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HomeMy WebLinkAbout38691-Z € , Town of Southold Annex 10/10/2014 P.O.Box 1179 54375 Main Road + Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 37207 Date: 10/10/2014 THIS CERTIFIES that the building SINGLE FAMILY DWELLING Location of Property: 950 Red Fox Rd, Mattituck, SCTM#: 473889 Sec/Block/Lot: 106.-1-23.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 3/3/2014 pursuant to which Building Permit No. 38691 dated 3/3/2014 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: one family dwelling as applied for. The certificate is issued to Wills,Frank (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38691 8/12/2014 PLUMBERS CERTIFICATION DATED �- /Yhoriled Si ature M� TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY �'�rrrrife} BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 38691 Date: 3/3/2014 Permission is hereby granted to: Wills, Frank Red Fox Rd PO BOX 371 Mattituck, NY 11952 To: build new one family dwelling. (Replaces BP 2189) At premises located at: 950 Red Fox Rd, Mattituck SCTM # 473889 Sec/Block/Lot# 106.-1-23.1 Pursuant to application dated 3/3/2014 and approved by the Building Inspector. To expire on 9/2/2015. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $5.00 Total: $5.00 Building Inspector Form No.6 J&O 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, 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. C. Fees 1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,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 New Construction: Old or Pre-existing Building: (check one) Location of Propeerty t �( �G> R&d FX ke+cC! rT)---L f t -,-,� House No. Street Hamlet Owner or Owners of Prop�e �/: ���J-,j_7 �e C-)-( �� ✓1 �C (.��: �j ; :rte,h���4e; �, 2Xc�c ' Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Pe mit(No 1► � �a) 3 Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature o�*pF SO�jyQl � o Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 roger.riche rt(-)town.southoId.ny.us Southold,NY 11971-0959 Q �y0,4UNTY,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Estate of Frank Wills Address: 950 Red Fox Road City: Mattituck St: NY Zip: 11952 Building Permit#: 38691----38692 Section: 106 Block: 1 Lot: 23.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE [Contractor: as built DBA: License No: SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Only Commerical Outdoor X 1st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat elec Duplec Recpt 39 Ceiling Fixtures 19 HID Fixtures Service 3 ph Hot Water elec GFCI Recpt Wall Fixtures 2 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures 4 CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture5 Pumps Transformer Appliances dw Dryer Recpt 1-30 Emergency Fixture Time Clocks Disconnect Switches 29 Twist Lock Exit Fixtures TVSS Other Equipment: 1-exhaust fan, 1-paddle fan, base board electric heat -------AS BUILT-------ELECTRICAL SURVEY-------to construction period-------NO VISUAL DEFECTS----- Notes: -7 Inspector Signature: Date: Aug 12 2014 81-Cert Electrical Compliance Form.xls TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION I FOUNDATION IST ] ROUGH PLUMBING FOUNDATION 2ND FRAMING /STRAPPING =ATION FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRIXTION FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) ELECTRICAL (FINAL) CODE VIO TION CAULKING REMARKS: &zf J TE - INSPECTOR • r 1 . • � 1 , sit r 1 r r c •n 1 r e — STATE 1;�1' CO I� �I :� w 3' .t. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ...... ......./,.f......, 19........ Application No. Approved .......................... ......... .. 19........Permit No. . ........ Disapproved a/c. ...................................................................... .. ................................................ /V/- Building spector�...... ......... ........ ........................ APPLICATION FOR BUILDING PERMIT G Date ...................... ..�...�..!.............., 19......-.a........ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building I nspector. 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 application. 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 permit shall be kept on the premises available for inspection throughout the progress of 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 and regulations. BI3lI IIIND 801163s IXC. ................................................................................................. (Signature of applicant, or name, if a corporation) ROUTI... 24 AAI�lP HTOK BA?S t L. !!.4..<ItSH you (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............................ti9D1B)RAL Cali'rIOR................................................................................................................................. Name of owner of premises ....................). . ..... WILLS........................................................................................................... If applicant is a cor/w�rote, signature of duly authorized officer. �Na-n- and itle�porate officer) 1. Location of land on which proposed work will be done. Map No: ............................................ Lot No: .................... Street and Number ...!"T.END... .. 07 CE.NT>RAI. DRIV39 .HATTITUCK ................................... .... ... ......................... .................. ........................................ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...VACANT ................................................................................................................... b. Intended use and occupancy .ONE, FAMILY RESIDENCE....................................................................................... 3. Nature of work (check which applicable): New Building .......g........ Addition .................. Alteration .................. Repair .................... Removal .................... Demolition.................... Other Work (Describe) ........................ 4. Estimated Cost ........M�'S.pQAp9.s..............................Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units ........................Number of dwelling units on each floor ............................ If garage, number of cars . 6. If business, commercial or mixed occupancy, specify nature.and extent of each type of use ........f...................... 7. Dimensions of existing structures, if any: Front.......................... Rear .......................... Depth ...........•...............„• Height ............................ Number of Stories ............................................................................................................. Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth ............................ Height ................................Number of Stories ........................................ 8. Dimensions of entire new construction: Front..............k7"9.1........ Rear .........4z:" ?” ......... Depth ..........55-4.......... Height ......��.............. Number of Stories........ .................... 8U•tl 159.24• Depth ............ 9. Size of lot: Front ............................e.. Rear ............ .............. p 5.66 .;.. .. ................ 10. Date of Purchase 1962 ...Name of Former Owner ...0?IS G. 1s'X1I QTSXA$ 11. Zone or use district in which premises are situated......................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ..........N©........................................ 13. Name of Owner of premises ....!"..WILLS.............. ...Address b09.W?..114th ..... "! .�it... Phone No. . ;..�.A!!37* ....... Name of Architect ..................................................... Now perk 25, N. Y. .Address ............................................ Phone No. .................... Name of Contractor ....srR D,OMS -Wt...,,,•.Address .2AAMT � „ phone No. .. A a-41l1 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 numbers or description according to deed, and show street names and indicate whether interior or corner lot. ' ONO /4G+�P'D 1JtlN� 0 a tii 1'o P o x !� �Q04 0 f 1� 21e v � n 'k. 14VC � pR1���w STATE OF NEWY R ) COUNTY OF . ...........) S.S. Jon J' SIZOMQItD being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the .......9!!MA L Q.NTSACT0 „{� - ............................ ..................... ... . .............................. (Contrac r, age t, 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 thii�s,,ap hccation ore true to the best of his knowledge and belief; and that the work will be performed in the ry�ulil $fat of N'ew v the application filed therewith. Sworn/toQbef9re me this No. 5 •0344963, Suffolk County (1.... ...... da of ..... m ion Ep�rea4fh 30, 19 . . . . f'Y�''` ... :........................ Notary Public, �./.`.. .. . .. C ty (Sign- ure of opp cant) FORM NO. 1 r,�l TOWN OF SOUTHOLD BUILDING DEPARTMENT =-q- SOUTHOLD, TOWN CLERK'S OFFICE N. Y. Y/l'//V' 70 Examined ..... ..... ... ......... 19........ / �APPlication No. .A.F.f.1........... ot^ y`.. '/.. ���170 CaCE�cI �-� cr (�'• cZ `� Approved .........................!:� N ......... ., 19........Permit ....... ti� - �� 71 Disapproved a/ ...I.......... ......................................................................................................................... /r / 3 .............. .............. ..... .......... (Building nspector) 47' APPLICATION FOR BUILDING PEMIT /41tart _ Date ......... .......... ............�.. ........, 19......,3 _ �(;�z � y .oma, ,�.� ' ,,� ✓ �..+ INSTRUCTION ' a. This application must be completely filled in by typewriter or in. ink and submitted in duplicate to the Building I nspector. 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 application. 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 permit shall be kept on the premises available for inspection throughout the progress of 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 taws, 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 and regulations. SIEGMUND IaOM9S, INC. ......... .... .....:.............,... (Signature of applicant, or name' if a corporation) ROUTE 24,, HAMPTON„BAYS L. I.: AIEW„YORK .............. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. GENERAL CONTRACTOR .......................................................................................................................................................... Name of owner of premisesFRANK WILLS ........................................................................................................................................ If app;'x t is a corporate, signature of duly authorized officer. . : .�. 4.. ( ame and title of cWporate officer) n 1. Location of land on which proposed work will be done. Map No: ............................................ Lot No: .................... Street and Number ...W.E,ST END OF CENTRAL DRIVE, MATTITUCK .........................................................................................:...................................... . Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .....VACANT ............................................................................................. b. Intended use and occupancy ONE FAMILY RESIDENCL+ ....... . ............................................................................................. 1 1 3. - ^ re of work (check which applicable): New Building .......X......... Addition .................. Alteration .................. Repair .................... Amoval .................... Demolition.................... Other Work (Describe) ..................... 4. Estimated Cost ........$15.00AQ .................................Fee ................................... . . ................ .............................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ....QN9....................Number of dwelling units on each floor ............................ Ifgarage, number of cars ................................................................................................................... ..................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................... 7. Dimensions of existing structures, if any: Front.......................... Rear .......................... Depth .............................. Height ............................ Number of Stories ............................................................................................................. Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth ............................ Height ................................Number of Stories ........................................ 8. Dimensions of entire new construction: Front................47.-Q.'......... Rear .........47.e-0.'.......... Depth ..........33=4!......... Height .....10-41............. Number of Stories........ONE.................... 9. Size of lot: Front ..8070' Rear ........159.24' Depth ..........566,' .................... 10. Date of Purchase ..s.............1962, Name of Former Owner .... .......... 11. Zone or use district in which premises are situated................................................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation? .........NO......................................... 13. Name of Owner of premises ...F4W WILLS..............Address .f?Q9..u1....1.1.4.tbl..$.tr.0.At..... Phone No. .2M.40A. :370 New York 25, N. Y. Name of Architect ......................................................Address ............................................ Phone No. Name of Contractor ....$1E �?.RQ S,.. NQ.........Address AT.Z..2.4.,..HW.ToR..$AYS.... Phone No. ..RA..8-4191 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 numbers or description according to deed, and show street names and indicate whether interior or corner lot. �S,LpN� ,r4 vNn . LONG . cr a i N 7100 1b M r 2Z 2e M ?7 K ��D VE P � kv `C>c� STATE OF NEW O I , ) � wlv •° COUNTY OF .... ..... ) S.S. ........ JOHN..... $,IFQ �,,,,,,,,,,,,,,,,.,,,,,,,.,..,..,.,..being duly sworn, deposes and says that he is the applicant (Name of individual signing application) 4 above named. He is the .......GENERAL..CWTRA.CTOR............... �4t�a•!,u:,E...... .. :.:................................ C ntracto ent car orate officer etc. ( 9 P ) 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 marAIJIMHset boKtk in the application filed therewith. Sworn to before me this 7 Noh' Public, State of New York // 52.0344963, S ffgyk County 1 ........... 19..-.. Of ..... .. ......si ExZu afi7i 30, 19�i� !LGA............................ Notary Public, ,...�.: .... ty (Signatur% plicant) S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date DARP.m}lAr Q� lc(,� Bldg. Permit No . TO WHOM IT MAY CONCERN : The sewage disposal facilities for a structure located at off Central Drive, Mnttituek (Give deed location) have been inspected by this department and found to be satisfactory. District Engineer District Engineer Builder - Siegmund Homes Owner - Frank Wills FRANK WILLS 609 WEST 114TH STREET NEW YORK 25, N. Y. k bvvww,Cj kg1ot{ v. :r wow,kck At"i ���� .S." q can o� V% All C r�o.�l A CA �Gi►Vlbl♦ 01 "otv,\ s v►S.ke-VVS. L1�► Vi Feburary 7, 1964 Mr, Frank wills 6o9 w. 111+th St Now York 2%, N.Y. Dear Sir( In reply to your Letter received this morning ,� electrical and plumbing codes for the Town; Please be +advil that we do not yet have such code&. The Town is considering adopting the New York Stat*,: ' building code, as many other Towns and villages haver but to ate they have not done so, You can obtain copies of this code from The New York State ,)Building Code Bureau* 393 7th ave Now York 19 N.Yo '1f you wish, Also you can make an agreement with your contractor*' 'to have Your work meet these requirements if you wish, however the Town gill not enforce these codes at this time. Trusting the above willbe helpful to your Yours. truly Building Inspector FRANK WILLS 609 WEST 114TH STREET NEW YORK, N. Y. 10025 b p S;Qgw.vhck rnaroUv, m 9w�\ p� �. �v'�l�v�q �erw.j►'� o�n � �r.ar.Q � �,,,,., t�,'���.,;v`� O�+kc� tC � ;h-�orM � w4ta'� i sl�oov� AW 40 O�okc'i►v' q he�nQ�o.�. �n �h•• �Qc�W�v�� �r0\a�� •t�� AO lmz- ton *V-�t WAY 6'l-\ Jhly 30 1965 Mr. Frank Wills 609 W. 114th St New York, R.Y. 14025 Dear Sir; In Reply to your letter: RE: permit # .2189 Z, dated September 19! 