HomeMy WebLinkAbout32105-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 06/27/06
No: Z-31632
THIS CERTIFIES that the building
ACCESSORY
Location of Froperty: 6170 ALDRICH
(HOUSE NO.)
County Tax Map No. 473889 Section 120
LA
(STREET)
Block 3
MATTITUCK
(HAMLET)
Lot 8.6
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
JUNE 13, 2006 pursuant to which
Building pennit NO. 32105-Z
dated
JUNE 13, 2006
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 10'X 12' ACCESSORY STORAGE SHED IN THE REQUIRED REAR YARD AS APPLIED
FOR.
The certificate is issued to JEANNE HAMILTON & MICHAEL KELLEY
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATION DATED
N/A
~izee-
Rev. 1/81
: ~
, . J)~ '2. 3 ~ S ,-" \
APPLICATION FOR CERTIFICATE OF OCCUPANCY '_;__ .:,:_\\_~..),-~~
This application must be filled in by typewriter or ink and subntitted to the Building Department\~fb'll<>wihg:\-"o---
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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A. For new building or new use:
I. 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 (8-9 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 cer1ificate
of Code Compliance from architect or engineer responsible for the building.
6. Subntit 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.
C. Fees
L 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, Conunercial $15.00
June ;:rl I 6DDG
I
lfll D
Date.
New Construction:
House No. Street Hamlet
Own~ 0' 0__. """'Pert)' j f a An L P. j+a m ',[ tv> rLlI I ~ I Uw If, k e /I ~__
Suffolk County Tax Map No 1000, Section ll- 0 Block () DO, Lot OO'D. OD
Old or Pre-existing Building:
fH 11 (\en l-R- r\.L-
( check one)
Location of Property:
Subdivision
Filed Map. Lot:
DateofPermit.1L~IJ~APPlican0-eUf\f)I" p. .\.+dm\ 1M
N IA Underwriters Approval: N ~
I
Permit N03J-..1 tJ 1) - Z
Health Dept. Approval:
Planning Board Approval:
Request for:
Temporary Certificate
Final Certificate:
(
Fee Subntitted: $
9fj.0l)
L
~4... ]0 yr, ~
co-l3r~32
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TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING ~INAL ~
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
F~~.
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DATE b -Is- - ot
INSPECTOR ~~
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)
13, 2006
PERMIT NO.
32105 Z
Date JUNE
Permission is hereby granted to:
JEANNE P HAMILTON
6170 ALDRICH LA
MATTITUCK,NY 11952
for :
INSTALLATION OF ACCESSORY 10 X 12 SHED IN REQUIRED REAR YARD AS
APPLIED FOR. THIS PERMIT REPLACES BP 28543.
at premises located at
6170 ALDRICH LA
MATTI TUCK
County Tax Map No. 473889 Section 120
Block 0003
Lot No. 008.006
pursuant to application dated JUNE 13, 2006 and approved by the
Building Inspector to expire on DECEMBER 13, 2007.
Fee $
75.00
~ t:!JU
I Authorized Signature
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)
~ 3;L/O\
PERMIT NO. 28543 Z Date JULY 10, 2002
Permission is hereby granted to:
GREENBRIAR (HAMILTON/KELLY)
59 HAWXHURST ROAD
COLD SPRING HARBOR,NY 11724
for :
INSTALLATION OF AN ACCESSORY 10' X 12' SHED IN THE REQUIRED REAR
YARD AS APPLIED FOR
at premises located at
6170 ALDRICH LA
MATTITUCK
County Tax Map No. 473889 Section 120
Block 0003
Lot No. 008.006
pursuant to application dated JULY 9, 2002 and approved by the
Building Inspector to expire on JANUARY 10, 2004.
Fee $
75.00
.-:!~~ ~
; Authorized Signature
ORIGINAL
Rev. 5/8/02
. ..
FIELD INSPECTION REPORT DATE
FOUNDATION (1ST)
~-----------------------------------
FOUNDATION (2ND)
',..
