HomeMy WebLinkAbout32299-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO, Z-31770 Date, 08/25/06
THIS CERTIFIES that the building ADDITION & ALTERATION
Location of Property, 1325 SIGSBEE
(HOUSE NO.)
County Tax Map No. 473889 Section 144
RD
(STREET)
Block 2
LAUREL
(HAMLET)
Lot 7
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
AUGUST 18, 2006 pursuant to which
Building Permit No. 32299-Z
dated
AUGUST 21, 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 ADDITION & ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR.
The certificate is issued to KATHERINE GALLAGHER
(OWNER)
of the aforesaid building.
N/A
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
05/09/06
ELECTRICAL CERTIFICATE NO.
41358
PLUMBERS CERTIFICATION DATED
05/03/00 MARINO PLUMB.&HEATING
~ j;/d ""='""
Rev. 1/81
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN 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, strcets, 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 statemcnt from plumber certifying that the solder used in system contains less than 2/1 0 of I % lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a ccrtificate
of Codc 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 topo!,'Taphic
features.
2. A properly completed application and consent to inspect signed by the applicant. If a Ccrti ficate of Occupancy is
denied. the Building Inspector shall state the reasons thcrefor in writing to the applicant.
C. Fees
1. CCl1ificate 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. Ccrtificatc of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $.25
4. Updated Certificate of Occupancy - $50.00
5. Tcmporary Ccrtificate of Occupancy - Residential $15.00, Commercial $15.00
Date. 8) I B) olo
New Construction: Old or Pre-existing Building: V (check one)
Location ofPropcrty: ~8 'S\o.<:ke Or \
House No. Stre&
Owner or Owners of Property: ~e r Ine- ~ \ Q9 ~{
Suffolk County Tax Map No 1000, Scction \ L~ t1 Block 0 L
NQ+h1tAck.
Hamlet
Lot __ 0 '7
Subdivision
~ Gl-s- 3 .;;l.J.99W yUJ..J.J(...o
Pcrmit No. .":- Date OfPennit.
Filed Map.
Lot:
Applicant:
Health Dept. Approval:
Underwritcrs Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fce Submitted: $ d 5". OD
Final Ccrtificate:
/
(chcck one)
6<~ - 70 g 'I q
CO -E 31'770
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31771
Date: 08/25/06
THIS CERTIFIES that the building
ACCESSORY
Location of Property: 1325 SIGSBEE
(HOUSE NO.)
County Tax Map No. 473889 Section 144
RD
(STREET)
Block 2
LAUREL
(HAMLET)
Lot 7
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
AUGUST 18, 2006 pursuant to which
Building Permit No. 32299-Z
dated
AUGUST 21, 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 ACCESSORY STORAGE SHED IN THE REQUIRED REAR YARD AS APPLIED FOR.
The certificate is issued to KATHERINE GALLAGHER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF BEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATION DATED
N/A
Ayff,-i~"'m
Rev. 1/81
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN 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:
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 (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 2/1 0 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 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
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. 8) '8 Jo~
New Construction: Old or Pre-existing Building: v/ (check one)
Location of Property: \'21-ls ~\q~be~ 'Koo.r\
House No. Street
Owner or Owners of Property: tlJ() JO + hell nG (lo \ \Q9he r
Suffolk County Tax Map No 1000, Section_~ Block () L Lot
Mal-h-hAC Ie
Hamlet
()7
Subdivision
. CJ.tod< -~ 3d..~9'1 . '0>n.w~
PermIt No. t: - .':) Date ot Permit.
Filed Map.
Lot:
Applicant:
Health Dept. Approval:
Planning Board Approval:
Underwriters Approval:
Request for: Temporary Certificate
Fee Submitted: $ ;).5.00
Final Certificate: ~ (ChCC~ one) {"
~~Wd&~
pplicant Sign re If"
C5&c:..708yf
Co Z:- 317 7/
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.
32299 Z
Date AUGUST
21, 2006
permission is hereby granted to:
KATHERINE GALLAGHER
12 SUNDERLAND ROAD
DENVILLE,NJ 07834
for :
CONSTRUCTION OF ADDITION & INTERIOR ALTERATIONS TO AN EXISTING
SINGLE FAMILY DWELLING & ACCESSORY SHED AS APPLIED FOR. (REPLACES BP #26255-Z)
at premises located at
1325 SIGSBEE RD
LAUREL
County Tax Map No. 473889 Section 144
Block 0002
Lot No. 007
pursuant to application dated AUGUST
18, 2006 and approved b the
Building Inspector to expire on FEBRUARY 21, 2008.
