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HomeMy WebLinkAbout23547-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25596 Date: 03/18/98 THIS CERTIFIES that the building NEW DWELLING Location of Property: 95 TERRY CT SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473869 Section 69 Block 3 Lot 6.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 20, 1996 pursuant to which Building Permit No. 23547-Z dated JULY 1, 1996 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 ATTACED GARAGE & TWO OPEN PORCHES (SECOND FLOOR UNFINISHED) The certificate is issued to ROBERT J. BOHN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-10-96-0046 02/20/98 ELECTRICAL CERTIFICATE NO. N-436203 10/29/97 PLUMBERS CERTIFICATION DATED 03/10/98 ROBERT J. BOHN vz"te' Bu i ldioW InspectozO' Rev. 1/81 FORM NO. 2 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° 23547 Z Dote ..../...Cl.................:............................ Permission is hereby nt to: = .�f•��. - .. ... ..... . ...... a .. . .. :... ........................ ...... ... ./.. �x to . .. . ... ...11....CP'.�i...G,�' ..�.. .. ............ ... ..�. .......lel .. ...1 . .. �— ....e%7az. T................ .... ... .. . . .. ... ... ... ...................... atpremises located at ........................... ..... .... . ................................................................... ....................................................9 5''... .......................................................................... ................................................................................................................................................................. County Tax Map No. 1000 Section ........1��.7.......... Block ....... 3......... Lot No. ..... ..:..%�`�.. pursuant to application doted ...C��. .......................................... A�'..., and approved by the Building Inspector. / Fee wfe,�.. ...... .. ................. Bu' I for Rev. 6/30/80 rorm NO. o t'�2 TOWN OF SOUTHOLD O BUILDING DEPARTMENT TOWN HALL ��A� j 7 765-1802 BLDG.DEPT. APPLICATION FOR CERTIFICATE OF OCdam OF soul= A. This application must be filled in by typewriter OR ink and submitted to the build inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lin streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 for 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contain less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buil 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 '.'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 applic. 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 $25.01 Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - .25V. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date 3� � ,(.1,� .�. . . New Construction. . Old Or Pre-existing Buildin . . . . .. . . . . . . . . . ^ Location of Property. . . �. . . . . . . . . . . . . . . .. . Y OB. . ... . I . . .. . . . P�4. . . . House No. Street Hamlet Onwer or Owners of Property.U ryy. . . . .1-. . Zo)1rX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . . . . . . .Block. . .3 . . . . . . . . . .Lot.Po. ... Q�1.� Subdivision ':L 9W EA .! :rt^ L .. ih �i dV1.SLe!Y.Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . Permit NoZZ.G�[ Z L. . .D//a��te Of Permit. . . .L� .�. �.� �. . .Applicant. /�G .��!�.� . . Health Dept. Approval �V` .