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ROUGH FRAMING &
PLUMBING
INSULATION PER N. Y,
STATE ENERGY CODE
FINAL
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COMMENTS
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ADDmONAL COMMENTS
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TOWN OF SOUTHOLD
BUlLDING'DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX; (631) 765-9502
:l'S'Jtf.3 c
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
3 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
PERMIT NO.
1110 ,20 ,,~
7/fc) ,20~
Examined
Approved
Disapproved ale
Mail to:
Phone:
Expiration
. t/to , 20~
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B ilding 1_'F"':f'~, '.
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APPLICATION FOR BUILDING PERMIT
Date
July 5
,20~
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 w~mises 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 the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire ifthe work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building hlspeclor may authorize, in writing, the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
APPLICA nON IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of South old, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions, or alterations or for oval or demoliti n as herein described. The
applicant agrees to comply with all applicable laws, ordinances, building cd, housing cod , an egulatio nd to admit
authorized inspectors on premises and in building for necessary inspectio. a
(Signature of applicant or n
orporation)
UNDERWRntRS~Aldrich Lane, Mattituck NY 11952
REQUIRED (Mailing address or ~f~H~~nt).
State whether applicant is owner, lessee, agent, archit~ct, engineer, general contrac~t"~~UimW'~1l~~
\IU .._ &If.:
Owner. "~I _"Iiii!' ,$.1.
County Tax Map No. I 000 Section
Subdivision
120
Block 3
. Filed Map No.' 8808
Name of owner of premises
nne 1. Hamilt and Michael E. Kel
'(As on the tax roll or lates
If applicant is a corporation, signature of duly authoriZed officer
NfA
Builders License No.
Plumbers License No,.
Electricians License No.
Other Trade's License No.
"
".aN
, OCCUPANCY OR:~
&.UNLAWFUL' .
'. .'. CERTlFICATt'
OF-OCCUPANCY
(Name and title of corporate officer)
I. Location oflmld oK'Which proposed work will be done:
6170 Aldrich Lane . Mattituck NY 11952
House Number Street
M~p nf FRTmVen F.~tatp.:~
(Name)
;r
;
,F:
2. State existing use and occupancy of premises and intended use and occupancy of proposed constructien:
a. Existing use and occupancy Single Family Residence
..
b. Intended use and occupancy
Addition of shed to property (tool shed).
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
xx
Addition
Other Work
Alteration
(Description)
4. EstimatedCost $2.615.00 plus tax
Fee $75.00
5. If dwelling, number of dwelling units N/ A
If garage, number of cars N I A
(To be paid on filing this application)
Number of dwelling units on each floor N/ A
6. If business, commercial or mixed occupancy, specifY nature and extent of each type of use. N/ A
7. Dimensions of existing structures, if any: Front 12 '
Height Number of Stories
Rear 12'
Depth 10'
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear
Depth
9. Size of lot: Front
17<; 00'
Rear
1?'i. nn1
Depth 3B 53 '
10. Date of Purchase
06/28/02
Name of Former Owner Greenbriar Homes. rnc.
II. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO ~
13. Will lot be re-graded? YES_NO ~ Will excess fill be removed from premises? YES_NO_
Jeanne P. Hamilton
14. Names of Owner of premises Mich~p' 1<: J(pllpjAddressh17o A'~riph T,no
Name of Architect N / A Address
Name of Contractor N/A Address
Phone No.
Phone No
Phone No.
gJl 29S lSSl
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO ---XX..-
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES_NO_
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines,
See attached. "," ''1',., ,.".,:.",,,,,
17. If elevation at any point on property is at i'O ~fegt :ffr ~J!9;O/' must provide topographical data on survey.
STATE OF NEW YORK)
vIlmIIt.I~
COUNT '~.~.""
. ~-, '~"~L.:_., a--"!.' .~:~...~""....,~?,.....( t'IIt...t....",.,
. "___"""'~"._.'C"___ .~....,....