Fee $
270.00
ORIGINAL
Rev. 5/8/02
10 3'l\;ld
:JI~1-::J3l3 DI:J::f1d
860Z-PL8-919
IP:~0 900Z!IZ!90
J'
Fax (516) 765.1823
T oiophono (516) 765.1802
T own Hall, 53095 Main Road
P. O. Box 1179
SoUlhold, Now Yotl< 11971
r
-
_J
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
C E R T I F I CAT ION
DATE: /71" - 3 .O()
Building Permit No.
J (,,2- 552..
Owner:
(please print)
Plumber: (nil (CiI/"lV f7( I/M Ii//'.f, /I YO /-I[;? rr'7 /;? C.
(please print) (CICIiAII/r) J mt1/l nrw ,,~/l,
.' I certify that the solder used in the water supply systerr
contains less than 2/10 of 1% lead.
~/ /~L
(Plumbers Sig ature)
sworn to before
Sid-
\. day of
me this
Notary Public,
iYI ().,c I
, )~ r:I~(I(
, ~dGO()
county
~
D~~Cr:,.q ,,~ r"\'~[G.~\N
NOTAII" 1\. ..r' o( kw York
.. .,' ,'9
o U~Ql?" ."'" eoc:nty "\.
o Comm,,,, "" "."'" c, .,"" IS, 0/00 I
'.
TOWN of SOUTHOLD
OFFICE OF BUILDING INSPECTOR
Town Hall
Southold, New York 11971
Receipt No. 70846
~ Dote .au.v>..2.yT..J....O'...~..~................
Received of.......K~...~.:...420.~.~.................................ii.O/.....................................
.J:.1M:D....~::J.;;J::.~......dk..~.......;.7i.1l..........1"...................................../t..W"... /1 00 Dollors
For ..~.(t1t.....3..t.d."gj...~...:::.......u.J.J::::.St.....~......~.....................................................................................
Fee for
Certificate
o of Occupancy
Fee for
o Sign
Fee for
o Flood Development Pmt.
,jeI!ior
0'" Building Permit
~~~
o
o Cosh
8"Ched<1f o?5l-
$ ..........d..1..D.......[Q.............................
... .~~\~\J:'~.....~:..................................
7"....'..r.='""'Y'''''' Building Department
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.
32299 Z
Date AUGUST
21, 2006
Permission is hereby granted to:
KATHERINE GALLAGHER
12 SUNDERLAND ROAD
DENVILLE,NJ 07834
for :
CONSTRUCTION OF ADDITION & INTERIOR ALTERATIONS TO AN EXISTING
SINGLE FAMILY DWELLING & ACCESSORY SHED AS APPLIED FOR. (REPLACES BP #26255-Z)
LAUREL
at premises located at
1325 SIGSBEE RD
County Tax Map No. 473889 Section 144
Block 0002
Lot No. 007
pursuant to application dated AUGUST 18, 2006 and approved by the
Building Inspector to expire on FEBRUARY 21, 2008.
Fee $
270.00
COpy
Rev. 5/8/02
,}..Cc 2-~ 5--2:
765-1802
BUilDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PlBG.
[ ] FOUNDATION 2ND [ ZlATION
[ ] FRAMING [ . FINAL
[ ] FIREPLACE & CHIMNEY
DATE . 0( f'/ IN INSPECTOR
Tl
~~~~fU~
j~
~2-s-j-c-
165.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS ATION
[ ] FRAMING [
[ ] FIREPLACE & CHIMNEY
REMARKS:
/{)t{) ~( r
b
INSPECTOR h
v
Cf~
DATE
~[lliJ{)
~
2&1-.~S-~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
REMARKS: cO~JJ:;."1' c/-;t::.
[ ] ROUGH PLBG.
[~ION
[ ] FINAL
DATE 'ffcrtJ
INSPECTOR
~
c2b lSj-2-
765-1802
BUILDING DEPT.
INSPECTION
[~H PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FOUNDATION 1ST
[ ]
[ ]
[
FOUNDATION 2ND
FRAMING
] FIREPLACE & CHIMNEY
f1J~1- t~A ui-~
REMARKS:
DATE3j?-1 [ cro
INSPECTOR
,
~
J C-L-)~S- ~
765-1802
BUILDING DEPT.
