HomeMy WebLinkAbout17273-z FORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No 218651 Date DEC. 18, 1989
THIS CERTIFIES that the building O1JE FAMILY DWELLING
Location of Property 2295 CEDAR DRIVE EAST MARION
House No. Street Hamlet
County Tax Map No. 1000 Section 22 Block O5 Lot 28
HIGHPOINT AT EAST
Subdivision MARION SECT. 1 Filed Map No. 7680 Lot No. 28
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 21 1988 pursuant to which
Building Permit No. I7273Z dated JULY 28, 1985
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 AND DECK.
The certificate is issued to CIRO & ROSE CEPARANO
(owner, xxxxxxxxxxxxxxxx)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 88-SO-98 DEC. 13, 1989
UNDERWRITERS CERTIFICATE NO. N070569 MAY 8, 1959
PLUMBERS CERTIFICATION DATED TIMOTHY TAUB DEC. 4, 1984
~°~"L.s
Building Inspector
Rev. 1/81
Foaas xo. s
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BULLDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N°_ 017273 Z Gate ...,7~~' 19.~'f1
Permission is hereby granted to:
to ~.~~~o`"`
aY premises located at ...o1.r~.../~.rJ~.~........ ..~t,~.....<~~'/~!;~!.•`•
County Tox Map No. 1000 Section .........d~....~..... Block Lot No.........~..'..
QQ
pursuant to application dated 19.~U., and approved by the
Building Inspector.
~7 !d
Fee $..7~.G~
.~~t... ~
~ uildi Inspector
Rev. 6/30/80
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w ` ~f~p' ~q.~~1 ~lPq `1..~, i~~ \.J~ws~ih~, ~ R
TOWN OP SOUTHOLD ~ ,~__r „
~ .gin- °"~~~tl
BUILDING DEPART:IENT
TOWN HALL
SOUTIIOLD, NEW YORK 11971 g4pG,pEPT. '
7b5 - 1802 TpWN UP SOUTiiOtt7
APPLICATION FOR CERTIFICATE OF OCCUPANCY G
NEN CONSTRUCTION ..OLD OR PRE-~?E'%I/STING nBUILDING_.....VACANT LANB...._...
Location of Yroperty.:~:a'~.'~ .....:.~.G.et:-!.(!L: ~SI!LL~....... ~i~v~ 9~9
HOUSE NO/~/~~,,,, ~I STREET HAMLET
Ovner or Ovners of Property.::`::^l Y.~~/..~~~~~~.",~`.n.'~:•~u~-' .
County Tas Map No. 1000 Section .s?'?'.. Block Lot".~:~
' ~ y~ *y
Subdivision,~';~~?``~fL~ya-cna-C.......... Filed Map 'Z
:'°.~`~:~.~LoC...,......
YermiC No. ~!.°z 7`j.....Date of Permit 7:~:~~.Applicaac ~'e
Ilealth DepC. Approval Undcrvriters Approval............,.
PlanninE 4oard Approval
Request for Temporary CcrtificaCe Final Certificate
07~ % t5b
Pee Submitted: $
APPLZCANT..~/f~~ :~,r/LQ%f_,-ll..
3 ~7G ~
,y~~~/~y
ca~`~~~~
'e v. 10l14f88
FORM N0. 6
TOWN OF SOUTIIOLD
BIIILDING DEPARTPfENT
ry-k I
TOWN RALL
765 - 1802
APPLICATION FOR CER1IFICATE OF OCCUPANCY INSTRUCTIONS
A. 'This application must be fined in typewriter OR ink and submitted to the Building
Inspector with the following; for new buildings 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 of Bealtll Dept. of eater supply and sewerage-disposalCS-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that solder used in system contains less
than 2/10 of !z lead.
5. Commercial buildings, ixidustrial buildings, multiple residences and similar.
buildings and installations, a certificate of code compliance from the 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, buildings and
unusual natural or Copographic features.
2. A properly completed application, a consent to inspect signed by the applicant
and a certified abstract of title issued by a title company which shall
show single and separate ownership of the entire lot prior to April 9, 1957.
If a Certificate of Occupancy is denied, the Building Inspector shall scare the
reasons Cherefor in writing to the applicant.
3. Date of any housing code or safety inspection of buildings or premises, or other
pertinent information required to prepare a certificate.