1963; Please be advised that a fee of $ , �«44 tor. renewal of this permit is in order as the building has laid idle over the 3 year grade period granted with the original permit* A letter of -intent to finish with -a $ 5000 fees will be sufficient. Yours truly Building Inspector FRANK WILLS 609 WEST 114TH STREET NEw YORK, N. Y. 10025 O ce o `v tVNNe.c-\ r Owen C`2r r Tt Q. aq 2- % :r: SQ-V. ick \ab3 It �;. oemsAos-ad "-� �- R 1 December 21 1973 �4 �t 141.Y. '=s DearSir; a certificate of occupancy* was r_ever issued for your home in Mattituck, N.Y. On a roc =nt checj_ '1e note that from outward appeara-.:c the construction is complatJel If the interior is complete, please contact this office and arrdnge for final, inspection so a certificate of occupancy can be issued. The permit has expired and will require rene-Tal if the work is not comple Your truly D/4 l Ldwarci - inderman Ioldg �. . .Inspr. Frank Wills 609 West 114th Street New York, N. Y. 10025 ax ova- V"3- o.�. +eti. OA :`rN r Y ^ v v January 11, 1974 Mr. Prank Wills 609 West 114 Street New York, N. Y. 10025 Dear Mr. Wills: Received your letter of January 7th today. I am sorry to hear of the difficult times you have had this past year, and trust this New Year will be better. Building Permits are to be renewed on a yearly basis. Your Permit is dated September 19, 1963; renewal of this permit is long past due. In view of the amount of items left to complete construction, your permit will have to be renewed; renewal fee is $10.00. You may mail in this fee to our office payable to the Town of Southold, (Permit No. 21892) . A receipt will be mailed to you and our records will be noted accordingly. With best wishes and good health, I am Yours truly, Edward Hindermani EH:mm Building Inspector Frank Wills 609 West I I4th Street New York, N.A. 10025 LZ ;>k w4s c f Lk- o � qZt to -sem : ; ; 4295 Vanston Road, Cutchogue, NY 11935, USA Aug 18th, 2014 Southold Building Dept Southold Town Hall Annex (By Hand) CC. Estate of Frank Wills c/o Mrs. Jeanne Merkel — Executor i, r PO Box 371 Mattituck, NY 11952 6 A Subject: Certification of Improvements at 950 Red Fox Road, Mattituck, NY 11952, SCTM # 1000-106-01-23.1 Reference: Survey by John Gallagher LS dated 10/08/2013 Gentlemen, I offer the following comments regarding the condition of the property. Location I understand that the subject property was purchased as a vacant lot in the early 1960's and the original house and the septic system were immediately constructed near the top of the bluff. During the 1970's the house was moved further south to its current position, more than 200ft from the top of the bluff. The present home contains the usual living space and, two bedrooms, one bathroom and a semi-finished den in the basement. The first floor is equipped with electric base-board heating to support year round living. Drinking water Service The dwelling shares the potable water well with the house on the adjoining property to the west (SCTM#1000-106-01-21.1). The water chemistry was sampled on 06/12/2012 and all 290 parameters tested were within the approved limits set by the NYS Department of Health. Septic system The septic system consists of a cesspool and an overflow cesspool as was typical in those days. When the house was moved to the new location 107ft south of the septic system the existing sewer line was re-routed from the septic system to the new dwelling position. On Oct 5th, 2013, a test hole was dug to a depth of 17ft below grade. Two feet of white sand followed by 15ft of yellow sand were encountered. Ground water was not encountered, which is understandable since grade is approximately 90ft above sea level. Continued overleaf On March 28, 2014 Morris Cesspool serviced the system and their report is attached. I discussed the report with the contractor and he confirmed that the system was successfully emptied and is working satisfactorily. Correction of existing deficiencies Inspection of the dwelling found the following deficiencies that I understand the Estate has agreed to correct: • Entry/egress steps will be constructed outside of each of the active sliding glass doors. The steps will generally conform to the profile of lin rise and gin depth, hand rails will be added if the number of steps at any location exceeds three. • The roof of the ancillary building will be repaired Energy conservation The following benefits accrue to this 1970's home. • There is no attached garage • The basement entry is by a conventional door at grade in an exposed foundation masonry wall. • The basement exterior walls are insulated on the inside in the traditional manner • The home is not equipped with central air-conditioning and relies on natural ventilation for cooling during the summer Conclusion The location compares favorably with other homes in the area. To the best of my knowledge the house has been well constructed and is in accordance with the NYS building codes in effect at time of construction. Yours sincerely, Seal ,3F NE W Robertr Ba raft PE Tel 631 734 2730 * ". Email: robertbarratt0-optonline.net as186b - t 950 Red Fox Road Mattituck NY 11952 1000-106.-1-23.1 2 Precast Cesspools r First Located as Shown Second is an overflow tank that comes out from the East Side of the Main Cesspool. Picture as of 03-28-2014 ! Confirmed by Morris Cesspool Service, Inc. h 2760 Yennecott Dr., Southold, NY 11971 _r , P r Y 1 61, s s'��„ �+• � a °.-.,L '' �a' r �� `' 4�` -' '% ate,:. •' '�" , . INVOICE MORRIS CESSPOOL SERVICE INC. 2760 YENNECOTT DRIVE SOUTHOLD,NY 11971 13 811 (631)765-3300 INVOICE DATESALESPERSON C�fi >/'y . I j SOLD TO: Fr SHIPPED TO: (ifoth.,thanSOLDTO) re f �' Y��' YOUR ORDER NO. I DATE SHIPPED: SHIPPED VIA F.O.B.POINT TERMS QUANTITY DESCRIPTION UNIT FRiCE TOTAL �`.� . . f)4�A 0 Lu y . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ALL PAST DUE ACCOUNTS WILL BE CHARGED 1%z%PER MONTH MINIMUM CHARGE$.50. -Xlu ;r64d ORIGINAL .,'•.. �.. .: a.y.' 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