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28493-Z
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y_ CERTIFICATE OF OCCUPANCY No: Z-30344 Date_ 08/09/04 THIS CERTIFIES that the building ADDITIONS/ALTERATIONS Location of Property: 830 PINE AVE SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 77 Block 3 Lot 15.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 14, 2002 pursuant to which Building Permit No. 26493-Z dated JUNE 25, 2002 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 COVERED ENTRY ADDITION, ADDITION AISD ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR_ The certificate is issued to ROBERT A & KERRY A SCOTT (OWNER) of the aforesaid building_ SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 67858C 03/03/04 PLUMBERS CERTIFICATION DATED 03/09/04 JACK GISMONDI Authorized Signature Rev_ 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, Y. " BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) -- PERMIT NO. 28493 Z Date JUNE 25 , 2002 Permission is hereby granted to : ROBERT A & KERRY A SCOTT 830 PINE AVENUE SOUTHOLD,NY 11971 for ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 830 PINE AVE SOUTHOLD County Tax Map No. 473889 Section 077 Block 0003 Lot No. 015 . 001 pursuant to application dated JUNE 14 , 2002 and approved by the Building Inspector to expire on DECEMBER 25 , 2003 . Fee $ 532 . 80 1 Aut oriz d Signature ORIGINAL Rev. 5/8/02 Form No.6 TORN OF SOUTHOLD BUILDING DEPARTMENT TOWN iLALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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 I% 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 reouirements- 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 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. f' 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-$25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15-00 Date. New Construction: Old or Pre-existing 1'I � Lt 'B/�uilding: (check one) / l Location of Property: 03 ne, yV'ol` 0 U`e' 6V td r) House No. Street Hamlet a LL Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Block J DJ , 0-0 Lot Q�S: n f Subdivision ( ��p (p� �,St27�5 Filed Map. Lot: Permit No- Q �/p 9 7 /3 Z Date of Permit. Applicant: RO aeA-)— d . -rl t �>, Health Dept. Approval: Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate Final Certificate: ✓ (check one) Fee Submitted: $ �5 Applic t ignature Town Hail, 53055 Main Woad � Fax (516)755-1823 P. 6. Bos 1179 rO ; Telephone (596) 765.1H02 Soulhaid, NewYork 13971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE. xLf � � Building Permit No. i Owner; �G�T — ,please print) Plumber: CJr�k.E•�vE C7_ (please print) J T certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Signature) SUSAN J.NAGY Notary Public State of New York No.4896795 Qualified ir.Suffolk County _ Sworn to before me this GommiasionFxpirasMay20 f/ - day ofZl� Notary Public, County � �/f� RAY -Wfay J. . .....Ill rnH A Electrical Inspection Certificate Issue Date Electrical Inspection Service, Inc. Application 3/3/2004 375 Dunton Avenue 67858C East Patchogue, New York 11772 (631)286-6642 Issued To: Robert Scott T Street: 830 Pine Avenue Village: Southold Zip: Town: Southold Section: Block: Lot: Contractor: Thomas J. Butler Lic. # 4258-E Was examined and found to be in compliance with the National Electrical Code. L] Commercial Ej NV Defects Ej Pool E] 1st Floor L] Indoor E] Basement