C, For Vacant Land Certificate of Occupancy:
1. M applicatian for vacanC land Certificate of Occupancy shall be submitted,
and a certified abstract of title issued by a title company showing single and
separate ownership of Y~he entire lot prior to April 9, 1957 shall also accompany
the application, If a'Certificate of Occupancy is denied, the Building Inspector
shall state the reason$ therefor in writing to the applicant.
I
D, FEBS:
1. CERTIFICATE OF OCCt~ANCY - New Dwelling $25.00, Additions [o dwelling $25.00,
Alteration to Dwel ing $25.00, Swimming Pool, $25.00. Accessory building $25.00
Addition to Accessary buildings, $25.00 - Businesses $50.00.
2. Certificate of Occcipancp on pre-existing dwelling - $100.00.
3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00
4. Vacant Land Gertif~cate of Occupancy - $20.00
S. IIpdated Cer[ificat¢ of Occupancy - $50.00
6. Temporary Certificate of Occupancy - $25.00 Residential
$50.00 Commercial
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THE NEW YORK BOARD OF FIRE UNDERWRITERS .1
1`J `tS I BUREAU OF ELECTRICITY
85 JOHN STREET. NEW YORK, NEW YORK 10038
Date t$A`1 flcl~~'f''-3 Applico[ian No. on ft(e ~~`~~~'i l~~~fSf i$~; EtY ~I"jCl aS,.<j
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the obove ppplicotion number;n the premises of
1(~It :I•tr'L4dIYDiUr t`v;UilEt iii:. f~~~.l~`?Db'~ ~3.`~.
Fn thefollouinq location; ~ 8asement 0 (at FL ? 2nd P'l. Section B[cek Lot ="~i`
p1+1?d;jl ,•ldl~IK83i11
ups examined on pnd found to be in cmpp[ianve with the requirentenLS q(this Board.
FI%TURE FIXTURES RANGES COOKING DECKS OVENS DI'iH WASHERS EXHAUST FANS
OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER' µ1i, K W. AMi K. W. AMT. K W AML K W AMT. H P.
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME GLOCNS 6ELl UNIT HEATERS MUlT40UTlET DIMMERS iii
AMT. K. W. OIL H. P. GA$ H P. AMT NO. A. W G AML. AMP AMi AMD$ TRANS. AMT H P. SYSTEMS AMi WATTS
NO.OF FEET
r~ A' ' it) x iatlt3
SERVICE DISCONNECT NO.OF 5 E R V 1 C E
AMT. AMP TYPE METER lA'4W 1,e 3W 993W 3,a"4W NO OF CC COND A.W G NO Of H4LEG A W.G NO OF NFUTRAIS A.W G
EQUIP. PER 9 Of CC.COND Of HbLEG OF NEUTRAL
OTHER APPARATUS:
:it1l?Ai"; 11b:4't;<"i'(1}2.t 7
fiACrSb 8r ili~)Yi~7PiASJrif i.hil:. ?,Y,t°.~;IfizDtiti
5 ~
r~.lr_tit~X i'7PiY
St)fiTN(711ii, !tt'z, a`~'; 4 GENERAi MANAGER
t),
Per ~
This certificate must not be altered in any manner; return to the office of the Board if incorrect. lnspeclors moy be identified by their crei3bTrtials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MlaNNER. "
TEL. 765-1802
~c~~FFQLh-~o, TO'NN OF SO~JTSOLD '
~ OFFICE OF BUILDING INSPECTOR
m - ~ '
o ~ ~ P.O. BOX 728
' ' ~ r TOWN HALL
`'0~0~ SOUTHOLD, N.Y.11971 •
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g _3 C A 'T,,,~'.O...N4,.'"~.....w--.,_..._,...,_... .
Date~~
Building Permit No. ~a7-~ Z
Owner - Nf• y p-ifS , C~>~jq,~-af~p
(please print) '
Plumber Irru~-(-~-lu -Tra..~
>a,~•%
~'~~~y.J4
I certify that the solder used in the water supply system `~~<s~,.
contai'hs less than 2/10 of 1$ lead. '
_
--r- -
- (plu er's signature? E;r`~'
Sworn to before me this
4~'i, day of ~L
19y-/ otary Public ~ ' ~`f'
mac; I'"'
Notary Public, SLY County - a,
NOTARY PUBLIC, State of New YwA
Qualified in Suffo1M County • Y^;,;f's
No. 5)x)9 9) „,.,.,,n"'
Gommissim EePur.~.77~'y~
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llATE ~ i;GMMENT° „d
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FOt32J'DF,~yTION (16La
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may.. °1 ! ~o ~ r
.
