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Home My WebLink About30479-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N-Y. CERTIFICATE OF OCCUPANCY No: Z-30347 Date: 08/17/04 THIS CERTIFIES that the building ACCESSORY Location of Property: 115 MASTERS RD LAUREL (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No_ 473889 Section 126 Block 9 Lot 23 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 13, 2004 pursuant to which Building Permit No. 30479-Z dated JULY 14, 2005 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 INGROUND SWIMMING POOL WITH DECK AROUND & FENCE TO CODE AS APPLIED FOR. The certificate is issued to REGINA COUGHLIN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ I1-288617 09/07/93 PLUMBERS CERTIFICATION DATED N/A r Aut oriz d SignIture Rev. 1/81 FORM NO. 3 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) PERMIT NO. 30479 Z Date JULY 14, 2005 Permission is hereby granted to : REGINA COUGHLIN PO BOY 574 MATTITUCK,NY 11952 for CONSTRUCT AN INGROUND SWIMMING POOL AS AN ACCESSORY WITH FENCE TO CODE AS APPLIED FOR. (THIS REPLACES BP #21591-Z) at premises located at 115 MASTERS RD LAUREL County Tax Map No. 473889 Section 126 Block 0009 Lot No. 023 pursuant to application dated JULY 13 , 2004 and approved by the Building Inspector to expire on JANUARY 2006 . Fee $ 150 . 00 f 1 F. A ized Signatur i ORIGINAL Rev. 5/8/02 FORM NO.3 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) Date .....................ul..f..✓............................ 19..C.�.. N2 21591 Z f .Yf Permission Is hereby granted to: d` .......e�.O,.JCtri..;��11eeC,,,ra .:................................I........... . .T✓...... E. ... ..... .........els...... ' 4�...... , ....................... .. .................................................................................................................................................................. at premises located at..............�/:� �� ecz, ................ ............ ....... .............................................. ,... t .......... . ...:................................................. ACounty Tax Map No. 1000 Section ..... ......... Block.......--r9......... Lot No. ....� .............. pursuant to application dated ................... ........................, 19-7-;�..... and approved by the i Building Inspector. / Fee $...jz? ... a �/ d t1 ✓/ /ui�crin , ' nspector N� v i Rev. 6/30/80 i - - Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TORN HALL 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 1% 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 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. r' 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. Aug. 9,2004 New Construction: Old or Pre-existing Building: (check one) Location ofPro arty= 115 Masters ltd. Laurel, N.Y. P House No. Street Hamlet Owner or Owners of Property: REGINA COUGHLIN Suffolk County Tax Map No 1000, Section 126 Block 9 Lot 23 Subdivision Filed Map. Lot: ep aces Permit No3O379-2' Date of Permit. 7®14/05 Applicant: REGINA COUGHLIN Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: 'X (check one) Fee Submitted: $ 25.00 Applicant Si ture I� - r R T THE NEW YORK BOARD OF FIRE UNDERWRITERS PA0 1 1185077 BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK. NEW YORK 10038 Date SEPTEMBER 07,1993 Application No.onfile 04977693/93 N 288617 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premix"of JEAN COUGHLIN, MASTERS ROAD, POLE#LILCO 3, MATTITUCK, N.Y. +! in thefollowinglocation• I Basement ❑ 1st Ft. ❑ 2nd Fl. OUT Section Block Lot was examined on MUST 31 ,19 9 3 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS I EXHAUST FANS OUTLETS �RIICE►TACLES SWITCHES INCANDESCENT•FLUORESCENT OTHER AMT. I K.W. AMT. K.W. AMT. I K.W. AMT. K.W. AMT. M.P. 1 1 1 1 DRYERS FURNACE MOTORS FUTURE APFUANCE FEEDERS SPECIAL RIC'". TIMI CLOCKS Mll UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL M.P. GAS M.P. AMT. NO. A.W.G. AMT. AM►. AMT. AM►S, TRANS. AMT. M.