INSPECTION
[ FOUNDATION 1ST ~GH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
//]
REMARKS: l
DATE
) II S' /00
I I
INSPECTOR
"-
:~
j
dCo 'y ::;r;-c
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[~MING [ ] FINAL
[ ] FIREPLACE & CHI~NEY
REMARKS:
"
DATE
:3/0/0-0
I {
INSPECTOR
)i;J~5~
165-1802
BUILDING DEPT.
NSPECTION
[ vr F~ATION 1ST
[~OUNDATION 2ND
] ROUGH PLBG.
] INSULATION
[ ] FRAMING ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS, ~~-Q
~. ~d-.~
. . .K?~ 'd D./. ?/
DATE ,;1.. b.. S- ;; 1)
/ /
,
INSPECTOR ~ u:~
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INSULATION PER N. Y.
STATE ENERGY
CODE
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FINAL ~__~ :' _ ~ cp
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BLDG. DH'T.
TOWN OF SOUTHOLD
FORM NO.1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD. N.Y. 11971
TEL.: 765,1802
ilO,\RD Of HEALTIl .........
J SETS Of PL~~S . ........
SURVEy..................
CIlCCK ...................
SEPTIC rOll:1 .............
~:071F.1 :
Examined. . . .. ., .. t" ...,19... JJ.)-fCf ~
/_ I" 2DI'"""'./"l . '1~ )"3-6
Approved . . .. .. .\.p. . . . ., ~ Perm.t No. -:-:-. . .,....-: . . . .
Dj..",,",,", .... I.. .. .. ~
(BUi~ ~pector)
PLICATION FOR BUILDING PERMIT
C^LL
H^IL
ICC" - -? / (" --3
. .:><.1.0- ...1. ":1'~, . . .
TO:
D. PEe I L ElZ-
...................... .
eo~ 1(092..
. . . . . . - . . . . . . . . . . . .
rYlAm1U~
1/ /"?xJ q q
Date . . . . _ . . . . . . . . . . . . ., 19 . . .
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.
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 part fOr any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
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 Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulat~ons, 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, b~ing code, hOUS1g code, and regulations, and to
admi,t authorized inspectors on premise< "nd in building for neces~~~.i~.W~~:~. .. . ..... ............
- (Signature of ~cant, or name, if a corporation)
.~~. .\~.~ ?~. .~.~::r:l.~~..............
(Mailing address of applicant)
State whether applicant is owner, :le,ssee, agent, architect, engineer, general contractor, electrician, plumber or builder.
p..,R.c.M- \ ~CT
..... .... .... ... ... ......... ............ ....... ....... ............ ..... ........ .................
Nameofownerofpremises ..~ .\.~~. ~.~.... .~. .~.~ N&:..~. ~.~.'-: ?':'?'.~... ..!:'..
(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. .. ~.~ ! !'?Cf,. . . . . . . . . . . .
"
Plumber'sLicense No. ........................
I,
Electrician '.s License No.. '. . . . . . . . . . . . . . . _ . . . . . .
II,
Other Trade's License No. .....................
I. Location of land' on which proposed work will be done. .................................................
1:'45 ~l(O'5-Ba:: f<oP-Q (YIp... TI \ T1-JC(c:....
...... ..... .... .............. ..... ..J........ ............. ..... ...... ... ........ ...... .......
House I'umber Street Hamlet
County Tax Map No. 1000 Section ..1.:4:-:"t......... Block... .C? .~. . . . . . . .. Lot.. 9..""7. . . . . . . . . . . .
Subdivision. . ~~y-~~ ?~~. ~~~'?:-~~. .'t;JS. . . Filed Map No. . ~.<?l.. ..... .. Lot.. 77.... ..... .
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed constr~ction:
a. Existing use and occupancy. . . .. . !?I.fI!.~.0f=? . . fi:.r::! ~ '(. . .~."'!.~~ :-!~. . . . . . . . . . .. . . . . . . . . . .
~ r:>-YY'f ~
b. Intended use and occup~ncy
......... .....
......... ... ... ...... ... ................... ...........
:.
, V'/
3. Nature of work (check which applicable): New Building. ... . . 0 . . . Addition.. . .. . . . .. Alteration 0.....0...
Repair ............. 0 Removal. . . . 0 . 0 . . . . . .. Demolition 0............. Other Work. . . . . . . . . . . . . . .
(Description)
4. Estimated Cost. . . .1p). O:Z?~ ... . . . . . . . . . . . . . . . . . . . . . . . Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 . . . . . . . . 0
(to be paid on filing this application)
5. If dwelling, number of dwelling units.. . . 0 ~ . . . . . . . .. Number of dwelling units on each floor. . . . . . . . . . . . . . . .