FOUNDATIOfJ (2nd)
j 9.9
P,OUGH FRAME 1% C~i~
PLUMBT[~
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11 -
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3. / ~ ~
IIJSULATIOPI PER N. L ~ `
STATE ENERGY
x
CODE
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4.
FIiJAL
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ADDITIOPIAL COMMENTS:
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x
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F-1
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2
0
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~uI>^xh,1~ TEL. 7G5-180?
.r'a~~,~~ F DL.~I'
c~,~ To~~rr or sou~ruo~.o
,~~.-'lw2'l~;i~~~ 9.4 ~`c~ Oi~f'ICI? C1p TsUILDING INSPECTOR
u~ ~ TOWN IfALL
~ •,e~
fit" SOIJ'I'IfOLD, N.Y. 1 1971
~1~~. October 18, 1989
Mr. & Mrs. C. Ceparano
2295 Cedar Drive
East Marion, N. Y. 11935
'Po S4hom This, May Concern,
4Ie are unable r.o complete your Certificate
of Occupancy because ,of the folloc•~iny reason:;.
An application for Certificate of Occupancy
is not nn fi].c.
/ / Mo Underwriters Certificate on file.
f1,y~ 't'he checF; .i:; (+~~uS7¢3at~x~RJnot nn file.) $25.00
~}~y [vo ilc~a].Lh Dept. Approval on file.
Ro final insl;ec;t:ien hay been made.
Plea:;e r_ontact our office on this matter. -
Tl;ar;k you for your cooperation.
L~;.il;lir.q Pcrtn.it: p L Z 2 7 3 Z
33uildiny Dept.
Uo 1'lumbcr 5oldcr Certificate on L-i1e.
( a].1 pnrriits involvi.ny pl~nnbiny briny
i~sucd after April 1,1984 )
765-1802
BUILDING DEPT.
INSPECTIN
[ ]FOUNDATION 1ST [ ] RO H 1°1LBG.
FOUNDATION 2ND [ INSULATION
[ ]FRAMING [ ]FIN--AL
REMARKS: `~~~-YG~~~
C~_
DATE d ~ -INSPECTOR
/ ~3
765.1802
BUILDING DEPT.
[ ]FOUNDATION 1ST [ ] R, UGH PLBG.
FOUNDATION 2ND [ INSULATION
L]
[ ]FRAMING [ ]FINAL
REMARKS: ~ Da
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DATE : INSPECTOR ~ ~~~'a
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765.1802
BUILDING DEPT.
rNSPE~T'oN
[ ]FOUNDATION i5T [ ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ L]'~RAMING [ ]FINAL
REMARKS: - ~ - ~c~ri?
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DATE ,~~~~INSPECTOR '
C~ X73
765-1802
BUILDING DEPT.
[ ],/FOUNDATION 1ST [ ] ROUGH PLBG.
[o'] FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ ]FINAL
REMARKS: ~ -
p~
DATE ~ 4 INSPECT ?
~)~7~3
765.1802
BUILDING DEPT.
~NSPEc~r'oN
[ ] FO NDATION 1ST [ ] ROU PLB6.
[ FOUNDATION 2ND [ ] CATION
[ ]FRAMING [ FINAL
REMARKS: -T='~-u G~~~
DATE ~ U INSPECTOR
t
~^~273 ~
765.1802
BUILDING DEPT.
INSPECTION
[FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ ]FINAL
REMARKS: Gt~ru.?L
DATE 7,/ ! Z Sr INSPECTOR u ~IC~ ~
' ~ ~ ~ ~ FORM N0.1
1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
.~,OUTHOLD, N.Y. 11971
~ TEL.: 765-1802 ~
Examined 7/2S' 19.~.~ Received 19.. .
Approved ~/y.~~.........., 1A7. ~ Permit No. 7,7J.. , ; ~ ~ ~l ~~y ~ ` }l'S
Disapproved a/c t• OAR Fi
~ ? .
~ 01,pG. DEFT.
TOWN OFSOUTHOLD
~ / (Buil~ Inspector)
APPLICATION FOR BUILDING PERMIT
Date .July..?~........., 1988.
