HomeMy WebLinkAbout33832-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-33062
Date: 06/02/08
THIS CERTIFIES that the building ACCESSORY
Location of Property: 445 BURTIS
(HOUSE NO.)
County Tax Map No. 473889 Section 67
AVE
(STREET)
Block ~
SOUTH/PEC
(HAMLET)
Lot 18
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in tbis office dated
APRIL 10, 2008 pursuant to which
Building Permit No. 33832-Z
dated
APRIL 18, 2008
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 HOT TUB AS APPLIED FOR.
The certificate is issued to FRANK COVINO
(OWNER)
of the aforesaid building.
SUFFOLK COUIIITY DEPAR'nmliIT OF HElILTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
3065015
05/01/08
PLUMBERS CERTIFICATION DATED
N/A
Rev. 1/81
-
Form No.6
TOWN OF SOUTHOLD
. BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
TIlls application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For lIew building or new use:
1. Fm31 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 fonn).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Swam statement ([om plumber certifying that the solder used in system contains less than 2/10 of 1 % lead.
5. Conunercial 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 Plamling Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) nOli-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 wIiting to the applicant.
C. Fees
I. Certificate of Occupancy. New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $2500,
SWlnuning 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 Celtificate of Occupancy - $50.00
5 Temporary Cel~11 fieato of Occupancy. Residential $1500, Cormnercial $'15.00
New Construction'
O:/:,_ D f51.2~~ t-
Old 01 Ple-exlstmg Building (check one)
80"fi5 p(qc.s>-- pe4)\o'\,\C
Hamiel
L\ LU:)
House No Street
Owner or Owners of Property: _ _~. c.. ~L A-o
Location of Propeliy:
CO\!('\U
--~-,._.._---
Suffolk Counly Tax Map No 1000, Section. eJ (,7- Block (!) I:> 0 ~ LOI__~ r___
SubclI\ISlOIl___Pec",-,u:, S&-.;hJ_ S~Cive..J_~___ Filed Map ~llil_Lo( __.__._
Permit No _? ?'~3 2::__ Date of Perll1it__OLr L (.t/o~ Applrcant --.f <0..'" li"~v '_'" jL_._~_
Health Dept Approval ___~
_ Underwriters Approval ~_. _
- -------- - -- --------
Planning Bmrd Approval
Requcsl for
Temj)or<iry Certificate ___
Final Cerl1ficate:
_/ (check one)
Fee Submitted $ Z S ~
c.--o 2, -33bC, ~
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BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET - NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of
upon premises owned by
JIM SHAW ELECTRIC INC.
530 MIDDLETON RD
GREEN PORT, NY 11944
FRANK COVINO
PO BOX 582
PECONIC, NY 11958
445 BURTIS AVE PECONIC, NY 11958
3065015
Certificate Numb~. 3065015
F' )
Building Permit:~ BDC:
n511
Block:
Lot:
Described as a occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Outside,
A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed
herein, was conducted in accordance with the requirements of the applicable code and/or standard
promulgated by the State of New York, Department of State Code Enforcement and Administration, or other
authority having jurisdiction, and found to be in compliance therewith on the 1st Day of May, 2008.
Name OTY Rate Ratin. Circuit ~
Miscellaneous
supply power and disconnect
to self contained hot tub
Wiring and Devices
Disconnect
I 0
60a
PooV Spa
seal
I of I
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
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.
33832 Z
Date APRIL
18, 2008
Permission is hereby granted to:
FRANK COVINO
445 BURTIS AVENUE
PECONIC,NY 11958
for :
INSTALLATION OF AN ACCESSORY HOT TUB IN THE REQUIRED REAR YARD AS
APPLIED FOR
at premises located at
445 BURTIS AVE
SOUTH/PEC
County Tax Map No. 473889 Section 067
Block 0004
Lot No. 018
pursuant to application dated APRIL 10, 2008 and approved by the
Building Inspector to expire on OCTOBER 18, 2009.
Fee $
250.00
Authorized Sign ~
ORIGINAL
Rev. 5/8/02
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SouthoIdTown.NorthFork.net
PERMIT NO. S?~ '12- &-
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Storm-Water Assessment Form_
Examined
/c;>::--Y
'-
Approved
Disapproved ale
Contact:
Mail to:
Expiration
,20_
~
1:7 I'" \
~!!
Phone:
...
. r~~~;--:----/'
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p.,PR \ ()
APPLICATION FOR BUILDING PERMIT
il;.
\
!.-.--J
Date
4,' / S--
,20~
INSTRUCTIONS
\,:'"
. -'-,r:This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing 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.