If garage. number of cars . ... . . . . . .~. . . . . . . . . 0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . 0 . . . . . . . . 0 o. '
6. If busine~s, commercial or mixed occupancy, specify nature and extent of each type of use 0 . .--:-:'. . . . 0 . . . . . . . . . . 0
7 D' , r 'r t t Of F 2.4' R 2.4 D h Go,'
. lInenSlOns 0 eXls mg S ruc ures, 1 any: ront............... ear.............. ept ...............
Height .. .'.G:.'. . . . . . . . . Number of Stories o' . . . 0 .! . . . . . . . . 0 . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .
Dimensions of same structur~ with alterations or additions: Front o..?:-.~"......... Rear.. :z:--t. '. . . . . . . . . . . .
, , I
Depth. . . . . .CP.l. . . . . . . . . . . . . . Height. . . . . .'.G.. . . . . . . . . . . . . . Number of Stories. . . . .. ... . . . .'. . . . . . . . .
8 D' . f . . . '2-'t' "2...",+'. G. I I
. 'menSlOns 0 enllre new construcllon. Front. . . . . .. ....... Rear....... .... . . . . . . Depth ...............
Height .... .I~ ~ . . .. . . . . Number of Stories. . . . '. . . . . . . . . . . . . . . . . . . . . ... . . . . . . . 0 . . . . ... . . . . .. . . . . . . . .
9. Size of lot: Front .. . . ::LP : . . . . . . . . . . . " Rear 0 . . . . ~ ~ . '. . . . . . . . . . . .. Depth .) 4-P. '. . . . . . . . . . . . . . . . \
10. Date of Purchase ...l. ':1. .\ 11. . . . . . . . . . . . . . . . . . . Name of Former Owner . ';-.~ ~~ . .1;t!4! ~ Hot S. . . . . . y
II Z d' . 0 h' h 0 . d f'I. "'f-o .
. one or use Istnct In w IC premIses are sItuate .....................................................
12. Does proposed construction violate any zoning law, ordinance or regulation: .. ~f: . . . . . . . . .. . . . . . . . . . . . . . . . . .
13. Will lot be regraded ..... ~o. . . . . . . . . . . . .. . . . . . . . Will excess fill be removed from premises: .........-:'Yes No
14. Name of Owner of premises ~'!I.~~~ .'::;~!l\'I1-Address ~~';Ci ~.I. ~ffli.~'>-Phone No. ?:~~.~ ."l2-:'l:'Z..
Name of Architect l?~ ~ ~ . .~l;-\".r?:-. . . ...... Address .o??~\"!~ J.~~~ Phone No. .~:r.l! ~. ~-:'I:'?3
Name 0: Contractor ~':'~. . 0~~'~ . . . . . . ..,' . Address. . . . . . . . . . . . . . . . . . . Phone No. .. . . . . . . . . . .. ..
15. Is th~s property w~th~n 300 feet of a t~dal wetland? *yes........ 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 corner lot.
sese
l' 1-0, 1" L..pf'l Cl'..l f) W(O ~
~~~~5~.:~\. '.:.~. ~~. . . . . . . . . . .. .. being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above nJmed.
He is the. .. . . . . . . .. . . . . . . . .. . . . .. . .. ic~~ir'~~~~;a't~ ~'ffi~~;"e't~.')' . . .. . . . . . .. . . .. . . . . . . . . . . . .
of said owner or owners. and is duly authorized to perform or have performed the said work and to make and file this
appliCJtion: thJt all statements contained in this application are true to the best of his knowledge and belief; and that the
work will be performed in the er set forth in the appliCJtion filed therewith.
Sworn to before me this
g0~
\'otary Public.
~~~\l 99
..... ...........19...
"."" . \P:cii,~~ P. ~~. hp p P. P P. P.
Notary Public. Ie of New York (Signature of applicant)
Qualified i uffolk County
. No. 01 SC4725089 2b<l>O
Ter~pires May 3.1,
. '.
LOT flF]
~ct~
^~.
SURVEY OF
LOT 77
AMENDED MAP OF PROPERTY
liMA TTITUCK PARK
PROPERTIES INC."
FILED JANUARY 72, 7926 FILE NO. 807
. A T MA TTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y.
1090 - 144 - 02 - 01
/ Scale 1" = 20'
, April 16, 1990
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CERTIFIED TO,
TICOR TITLE GUARANTEE Cl
TITLE NO. T1290 - 449
CHEMICAL BANK
MICHAEL P. GALLAGHER
KA THERINE GALLAGHER
OWNER
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