HomeMy WebLinkAbout40682-Z 400/4•4,-.6.-
Town of Southold 6/1/2016
P.O.Box 1179
1.4
53095 Main Rd
• '40 Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38324 Date: 6/1/2016
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 375 Tucker Ln., Southold
SCTM#: 473889 Sec/Block/Lot: 59.-11-7
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/27/2016 pursuant to which Building Permit No. 40682 dated 5/9/2016
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:
"as built"alteration to an existing roofed over deck addition on a one family dwelling as applied for.
The certificate is issued to Fisher,Katherine
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Autho ed Signatu
TOWN OF SOUTHOLD
c% BUILDING DEPARTMENT
o TOWN CLERK'S OFFICE
SOUTHOLD, NY
y�04 4.
dap!
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#: 40682 Date: 5/9/2016
Permission is hereby granted to:
Fisher, Katherine
Tuckers Ln
PO BOX 493
Southold, NY 11971
To: legalize "as built" alteration to existing roofed-over deck addition to single-family
dwelling as applied for. Additional certification may be required.
At premises located at:
375 Tucker Ln., Southold
SCTM # 473889
Sec/Block/Lot# 59.-11-7
Pursuant to application dated 4/27/2016 and approved by the Building Inspector.
To expire on 11/8/2017.
Fees:
AS BUILT - SINGLE FAMILY ADDITION/ALTERATION $400.00
CO -ALTERATION TO DWELLING $50.00
Total: $450.00
Bui • •- spector
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,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. Fo✓existing buildings(prior to April 9, 1957)non-conforming uses,or buildings and "pre-existing"land uses:
0
1Y. Accurate survey of property showing all property lines,streets, building and unusual natural or topographic
features.
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.Os
Certificate of Occupancy -New dwelling$50.00,Additions to dwelling$50.00,tAlterations 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
Date. 271P/l 20/4o
New Construction: Old or Pre-existing Building: X (check one) l9 6-0
Location of Property: 3 75 �f,LGJ;E12S LA-ti's Sou.T40 1..0 )y ) 1871
House No. Street Hamlet
Owner or Owners of Property: kirT4 LW/kC 6-> ' S 1-1-0
Suffolk County Tax Map No 1000, Section 5-9 Block 1/ Lot 07
Subdivision / Filed Map. Lot:
Permit No. l O(0 Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: v
iN (check on )
Fee Submitted: $ 5 , 00 ,
4/ I I 4.1_---•---
Applicant ignature
krroiway Du I
CONSENT TO INSPECTION
•
the undersigned, do(es)hereby state:
Owner(s)Name(s)
That the undersign.,t the owners of the premises in the Town of
Southold, located at 375 7—t c1(CRS &VAC
which is shown and designated on the Suffolk County Tax Map as District I000,
Section 5-9 ,Block 1/ ,Tot 07 .
That the undersigned IM(13=93)filed,or cause to be filed,an application in the
Southold Town-Building Inspector's Office for the following: CC2Ml 7 7:6-- OP
OCC-u PAN cy oar -67(65 77JV6 /l bl4'6-
That the undersigne hereby give consent to the Building Inspectors of the
Town of Southold to enter upon the above described property, including any and all
buildings located thereon, to conduct such inspections as they may deem necessary with
respect to the aforesaid application, including inspections to determine that said premises
comply with all of the laws, ordinances,rules and regulations of the Town of Southold.
The undersigned, in consenting to such inspections,do(es)so with the knowledge
and understanding that any information obtained in the conduct of suchinspections may
be used in subsequent prosecutions for violations of the laws,ordinances,rules or
regulations of the Town of Southold:
tib(42)1/1iii/x)?.fitne,_, ff
Dated: 2'/ 02,4/3
(Signature)
/(1 -t-R/N6
(Print Name)
(Signature)
• (Print Name)
//t06)
�yoouN(Y,` s
TOWN OF SOUTHOLD BUILDING. DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLUMBING
[ ] FOUNDATION 2ND [ ] 1 LATION
[ ] FRAMING /STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATIONaAc. ..[ ] CAULKING REMARKS:
DATE n"5 �4' INSPECTOR
•
FIELD 311SE9ZMON 1tEA'ORx D t_ cos,,N�T .---. a
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT . -
Do you have or need the following,before applying?