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 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. - /7
(j{
ignature of applicant or name, if a corporation)
~. 0 ~C)< 582-
Q U;> '^ ,c. , .xJ(' "" Y <!V Ie \ \ ~ s E
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
o \j..J '^ -e v
-PrG VI k
(As on the tax roll or latest deed)
If-applicant is a corporation, sigq.ature of duly authorized officer
,v / v.y
(Name and title of corporate officer)
A Gv,,",o
Name of owner of premises
Builders License No,
Plumbers License No,
Electricians License No,
Other Trade's License No,
NIl!
;., /.1-
-:5 33<6"1fv1E J,,~)t,,<.w c(Qc
N/4
I
I. Location ofland on which proposed work will be done:
LfyS B<.J"'JS '\'lo.U2... I
House Number Street
Pe.CkI'1~C
Hamlet
County Tax M~ No. 1000 Sectio!L ~'l
Subdivision 'l e L~f\l C <)t>U\~ S"-c ,-e. ,,)
(Name)
Block
Filed Map No,
Lot
Lot
10'
2. State existing use and occupancy of premises and il}tended use and qccupancy of proposed construction:'
a. Existing use and occupancy 2- . j?,.. "", 1/ ;k J 'de lot CQ
5" p-(?
b. Intended use and occupancy ,
4. Estimated Cost
1000
Fee
fJ1zs /'
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition
Other Work
5. If dwelling, number of dwelling units
If garage, number of cars
/'
(To be paid on filing this application)
Number of dwelling units on each floor
6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use.
-
7. Dimensions of existing structures, if any: Front
Height Number of Stories
Depth
Rear
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
Depth
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear
9. Size oflot: Front
ClI.'-{ (
CJO.1
Depth .:.::- ( 3lt.. J
2", ~.."\ 8. "Je" 7 ?k ,l(.t
Rear
Nw 2-ullLName of Former Owner
10. Date of Purchase
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 _~ill excess fill be removed from premises? YES_NO ~
r .. 6&; < '/0'= 6 L-lo
14.NamesofOwnerofpremises\1'lo.".\..COJ'IA() Address 't~e,^,"f)J (/,,<12 Phone No. ciO-69'f..)~ 10
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO ~
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BIy~..EQUlRED.
b. Is this property within 300 feet of a tid,al 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.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES NO
--
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
\.'-rI., II S,S:
COUNTYOF~
~ II\.l ~ ruOJl Vj (] being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
OV'^-fl.1/
(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.
Sworn to before me
?'^ of
JOANNE MARIE AGNE
NOlary Public, Sfafe of Ne; 0
N.... 9
C Q~all.fted in Queens Co
~omrmsslon EXPires May 31
33[>;2//G
TOWN OF SOUTH OLD BUilDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS ATION
[ ] FRAMING I STRAPPING [ FINAL 110/- ~
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY I~CTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
DATE rtot
INSPECTOR
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FJELD INSPECTION REPORT DATE I COMll1ENTS (
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REMARKS
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MSRP
KEYS BACKYARD KSR631DOSO
MODEL #
KSR631 D080
BRAND NAME:
PRODUCT NAME:
UPC CODE:
Keys Backyard
84370000388-5
DESCRIPTION:
MFG. LOCATION:
SHIPPING LOCATION:
AVAilABILITY DATE:
6 Person, Square, Hard Shell Spa
Garland, Texas
Garland, Texas
Apr-O?
SPA ELECTRICAL
RATING:
BREAKER
GFCI STYLE:
240 V. 60 Hz. 40 A.
50 Amp
Provided by Consumer - Installed
by a Qualified Electrician Per
Slale & Local Electrical Codes
CERTIFICATION ElL
SPECIFICATiONS
SURROUND:
TUB:
COVER:
WATER CAPACITY:
FILLED WEIGHT:
NUMBER OF JETS:
JET STYLE:
Maintenance Free, All Weather, Redwood
Silver Marble, Acrylic
Hard, Marine Grade Vinyl with
Locking Buckles
Approx. 295 Gallons
Approx. 2700 LB
31 Jets Stainless Steel
12 Small Whirly /14 Rotator
1 Ozone, 4 Directional
O . V gi al Is~ar \Qval)
UNLf\\~I'._1 .\
c:C IS r,\i ".~'".
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Or- O~~~~ANCY
ELECTRONICS
CONTROL BOX:
CONSOLE
OZONATOR:
LIGHT:
stem Electronics
PUMP SYSTEM
AMPS:
AMPS.
MOTOR} PUMp.