^- i 10�0 . . . . .Underwriters Approval.K1 Ti.3�-. Planning Board Approval. . .N i . . . . . .. . . . C Request for: Temporary Certificate. . . . . . .. . . . Final Certicate. . . . . . . . . . Fee Submitted: $. . . . . . .. . . . .. ... . . . . . . . . . . . 4, ... . . . . . . (Put- APPLICANT 0 n -9. ,1 c cQ G �osu�o o Town Hall, 53095 Main Road : y x Fax (516) 765-1823 P. O. Box 1179 Telephone (516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N ]j DATE• Building Permit No . Owner: �a&)e_Yf— J I .IG{ tn (please print) Plumber: ,(pld'ase print) I certify that the solder used in the water supply system contains less than 2110 of 1% lead. . -( lumbs=s Signature) BARBARA ANN RUDDZ Notary Public,Stab of New Yak Na 485MS Qualified in Suffolk C uuntY,�V Commission OviresAFrl Y19e Sworn to before m�e( this ` day of \ \CIf� V\ 19 C[ Notary Public, County FIELD INSPKCTION_REPORT-- _DATE _ _ _ COMMENTS_______ FOUNDAT i ON ( —� —-- ------`------ �� - ----- _ - FOUNDATION 2Nff) _ ________________ 1117 11.---—'------------------------ '-'---- x ROUGH FRAME S n- ------u ( _amu Pu 0>✓ I7rac.�i PT.IJMB[NG n......---- II 7 � -- -2` INSULATION PER N. Y. STATE ENERGY IIS ii CODE --------Ii---------------- n--- It I FINAL. �{--------II-- fu!� --- �� AD OVAL COMMENTS: ------ .L'ti -S 01 .GWs.... z Jll' Id ro THE NEW YORK BOARD' OF FIRE UNDERWRITERS PAGE 1 1001071 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NY 10038 Date OCTO$ER, 29,1997 Application No.on file 13414597/97 N 436203 THIS CERTIFIES THAT PERMIT NO. 23547 only the electrical equipment as described below and introduced by the opplicant named on the above application number in the premises q/ ROBERT J. BOHN, 95 TERRY COURT SOUTHOLD, NY in thefollowinR location; ® Basement fd litt Fl. ❑ 2nd Fl. CAR/ATTIC/OUT Sertio#069' Biorg Lot 6.002 was examined on OCTOBER 24,1997 and found to be in compliance with the National Electrical Cods. RXTURE TACLlS SWITCHES FXTURES RA S COOKING DECKS OV N AUST FA OUTLETS YINCANDESCENT FLUORESCENT FH—ER AMT. K.W. AMT. I K.W. AMT. I K.W. AMT. K.W. AMT. N.F. 45 126 45 44 1 1 1.2 2 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'/T TIAW CLOCKS EELL UNIT HEATERS MI ULTI.OUTLET DIM IRS ST AMO. / NFEET T. K.W. OIL M.F. GAS M.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMFS. TRANS. AMT. M.F. o.op AAS AMT. WATTS 2 F 2 - 1 SERVICE DISCONNECT NO.OF S E R V 1 C E GG.. AMT. AMP. TYPE E�LtI�. 1,I 7W'1 SW 7 R SW S,I 4W RC.COND. A.W.G.OF CC,COND, NO.OF NO-LEG A.W. .G• NO.OF NEUTRALSE4:1 A' TRAI 1 200TCB 1 X 1 4/0 1 0 OTHER APPARATUS: PADDLE FANS-2 MOTORS r2-F H.P. SMOKE DETECTOR:-5 G & S CONTRACTOR LIC.#578-E L L BOX 215 ANN SOUTHOLD, NY, 11971 GENERAL MANAGER 11 Psr - 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. --------------------------- COPY. FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] UNDATION 2ND [ ) INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS• c�eH f WAR i DATE INSPE ITO � r ` 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ J INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 7' - DATE`/_o" l INSPECT 765-1802 BUILDING DEPT. INSPECTION [ ] FO DATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACES CHIMNEY REMARKS: , 00, DATE INSPECTOR _ 517 765-1802 BUILDING DEPT. / INSPECTION FOUNDATION IST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY f�J REMARKS: .- r� 42 DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] R GH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLA E & CHIMNEY REMARKS: DATE -INSPECT O 765-1802 ,P.k. BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION FRAMING [ FINAL n�'�✓ [ ] FIREPLACE & CHIMNEY REMARKS: �' �� �-� �• ,� :-tet .