. .' ~ being duly sworn, deposes and says that (s)he is the applicant
m~.' ),above named,
.,:-,. ~ ..-"" .3" ....-~::r . ; A.-
(S)H'e is tKi, . . _:'! . ,.L
~~. ; - ;~". .' tor, Agent, Corporate Officer, etc.)
o. ". ~p...~~zed to p~rfoci)'~; h~~~erformed the said work and to make and file this application;
tha.J.:!.1l rtatemeiJ!.~ cOlJ,la' . " '. ". ion a,re in!e'iot6.eU,do.'tlius owledge and beli~' and that the work will be
p~tb . ,'. - .... ~licatiQqrfsattrr!19H1' I /'\
S ..i. -' d1rt';:;;lA'U):)O H 1 Cl ~,. t P Q f1J r L---
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MARI~.(WOOD5''''''; ." . ~....1
NotarY PubIlc. Stale of New York
No. 01W05031880
QIaIIIed In Suflolk COlIn\)' () 1
..,Cllo...ilIiD'."AuIl, IUIl~
Signature of Applicant
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (631) 765-9502
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
May 8th, 2006
Jeanne P. Hamilton
6170 Aldrich Ln.
Mattituck, NY 11952
RE: 6170 Aldrich Ln.
S,C.T.M. # 120 0003 008.006
Dear Ms. Hamilton,
Please be advised that your Building Permit # 28543 issued July 10'\ 2002 has expired.
According to the Code of the Town of Southold, a Certificate of Occupancy must be
issued prior to use of the structure.
To renew your Building Permit, please submit a fee of$75.00 at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 631-765-1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT.
Shown with optional cupola, flower boxes Shown with optional flower boxes and ramp
and ramp
,
-,
~.
Shown with optional cUlOola and weather-
vane
Shown with optional cupola
Quaker Porch Barn
Shown with optional Dutch trim, side porch rail,
cupola, weathervane and flower box
Quaker Porch Barn
Shown with optional cupola, flower
boxes, painted deck and side porch rail
Call 1.800.HAV.WOOD to Order
10
6' X 6'
6' x 8'
6' x 10'
6' x 12'
8' x 8'
8' x 10'
8' x 12'
8' x 14'
8' x 16'
10' x 10'
10' x 12'
10' x 14'
10' x 16'
10' x 18'
10' x 20'
10' x 22'
10' x 24'
12' x 12'
12' x 14'
12' x 16'
12' x 18'
12' x 20'
12' x 24'
12' x 26'
12' x 28'
12' x 30'
12' x 32'
14' x 20'
14' x 22'
14' x 24'
14' x 26'
14' x 30'
14' x 32'
DURATEMP
T1-11 SHED PRICES
High Wall
or Dutch
N/A
NJA
N/A
N/A
N/A
$2,145.00
2,295.00
2,535.00
2,725.00
2, 0
\. 2,540.0
2,7 . 0
3,025.00
3,295.00
3,675.00
4,150.00
4,325.00
2,995.00
3,395.00
3,735.00
4,025.00
4,295.00
4,995.00
5,795.00
6,010.00
6,750.00
7,200.00
6,395.00
6,995.00
7,385.00
8,295.00
8,950.00
9,395.00
Quaker
N/A
$1,460.00
1,510.00
1,575.00
1,695.00
1,985.00
2,195.00
2,395.00
2,650.00
2,410.00
2,610.00
2,805.00
2,995.00
3,415.00
3,795.00
4,195.00
4,345.00
2,830.00
3,275.00
3,915.00
4,450.00
4,825.00
5,795.00
6,185.00
6,595.00
7,185.00
7,785.00
N/A
N/A
N/A
N/A
N/A
N/A
Cottage
$1,325.00
1,350.00
1,400.00
1,450.00
1,600.00
1,845.00
2,085.00
2,285.00
2,475.00
2,380.00
2,465.00
2,630.00
2,840.00
3,290.00
3,495.00
3,795.00
3,935.00
2,565.00
2,955.00
3,255.00
3,660.00
3,995.00
4,785.00
5,425.00
5,650.00
6,385.00
6,695.00
5,895.00
6,485.00
6,895.00
7,685.00
8,325.00
8,895.00
Mini Barn
$1,175.00
1,250.00
1,375.00
1,495.00
1,365.00
1,570.00
1,750.00
1 ,940~0
2,125.00
1,855.00
2,025.00
2,225.00
2,440.00
2.705.00
2,950.00
3,300.va
3,495.00
2,360.00
2,750.00
3,045.00
3,325.00
3,595.00
4,495.00
4,995.00
5,215.00
5,895.00
.