HEATER:
GPM:
PSI:
8.8/3.0 Amp ~ 2 Speed 56 FRM
Vico
4.0 kW Flow Through
120
12.14 psi
FIL TRA TION:
TYPE
SIZE.
SKIMMER:
Suction
50SQft.
Floating Weir
PRODUCT DIMENSIONS
LENGTH:
WIDTH:
HEIGHT:
WEIGHT:
76"
76"
34"
Approx. 580 lb.
,<!;:.
:j"
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lJpg~F2 POOL iEt y"
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PACKAGING SPECS SPA
COVER
# OF BOXES: 1 1
lENGTH: 81" 77"
WIDTH: 34" 8"
HEIGHT: 81" 38"
WEIGHT: Approx. 650 lb. Apnrox_ 35 Ib
BOX COLOR: Blue Bag
SHIPPING SPECS
UNITS PER PALLET:
PALLET SIZE:
TRAILER QTY:
1 Spa & Cover per Pallet
87" x 45" 14 Way Pallet
14 Pallets or Products
on a 53 Fool Trailer
APPROVED N3 N01EO
~' . '336~"Z:
B.P.#
DA1E: ~",~_
FEE',,,.~'!rrMEN1 A1
N01\ Y BUill>,,". " .. FOR 1HE
8 AM 1U ,',\
765-1802 )CC,,,,,S.
FOllOWING INSf ~_:,:..~' f'EQUIRr:D
1. FOUNDI\110N or"~ :.'~TE
FOR POURED.", . , ,'L\).!f)',NG
2 ROUGH - FP,h,.L,. " '
3' \NSUlA1\ON, ,.. MUS1
LIMITED WA~~_ CON SF . .,1\0(1
SHELL STRUC (J' ~.~;nl>FTE :-l;; \ \ ",\~, r '~[T iHr:
MOTOR/PUMP- ? V..rs ,~-- "'I (... ,,' L. ,'./......
. 8"'1'( _ L ," '-' "_ ~ t~r\~J
SPA CONTROL~ C 2'iears, ",_ .;:. T\.- _ ~:.0 O. ,--"
M1SCELlANEOli{i:uu:F9:6:d~Y~ - ~ -. >,S\dl,'c f0;-;
YORK::C .., . .n.'., ERROK::>.
DESIGN Oh (;(~,;."i"N""
ACCESSORIES INCLUDED
Owner's Manual
Warning Signage
FEATURES
INSULATION TYPE:
LOUNGE:
REMOVABLE PANELS:
Thermal Wrapped Cabinet. Plstc Floor
1
12
Rev A 8/21/07
220V GFCI SPA WIRING DIGRAM FOR CERTIFIED ELECTRICIAN'S REFERENCE ONLY
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LOAD 2 - OUTPUT
IMPORTANT:
1. Upon installation a disconnect MUST be located
within sight from the Spa and at least 5 feet [1.52m]
from the inside wall of the spa.
2. For supply connection, use conductor sized on the
basis of ampacity but rated for 750C [1670F].
I
3. The White Neutral Wir/3 from the back of the GFCI
MUST be connected to a incoming Service Neutral.
The internal mechanism of the GFCI requires this
neutral connection. The GFCI will not work without it.
- NEUTRAL .. INPUT
LINE 2 - INPUT
LINE 1 - INPUT
GROUND
-L
120 volt!',; t
LO^D NEUTRAL - OUTPUT _
120 volta t
PN: 222289
LOAD 1 - OUTPUT
240 volts
From
Electric
Service
Panel or
Other
Source
To Spa
or Pool
Equipment
03/08106
Rev A
...
"nstallation/Start Up
~ KeysBackJarcf
Instal/ino thl' S I;] f'mer
Pull down one of the straps on the spa Cover (II) and
hold the buckle (26) against one of the panels on the
spa. (Note: To position the buckle correctly, have a
second person hold the strap on the opposite side of
the Spa Cover snug.) The spa cover must be snug.
Do not place the Buckle over the grooves between the
comer panel and flat panel joint. Remove the latch
from the Buckle (26). Attach the buckle to the panel
with two #4 x 3/4" Screws (27). Attach the other three
buckles (26) to the panels in the same way.
11
!; .,~\\\.- ./,/
I! Strap. \" / /
. , , . I I' \ ..'
; ;; '.; ;
\ ! \ . \
'L~tch . ",' : .,!
-I \ \! ! \ I J! : :'
... 26 '::
~ : ,1--;
\~~!r.
t:r:/\, , i i;
27 i i
:" 'i j
Note: Illustration based on model; features may vary.
