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Home My WebLink About32517-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY liIO: Z-32839 Date: 01/22/08 THIS CERTIFIES that the building ACCESSORY GARAGE Location of Property: 4875 NASSAU (HOUSE NO.) County Tax Map liIo. 473889 Section 111 POINT RD (STREET) Block 9 CUTCHOGUE (HAMLET) Lot 10 Subdivision Filed Map liIo. Lot liIo. conforms substantially to the Application for Building Permit heretofore NOVEMBER 2, 2006 pursuant to which filed in this office dated Building Permit No. 32517-Z dated NOVEMBER 27, 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 UNHEATED ACCESSORY GARAGE WITH STORAGE ABOVE AS APPLIED FOR. The certificate is issued to SELIM & JUDITH SAMAAN (OWNER) of the aforesaid building. 12/27/07 SUFFOLK COUNTY DEPAR'l'MENT OF HEALTH APPROVAL R10-06-0079 ELECTRICAL CERTIFICATE Il1O. 8024 12/13/07 12/21/07 MATTI TUCK PLUMB.&HEATING PLUMBERS CERTIFlCATIOliI DATED ~~ Authorized Signature Rev. 1/81 ) c r^ , ~!\ ,LL iUU JAN I 8 :L I ~ ~ ('II." L.._ _ --,"-- - ...,' ! -l 1 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 cA.)-( ~ 01 q/ ~ U '7' 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 2/1 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: I. 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 I. 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" l/n/C'Jlf I [ ( check one) Location of Property: Old or Pre-existing Building: 4 b{"yV a/.l,.) AJ House No. Street Owner or Owners of Property: .s.Q \ i 'iV\ -\- ~ u~ Suffolk County Tax Map No 1000, Section (I \ )( New Construction: Permit No" 3::) "\'-7 ( Date of Permit. ~.\ <SI4-M~ Block --Q Filed Map" /1 b JoG APplicant__heJ I I. Underwriters Approval: __"__ '\<(\ (' U~ClMLlL- Hamlet l Lot /0 , Subdivision ----- ,..... Lot: Health Oept. Approval: ____"_ v /Y) ;/ n e(L v--' Planning Board Approval: " _ YV / A- I Request for: Temporary Certitlcate Final Certificate: v- (check one) Fee Submitted: $ fb :2S: 00 ~ J11j ~R Applicant Signature .~ 73~07 (' ~ ~ 3,;/B3q 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. 32517 Z Date NOVEMBER 27, 2006 Permission is hereby granted to: SELIM & JUDITH SAMAAN 80 ETON ROAD GARDEN CITY,NY 11530 for : DEMO & CONSTRUCTION OF AN UNHEATED ACCY GARAGE AS APPLIED FOR at premises located at 4875 NASSAU POINT RD CUTCHOGUE County Tax Map No. 473889 Section 111 Block 0009 Lot No. 010 pursuant to application dated NOVEMBER 2, 2006 and approved by the Building Inspector to expire on MAY 27,2008. Fee $ 354.00 /~ {!~ i Authorized Signature ORIGINAL Rev. 5/8/02 Nassau Suffolk Electrical Inspections,Inc. P.O. Box 549, Aquebogue, New York + 11931 Tel: 631-591-3097 Fax: 631-591-3098 Application: 8024 Date: 12/13/07 Issued to: Samaan Address: 4875 Nassau Point Rd Introduced By: M&B Electric Village: Cutchogue Residential lID Commercial The folloWing was examined and approved up to the above date and found to be in compliance with the NEe: Attic 1st Floor lID 2'd Floor 3'd Floor Garage Conversion Basement Hot Tub Additiou lID Detached Garage Pool Switches Receptacle Fixtures G.F.I. Range Hood Smoke Detectors II 11 7 3 I Fans Dishwasher Washer/Amps Dryer/Amps Oven Rangel Amps Carbon Monoxide . Furnace Oil Gas Heat Zones Whirlpool Bell Transfonners Rough Insp. Final Insp. Meter Amps Phase Motors 10/28/07 12/13107 Other Equipment: ~'7~~3~,3"".,~: . 