TOWN HALL Board of Health t
SOUTHOLD, NY 11971 4 sets of Building Plans AC
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502, � Survey "(
SoutholdTown.NorthFork.net PERMIT NO. AlW / Check r
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
•
Examined ,20` Storm-Water Assessment Form
r ������ .5Contact: . o/v�}LD G, -t—/S'J&
Approved 201 _1 Mail tu. PO 39
Disapproved a/c APR 2 7 2016 SOU%.{fb/f) Ny //g7/-cO39
Phone: (i 31 T l3 04- zy3o
Expiration ,20 BTJTL®IN�'rDL'1PT•
,'OWN OF SOUTHOLDr ,, ,
,
Building Inspecto rMI., ,
APPLICATION FOR BUILDING PERMIT l
Date 27 cP( 1 L , 20 14
INSTRUCTIONS
a. 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 of lot 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 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 scribe . The
applicant agrees to comply with all applicable laws, ordinances, building cod, •+ ing code,and reg Patio ,and to mit
authorized inspectors on premises and in building for necessary inspections.
/rte i .
(Signature of applicant or name, if a corporation)
t t7TO,A/Ey M/ Fi GT
Poi5 (1/931 3-oterliPtb /We /NV
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
J's, 14 RA/E711 c.7 70 ONA./ ?, ,e/� hteo/uE G, Fi50 x
Name of owner of premises kAT/J/-iV/ " 6-, R—/.S/A-.-1Q-
(As
A €-.
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No. 75-771/- 411 244911 2003
Plumbers License No. ,4/® / rreiNK //i/VoLd/ -I
Electricians License No. ab G=ze-M,le /Ael/oy/
Other Trade's License No.
i. Location of land on which proposed work will be done:
376. esccws LruIV 2®uTJie-O NV ' 11q71
House Number Street Hainlet
County Tax Map No. 1000 Section 5-9 Block d1 Lot o 7
Subdivision Filed Map No. :I.-,',Let _. .. '
. ,,y , .- 4 i%,Tu.: , :t'_- ,-,1''
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy S/1/ 1 owe-_c 27i't/
b. Intended use and occupancy AJ LSP rtil/Lys OMuE .cnui2y 6- &Oa t.1)06--
3.
u6-3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
4. Estimated Cost (De cription) , /.;
, 000 e 00 _. .. ,,Fee ��Cond i b
i s to 1 4�� r el aid on filing this application) s
5. If dwelling, number of dwelling units ( ? (Number o` 'del'lfin n s-b each floor
If garage, number of cars `� g 1d` l IF'/ /��•
�C��
qny.'}iti yyy *+'�' xtl tl Ai(iV��
.r s S -YR'@p
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
Me
7. Dimensions of existing structures, if any: Fi ont , ,T _' 1$ Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front a2,6" Rear 4/2 >� /
Depth 6 2. 3 Height Number of Stories / Si o,y
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front 90 Rear 9a Depth /1/0
10. Date of Purchase /96-0 Name of Former Owner 6R/$WvelbaKiey Can/E. Ig%80 3
11. Zone or use district in which premises are situated RES7pk)u7/19
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO
13. Will lot be re-graded? YES NO X Will excess fill be removed from premises? YES NO
d'tsT/f�`�?/d -SFr e Q61/ 3--rot rf thone No. '3) — —Z430
14. Names of�, i�er of premises Address
Name of 1 Ea S.K/coaie/Js Address Pl vevierw ivy Phone No
Name of ContractorTeeQ T ROHN' Address AO PEii4!/)C Phone No. 7(05 —/1!9
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 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.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. /1471
18. Are there any covenants and restrictions with respect to this property? * YES NO K
* IF YES,PROVIDE A COPY.
STATE OF NEW YORK)
1, SS:
COUNTY OFS)F h )
DO/fifth 6- 1S/J being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the /47TOi '4/rey //U FACT
(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 this 201 °�o,
day of [a 20)6+ j
1/
Notary Public 41 Signat we of Applicant
TRACEY L. D R
NOTARY PUBLIC,STATE OF NEW YORK
NO.01 DW6306900
QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES JUNE 30,2 UIS
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TOWN OF SOUTHOLD PRi:iiPERTY RECOkD CARD t12 6---'
OWNER STREET :2)7 r....:- VILLAGE DIST. SUB. LOT
<611-hg,l1
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FORMER OWNER N EQ ACR.
• 72.:Leic... .4,4
sI W . . TYPE OF BUILDING
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' RES. 1) f)• SEAS.