I Hot Tub Residential L-1 Det.Garage L-1 Attic F] 2nd Floor Outdoor A Addition F-j Survey Switches Receptacles Fixtures GF/ Heaters AIC Fans 29 25 30 13 3 dttAa Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves Furnace oil Gas Circulators Smoke Detector Bell Transformer 7 11 E. Meter Amps Phase UG/OH Jacuzzi Television CO Detector Bldg. Permit: " ' sn Other Equipment f J 1 - 40 circuit 100amp sub panel Hugo SAUrdi President Rough Inspection: 10/0112002 Inspector: Ed Scavelli Final Inspection: 03/02/2004 rS Inspector: John McMahon III This certificate must not be altered in any manner. Inspectors may be identified by their credentials. j "HiMUMNT ff- UVIT, A R4 I t)P-of NDIZ 3/21 +fom FANPT F, y PTOAP -orTr WAK¢ WT S/ To • D/LoP O�RN W i67TN TH WK 06 V� N a REMv�/E E�iS76 O 0 F,17 UD N�rr7 pE7 ' i� 1' �' I t �G`/ �'1../ p X11 • $4 �;-n�vw Al d710 ft xlyl'� 9 f}LIGnI JS"gym � 2�2 cto HDft f'!\KC+1 Rd° - �-- �µ, b b•o� ` f7 ABaI w n-lPvw H-r. A art �x+ � � 2 + 30 , G13 20 v ". n2un? ' ` i� QIP U1 -X( !+ P- YID �_._-�, {/ �...��J''� .,.�_�..7 f �y�'q�^`M1/I.•7�V x� (� � 1 J-r R LD wi R-EP HEAT DE7EcTOF HAILD w.IRf-�D SHoK& Pr--fev 16 — -451TOWN OF SOUTHOLD PROPERTY RECORD CARD 06 - ,7Z3 / -- OWNER STREET : VILLAGE DIST, SUB. LOT 5 �obovJ- h Mi/mA A Sr,54- lKlc .'�if z""rIK S?"' lII r7 k-i f ORMEk OWNER N/ I E/ ACR. 7 S W TYPE OF BUILDING RES. SEAS. VL FARM COMM. CB, MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS P-0 2,/17p I'D c2-lei U I p nJ "(1-v 1(2, ck :. 11.) 6) Jn- Lij ,u(' (� +z) �-Iorcj Fva du U 'n 77) 5' 1-711-1 Iq�7 77 to -?YAP -7 61, //0-o /v� 17 -7 L i f)v r4 (2 v77 - t 2�j 1/9 7-L vIld h c�t e- C AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD 2 7 't Meadowland DEPTH House Plot BULKHEAD n -- _ Dormer I Y Total /0-a e ' a2 r= -- THOLD REC RD CARD OWNER STREET (`7 VILLAGE DISTRICT SUB, LOT I Mari N �I�.`_u�a Bann � (� c�. �, v o 77 FORMElk OWNER N 'E ACREAGE i'. S W TYPE OF BUILDING RES. `,f0 SEAS. VL. FARM COMM. IND. CB. MISC. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS , a. c 'S; ADV( 3LXJ — O L' a'/ 00 — sa 0 a o�Q N 9/-- R_Ix k, l_e-ba it.o� l �Fa v ke;i.Vv nrrc ;., r( 6 '1 _A5 e 4 nL J �� x .` I , Pal-4 ��1VI'd i Eva A&1114's I AGE BUILDING CONDITION — __ NEW NORMAL BEL QW ABOVE FRONTAGE ON WATER Farm — _ Acre Value Per Acre Value _ FRONTAGE,ON ROAD T {I Tillable I _ _ — BULKHEAD Tillable 2 DOCK Tillable 3 Woodland Swampland — --- — — -' I Brushland House Plot i Al ANN Bldg,M. 2 - �&' Foundation Bat Extension 2 a Z yy U Basement Floors Extension / > �-- -- 0 -- -- _._ F Y ) /,) .J _ '2 5-6I L9 Ext. Walls Interior Finish Extension ASh Fire Place Neat D / u o t� Porch Roof T e { - --- - _ _j_ YP —_ Porch Rooms 1st Floor 3reezeway Patio --- — - — — — ---- --_ Rooms 2nd Floor 3arage — L.t_Z --2;Z __3 7' G1 Driveway Dormer 2-0 ° BUILDING PERMIT EXAMINER CHECK LIST '/ DATE REVIEWED: i _/02 APPLICANT:�I omer' t KPgeg -5:sr DATE SUBMITTED:_ /_/02 SCTM#DISTRICT: 1_,000, SECTION: 33:7- S- BLOCK: , LOT: 15--1 STREETADDRESS:��iy :E of CITY: 6b n-i-four SUBDIVISION: 1A PROJECT DESCRIPTION: L�Dp� rpr� ESTIDLATED PROJECT COST: �6r CHITS NGINEER�_ { FAST TRACK? l�lO SINGLE & SEPARATE CERTIFIICATION-REQUIRED? A/0 NOTES: LOTS 40,000SF-100-24.Lot roto nirion.(CRHATED before June 30, 1983),UNDERSIZED LOTS FROM J-A-N.1997 100-25.Merger.