6,350.00
N/A
NJA
N/A
N/A
NJA
N/A
4' x 8' Built-in Porch with White Wood Rail
(Includes single wood door)
$495.00
Economy
$1,075.00
1,150.00
1,275.00
1,395.00
1,265.00
1,410.00
1,585.00
1,765.00
1,960.00
1,710.00
1,965.00
2,075.00
TiIlm&
Garaga'
3,820.00
4,090.00
4,470.00
4,945.00
5,125.00
3,795.00
4,190.00
4,530.00
4,820.00
5,l195.00
5,790.00
6,590.00
6,805.00
7,545.00
7,995.00
7,190.00
7,790.00
8,180.00
9,090.00
9,745.00
10,395.00
Stoop ,
Sop '" "
eCIIII a 9r "
cl SII'" Cl1ii4
rtl)gs .
CUSTOMIZE YOUR BUILDING
WITH THESE OPTIONS
Extra Single.... .... $95.00
Extra Double.. ..165.00
Oversized Height & Width Each.. .. 75~0,
4' Pressure Treated Ply Ramp.... . $55.0D Arch Style Entry. . 195.00 ~.
4' H.D. Pressure Treated Ramp. ~utch Style Entry Per Door 7500
5' H.D. Pressure Treated Ramp. . 7500 ouse Style 3' Entry 40000
6' H.D. Pressure Treated Ramp. 8 With a BUill-In Window and Keyed LOOK
8' H.D. Pressure Treated Ramp.. 11000
9' H.D. Pressure Treated Ramp. ..155.00
Small Cupola. . . . 75.00
Large Cupola. ....125.00
Weather Vanes Start At. . . . . 45.00
Weather Vanes full Bodied Start At ..89.00 OPTIONAL WINDOWS
Wood Flower Boxes Each. . . 30.00
Plastic Lumber Flower Boxes Each. . . 45.00
4' Storage Loft. 95.00
Worldlench Installed.. .75.00
Tar Paper Under Shingles. . . . . 95.00
Interior Partitions per foot . ..15.00
Insulated Aoor per square foot . .95C
Door Latch Purchased Separately.... 25.00
10' Ridge Vent . . . . . . 70.00
Removal of Metai Shed. ......150.00
10,10' or smaller (floor not inc!.)
Heavy Duty Roor 12" D.C..
Double Floor Per Sq. Ft......
Pressure Treated, Double Thickness
Anchor System Installed. . . . . . . 17S.00
2" x 8" x 16" Concrete BlocK. .. . 1.50
4" x 8" x 16" Concrete Block . . 2.50
No Paint or Stain... ........ Less 25.00
6" Higher Walls' . . . 5.00
12" Higher Walls' .. .. 5.50
lB" Higher Walls' . ... ....... ..6.25
Available on QuaKer and Collage Only
(* prices are per perimeter toot)
The below items are
Standard wrth Our Exclusive
Town & Country
Garage
Available in both Cottage
and High Wall Models
Overhead Door
Any custom size up to 9'x7' in steel
8'PressureTreated HD ramp
Double 4 Lrte Windows Included
Heavy Duty Floor 12' D.C.