-• „-10 VL. FARM COMM. CB. MICS. Mkt. Value
LAND IMP. - TOTAL DATE . REMARKS - . . ..
,ilk/ „,/, '',...,:::". ----
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0 0 d' ,e")..e.i2,., `1.-.3 4.-" I_ 6—/"..i,/6----/-7 .4„.,4 74-,s,-7-0-,.,--:_4,7,
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700 I/ itVF2— .
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AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value
Acre
Tillable FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD90 / e ---° ' -3-11/O
Meadowland DEPTH / - .
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House Plot BULKHEAD
Total - i DOCK
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Extension .11111111111
y 2 = .�a aJ o 7 D 11111.1111 ■
Extension - �_ N U
MIMI
Extension
Foundation e Leo Bath Dinette
/Z x S= ( 20 , 50 9 - Basement �, Floors , ,�,, K.
Q2� / Ext...Walls x /�„�_ -�- j Interior Finish" LR.
_-_ 3C) ( b . , �°. 4, t.0 .ii- Si-)
Breezeway Fire Place ���- Heat DR.
Garage /.-A 7 / 3/. - 4„,7,,s5'' t- Type Roof �..,23.L Rooms 1st Floor BR.
=``PQtio ! Recreation Room i Rooms 2nd Floor FIN. B
0. B. Dormer
i Driveway
Total
ir
�_- 7 /5p. 7792 ..
v -- J
DONALD G.FISHER
2975 YOUNGS AVENUE
P.O. BOX 39
SOUTHOLD, NY 11971-0039
(631)765-2757 VOICE AND FAX
(631)8042430 CELL E-MAIL: N2QHV@ARRL.NET
27 April 2016
Town of Southold
Building Department
Town Hall Annex
Southold NY 11971
Dear Inspector,
Please fmd attached a completed building permit application—AND—an application for
final Certificate of Occupancy for 375 Tuckers Lane, Southold,NY: Tax Map 1000 Sec. 59
Block 11 Lot 07.
This application and the related documentation is to satisfy an oversight on the part of my
parent,Katherine G.Fisher,owner. In 2003 an existing deck/porch,(Certificate of Occupancy
Z20026, 24 June 1991 ),was enclosed without filing for a permit to alter the building.
As my mother is eighty-nine years old,totally blind and has difficulty reasoning, I
respectfully ask you to direct all questions and correspondence to me as her Power of Attorney. I
have attached a copy of the Certification of Attorney in Fact,23 June 2011.
Thank you for your understanding and interest in this matter.
4ectfu1lours
_0'
/ •r
Donald G.Fisher
Attorney in Fact
STATE OF NEW YORK)
) ss.: CERTIFICATION
COUNTY OF SUFFOLK)
WILLIAM H. PRICE, JR., an attorney admitted to practice in the courts of New
York State, certifies that the within Power of Attorney has been compared by the
undersigned with the original and found to be a true and complete copy.
Dated: June 23, 2011
WIL IAM H. PRICE, JR.
New Yotk Statutory Short Form Power of Attorney,Effective 9/12/2010
: CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
POWER OF ATTORNEY
NEW YORK STATUTORY SHORT FORM
(a) CAUTION TO THE PRINCIPAL: Your Power of Attorney is an important document. As the
"Principal,"you give the person whom you choose (your"Agent") authority to spend your money and sell
or dispose of your property during your lifetime without telling you. You do not lose your authority to act
even though you have given your Agent similar authority.
When your Agent exercises this authority,he or she must act according to any instructions you have
provided or,where there are no specific instructions,in your best interest. "Important Information for the
Agent" at the end of this document describes your Agent's responsibilities.
Your Agent can act on your behalf only after signing the Power of Attorney before a notary public.
You can request information from your Agent at any time. If you are revoking a prior Power of
Attorney, you should provide written notice of the revocation to your prior Agent(s) and to any third
parties who may have acted upon it, including financial institutions where your accounts are located.
You can revoke or terminate your Power of Attorney at any time for any reason as long as you are
of sound mind. If you are no longer of sound mind, a court can remove an Agent for acting improperly.
Your Agent cannot make health care decisions for you. You may execute a "Health Care Proxy" to
do this.
The law governing Powers of Attorney is contained in the New York General Obligations Law,
Article 5, Title 15. This law is available at a law library, or online though the New York State Senate or
Assembly websites, www.senate.state.ny.us or www.assembly.state.ny.us.