(A nonconfomring at any time after 711/83 ZONING DISTRICT: P-4o _CONFORNIING? Aft) { REQ. LOT SIZE: yb Ipoo ACT. LOT SIZE:,P%7� REQ. LOT COV. Z002a ACT. LOT COV. _ If REQ. FRONT 46 PROP. FRONT .5 REQ SIDE 15136 ACT. SIDE e2G/HS' REQ. REAR O PROP. REAR ✓ REQ- HEIGHT_ PROP. HEIGHT_ see_ pki- Plouu_– Rm4v-y rKa�1 lag Foo b WATER FRONT? Xa DESCRIPTION: PANEL #: 166 FLOOD ZONE: �A" s APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES or 0, (BED #):_DTE:_/_/_ PERMIT#:R10- TOWN SEPTIC RECEIPT: Y orae NEW YORK STATE DEC: PRE-DEC 9/1/75 YES or D SOUTHOLD TOWN TRUSTEES: YES or TO TOWN ZONING BOARD APPROVYE TOWN PLAN. BOARD APPROVAL: YES or TOWN HISTORICAL PRE (SPLIA): YES o(o NYS ENERGY: _EVOR NO •�rtr. r� $�— EGRESS (18 H min.? 4 sq total) VENT (SQ. FT. x 4%) LIGHT (SQ. FT. x 8%) BUILDING PERMIT OPEN/EXPIRED: BP -Z/C/0 Z- IPAYE PRE CO'S : R N TC-6 BP -Z/C/0 Z_ NOTES: _ i % FEE STRUCTURE: FOUNDATION: r SF FIRST FLOOR: ' '}I SF SECOND FLOOR: 1395 SF OTHER: SF INIT OTHER TOTAL TOTAL: 2 f 2 SF FEE FEE FEE 1. ( 2 12 SF)- ( 65D SF)= SF X$ •'�30 =S30-L30 +$ J50 +$ _$ 53�•8� 2. (—SF)- ( SF)= SF X$ _$ +$ +$ _$ -1 STATE OF NEW YORK ) ss: COUNTY OF SUFFOLK ) being duly swom, deposes and says: That deponent is over the age of 18 years and resides at That on the day of ( 2001 depone architect/ ngineer, licensed by the State of New York, hereby states that s/he accepts full responsibility for the accompanying plans compliance with the New York State Fire Prevention and Building Code (9 NYCRR)-. said plans pertain to property located at SCTM# 1000- -Iwf - P-3 i 5, 1 street addresses S rchite ngi er S•rrorr, to before me this _ 1 day of sl,� , 2001:. ��EN sit aE"� No.O SEWTW9 p�elifisa in s=iMay�"�'�� . Exp Notary Public cc: Applicant �i.7CstJcv� i �. 7-�Z p,E,2-vA I-( z 4�i - z �, AUG 2 7 foo? $ 3o Ptar✓ �� L-- � • � sem-( f C— � p ont I4rr, 6F� t ( � DIN I NGS bp-(Df V14 pit NS-CAt'�'E4D k C3 j2x1C + 2 f 3�g 'X (z� -fv AG`(RHf'c t7i"i2�G7� 1 G; SlC9 3iS' 31iO ' f d r3R��zs 5 r > �os�� -JA,qLtkA&Zl 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I LATION [ ] FRAMING [ tj FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS:- DATE EMARKS:DATE /� ® INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 SUL A ION [ ] FRAMING [ FIN L [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION i iREMARKS:t u� a DATE INSPECTOR f 765-1802 BUILDING DEPT. INSPECTION [ VrFOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: G a DATE INSPECTOR �� 765-1802 / BUILDING DEPT. I ECTION [_ ] FNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLA A HIMNEY REMARKS: DATE INSPE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL C ' [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE ,-2/ INSPECTOR G� "Y 765-1802 BUILDING DEPT. NSPECTIO pP [ ] FOUNDATION IST [ ef ROUGH PLB [ ] FO ATION 2ND [ ] INSULATION [ RAMING [ ] FINAL [ ] FIREP/L-ACE A CHIMNEY REMARK�.`��yIo ��'/ �� �"�o�� ��:�_ �sem✓- � DATE w INSPECT �K? 3 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDA N IST [ ] ROUGH PLBG. [ ] FO DATION 2ND [ ] INSULATION h® [ RAMING [ ] FINAL FIREPLACE A CHIM REMARKS: - DATE O�-'INSPECTO C�-�� ' 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROJIJGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPL ,& CHIMNEY A REMARKS: DATE INSPECT F" G! y F MLD INSPECTION REPORT D-A-V CONEWEM FOUNDATION i]ST- I ------------------------------- C A Ld I, FOUND 3ITG\' (.NDI r z I - e I t7 l ROUGH FR-A14ILNG s C PLUMBENG — z II r I INSUL 3TION PER N.Y. STATE ENERGY CODE I i I I Zf FINAL � C ADDMO AL C01MUff S y o � a Z m I b TOWN OF SDUTA)Lb.:' BUILDING PERMIT APPLICATI&N CHECBLIS' BUILDING DEPAR�I Do you have or need the following,before applying TOWN HALL .