9l~ This certificate must not be altered in any manner () .j ~ 1 II II " I 't .~ I Town Hall, 53095 Main Road PO. Box 1179 Soulhold, t,<'ew York 11971-0959 Fax (631) 765-9502 Telephone (631) 765180= BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date' 1;;"/ -:J./ln , ( Building Pennit No. 3Js I 7 7-. Owner 5.Q l: W'\ A- "S....>J1 S-Arv\AA~) (Please print" Plumber ffI c- 11---,'+ () (l- Pi Urn ~ :':3J of 1i..~1:^t.. (Please prlllt) -.J I certify that the solder used 111 the water supply system contains less than 2/1 0 of 1% lead /i;;~ . (Plumbers Signature) sr Sworn to before me this 0<.1 davof &~ , 20!'1- DENISE KING Notary Public, State of New York Registration #OlKI6041757 Qualified In Suffolk County Mv Commission Expires May 15, 2 ff~~ \iolary PUbli~J7L County ~ ._'" ... ',. .". '"" -. ~ -" CVIC'd c;e E DISTRICT SUB. \ f V'/'. / /1- G LOT .:tr ..l () "." if / .!-u..v At:'I-C'/vi jJ~o (It. ct . i":: '7 , , ~ '. -.. -, TOWN OF SOUTHOLD PROPEITY RECORD CARD OWNER VILLAGE ACREAGE W /7t:;. TYPE OF BUILDING VL FARM COMM. I IND. CB. I MISe. !J ,S-? oC" n ,---- ~~ \'1.,r;. LAND IMP, TOTAL DATE REMARKS r 700 """..{ , , ) (~--''1 ',-C .J CJc:? . 'I r. (.'1 r-' c..' t:.J ,. r (I U 7 <7'''''- Farm Acre Value lP"'s add i hOYl~ IterfL hd't'\S '30iR77 Tillable I . Tillable 2 Tillable 3 b)O& Woodland Swampland Brushland House Plo Total <:-"--. i:;:' ,). <:'S -i I I -- 1 ~ :J; /j.. v . '" 0 e I.. 7. <- , '" ,>- . , . I", , 3. -(, u. 1;1' 'I \: .< - , II! " ~ ,~L ~~..-p ~--- /" l(t( !(;~~ ;! /,,~ie.c </ /' cj ~ /.,'cP', P-tr,,'-,.-.J.. z '; , ;J-.3 j v [ , M. Bldg. Jso'6ndation Ce41 Ie / rl- Bath h , -''( '1 i c;. - <.I 2. <) M, /t '<fA 0 - ..,) ~. '-2-- , , ~ ]...:: , If! Z- _ ~sement A/-I/ Floors Extension J . iC' , ,~ j . 5- ~'o" ......v., , .' , , .,...... (. ,', - I , , 17' /) / rI ,/1, Extension I (i I ~ ,yt. Walls Interior Finish 4Y /-?l .- M/it.! " , . I /'I"i' ;,f"' "-" v-I) .. n", .,.' '/h " , '", ; I (I., / Extension 0,' . C / ::..-', !+.,..' .. Fye Place VIe/If Hem /-! - I,! L Co , (": - ) I I <:-).,.1 2-(j Ii /'--1,JP''- Porch Attic 7/ - -. ./ I.. :s:o .LJ:i...7" I . - . r C i )'>-- Porch Rooms 1 st Floor Breezeway Patio Rooms 2nd Floor / . , , 9f'iveway Garage 9- ( Cv'-... ;) t'<.J.O c j l,e 'e 7 00 r: '.-12- <:". j ,'J\'e:l..- , O. B. . ! {IrCf7 i/ ,,- -- 111.-9-10 2/05 I U_T- :2.... ~fP. M. Bldg. I r.,. . Extension tliu~"",l\. f'<;it Breezeway ~<;-o '18:;(p , z".e.s- elL. ~oo 3.'K / 2 s:-s-o 2 05 :s :'-0 7 2.5"0 <)0 /.00 <;'1 ~ II .'>0 Dormer Foundation Basement Ext. Walls S1"'i- . Extension Fire Place ~,...,T"'1 i"in.te~ """",,0 orch Garage 2-1 o I'Z~ . 0 Driveway O.B. ~, - - _ ~7 - . . " M :Y l>., e^ f1. I "..Ii , , / > , I O. <:: : , ,r. , . - I I to ,~ , . y~ 2~" I ~!I III , eo I >- I ~ , . I , I "J .. I /. hi.B . . ~ : .. ~. q I< -, .. -1-'1. 