Securino the S ;] Cmcr on the S ;]
)
I
To secure the spa cover, snap the latches On the spa cover into the
buckles on the panels. To lock the buckles, insert the key and turn it
clockwise 1/4 turn. To unlock the buckles, insert the key and turn it
counterclockwise 114 turn. Always keep the buckles locked when the
spa is not in use. Keep the keys in a safe place and out of the reach of
children.
r
Latch
.~
Key
~/ Buckle
,
-
Note: Illustration based on model; features may vary.
/
-
pi
/
17
LOT 84
LOT 85
FE. COR.
0.8:!!.
0.2".
FILE NO. T50786
SCALE: 1" = 30'
FE.COR.
~ 0.8'N.
'" 0.4"".
...; YD.
t! MON.
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FE.END
l.S'E.
~..WB.j LOT 108
N 54033'30"E 137.98'
FE.END FE.E1fD
0.4'N. 0.8N.
F!S.END
5.0'E.
1.2'N.
ATTACHED
(f'lfl,)
TO BE
EEJlOVED
FE.COR.
2.0;e(.
1.1 E.
FE.COR.
0.8;e(.
0.8E.
}""V-- .
....
~
B
GR.H'EL
DRIVElrAlI
~
~
Q..~
~
~.
~~
&
'Q
CONC.
"ALK
"
<Ii SToOP
.... "OOD
DECK
n.8
1r00D
LANDING
SLATE
"ALK
PROP. \~';::dR.
DECK ;J' . (2'7. ')
~~lfR. ~ ~.,-!p,~'),.
S 54033'30"" 130;74' (MAP Be jACT.)
134.74' (DE1D)
'~"'~-..f' LOT 103
I) 'i '}\~ v, v:
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UP.
UPA 4
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FASBENDER
A VENUE
REVISED: 10/01/2007 (PROP. GAR.)
DATE: 09/14/2007
SURVEY OF LOTS 104 AND 105
MAP NO. 2 OF PECONIC SHORES
SITUATED AT PECONIC
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
F: 09/15/1930 MAP NO. 654
S.C.T.M. NO. 1000-67-4-18
AREA = 12,092 SQ. FT.
GUARAN7ffS OR CERTlF1CATIONS ARE NOT TRANSFERABLE. UND€RGROUND ununrs
EASEMENTS NOT SHOWN AND UTILITY POLE LOCATIONS ARE NOT Gt.IARANTffO.
THE OFFSET DIMENSION SHOWN HERmN FROM THE STRUCTURES TO THE PROPERTY LINES
ARE FOR SPECIFIC PURPOSE AND USE, THEREFORE ARE NOT I~D TO GUIDE THE
ERECT10N OF FENCES, RITA/NING WALLS, POOLS, PA11OS, PlANTING AREAS.
ADDfT10N TO BUILDINGS AND OTHER CONSTRUCTION. THE EXts1FNcr OF RIGHT
OF WAYS, WCTl.ANDS AND/OR FASOIENrS OF RECORD, IF ANY, NOT SHOWN
ARE NOT GUARANTEED
UNAUTHORIZED ALTERAT10N OR ADDmON TO THIS SURVFY IS A VIOLATION OF
Sf COON 7209 OF THE NEW YORK STATE EDUCATION LAW. ~/ES OF 7HlS SURVEY MAP
NOT BEARING THE WolD SURVEYORS SIGNATURE AND RED INK OR EMBOSSED SEAL SHALL
NOT 8( CONSIDERED A TRUE VALID COPY.
ALL LOCAT1ONS OF AND DISTANCES TO WELLS AND CESSPOOLS ARE BY L0CA11ONS
FROM HOMEOWNERS. FlCl.D OBSfRVAnoNS AND/OR INFORMATION OBTAiNED FROM
OTHERS. SINCE MOST ARe NOT VISIBLE THESe LOCATIONS AND DIMENSIONS CANNOT
BE CERTlFlED.
PA T T. SECCAFlCO
PROFESSIONAL LAND SURVEYOR, P. C.
- SUCCESSOR TO -
DONALD TASE, L.S.
RICHARD WILHELM AND ASSOCIATES
NORTHSTAR SURVEYING, P.C.
PAUL T. CANAL/ZO, L.S., ROBERT A. KART, L.S.
GOOD GROUND SURVEYORS, P.C.
328A Main Street 107-5 W. Montauk Highway
Center Moriches, NY 11934 Hampton Boys, NY 11946
Phone: (631) 878-0120 Phone: (631) 728-5330
Fax: (631) 878-7190 Fax: (631) 728-6707
N. Y.S. LlC. NO. 049287
COPYRIGHT - 2007 PAT T. SECCAFlCO PLS., P.C.
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