+i Board ofHealth l_ SOUTHOLD, NY 1971' 3 sets of Building Plans TEL: 765-1802 — TERIVIIT NO. 02 0 f Check . Septic Form N.Y.S.D.E_C. (/ Trustees Examined ra 20 0/ Contact. -Approved 6 20-0?-- Mail to: 6ZJ Sco—tt— A g Disa ,,ljj roved a'c 830 V BIZ�u Z Sa, C la Jr Phone: ?6 S 'q.5 S r7 1 p S,r tul or ul, � ;J`C ;;APPLICATION FOR BUILDING PERMIT - - Date �i ai O3- 20coL 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 waterways. 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 a 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 what-so-ever until a Certificate of Occupanc. is issued 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 Latus, 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 appiicab1e laws, ordinances,buiiding cud-,housing cuff, and r b.:1 worm, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of ap licant or name,if a corporation) �3u 4�e �°. K. U iu; 119It O$ ailing address of applicant) State whether applicant is owner, les_-. :., agent, architect, engineer, general contractor, electrician, plumber or.builder o4nJ /�f�2.(t. nn n/� ( Name ofow�nerofpremises �c4urT !�� tl Rzu r-tt+ry JCe_w (as oif 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_ Other Trade's License No. 1. Location of land on which proposed work wi'i be one: 133© R t 0 E� 7&1-d F- �,c3u T rlaLp f f"( 1 1 Cf-3 House Nutrber Street Hamlet County Tax Map No. 1000 Section. 7 7 Block Lot S�- Subdivision. (Lope Z&TVV�; Filed Map No. i i 7 (o Lot (Name) s Z. State existing use and.occupaney ofpremises and 'intended use and occupancy of proposed construction: a- Existing use and occupancy S 1 N &LF— r—ky� I L-`1 (2-P—S t 0 EJ�j-�t Ad_ b. Intended use and occupancy �- i. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other t4ork (Description] f- Estimated Cost #q @'6-1 Fee (to be paid on filing this application) 5- If duelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars S- If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of ex+stino structures,4f anv: Front -44.$ Rear 44• ? 1 Depth 4Z.21 ) Height 22 7 Number of Stories l ' 2 r l Dimensions of same structure with alterations or additions: Front 8 Rear ` A d Depth 2 .2-1 Height -� Z$ YnA'1, Number of Stories �- t ' ( 1 9- Dimensions o entire new construction: Front S© -Z) Rear 4z4 .6' Depth 42,Z l Height — 2-2dKAN* Number of Stories i I I 9.. Size of lot: Front © '® Rear Depth 2�5 • O 10. Date of Purchase I .I%a' Name of Former Owner 6v.4 M q )I i 11 104.,,i10 11- Zone or use district in which premises are situated 12- Does proposed construction violate any zoning law, ordinance or regulation: A/0' 13.Wirt lot be re-graded Y±, Will excess fill be.removed from premises: � NO i4. Names of Owner of premises R rle, SScc1t —Address 8-In P-02 A—t Phone No. 7 6 S-q y-o NameofArchitect J04KL1d JuV NS-7 Address_ISEPW-L57.01HRp-�PhoneNo Slla • faZ4 aloL� Name of Contractor owNz(L Address Phone No. 15. Is this property within 100 feet of a tidal wetland`' *-"ES NO • IF YES, SOUTHOLD TOWN TRUSTEES PERNITTS NIAY BE REQUIRED 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 3T ATE OF NEW YORK) SS: MUNTY OF ) Q �i e r- ! / nr) C e being duly sworn. deposes and says that(s)he is the applicant (Na&e of in '-ndual signing contract) above named. S)He is the (Contractor. Agcwt, . orporate Officer, etc f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; hat all statements contained in this application are true to the best of his lmowledge and belief: and that the work will be erformed in the manner set forth in the application filed therewith. F ' ;worn to before me this day of r t` j N6tary Public Signature of, "cant JOYCE RA.WI!