►. SYSTEMS AMT. WATTS NO.OF FLEET SERVICE DISCONNECT NO.OF S E R V 1 C E AMT. AMP. TYPE E t A'2W 1/3W 3 13W- METER 3 A'AW NO. CC. OF C CON D. NO.OF MI-LEG �•M1•� NO.OF NEUTRALS pF.,.�1lTGII.AI OTHER APPARATUS: SWIMMING POOL-1 TIME CLOCKS-AMP.40-1 G.F.C.I-1 MOTORSi1-1.5 H.P. •(SWINMING POOL) This certificate covers compliance at the date of kopection only. Because of unusual environments it is advisable to have frequent test/and or repairs <<< Continued on Page 2 >>> OEIIEI M MANAGER 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. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2 1185077 BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK. NEW YORK 10038 Date SEPTEMBER 0711993 Application No.onfile 04977693/93 N 288617 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of JENN COUGHLIN, MASTERS RORD, POLMILCO 3, MATTITUCK, N.Y. in the following location; ® Basement ❑ /st Fl. ❑ 2nd Fl. OUT Section Block Lot was examined on AUGUST 31 ,19 9 3 and found to be in compliance with the National Electrical Code. FIXTURE AClfS SWITCHES FIXTURES RANGES COOKING DICKS OVENS DISH W EXHAUST FANS OUT!!TS INCANDESCENT1.FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE PEEDIRS SPECIAL REC'PT TIME CLOCKS I REU UNIT HEATERS i T10" DIMMERS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO 172 AMT. WATTS SERVICE DISCONNECT No.OF S E R V I C E AMT. AMP. TYPE low. 1,E'$W 1 0 3W 3.93W 3 0 IW "0•F C.COND. Of CC..0. NO.OF HI-LEG Of A. NWI W. . NO. NEUTRALS OF�NWEUTGR.111 OTHER APPARATUS: made by a qualified person. ROSLAK ELECTRIC LIC.#3677-E P.O.BO% 164 CUTCHOGUE, NY, 11935 004OW 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. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. OSUFFO�,{-c � O .00 Gy-A o w Z Town Hall, 53095 Main Road p • Fax (516)765-1823 P. O. Box 1179 Telephone (516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD December 27, 1995 Ms . Regina Coughlin Peconic Bay Blvd. Mattituck, NY 11952 Re: Building Permit #21591-Z Premises : 115 Masters Road, Laurel Suff . Co . Tax Map #1000-126-9-23 During a review of our files it was noted that the above building permit has expired, and a Certificate of Occupancy has never been issued. According to the Code of the Town of Southold, Article XXVIII 100-284 , it is unlawful to occupy or use a structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. 5 Print Key Output Page 1 5738SS1 V2R3M0 931217 SOUTHOLD 12/27/95 09 : 55 : 43 Display Device . . . . . . X5 User . . . . . . . . . . . CLAIRET NYSRPS ASSESSMENT INQUIRY DATE : 12/27/95 473889 SOUTHOLD SCHOOL LAUREL SCHOOL ROLL SEC TAXABLE PRCLS 1 FAMILY RES TOTAL RES SITE 126 . -9-23 TOTAL COM SITE 115 MASTERS RD ACCT NO 21 OWNER & MAILING INFO ===!=MISC !________ ______ ASSESSMENT DATA COUGHLIN REGINA !RS-SS ! **CURRENT** RES PERCENT PECONIC BAY BLVD ! 1 !LAND 500 **TAXABLE** MATTITUCK NY 11952 ! BANK !TOTAL 5, 800 COUNTY 5,800 0180600 **PRIOR** TOWN 5, 800 ! !LAND 500 SCHOOL 5, 800 ! !TOTAL 5,800 ==DIMENSIONS =__!______= SALES INFORMATION ACRES . 30 !BOOK 11017 SALE DATE 00/00/00 !PAGE 381 PR OWNER __=====TOTAL EXEMPTIONS 0 _____________! _= TOTAL SPECIAL DISTRICTS 4 CODE AMOUNT PCT INIT TERM VLG HC OWN CODE UNITS PCT TYPE VALUE ! FD030 !PK071 !WW020 ! SW011 F1=NEXT PARCEL F3=NEXT EXEMPT/SPEC F4=PREV EXEMPT/SPEC 75 . 10- 03-013 F6=G0 TO INVENTORY F9=G0 TO XREF F10=G0 TO MENU TOWN OF SOUTHOLD PROPERTY RECORD CARD X, OWNER �ry I STREET I VILLAGE DIST. SUB. LOT <� /?�LAI+� `) II(1Sf/d-�ll/ FORMgER OW ER 6ON9hk *- N E ACR. 'T l TYPE OF BUILDING S � W RES, 7�/p SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS y ,3 31 opBOO /3 ,� 1"/ata �� J 'Ord a �a `aGvj11t f 0fi �h N 7f S(% 3 o ca = c� 7/ 7 S ./Pe A f f n — fit° 7 ti is 00 eo 00 ;` _: z 4, �� R�-iii - C.o.r ht.