�2� .�. DATE INSPECTOR Ile— /T ✓f . GJ�� /-7 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: h DATE 7 �� INSPECTOR BOARD OF HEALTH RIJ0.`t?(9 QPe1C L5 11 U t5 I i FORM NO. 1 3 SETS OF PLANS �. . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY 1/ JUN 2 6 BUILDING DEPARTMENT CHECK . . . . . TOWN HALL SEPTIC FOIj�} . :�. . . . . . :i, _ . . . . . SOUTHOLD, N.Y. 11971 BLDG.DEPT. TEL: 765-1802 NOTIFY: /1a /j Bond -T,e. I TOWN OF SOUTHOLD CALL . . . . . . . . . . . . . . . . . . Examined.. ........., 19.q� MAIL. TO: A'.F1 . . . Appravcd..7 .........1 19 ' Peraut No. .`J. 7`:1.. �. ..... .......... ......... . :.... Disapproveda/c .................................. .................................. .................................................... (Bail 726 tor) APPLICATION FOR BUILDING PERMIT //� Date. . . l� .� S// ?. . . . . , 19. .�� INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building inspector w 3 sets of plans, accurate plot plan to scale. Fee according to schedule. Nb. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public st eets 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 HEREBY MATE to the Building Department for the issuance of a Building Permit pursuant to the Building Tune Ordinance of the Town of Southold, Suffolk Canty, 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 nec� inspections. r�%...h ......................... (Signature of applicant, or nage, if a corporation) -Po box 5r03 5L u . ........................... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde ......................................$CaQ!a.... 9,,.nn:.! ye/..Q��xh� ±?............................................ Nae of owner of premises .......... G .�.... .rJ 5......................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License No. .. . Plumbers License No. ...... ...... Electricians License No. ..........N; Other Trade's License No. .................... 1. Location of lard on which proposed work will be done.............................................................. q ........................t 2 `l ....C' -.......................................................... House Nuaber Stre//e,,��t Hamlet County Tax Map No. 1000 Section ...LJ�........ Block ...a......... Lot ...... Subdivision ...YlAll2+?-...n?VF7..... ... Filed Map No. ............... Lot �6 O ............... (Name) 4P 2. State existing use and occupancy of premises and /i+ntended use and occupancy of proposed construction: a. Existing use and occupancy ............N.ft( NT.... b. Intended use and occupancy ..............�. e..... 1'11! I. Nature of wuck (dceck wlcidc applicable)-. New IAcilding X.- Addition .......... Alteration .......... Repair ............ Ranwal ............. Denxclition ............ Other Work ...... te (DescltAjitim' )-..... G. Estimated Cost .... . U. ...... fee ............................. ��)• (to be luaid on filing this application/))/I 5. if duel Iing, number of dwIl iog nmi,ts ...�........ Undier of ckael Iing emits on each floor ....Y/.......... Ifgarage, ember of cars .........:z.......................... G. If Ixusiness, ceunercial or mixed occuparncy, specify nature and extent of each type of use............ 7. Dimensions oa,f,, // ��iLLstting strictures, if any: Front...h.(�. ...... Rear ...h-JA...... Depth ..J\i/J.0... ...._ Iki ut .....lv ............. Number of Stories ...N.L ............ Dimensions ofne a roccure with alterat'ons or additions: Front ....1`1.