRANDER A~ - RIVERHEAD, NEW Y( ALDEN W. YOUNG,PROFESS~ONAL ENGINEER I CONSENT TO INSPECTION Mabel l~dford the undersigned, do(es) hereby Owner(s) Name(s) state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 410 Cedar Drive Mattituck New York 11952 Which is shown and designated on the Suffolk County tax map as District 1000, Section 106.00 Block 10.00 , Lot 019.000 That the undersigned (ii'as) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: Certificate of Occupancy That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspec- tions to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: r, a, toga Signature Mabel Lidford Print name Signature Print name s ~ v a b a r ~ _ ~ 1 ~ i . s _ __v__~.__. _ .sA ~ k~ e f f ; f` ' - 1 _ - ~ , s ~ ~ ~ ; _ \ ~1 A . a ~ ~ ( ~ ~ - ~ 4~ ~ ~ ~ Q ~ _ ~;J ~5 - , ~ ~ ~ - ~ v - - - r~ _ ~ _ A fff ~ _ ~ i ~ ~ i ~ ' n i t' 4 t k III / •-_..----i~-... d _ _ .I_ ~ ~ a~ ~ I I 1 ~ ~ e~ ~j I ~ n;. :ry~~~mrw~~~sw•nr•cn~m i7~ k` i t' ~Liir~i~h~a"CJ~Ogr,~ ~ CB7~ ~ :~°~y nOpe~'-~-G7RD~ e 0 A~ t ~1 ~ ' t .,c.-~--~._~"-'"~~='tea-..» ~ t33 ~1'_ y__°O.. _ . 'r"_ ; ~ to ~ r p ~ ~-Ga io ~ - - - - ° , v~ ~ Cj 6~ 1 f1~ ~ ~ ~ ~ '11 yy q,, _ j ~ r- k4 'ta-F-9_Y6D_e x) ..q__._G° ~___.~...__C7 tD_.. OY- _ - - - LLB.:.. . .r} _vn___.._ ~ ~ i Sri f~ ~?`-`~,~~~r'?~ ~~_~uaq;~:_~,_~_-~ao •~I rn 2-r' ' ~ m ~ ~ as ~ ----------@=-1.--W°;J i ~ ~ ~~t 4 ~ ~ ta' ~ R~S y l~ ~ zr le ~ ~ ~ ~ ~ ~ _ s ' s ~ ~ ~ ~ . a ~ w~ ~ ~ ~ . sM1' , ~ ~y. Y. ~ s u~' ' ~ ~ a;; - ~ ~ u a . _ «..e~em~rawwaeewr.en~.-iar~ . R~ ~ ~ ~ ~qy~~ y ~ ~ ~ ~ ~ ~ o W~ t~ 1 ~~.P 1 ~ ~ ~ ~ ~ { 0 ~ ~ ~ } ~ E t , _ _ _ ~ i __~,__w..__..: S; a~ ^l i • ~ _ _ R p>< ? :i. 3 yt~~' ~ ~f ~R= b`~ x ~ Ih ? ~ ~ ~ ~ ~~~r ~ - i~ I ~ ~ t ~gY. 1 1 ~ ~ j ~ ~ ~ < v f r x~ ~ i r~ rF ,s ~ ~ ~ vt~ i ~ N - - ; t r G >~'z.~s~ a r v A p x S T 1 Yc^ ~ FI a '?Si r ~n i. lS P d 3 ~ ~ S g k~"~'`i d S Wy- ~ l ~ aim ~ i z ~ ,Y~,~ ~ J r.~ ,i'AV~- "E'~F y q Y r%~ ~Yfy ~ i a'issaf. °Z E t y "f'°Y ~ Op ~ F?F,c'k+~ ~ ` i + 8 'r,t. f A , : x%~t#~t a~..s ~FORMN~f+1`s ~'%`a,~a, r& .~=.~.xF~~2 s c? ' ~~t9.5~4-~;•~?^.u'~~^„ a ~ , . -"POINIY`0~ SOUTHOLCS , : 4, . ° ~ .d, ~'~i BUILDING DEPARTMENT TOWN HALL ,~rOUTHOLD, N.Y. 11971 ,1 TEL.: 7651802 Examined .N.~-`~.., 199. Received........... , 19.. . Approved ~ 19 Permit No. ~ ~ (a ~ - ~~~~od~D Disapproved a/c p ................................~.y/,/...... ~ f 5 • U ~ ~ BLDG. DEPT. (Building Inspector) TOWN OF SOUTHOLD APPLICATION FOR BUILDING PERMIT Date November, , , 19 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) .410.Cedar.Drive,.Mattituck, .New .York•1i952••• (Mailing address of applicant) State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder. ......oSapeX Name of owner of premises ?h'.illi,am Li,d,ford .anal klabe7..I,i,dford> .his .wife . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No . . Plumber's License No . Electrician's License No . . Other Trade's License No . . 1. Location of land on which proposed work will be done. .4L4 ,Cedar .Dzive„ .Mattituck„ .New .~a>;k ..LL952 . ...410 ................Cedar,Drive..........................Mattituck House Number Street Hamlet County Tax Map No. 1000 Section 106, ;00, , , , , . , . Block .....1.4 •.4Q Lot ...QL9..444 . Subdivision Map. P~. 1'zppexty, p~. Mat.ti.tuck Devel,op..Filed Map No. ...7.7.6........ Lot ..S. and..9...... . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....one-family r;y,~f . b. Intended use and occupancy _.deck .and .garage ,addition, , , Q~, . ~ , , , , , , , , , , , , , , , • ~n~e,~'~Y ~,i bwi•ESSr~I _s.~t ka p,tHL a~w,gx3 n~~~~:e~mmc:.4 i ~ ~ e , ~ , i ) L T WSF hf 4~ f x ~ . Nature df work (cheek which i~pplif~bia) iVew Bttihlf~~~m........ Addition . , Alta" ti , ~ ~ ~ Repair Rerl,ovat ~X ~~'3t~'~ ~j!amo$tion ..............Other Wot)t , ~ ~ r ~ s, (Iescription) ~x fly ~ 4. Estimated Cost Pee ~ ~ . (to be paid on filing this application) 5. If dwelling, number of dwelling units .....one, Number of dwelling units on each floor Ane..... , . If garage, number of cars ; . one . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . 7. Dimensions of existing structujes, if any: Front . Rear Depth , . HeiBh~ ...............NumbarofStories..,......,.......,...................................... Dimeri§ions of same structure with alterations or additions: Front . Rear . , , Depths . ...Height . ..................Number of Stories . 8. Dimensions of ef~`~ire new construction: Front . . Rear , ....Depth , . Height ...............Number of Stones..............,.............................,........... 9. Size of lot: Front Rear Depth . , , . 10. Date of Purchase . , Depemb€~'. 11.,. 19.79.......... Name of Former Owner .Eunice. G... Bnxxerworth....... . 11. Zone or use district in which p'temises are situated . . 12. Does proposed construction violate any zoning law, ordinance or regulation : . . 13. Will lot be regraded . : ....................Will excess fill be removed from premises: Yes No 14. Name of Owner of Wmiieisa~l Mabel Ledford , ,Address Mattituck,, NY , , , , ,phone No. ?98-9b$?...... . p Name of Co tractor , , :Lidford• (dec' d) , ,Address Mattituck,. NY , , ,phone No...... . Wi111am1 Lidford (deed). ,Address ...................Phone No........ , . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. see attached survey STATE OF NEW YORK, S.S COUNTY OF sp~FO~K, , , , , , , , M~l?g~,Li~ifor~l,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, being dulysworn,deposesandsaysthatheistheapplicant (Name of individual signing contract) above named. SHeisthe ~ (Contractor, agent, corporate officer, etc.) xo$tsaitk owner or owners, and is dtjly 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 bef(o~re me this da of. November...........,1988. Notary Public, U . S~~uffolk........... County /~~7 JANET A. WALSN ~ „ o ' . ~ , . ~NG~~~~ NehrY Publk, State of New t!ork ~/~,~t/%~'e'"- . . No. ~e3aaet ' (Signature of applicant) Quellaetl In Suffolk County Gmmialon F~pka June 13, s9 vd - - egr`~F~ A?/EN~E ~ ~ o . w ~ 1 mow. , r ..L 4 r ~4 nn v " `b 5 ~.0~ X01 ~~i ~ ~~i,+ • . ~llc?vull~vr suewvis~a+lAwflx~,w n~ o~rva~ au~ rnrcctxAr~.wsraclr ~auvrrow Nari, i'tJ As /K[ MD. fle SURVEY Fit SUFFOLK CO. rAXAIt4P DAVM B. NTELL~' oisr. ioao sECr. asec. ro cores TOTAL AREA= /5A~0 S.F LOT /IC)S. e ~ 9, A~64TT/TUCK gE'VELOPMIENT CO, /NC.,~r ?2, i9B9 AT MATT/TUCK GATE ~ SEPT. x,/999 TOWN OF SDUTMOiLO SCALE: i"=4o' SUFFOLK COUNTY, NEW YORK NO. : B9-/022 M ONAl1TN01111t0 ?~{LTLNATION 011 AOpT10N TO TNIf (3UAgANTEEO TC7 tUMVlr 1! A VNN.ATiOM O/ flCTNN/ 7!O! NTME DAV/O B. HELLS N[M gull tTAT[ [ONCATION LAND. N COIK! 01 TNIt lUNYEr NOT MLMIN! TN! 11M0 ~//~'0~ ~ ~ A/PANY swwtTON'! INNSO !!AL ON lwoueo !!AL auu SONYNA A NO7 CONlMIlMtO TO A VALIO MU! COIr. NluANAMT![! IMOICATlO N!NlON lNALL NVN p11LY m IBC N; AMO ON N~1lNlRMAL*f TAO TN[ TAI ltlf COY?A1/Y, IOVlRN- .r~~ `OG IM[NTAL A!lNCr ANO LENDIN! INlTITUTNNI LIlTl0 NLNEOM, ANO TO TM! A!!NN/!! Of TN! !lN OINY NUTIIUTION. lUA11ANTt!! AR! MOT 7NANMlIMNL[ 10 AOOITNNIAI INlTiriTNNNI OM lON!lONENT OMMlMt. GJ~., 11 OHTANO!! lNOIIM M[NlON IRON ?RO?lNTY LINli TO lNNJTIM lTRUCTVR[! All! PoR A !IlCIIK; 458 ?YNIOtt ANO AN[ wT M K U!p M lITANIIlN MOIlNTr LNK! 011 /OR TN[ !NlOTNNI OF /lMOEl. ~p .IOT' u!o YOUNG a YOUNG a~~~AOwR roa"K E ALLEN N! YOUNG,PROfEBltONAL ENGINEER „ AND LAMO lNRVE1~R N.Y.S. LICENK NQ 1lGG5 NOWARO IIL YOYw, LANG SURVEYOR N.Y.S. LICENSE N0.46GG3 rov vosr Foaca