° ,� . - you ti � n c_ y- 2 .GE BUILDING CONDITION NEVE NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable 1 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot w ..� DEPTH BULKHEAD otal DOCK 4• . d •fTl'�: �J . COLOR \ p'�..L _ qq;-S-' �gp 1 aj P11 All low d w" 4 p �4 \ '4Y14.`h6..i� fAtl..M1FQ nT M. Bldg. L Jsd 32 // Foundation Bath Dinette Extension ft Basement (r� `1 c1Floo s K 'UP- Extension Extension �" „ � Ext: Walls n�ti! Interior Finish $ ry � LR. Extension Fire Place e Heat DR. Type Roof Rooms 1st Floor BR, Porch Recreation Room Rooms 2nd Floor FIN. B. Porch Dormer Breezeway [ Driveway Garage 0 16 ALK o--0 Patio 0. B. Total F ,/4 ys %�, 17 ____T a Mal TM VRIF LU -- - - -- -- I - t 1 1_ ME— — Al- - _ o 1- _I ? L 1 - � 1 � ct 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ >ROUGH P BG. [ ] FOUNDATION 2ND [ TION FRAMING [ L [ ] FIREPC & CHIMNEY [ ] FIRE SAFETY INSPECTION 3 cr F REMARKS: ! u F 0 ,�-_ 4 a 1 DATE �J �� ' INSPEC IR �\ v 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLOD. [ ] FOUNDATION 2ND [ ] 1 LATION [ ] FRAMING [ FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS:"'" A l� DATE J INSPECTORS ' 11 � I 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ;71NALS ATION [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY [ ] FIR SAFETY INSPECTION REMARKS: DATE INSPECTOR ` i OUJJDATIO9 ( 1st ) I - - 'OUNDATIOtJ (2nd ) r 7• --i I o \ ;OUCH FRAME & I (}4 PLUMBING i 1 • - II � n 115ULATION PER N . Y. I y STATE ENERGY II CODs 12 FINAL 53 c ADDIT 1IAL COMMF.PJTS : 4 84 . [TI O • r v u V L {~•.i BOAPO OF HEALTH . . . . . . , . . k FORM NO. 1 3 SETS OF PL1,JS TOWSURVEY N OF SOUTHOLD •' ' °� J S.i;i� • tt t C I I E C h . . . . . . - . - . BUILDING DEPARTMENT • . . . . . . . t-" TOWN HALL SEPTIC Fona . . . . . . . BLDG. DEFT• l SOUTHOLD, N.Y. 11971 TOWN OF SOUTIiOLD TEL.: 765-1802 NOT FY Examined . . . . �./� �`J CALL /. /. .J�j�. . . . . . . _ 19 hIAIL TO : Approved . . . . . . �, - . , , ,, 1 . PerPermitNo.�`�,� . . . . . . . . . . . . . . . . . . ,. . . . . . . . . . . . . . . . . . . . Disapproved.a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (B t6Ispector) APPLICATION FOR BUILDING PERMIT Date . . . . . /��J . . . . . ., 1925 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. e. The work covered by this application may not be commenced before issuance of Building Permit. ad. 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 corpo. ration) -- (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . .jp. . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises �e�P.� 1�-��!l� , d. . -Sao �1 .�. .�� .(�PRM M NWM (as on the tax roll or latesp -7f If applicant is a corporation, signature of duly authorized officer. FEE: NOTIFY BUILDING DEPARTMENT AT - . . ice . _ . . . 765-1802 8 AM TO A PM FOR.THE (Name and title of ca . rFOLLOWING INSPECTIONS: (Ntitle officer) 1. FOUNDATION - TWO REQUIRED Builder's License No. ./.c�j .�� . -;/ - . . - FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING Plumber's License No. .. 3. INSULATION 4. FINAL - CONSTRUCTION MUST Electrician's License No- - BE COMPLETE FOR C.O. ALL CONSTRUCTION .SHALL MEET Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE 1. R Location of land on which proposed work it be d DESGN r CONSTRUCTION ERRQRS House Number Street lJ �t �d, Hamlet County Tax Alap No. 1000 Section . ./. C2 . . . . . . . Block, c� q . . . . -f• • - • • - - - • - • - - . . Lot .a•5.3 . . . . . - - • - - • - - Subdivision . a� y d e r - � � _ . . . . . Filed Map No. . . . . . . . . . . . . . . . . . . . . Lot . - . . . . . . . . State existing use and occupancy of premises and intended use and occupancy of proposed construction` a. Existing use and occupancy �Yl� b. Intended use and occupancy . . . Grl&_. . . cy, �� -3- Nature of work (check which applicable): New Building . _ . _ Addition _ . . . . . • •.