�. -.... Rear ....�(.�. :.... Depth ......0116 :....... Height ....QJ.H........ Nrnl,er of Storie rrs N �� ... .�,/ ...... ��cc a. Diuensious of entire new construction: Front ....`�.�....... Rear ..:}pt-.......... Depth A/,-A ........ IleidiL ......................... Usher of Stories .....p. /4-9N........... Q 9. Size of lot: Erotic ..Rt } o.11i7-Q,i'._.. Rear .� t�?54...... Depth .1�.:.1. ..... 10. Itme of Purchase ... l &JG 11 a&� lis SO " ' C, OS1 .... .� 0FFonrer Ouner�. pjer.1.'t'4!.(.. 11 . Zone or use district in tAcidn premises are situated. .%...... ..��.:.a0..... .......................... 12. Dues proposed construct-ion violate any mining law, ordinance or regulation: X0.................. 13. Will lot be regraded ....N Q............ Will excess fill be removed fronn premises: YES ND M. Nacos of LL'ner of �p^rentse ts-.Y`rO'-.1lL��.�.t:�.'r....SJ.O.�^t.t�_. Address .0:�f.�a.><I to ..5S1!�T.l1Ct None No. /L Nine of Architect Em,-E F!J�..tlj-rt.�1 P1C?.._..... Address .?3•c.kCu.� ..sou ry.(Qh.'�. lien No.�?.&i. /.(& Nerve of Contractor a6 b.P r!...( 6A h A....._. Address .._........_plume No. .......... 15. is this property within 300 feet of a tidal wetland? * YES .......... NO .. ... *IF YES, samurt iuA 71disums PELmrr my RC RIXit im). PLOT DIAGRAM locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-hack dimensions from property lines. Give street and black nnber or description according to deed, and show street nares and indicate uiluether interior or corner lot. Ali 15t1. CYJ aD D s 1 oC (�� l MIIVt OF (offo � ) q-G Tei 2v CT SPATE (A- MU YMK, SS MINI ......\4tl .....Y.1:.................-beint. duly sworn, deposes six] says that fie(�is the appl icanC (Kane of indivithnat signing nonbank-) above nvaed, Ikkis the .............. .?.._........................... ................................ _.. (Ccnntraetor, agent, corporate officer, etc.) of said owner or uwuxers, and is duly authorized to Ixerfonm or have performed the said work and to cmke and file this algclicalicnn; that all statur nt.s contain�l in this application are true to the lust of his koowlcdge anal Ix4ief; and that- Lhe work will be performed in the ncmner set forth in the aiiiAicatiou filed therewiOt. Stxxn to before ne this ..tintary C///AJC.:_:.... ..... ...... ..... BAR&OA uMMK 6ignmtcure of A14A ica..L} Not7Nyri"A Alban a�fMR1M101t.Nrt Aa11 C 9;-CM Suff.Co. �.P.v+f. Celt-ial; 1 u / `'1 a4ga.r- supply sewage di_ 1 s i �� �MSrC nT #� meed- Suff. .:o. Meo*4 - / • � ��. ��� � �ar*Trx� c n 'A"-feC�.!� �rT�. � �, �T to. $C?3 -- - . 4. - .- r � .� \ � rV:^ (D C.ou�'T iipoll �4�S., - 4 5t7 E.; 352,'72 ' t11 t° + (l�� % ' 5.71`39'S0'E. �. �. 0 'fir 49aF go235.68 ( "°r. In 0. j Af0 : �---- 77 —�!?52 �.3G34 Fac_(rTO�uJ lcrfs J-�4} 1 I '► Pilo, 2?1 s.�; .-.� - � �j•-7�q'g5'1K o 3'Q Av ✓ _Ij o m . _419 APPROVED. 3�f s ti d .47 i PLAINN tr TOiIVN OF SOU.THOL�D , s D ?�'"� ATE . aweF . id:Gt M 1N t�F3t�:��.' t�(\t - �rvf and e44b�- 14 1983 R - }� _ .-.... r•_ _ _ - )may]/ - _ - Am f !r+ Atm QF c2 � .� "REINED Aw zzii / t -L .,1_C_1 LO THU R S A IMA.W AOWn4•. - l" sa y ' 9cwN 72"OF THE NEW tYOORK Si_• _ Y - - -- # MrAMN LAw. I�tY COM OF THIS SLRVE�•Iw►n0•yew.•. <r _ - ±.•:' 4 - tw IAM EIRVETors WK0 SEAL Ot - c - i - ` EEOOSSID SEAL SHALL NOT U CONSIOE.•. •- .� �_... , .. � -- . tcRs j e - IO O A VAlO-TRUE - _ • �: - - - GUARANM 64MATED HEREON SHALL RI �+y 4• p1iY TO THE PERSON FOR WHOMLF THE 5. - _ AND ON HIS RHIAIf TO T• . - s• I1M COAVANY,GOMMAI TAL AGEw MOM I STMITION LISTED HEREO•, J� CoUn*j Tax MCI 0&5igWCf ;4!": !