Extra Single Door
..95.00
.. 95C
CUSTOMER
SATISFACTION
SINCE 1985
SIDING OPTIONS
Horizontal Cedar Siding add 35%
Horizontal Pine Wood Siding add 15% :
With Clear-Sealed or St.alned & Paintel!,
OPTIONAL DOORS
2' x 3' Loft Door. . 65.00
Overhead Door. . .495.00
Any custom slle up to 9'x7' in wood
or steel
may be substituted for the difference
in cost over the Standard Window
included with the Building of your choice
Extra Double 4 lite 15'h x 60"w. .. .80.00
w/Screens
Extra Single 3 lite 24"h x 18"w . .85.00
w/Screens
Aluminum Double Hung. . . . . 100.00
28"h X 24"w With Shutters, Grill & Screens
Optional on any Building
4 Lite Wood Barn Sash.. .135.00
28"h x 28"w 2 Standard on any
Horizontal Wood Sided Building
Shullers perp'Ir.. ....20.00
Added where not included above
No Window . . . Les525.00
Available in 12 Siding & (rim
and 6 Shingle Coior ChOices
Contact Your Salesman for On-Site Assembly Pricing
NOTE: All si",s are approximate
. 11 .
~mm_ _~~___m '--m..
10L' "
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--- -
TOWN OF SOUTHOLD PROPERTY RECORD CARD
UrttnhnM"
"
STREET \r'10 VILLAGE DIST SUB. LOT 4-
A/drr'M L4ne- !VI CI -If d-v ck q FarmVEL.-(
ACR. , 9+.C;; 3 REMARKS
OWNER
TYPE OF BLD.
PROP./C~
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--- ~ " (.
"':~\j
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"
IZ50 p~ 3000
. .. ~ ~~.
-,
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FRONTAGE ON WATER
TILLABLE
FRONTAGE ON ROAD
o
DEPTH
MEADOWLAND
TOTAL
BULKHEAD
HOUSE/LOT
-.
,.
.0
-.
."
.
.
.
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COLOR
-
.,
.
,
TRIM
,
~
;;J. 75&/
" ~ .
/l"~ ,/~ - k.L /ttl rrl
5rf~::'-~VJt!vj; Jo-
f'~''''
M. Bldg. ... Foundation PC Bath Dinette
~ -...""".... . CB
.:- . ." , FUll
~ "
Extension . , Basement CRAWL Floors Kit.
.. "',... . SLAB
.
Extension -.' .. Ext. Walls Interior Finish L.R.
-----
Extension . Fire Place Heat DR.
.. .
Patio ~ , Woodstove BR.
Porch ." . . Dormer Fin. B.
....OS . ,,:.s * , ",. .
. . . ---
.
Deck -'-....... .....~. . : -"i-( . " Attic
..
.. -
Breezeway . a.... Rooms 1st Floor
"- ..,10;", ,
._--
.
Garage " Driveway Rooms 2nd Floor
In_
.. --
O.B. .
Pool
87/88/2042 15:31
914-339-9008
ULSTER SAVINGS BANK
PAGE
JOB No,
FRMV-4
525"36'3O"E 47:J.T
TAX I.D. No. 1000-1.:0-03-8.6
THE LOCATION OF WELLS. WATER
LINES. SEPTIC TANKS AND CESS
SHOWN HEREON ARE AELD OBS
TIONS AND OR DATA OBTAINED..
S 19040'3Q"E 77.74' OTHERS.
LOT 21
~OT 22
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11-25.00'
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N 23'09'16"W 125.00'
ALDRICH LANE [49.5']
FAlUAlJlND
FILE _ No. _'1I/11ll9
CERT OF CORRECTION
USER 11_ PAGe 27
UBER11888PAGE2.07
UOllulMt'lled ......lIlIOI'I or ..uttIen to..... doclun.. itla1flalMtot1 d 12011
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..., .,...._. ClIlIIl.sld..................".
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SURVEY OF: LOT 4
MAP OF FARMVEU ASSOCIATES
MATTITUCK. TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
SURVEY DATE: 5/03/02 SCALE: 1"=50'
CERTIFIED ONLY TO:
MICHAEL E. KELL2f AND JEANNE P. HAMILTON
DESTIN G.GRAF
LAND SURVEYOR
BJ DESTIN G. GRAF N.V.S. we No. 60067
3 Woodlawn Road
ocky Point, N.Y. 11778
31-821-3442