10 '>eo! 1\ ...... C\ 'I. ~ ( ',>< <:- PC CB Bath (z... . CRAWL SLAB Floors All Interior Finish Heat 0,1 Woodstove Allie Rooms 1st Floor Rooms 2nd Floor .", . /1 12:3 ~(ik?J . . COLOR TRIM Is< z~ Dinelle Kit. -/ L.A. / D.A. / BA. I::, .3 Fin. B. ~.r ..; €..,l.\" , jj ~ Iz. l"""""" j ~- ::.- ~~ "- \ , 9 ,.. - - - r - - ". :.~ \,i 8 I., 7 f cr- ". II . --- -- -"0 .. (Ie . V' .. . . :::: ~ I~ ~ - , <l - .. ...: , I';;;, ~ " t- ,- , , v . <Il , .. 'l: .... '" J:: 1ii CD '" ~ o o ~ . i U'1Xl I'~~)u .~c <. " !:'-:U( or- - ... e Q 1ii "0 e " o LL e Cl> E Cl> '" '" CD 21 . . \,0 "-'" Q , I ' . rr>. , ex ::' ........... o I~. V. I"-- l' ~ 1.'0","" ;::- ~ " ~ , . ~ --.0 'J"- \)'" (~ (!" I.; II -~ .. "- -.J (,..~ ~J. v <--\ - f~ '" v " )<! ~< v''<t... "- I>- e <- 0> 0 " "0 iii - CD ", e ~ Cl> J ::!; Tx :cW 1'\ . 3~5/7z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] INSULATION M FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~ F~ ~JP ~ 1)k~ ~ tf'^'- ~ DATE l-.;t -/7--67 INSPECTOR ~~ 3~5117- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONS1RucnON REMARKS: ~ ~~ 8k~ ~OUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRAnON tI-- DATE 3 - -;-;;.. - 0 7 INSPECTOR ~< ~ -~. -.- 3),.([7~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] ~NDATION 2ND [ ] INSULATION [ ,1,RAMING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCT1ON [ ] FIRE RESISTANT PENETRA110N REMARKS: ~~A1Aj ~U-- .~ ~~.Lvt ~ DATE INSPECTOR 3l$/7t- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] ~NDATION 2ND [] INSULATION [,.1 FRAMING ~RAPPIN~ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: tJ,./J /91h'J ~ d(6 . fI.n-u A./ Uf cJrE: e./n I J-v /--- I ! DATE I INSPECTOR ji-SI 7 2- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST M ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRA110N REMARKS: ~;,.~ 'fi- t ~ ~ ~ G~\. / 4- /~- ~.f> '0 ~ DATE INSPECTOR *~ 3~S17 7- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION t1Xf FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSlRUCTION [ ] FIRE RESISTANT PENETRAnON DATE I;). ~lJ ~ 0 , INSPECTOR ~~ , FIELD INSPECTION REPORT FOUNDATION (1ST) ------------------------------------- FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL _.~. 1--. .' DATE I COMMENTS \)J h~/~-< ~b /-4: L r ~ ,rl/ L.- e?Jt: Lull I u ;Ii I' r;. _ . .U U~ ~. ..& AritiL-- ,/I ~c,~.././ V ~ \JL,_~.1.... ...,f, "..:f::.-,~\ ..,,1I i:iU-. \ _l ~ (/ cr /'" 17.=-./ il""1;:> (\C ('I'" ~--.L.t"l CtI-- I' Z \<>. -:>-<t. O~ rfln P.. '" ~ A 11 A [I,.... rJ ~ I -C P ~ A ^ i if -h ~J.. l.&- oK / /iJP 0>(> I /' tY ~)'" /lPt;; , ti.ZJ: J:Jj r/n!'/'~ ,Jk. ilA. .. M ~ -#w,~. Vj ~ 1/'/ ' ~...,;- ~ "" 1ja7jp 7" 1', A~ ~ h.Jo/'u- ~ /).. I!..J bJr n't. ,~~ :5) c-' J::,...,M.6. l'UA-.--.e.Cu. _ (I) h' ~. (1'~}e;h ~ c----, J-' ~ "r (:D#f.L LJI'. ~~ t k.D ':t-:o<' ~&- ,,'"Y1'~ ::::\: i'1~n-o P 6f./J U. II-~ ..1'2..1 ",'0 I f':\'~ ~:==== f-':--+. '=O-l ,~ q:: i t"l "" ~ ----- /, j(//~ . /, I1rf 1// I " /\ , / "l-h4I) JJ. ;::" t)1( ./ ;?4j.A Y' .J A C I1A~ lI- ~, ra-\. "f- . r--OQ).~ I.....