�•fir/^�. �1 �y to TM ASRIGIaTs of rl+E LAONG OY. n-• ^ _r �...rUv. ��C.c" •. Jr^9, �'i!�C. �1.re • TUNdUARAMM ARE NOT nWW- iSY-eqt,Pa,1 t .fg4P 1 .7 �• ' TO ADDN10Nu rrxrm•.v:v. n. q.:q IL , s tCO. MEAS„ WATLR S[]PPLY AND SEWAGE DISPOSAL SYSTEMS MM Af Cor4FORM WITH NEW STANDARDS DATED NOVEM M 13,1995. V� --- Towfs'l OF 5c, s. 1 --- - - - 4A, P 7 w S m O . N! -- - — 75'ul O� INN SUf ATION: CiDIST. SEDT. 8L-3 K PCL- 1000 CL. tOp 069P D1�6 PRQPQ OWNERS A05mc'a �� SEPT f c sY sT'� r 1 , 0. BOY 56? s .ACA c Ti c 30•A i:xP't�. SCALE- 50!!., ��?T+- GLS tg�� ------- �28 AREA.=136 2_7; ".r. ` f9% TEL.-7Eb 6220 to=h'ONUMEN�T - DEED: L. F. iTEST HOLE w LOT' til t1 M B E 12 S 129 F E TZ •ro "ISO V 1310 m MAPOF 2U SSELL E. JDAPJ A. tMAff" -._.._.. tbthis wivayfsavblaaoft` i � roPsotc. seoaort7iasafft9tl/rrrefti9w Mueatlon LM .:,1 tOwM I jt� copseaotettaaafvsvaMontittufta� VVY. LOA! ytejnpavfvWftblsdtttrdar f! islts/RL omboaaadaadUOrAbfaoottrid�M L to be a vWW lWQW _ --- - t o-- _ SA�i P t muanudembukdedUMmdWSM G Ag/IYIt4 "to me p, , forwttom ttr atnvay is Prepred and on hfa baltakto M o`Q �{ tcalerpant'. eon and meet a w ui to;';c a ssipriccs bf the Wn*g road' C, aro not Uartafambla to addi"an or sub$SCP t owlers - ----- . ._. ...sat • ------— -- -- — X4,72046' I6 W, »AL 'f 3 ! E ;� 33*;2 W, €2�.75 y smioit SCA'tTEItiIQ T JF Ak-5C „ GSAVEL ATE; �1' A5 SU2VEYED MAV 2O. %�g6 '�' RGDIEn V AN TUYL. r T '°� CONTC',12,5 R.Er, E;2.TQ MEAK SEA LEVEL NGVC�, 7 LICENWD LAND SURVEYORS GRff.ENPORT NEW YORK SJN Immi"a rose votm t i SUFFOLK CO. HEALTH DEPT. APPROVAL H. S. NO. atEZ12 f 6..,WATL►2 may/ l 1` 3t. _�•c _ r MJt.i�� t cr _''. ' TOXkrt%j OF OUTHOLD- « t1- c i I Ploumzc Cc*JcQe L i © 1 ` ' SUFFOLK CO. TAX MAP DESIGNATION: t *40A714N 1 DIST. SECT. BLOCK PCL. 1000 O(P O F* lBoy 56? OWNERS ADDRESS: A + t A ' w22-C DEED: L. P. TEST HOLE ;,QT NUM�C� S fcf$FE� ~"b 3U�Gt'1✓t5tntii � :,..,>,•vr'yva�iu.`.tiinnof _;rm7208ctthe Now YmkRtrw. -MAP OF RU 551rLL E. )MAO A. tilAWt-4 t,a r.tionL,'rw YO P S OiL Copses o!this survey map not h.�arinq 1 the land surveyors inked seal or +' FC3U N UAT lOt,! _4C�T lON JAN.9,:9'a 7 LOAM i� arnbossed seal shag not be considered i'QY L 4 AtMI to be a valid true copy. — —— -- s Q ZA HQ L fivaardeas Mdicated hereon shad 1 ory to the person for whom tN3 s rvaY vJ. Gowsic► C.S. kprep�rped,anda�hisbF facho SAM Q tda csm �n r �e.nmcn, l .rcy am �.. C `WAVIEL lending institution its crc : -nd o to the c hu t� --*,. �1 Ws-.0 _ .tr_nsnr�ba to dd:: ns,r subseyu" u'➢. it V L., Meso uN0 - o�G r�' •� ` ---f �,,, MA"t Z01 - •. . r� v ROD V AN t V t .J!� t L 1` C: _TC s .i C A E,'���` i_+1.J i�l „' n..+_ _. � j,J,CK T YL. P - -- - — - - - eased LICENSED LAND SURVEYORS 20 �04t, �Q!►� GREENMRT NEW YORK 'ru/ew►+[bar war SUFFOLK CO. HEALTH C -EPT AMWROVAL H. S. NOAK�-` 6- �s�i2' �tE�' vF Nd!' i j ' S iii ; � I I �— ' i �"�l• c PAR ,TvLFNT OP fIEALTH S?AVICES FOLIC COUNC� D I t4TvrCON — APPROVALS"iR 1J iKt`'•F3SI'O H.S.Ref.NoDate . 1 1 3.. r MA 6J piy fer lla t�is toe.'•an fou , t 6 Wa, E . The euagc disposal voter lune mese*.' n d rq�_ . in edsndlorc t:TidSy tsD ON II'OROOMs• - - { -- be s tlsfactorY FOR ' 5.0 st .rn A.Costs,P.8 Chid � pffitx of water and WaN1 4 , r� ? • + , 4 SUFFOLK CO. TAX MAP DESIGNATION: Y mac , DIST. SECT. BLOCK PGL. t 4 s'Zs x °`" Hocl�a S 1000 1*- F 4 OWNERS ADDRESS: •'�`�1 i O=Pfi . .__ DEED: L. P. 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