If there is anything about this document that you do not understand, you should ask a lawyer of
your own choosing to explain it to you.
(b) DESIGNATION OF AGENT(S):
I, KATHERINE G. FISHER,residing at 375 Tuckers Lane, Southold,New York 11971, hereby appoint
DONALD G. FISHER, residing at 2975 Youngs Avenue, Southold,New York 11971; or
DONNA FISHER ACKROYD, residing at 615 Grange Road, Southold,New York 11971,
as my Agent(s). r
If you designate more than one Agent above, they must act together unless you initial the statement below.
ki 11' y A tsmy act SEPARATELY.
-; (c) DESIGNATION OF SUCCESSOR AGENT(S): (OPTIONAL)
If any Agent designated above is unable or unwilling to serve, I appoint as my successor Agent(s):
Successor Agents designated above must act together unless you initial the statement below.
[ ] My Successor Agents may act SEPARATELY.
(d) This POWER OF ATTORNEY shall not be affected by my subsequent incapacity unless I have
stated otherwise below under "Modifications."
(e) This POWER OF ATTORNEY DOES NOT REVOKE ANY POWERS OF ATTORNEY
previously executed by me unless I have stated otherwise below under "Modifications."
If you do NOT intend to revoke your Powers of Attorney,and if you have granted the same authority in this
Power of Attorney as you granted to another Agent in a prior Power of Attorney, each Agent can act separately
unless you indicate under "Modifications" that the Agents with the same authority are to act together.
(f) GRANT OF AUTHORITY: To grant your Agent some or all of the authority below, either
(1) Initial the bracket at each authority you grant, or
(2) Write or type the letters for each authority you grant on the blank line at (P) and initial the bracket
at (P). If you initial (P) you do not need to initial the other lines.
I grant authority to my Agent(s) with respect to the following subjects as defined in Sections
5-1502A through 5-1502N of the New York General Obligations Law.
[ ] (A) real estate transactions charitable organizations. The total
amount of all such gifts in any one
[ ] (B) chattel and goods transactions calendar year cannot exceed five
hundred dollars;
[ ] (C) bond, share and commodity
transactions [ ] (J) benefits from governmental
programs or civil or military service;
[ ] (D) banking transactions
[ ] (K) health care billing and payment
[ ] (E) business operating transactions; matters, records, reports and
statements;
[ ] (F) insurance transactions;
[ ] (L) retirement benefit transactions
[ ] (G) estate transactions;
[ ] (M) tax matters;
[ ] (H) claims and litigation;
[ ] (N) all other matters;
[ ] (I) personal and family maintenance
If you grant your Agent this authority, [ ] (0) full and unqualified authority
it will allow the Agent to make gifts to my Agent(s) to delegate any or all
that you customarily have made to of the foregoing powers to any person
individuals, including the Agent, and or persons whom my Agent(s) select;
•
You need not initial the other
[ ') EACH of the matters identified lines if you initial line (P)
te following letters:
, , , , , , ,CD, EFGHIJK,
L;M,N, and O
(g) MODIFICATIONS: (OPTIONAL)
In this section, you may make additional provisions, including language to limit or supplement authority
granted to your Agent. However, you cannot use this Modifications section to grant your Agent authority to make
gifts or changes to interests in your property. If you wish to grant your Agent such authority,you MUST complete
the Statutory Gifts Rider.
(h) CERTAIN GIFT TRANSACTIONS: STATUTORY GIFTS RIDER: (OPTIONAL)
In order to authorize your Agent to make major gifts in excess of an annual total of $500.00 for all gifts
described in (I) of the grant of authority section of this document (under personal and family maintenance), you
must initial the statement below and execute a Statutory Gifts Rider at the same time as this instrument. Initialing
the statement below by itself does not authorize your Agent to make gifts. The preparation of the Statutory Gifts
Rider should be supervised by a lawyer.
[ ](SGR) I grant my Agent authority to make gifts in accordance with the terms and conditions of the
Statutory Gifts Rider that supplements this Statutory Power of Attorney.
(1) DESIGNATION OF MONITOR(S): (OPTIONAL)
If you wish to appoint monitor(s), initial and fill in the section below:
[ ] I wish to designate , whose address is , as monitor(s).
Upon the request of the monitor(s),my Agent(s)must provide the monitor(s)with a copy of the Power of Attorney
and a record of all transactions done or made on my behalf. Third parties holding records of such transactions
shall provide the records to the monitor(s) upon request.