• . Alteratt(Desch ttortY Repair . . . . . . . . . . . . . . Removal Demolition Other Work&x*- tr P ) 4. Estimated Cost . 5 lC . : . . . . . . . . . . . . . . . . . . . . . . . . Fee . . .7/� .L . . . . . _ . _ ... . . . . . }4: (to be paid on filing this application)L;,l_ . . . . - .' 5. IC dwelling,number of dwelling units . .. . . . . . . . . . . . . Number of dwelling units on each floor - • - ,:-_;.V�- - ICgarage, numberofcars . . . . . . . . . - - - • - - • - • • . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . . . . . . . . . . . . . . . . . . . . 7. Dimensions of existing structures, if any: Front . .37.-9. . . . . . . . Rear . . .IA4�-K�. . . . . Depth . :��•.�. . . . . . . . Height . . .OP.. . . . . . . . . Number of Stories . - `2 . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . d . . . . . . . . . . . . . . . . . . . . Dimensions of same structurc with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . Depth . . . . . ... . . . . I . . . . . . . . . . Height . . . . . . . . . . :. . . . . . . . : . . Number of Stories . . . . . . . . . . . : . . . . . . . . . . S. Dimensions of entire new construction: Front . . . . . . . . . . . . . . : Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . .�. . . , Number ofStories - • - • - - - - -a. • . `- • • - • - • - - - . . . . . . P. . . _ . . . . . . . . :. : . . . . . . . . . . ` i. size of-lo[: !Tont . . G'Q, 1!�. . . . . . . . . . . . Rear . . . . . . . . . . . Depth /�a 10. Date of Purchase Name of Former Owner . . . . . . . . . . . . 11. Zone or use district in which premises are situated . . . . . . . . . . . . . . . :. . . . . 12. Does proposed construct}on 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 premises tl n d?°5 : ` � ' . Address` i� � c<y �:S!� 1: .� 7....'� 3T6j hone No. �1� : - . . - Name of Architect . . . Address . . . . . . . .. . . . . . . .... Phone No. . . . . . . . . . . ... . . . Name of Contractorg&,;r . 'a., : . . . . Address-? 15. Is this property within 300 feet of a tidal wetland? *Yes. . . . . tr. . No. Y *If yes, Southold Town Trustees Permit may be required. 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 comer lot. STATE OF NEW YORK,-. . S.S COU.rfY OF . . . . . . . . . . . . . . . . - . . . being duly sworn, deposes and says that he is the applicant (Naive ofh dividual signing contract) above named. e [Ce isfhe _ :.:r. . . . . . .`. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... ... . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly 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 xork will be performed in the manner set forth.in the application filed therewith. worn to before me this e . . . . . . . . . . 3ti�. . . . . . .day of. . U 197 dotary Public, . • . . !. . _ : County JOYCE M:VYILKlffS . /,� Notary Public,Stets of New Yotk No.4962246,Suffolk Cour (Signature of applicant) Term Expires June 12,19_�ZS i \ \pL _ o ; � v� G pok 0. 4`�. �. •, l fv ,UG ..\ �:" civ� '\ N - qo o 1 5.- 1� p O % ` ( fie.' \ •f 9�D O_ • \^ Q 9 Z: Oo Ig am G� 0 `� \`s` v ✓P `N .\V 1r� v - i O Al f SuR'✓tY FOR i `P JOHN F. COUGHLIN 6 REGINA COUGHLIN t ' LOTS 4 6 5 OF"MAP OF PROPERTY GF DAN J. STACK" T Lc,UREL DATE OCT. 23, 1979 i;R `, l TOWN OF SOUTHOLD SCALE:-1"=30' SUFFOLK COUNTY , :E'rY YORK N0. 79-jBB r^ ,N I rReRrtc _.r FHuuo•. :iR _oDr�Jry r N TM,S GUARANTEED TD ,'URILI ,S A `Arl3N 9• RF= '_w •-E `•" NFw VOR. sr�TFewCAT,om w - RIVERHEAD SAVINGS BANK hLIPFS IF THIS 'UNIFY .-VT 6L-I,.Nu Tnf _-ND 9' Is SIRvn YOR'i INCC� SE..OH LT.uoos Ec �� . sRGLI CHICAGO TITLE INSU ^rr �IIn NUT bF CONSRrt RFfi TJ bE A ,:.- ri TRUC LG IlE OF NF XGUAHAN7EEi :NILCLrEC nL kt,i•r SnC�. .LI"-nLU Tu SSP W F(.R wnGnr Ine .F,RD b Y? �` Y