~~ . , ~.;, (' ;t f -;;:: )- " ADDITIONAL COMMENTS tJI ~ ~ :;; ~ :::>~ ;U -", '--"'---'-"-' , r ---- 3 '-, - ~~------- t"l \.l\~ G~ ':-l"" r:, - -\$:;,~ ~= 0, t"l 2:, [!: ()''''' , = o Cl o t"l -..J::l -0 . Auc: 08 03 10,22p S.1im S.m..n, M.D. 15168731171 p.3 A1bertJ. Krupolri, President J amee King, Vice-President Artie Foater Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765.1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 24, 2002 Mr. & Mrs. Selim Samaan 80 Eton Rd. Garden City, NY 11530 RE: 4815 Nassau Point Rd., Cutchogue SCTM#111-9.10 Dear Mr. & Mrs. Samaan: The Southold Town Board of Trustees reviewed the survey dated May 5. 1989 and determined the proposed addition on the landward side of the dwelling to be out of the Wetland jurisdiction under Chapter 97 of the Town Wetland Code. However, any activity within 100' of a Wetland line would require permits from this office. . '.. ' , This determination is not a deterinination from any other agency. , .f if you have any further questions, please do not hesitate to call. Sincerely, (( 'I. ....../ ~ /<!r.,..,"'i~' 9', Albert J. Kru{ski, Jr. President, Board of Trustees AJK:lms BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, hefore applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ PERMIT NO. 3~ 5/7 b Examined 20 PI. ,- ,20~ Approved Disapproved ale Mail to: Phone: 1';'7.20~j Expiration /i-fL Building Inspector a. This ~li9tl MQST be~om letely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of pia ,acc.t>!i:it. "'-'r," according to schedule. b. 's 'owing location oflot 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 the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the 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 Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance ofthe 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 in~ectgrs on Fnem~d in building for necessary inspections. ,- =-\. \\ G' R \, ': - ~rhL '0.. . Mv- 2 ct '\ q~.r \:i~!Of6;c;l:rna~corporation) - \ ~~Y\P~ r0'TI{;; Hlil-{' <:y ') ! (Mail g address of applicant) _._~._~_.,_.;~ APPLICATION FOR BUILDING PERMIT Date 101 f?/dC- ,200(,.. INSTRUCTIONS Tr' ~---_. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Gex\.eJe. 0 \ ( Ol'\1'1.Cd -b 11 Name of owner of premises 5 €.. \.. 1M ~ --S uoltl\. s 0.. \iVI~ a .0 (As on t e tax roll or latest deed) If.~pli9flIlt ~ation, signature of ~uly authorized officer I-t~ YIl!"'" Je.1 (Name and title of corporate officer) Builders License No. -#!If 19597 Plumbers License No. Electricians License No. Other Trade's License No. 1. Street Pel CU-/-C-}, D t/~ Hamlet House Number County Tax Map No. 1000 Section Subdivision III Block Filed Map No. q Lot Lot 10 (Name) -, ,-~ 2. sm~~~~:"~~~~~:prem~~~rmd[~~fol~otiOO . b. Intended use and occupancy -(' - I S f7 r At:. I'" > 3. Nature of work (check which applicable): New Building )< Addition Alteration Repair Removal Demolition X' Other Work . . ~ (Description) 4. Estimated Cost It> !'60.00lS,()D Fee 5. If dwelling, number of dwelling units flJ I 19 If garage, number of cars -1.. I (To be paid on filing this application) Number of dwelling units on each floor ;'} / A- I 6. Ifbusiness, commercial or mixed occupancy, specifY nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front () ~' Height ,;)J.j~;2.r~ Number of Stories Rear 2 ~S' Depth 3Lfl' Dimensions of same structure with alterations or additions: Front :JS' Depth 3Lf · Height:; If I Number of Stories 1"\'- . "J-- 8. Dimensions of entire new construction: Front -l ) Rear cI.. Height )'-{ I Number of Stories l 9. Size oflot: Front /q q Rear Depth ..3...l& Rear :J \' I .2. Depth 3 't . 