(j) COMPENSATION OF AGENT(S): (OPTIONAL)
Your Agent is entitled to be reimbursed from your assets for reasonable expenses incurred on your behalf.
If you ALSO wish your Agent(s) to be compensated from your assets for services rendered on your behalf, initial
the statement below. If you wish to define "reasonable compensation," you may do so above under
"Modifications."
[ ] My Agent(s) shall be entitled to reasonable compensation for services rendered.
(k) ACCEPTANCE BY THIRD PARTIES:
I agree to indemnify the third party for any claims that may arise against the third party because of reliance
on this Power of Attorney. I understand that any termination of this Power of Attorney, whether the result of my
revocation of the Power of Attorney or otherwise, is not effective as to a third party until the third party has actual
notice or knowledge of the termination.
(1) TERMINATION:
This Power of Attorney continues until I revoke it or it is terminated by my death or other event described
in Section 5-1511 of the General Obligations Law. Section 5-1511 of the General Obligations Law describes the
manner in which you may revoke your Power of Attorney and the events which terminate the Power of Attorney.
(m) SIGNATURE AND ACKNOWLEDGEMENT:
IN WITNESS WHEREOF I have hereunto signed my name on the 23rd day of June, 2011.
lkitkvuma.
KATHERINE G. FISHER, PRINCIPAL
STATE OF NEW YORK:COUNTY OF SUFFOLK ss:
On the 23rd day of June, 2011, before me, the undersigned, personally appeared Katherine G. Fisher,
personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose
name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same
in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s •r the
person upon behalf of which the individual(s) acted, executed the instrument.
Notary Public
WILLIAM H. PRICE,JR.
Notary Public, State of New York
No. 4644944, Suffolk County
Term Expires February 28, 20_4
(n) IMPORTANT INFORMATION FOR THE AGENT:
When you accept the authority granted under this Power of Attorney,a special legal relationship is created
between you and the Principal. This relationship imposes on you legal responsibilities that continue until you
resign or the Power of Attorney is terminated or revoked. You must:
(1) act according to any instructions from the Principal, or, where there are no instructions, in the
Principal's best interest;
(2) avoid conflicts that would impair your ability to act in the Principal's best interest;
(3) keep the Principal's property separate and distinct from any assets you own or control, unless
otherwise permitted by law;
(4) keep a record or all receipts, payments, and transactions conducted for the Principal; and
(5) disclose your identity as an Agent whenever you act for the Principal by writing or printing the
Principal's name and signing your own name as "Agent" in either of the following manner:
(Principal's Name) by (Your Signature) as Agent, or (Your Signature) as Agent for (Principal's
Name).
You may not use the Principal's assets to benefit yourself or give major gifts to yourself or anyone else
unless the Principal has specifically granted you that authority in this document, which is either a Statutory Gifts
Rider attached to a Statutory Short Form Power of Attorney or a Non-Statutory Power of Attorney. If you have
that authority,you must act according to any instructions of the Principal,or,where there are no such instructions,
in the Principal's best interest.
You may resign by giving written notice to the Principal and to any Co-Agent, Successor Agent,monitor if
one has been named in this document, or the Principal's guardian if one has been appointed. If there is anything
about this document or your responsibilities that you do not understand, you should seek legal advice.
Liability of Agent: The meaning of the authority given to you is defined in New York's General Obligation
Law, Article 5, Title 15. If it is found that you have violated the law or acted outside the authority granted to you
in the Power of Attorney, you may be liable under the law for your violation.
(o) AGENT'S SIGNATURE AND ACKNOWLEDGEMENT OF APPOINTMENT:
It is not required that the Principal and the Agent(s) sign at the same time, nor that multiple Agents sign at
the same time.
We, Donald G. Fisher and Donna Fisher Ackroyd,have read the foregoing Pow- of Attorney. We are the
persons identified therein as Agents for the Principal nay•-d therein. We ac.. owl-•ge • r legal responsibilities.
I
_ .. 0/4„,_ -
DONALD G. FISHER, AGENT
ar_bt.ort_
DONNA FISHER ACKROYD, AGEN
•
•
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General Obligations Law Section 5-1501B requires that this instrument be acknowledged by the Agent(s)
STATE OF NEW YORK:COUNTY OF SUFFOLK ss:
On the 23rd day of June, 2011, before me, the undersigned, personally appeared Donald G. Fisher and
Donna Fisher Ackroyd, personally known to me or proved to me on the basis of satisfactory evidence to be the
individual(s)whose name(s)is(are) subscribed to the within instrument and acknowledged to me that he/she/they
executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the
individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument.