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
Isets 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-
rcation. ~ -
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 pazt 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 yr
Regulations, for the construction of buildings, additions or alterations, of 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.
(Siggature of applicant, or name, if a corporation)
1555 7th Street, W. Babylon, NY 11704
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder.
OWNER
Name of owner of premises , CIRO- & ROSE CEPARANO
(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. , , TO BE SELECTED t~~8~,~
Plumber's License No. , TO BE SELECTED ;Z 3? l
Electrician's License No, TO BE SELECTED 2~,1 F
Other-Trade's License No. TO BE SELECTED
1. Location of land on which proposed work will be done . .
107~.~~ Cedar Drive East Marion
House Number Street Hamlet
County Tax Map No. 1000 Section Block 5 Lot ? 8........... .
Section 1
Subdivision .Highpoint, ,off, East, Marion, , , , , , , ,Filed Map No. ...7.680...... Lot 28.......... .
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy Vacant lot
b. Intended use and occupancy ........Single'. Family Residence
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2500, Subdivision - Highpoint at EasthMggrion, Sect. 2 ,Inc.
P o392~ Suff. Co. File No. 7755 I
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SURVEY FOR ocT 24,ISes
SEPT. 23,1988
SUF. Ql"h COi;\7Y DEPARTMENT Of FstALii~#
~tdV;t;ES CIRO CEPARANO 8c ROSE CEPARANO AUG. 24,1986
LOT 28 ~~HIGHPOINT AT EAST MARION SECT. I~~ JUNE .16,1988
SINGLE FAMILY D'dlELLl~.i; OS•sl_Y JULY 26,1985
pA~~',,,~„_~~9 r ~ pp p AT EAST MARION DATE MAY 21,1885
H.S. RAF fV0 ..A.6„"~. SCALE I°= 50~
The se',vhgP dispasal ^rd vr~tar stip,~.ip fBCliltivo for this TOWN OF SOUTHOLD
location havebas~ c.~.;la!~tedhyt~nsDeR~rtniarltand/Dr SUFFOLK COUNTY, NEW YORK No. 85-600
other "~~encl 2nG i(1} nit' adtl. !~y'.` Y+. kl)IMUTN01112ED ALTERATION OR ADDITION ro THIS GUARANT pW
"'~tiA~4~ ~ SURVEY a A VIOLATION OF SECTION 7209 OF THE 6QUT NS ~f
Ch~aU Uf VllidSt~°.WBt@I t>?iJOE~'(aGit NEW YORK STATE EDUCATION LAW
kC0?1 E3 Oi TNIS,3UIIVEV NOT !FARING THE LAND QQ DnJ ~?d'DFt I+[A E INSURANCE CO.
SURVEYOR'S INKED SEAL OR ENLOSSEO SEAL SHALL ~ ~ r
NOT L! CONSIOE RED TO LE A VALI D TRUE COPY O O
kGUARANTEES iN01GTED HEREON SHALL RUN ONLY TO .y- 'r G
THE PERSON FOR WHOM THE SUMEY IS PREPARED Z
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT Q
AND ON HIS LEMALF ro THE TITLE COMPANY, OOVFJtN-
k MEAR[ST WATG L7AIN NL T kSOURCQ ~O~f WATERS P111WTE _PUILIC_ MENTAL AGENCY AND LENDING INSTITU TI OM LISTED A '
k STIFF CO. TAK MA? pST~QSEC TION~MACK OD5 LOT 028 HEREON, AND TO THE ASSIGN EES OF THE LE NOING
k TNLRE ARE NO OWELLIIMIS WITHIN 100 FEET OF Tlkf PROPERTY INSTITUTION, GUARANTEES ARE NOT TggN SFERABLE