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated ~(51'dfN\-\i~d 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO L 13. Will lot be re-graded? YES_ N~ Will excess fill be removed from premises? YES_ NO~ 14. Names of Owner of premises ,Address___ Phone No. Name of Architect -P~l'\_"'j ~LJ=~ Address cr^bf02"t Phone No ft-n -()J{Oej Name of Contractor t:EE1J _;1__ Address-h,uJ--U Phone No. .oq~-yf'')\. 15 a. Is this property within 100 feet ofa tidal wetland or a freshwater wetland? *YES_NO ~ * 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 L- * IF YES, D.E.C. PERMITS MAY 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. STATE OF NEW YORK) SS: COUNTYOF~ ~r e.ED M i \ l'\o If' being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the F/ZGo JYJ ; ) he-l (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 work will be performed in the manner set forth in the application filed therewith. sw'1i" ""ore ~ <hig- P z:: - Notary Publi 20~ 'qJ rk'Q Signature of Applicant DENISE KING Notary Public, State of New VolII RegistratiOn #01 KI6041757 Qualifled In Suffolk County My Commission Expi'es May 15, 2 ~ \ (~31~/I'I ~neJ\d S)S{'\) !lllrnJII\O Qlll"ynll\O if , g[ifJx. " , . . ~ . [(1-9~ ,"0\0 Q.~(\O~ 1.() \0\ , ':.~ ~~ Z- '" '. '" -l O!. 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Q ~ 0\ 25 " "\~ s ~,~ \~ Ii \ \ I \ \ m " e 0" ,'" :;% ~ ~ ~ ') ~ ;; ~ ;) 1 , . , VI t-' -l .\> o 900! \ '\! ,NOr NO ""'" ","M Ho'H lN3 ~ ~. '. .~L'66~ @ "01 o.~ V\~ JO~ ,Cto " \ " !i l II. ~ \ ~ ,0' 3'JI'H:l )INn NT'I't-I'J t- O ..., @ ;;01. ,0 dOl oNO" '0"'" ~NS \ \ I \ \ \ -6'~ -- --- -- ~ , '6 ~ 01 ~ ~ p~ ',,, "'~ '" ~ " o'i3\-\>nn8 aOOM -=-=-- a"i3\-\)\\na aOOM. )Nll 3\.1. ~ xva :JINO:J3d F '2 '" \fio -0"- ~p f>~ .." '" '& " '" ~ " C " " ~ '1 g '" o ..., @) ~ ~~ :;;% ~ 1 .<;<;7-<;.,6\ S lr .\> <1l o cD G'<f3H)\lne ......--- 3 ..6S,gC;.l30 S 31,1,1I1 o ~ Hj ~ 'Z rl ~ ';U ';U o 8 c-- o - ~ ~ f1:) ( EJ~u ..J1<lJ I ~+ ytJO I-<- ~ ~ ~~ LOT I1fJ 51' \~-tfU'" ~.::~ J , 1. ,JO"E " ,.- - .... ). ~ J[J ~LOT . ~i \\ ---- .!O -. '" --.. \:5 __ . S .,::!!--- ~ . 'ir.~ ...- 0; j 111!.~ \ , . " , . LOT GD I ) t. z -- . 'if ._ ", to 'Z"" 32'.00' -:;... Lor i1D '~IIAI""" ~~" OR9CEOF'" rei:" .....,.,/1 Ml_ . = 67,000 sq.fr. (TO TIE ..VE) ~tla........ willi....... ...... ,.,,,.,......,.....,..,.,.. ........"..... ---...-- tit... ..", ,.."." ,.... .,.,.".., Jw.A........... ...-,:_. I ... ~~. \ \ \>- <(. ~ m .. i .. \ I a 0 \ 't Z \ VI 0 \: i \\ ~\) . . '-.J. I I ~ SUR VEY OF PROPERTY AT NASSA U POINT TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000 - 777 - 09 - 70 Scale 7" " 40' May 5, 79S9 J) t: .. C en c w - o .. N N " III .. - ~. '" III .. '" .. .. ::J . ::I t:l \ CERTIFIED TO I "MERlCAN T1TI.E _ANCE COMI'ANY CHASE MANIlA TTAN BANK 5ElM SANAAN JUDITH SAlMAN - U1 - en CD .., W - ... .., ... " N 8!