%INs Nota a P�biec,skate of Mete 5 2246,c�3cieSk County Term Fra;res'-U e t �F —1105m, cil 77 - . cw S. 72 25'30• E P/O LOT 42 275.00' •,� P/O LOT 42 - mFR "Fl p Q J LOT 41 a APT. p 3 37.3'.._ Fx W -- — Ll ASPHALT d li iao- aUT - LEVEL 42. LOT 40 � I— Qra Ibt T Li a so LOT 39 3 Lu ti llJM o g o PeJ tea, 3 � c] z N l LOT 38 E4 i N. 72°25'30" W. 275.00" 1 i LOT 37 N/O/F EVA MULLAS CERTIFIED TO, ROBER T A. SCOTT KERRY ANN SCOTT` NORTH FORK,13ANK LAWYERS'TITLE INSURANCE COMPANY TITLE N0, S - 146Q I SURVEY-]OF PROPERTY SOUTH BAY ABSTRACT INC. HICKORY AVE. AT ySOUTHOLD TOWN OF SOUTHOLD AREA = s4,75o sq. ft SUFFOLk' FOUNT Y , N. Y. of EW y 1000 -' 77 - 03 - 15.1 �P +APr D SCALE: 1" - � S �N z� - 30 .,�o FR ANY ALTERATION OR ADDITION.TO THIS SURVEY IS A VIOLATION - �`�'` OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW, �-DEC,'22, 1997 - ;61; s� EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CFFTFICATIONS HEREON ARE VAL® FOR TNS MAP Ano COPES THEREOF ONLY F SAID MAP OR COPIES BEAR THE YFRESSED SEAL OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON aQ .S. LIC. NO. 49618 ADDITIONALLY TO COMPLY WITH SM LAW THE 7tw ALTERED BY' NOTE' MUST BE USED BY ANY AND ALL SURVEYORS UTLZM A COPY LOT NUMBERS REFER TO MAP pF GOOSE BAY ESTATES' E , P.C. COUNTY CLERK FILED NOV. 13 , 1934 IN THE SUFFOLK OF ANOTHER SURVEYORS MAP TERMS SUCH As RWECTEDSUFCLERK 151 61 - j SRol QHr-TO-DoATE-ARE NOT N COMPLIANCE *7TH THE LAW. 'OFFICE AS MAP NO. 11?6 P.:O. BOX j; 1230 TRAVELER STREET SOUTHOLAN.Y. 11971 ' r . 97 - 417 IT 4. �` ` ,_ ' ' � . i - I �COWI'I{1 QI! .� y 77 . Y A( $QC. 1� G ,t% '�' a :'' ..i-r . .i,l , , . ;p.. .. .',;:.�t I;�QAhIAIA.. ,r0 .,. 0 CONTRAC'fY3R�SF�iLL ,K:AVY4AFAiI"WA':4,C'iONllil�{4 �S` _ . !.� ! .'.,L11N[i; Ao:OW*'TR�IGAL :, - :.y, r: ' :a.'i ;,.;, .,. n� -. 5 . , r,fs5., 6,.: , .�. . ,1?!q XwTTHESITE' r .:R k{T`�MtiN�4F'WOFpf L a 1 � ANO,SH LF�WIILAARi E'HIMSELFWET`µ'TNE1kIpON1,?,`OFT1iASEPIAN ,'MA WVbNK+ r i' vC .T - E „ �': ,. NTNG GR SWAL4 :�ASROUIR ' -$AAA ,lI' ' ' . .^vPEE., H',,. J4NFW,$CONSTRUCT ".'M'e�DR1,C��PWMBINGifE1 6T - :: �IdAYIN(?,LINES , 1NTERFkREW7H TION.- . { ;�;, FIIOAL pr., CNCATE JEW:CDNSIRtlC DWNERSHALL'tl8'i'TWtl`ABl•]ILOING:P ,RMITFROWT`WETbrMRI[yF;SO ;Nid�R;P tt {� + :,'+ REQUIRED :.f. :' . . " , P� ",: • WORK. .' : : R rT 'STARTING ANY i !' ,; 41/�N Ft$MH4l;DE;T 6INEAFATINCa 'iP7TC'fNS;W1110vAfC;CONt.AAC, ,q R.; k"�!' _ i.;.:, MAINTAIN M, `f,' : T� . /14LHFJ@$I,C.'�G' a1J. F�i' ,yi. CONTRACTOR. I ,- - ',,� , r, MF➢ERATURE W{TH M'.15' 1!` .� - . . TUI :ATtiVEC ,# $„PRIOR 'a� r' v, 1” 1,; . , , t-�i.l . .. 'SH,M.L-00wito I,N>A�LRE ,tiRRF(L)WiALS,.G''F,R°6�F1 (E Ir r, � I, N1 M_IND�L+f iTy,,� ��,,,, . "I° �' ,5 ,. �� �a'�. �ai; �,.y RANGYY,.INSPECT, '' . ',` la ;;."", ,1 � 1` j�_ ,k,,'L APPROVALS.ETC'Fk1PX WdRK AERPL5IRMED FROM AGENC,IEBiHAVING JW LRD TION 7NEREOF• ` ION " ,; ° ! r;I , , .' I I'' ',,,, F,IiRNISMRNDIN$TRLL+kARDWIR9DSM„OKE:f� C 0 /Mi, p 1 I6 -, -� r . 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