OTHER THAN THOSE SHOWN N[REON. TO ADDITIONAL INSTITUTIg15 OR SUBSEQUENT 1r0
M THE WAT[R SUPPLY AMD SEWAGE DIS/OSAL SYSTEM fOR THIS RESIDENCE OWNERS ¢5$9
WILL CONFORM 70 TN[ STANDARDf OF TN[ SU?Fq.K COUNTY DEPARTMENT /1 DI STANCES SHOWN HEREON FROM PROPERTY LINES
OF HEALTH S[RV ICU. TO E%ISTING STRUCTURES ARE FOR A SPECIFIC AND $U F'
AP?LICANT~ PURPOSE ANO ARE NOT TO LE USED TO ES TALLISH
PROPERTY LINES OR FOR THE ERECTION OF FENCES
ADOR[Sf
nL. YOUNG & YOUNG R~IVOERPIEAO"NEW YORKE
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OFSUFFOL ALDEN W.YOUNG, PROFESSIONAL ENGINEER
COUNTY ON JAN. 11,1984 AS FILE N0. 7680 AND LAND SURVEYOR N.Y.S. UCENSE N0. 12845
¦=MONUMENT O=STAKE
HOWARD W YOUNG, LAND SURVEYOR
¦TII[ LOGTKL/ Oi WELL(W),SlPTIC TANKISTIL CESS/OOLf(C?) SHOWN NER[ON N.Y. LICENSE ND.4S$93
ARE FNOM FIEIA OLSERWITION3 AND OR DITA DETAINED FROM OTHERS
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AT EAST MARION ~ UULY 26,!985
>UFFOLK COUNTY DEPARTMENT OF HEALTH SERVICCt DATE MAY 21,1885 ,
TOWN OF SOUTHOLD SCALE I~~= 50'
FOR APPROVAL OF CONSTRUCTION ONLY SUFFOLK COUNTY, NEW YORK N0. 85-500
//pt/ i uNAUrNORIZ[o ALT[MTION OR ADDITION m THIS GUARANTEED T
~Cy/ `a HS REF. NO. fuev[r a A v1aAnDN Oi SECTION 7209 OF THE SOUTHOLD V,ITJ~S~ ~~NHF~,
JATE~~._.~-~- NEW 110RK STATE EWCATION lAw
NCO~IES OF THIS SUIIVEY NOT 6'EARWG THE LAND COMMON AL l~t)Ip E URA<>lCE CO.
SURVEYORS INKED SEAL OR EMOOSSEO SEAL SHALL
APPROVED, NOT CONE IO EREO TO iE A VALID TRUE COPY O~ O
K GUARANTEE! INDICTED HEREON SNALL RUN ONLY TO * 'r ~O ~
HEALTH DEPARTM NT-DATA FOR APPROWAI TO CONSTRUCT THE PERSON FoR wlloM THE 3URVET IS PREPARED ~
ANO 011 NIS DENAMf TO THE TITLE COMPANY, GOVERN- ~
i NLAIKfT wATbt WM ML S MfOURt[ Of WATERS MIMTE _PU[lIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED ~
i Mif t0, TAI(_ pfT~QfECTIgI-~Z MOCK QGIf. LOT 028 HEREON, AND TO THE ASS IONEfS OF THE LENDING
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R 7N['MTUI fyP1iT AIID f[MfM[ pf/WAL SYST[1 fOR TNIt ROIDENC[ OWN EAS
•RL ODMPOAY TO TN[ fTAM0AM1f Of TNt SUPfOLK COUNTY D[PARTM[NT i01 STANCES SN01N HEREON FROM ?ROPERTY LIMff / ~ 'P,i. 5
TO Ex If TIMG iTRUCTURES ARE FOR ASPECIfit 7(J
M9fVIC[S PURPOSE ANO ARE NOT TO DE US EO t0 ES TA1LIfN t M 'S kTfIOP
,~X(~ = PROPERTY LINES OR FOR THE ERECTION OF FENCES ~~-_U,
AODR[fi /'1 l~. q
V ~ ~~(n 3/5/l YOUNG & YOUNG R~ RHEA°N NEW YORK E
SUBD)V)SiQ! WIP FILED IN THE OFFICE OF THE CLERK OFSUFFOL ALDEN W.YOUNG, PROFESSIONAL ENGINEER
~LplJRPTY Qfi JIIH. P),F484 A3 F)LE NO. 7680 AND LAND SURVEYOR N.Y.S. LJCENSE N0.12845
f =fAt~9GWVEAJ?
HOWARD W. YOUNG, LANG SURVEYOR
•n[LncAissQiaL6+lkf[rncTic~f»AeEafPOOUtp)wwNN[R[aN N.Y.S.LICENSE N0.45893
tllE 8101 NIEIIA f1tIR~TNIIS AND OA DATA OITANKO fROM OTN[Rf
&RM161t3 b f+9afl INC. SOS6
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