Notary P s he
WILLIAM H. PRICE, JR.
Notary Public, State of New York
No. 4644944, Suffolk County
Term Expires February 28, 20 V
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• 4 SURVEY OF PROPERTY
PUSITUATE
: ' :. ° SOUTHOLD
.° IT
TOWN OF SOUTHOLD
645' EOFpA �° ' °° ° �, SUFFOLK COUNTY NEW YORK
Fa[/ b./ S.C. TAX No. 1000-59- 1 1 -07
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4.�' �� �IjII 4 • -° 4 () UNAUTHORIZED ALTERATION OR ADDITION
�� �Q IIII� TO THIS SURVEY IS A VIOLATION OF
4. �II�I • ,Q SECTION 7209 OF THE NEW YORK STATE
Q ;� '7�II WroN� .,VEDUCATION LAW.
...1::::) - 'tk COPIES OF THIS SURVEY MAP NOT BEARING
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THE LAND SURVEYOR'S INKED SEAL OR
:. ° EMBOSSED SEAL SHALL NOT BE CONSIDERED
rev TO BE A VAUD TRUE COPY.
C� aq•�:;, °4 CERTIFICATIONS INDICATED HEREON SHALL RUN
Viatii*.; :•;:•';4.:-.1.';
. 1. . q, ' •
O ONLY TO THE PERSON FOR WHOM THE SURVEY
= Nu(• TITLE COMPAIS NY, GOVERNMENTAL D ON HIS BEHALF
GENCY AND
.2 .' LENDING INSTITUTION LISTED HEREON. AND
0C'vc. \ �'' 1' TO THE ASSIGNEES OF THE LENDING INSTI-
N�S / a Ci) TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE.
•
STa0/cgo qC SF Napo "/ a
. v/ 4 4• THE EXISTENCE OF RIGHTS OF WAY
Peitz AV O - AND/OR EASEMENTS OF RECORD, IF ..
C•••., ,z) /2 3 / °< �'4. ANY, NOT SHOWN ARE NOT GUARANTEED.
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1,' id STANDARDS FOR T AND
SURVEYS AS ESTABLISHEDBY 'THE OFTED Nathan Taft Corwin
��N•N, rV ° • y FOR SUCH USE BY THE NEW VYORKNSTATE LAND
. �/ TITLE ASSOCIATION. °
Ski A• " '1" - '" Land Surveyor
0o�-'.r? p•pp' Q•. ' ' . g z tei..4it. Title Surveys — Subdivisions — Site Plans — Construction Layout
°4 •1', " PHONE (631)727-2090 Fax (631)727-1727
•
��to 7 r` OFFICES LOCATED AT MAILING ADDRESS
i � .I� 1586 Main Road P.O. Box 16
N. ."S.,'Gc�504"67 Jamesport, New York 11947 Jamesport, New York 11947
33-179
l.
cRobert cBolin Contracting Inc.
Southold; NT
765--1119
License#75417fI
Customer Name: George Fischer
Address: Grissom Ave.
Southold,NY 11071
Phone Number:
Date: 4/3/03
Job Location: Same as above
Work to be performed
1) Install 5/4 x 6 on existing girder inside and lx10 on exterior.
1 2) - Install Anderson sliders,one entry door,two awning windows and frame
for Ac unit as per plan.
3)Install 1/2 "PTS sheathing on floor of room and replace two rotten deck boards.
4) Strip siding instde new room and install paneling.
5) Sidev exterior with V groove cedar.
6) trim all interior and exterior with cedar.
7)All work as per plan unless otherwise specified by owner. Price reflects three men
5 day labor only,weather permitting,no material.
TOTAL COST: $3000.00
Please sign and r this •ropo al 'th a 50 %deposit.
2d°3
sign 7
Z94. date
•
Please Remit To: ROBERT BOHN CONTRACTING INC.
P.O.BOX 55
PECONIC,NY 11958
�n' ICE `' 1''
CUSTOMER COPY
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' :.;AT , HOME & FLOORING CENTERS
"dO'� a. "opaors ' LUMBER YARDS FLOORING CENTER
' Main Road Sound Avenue County Road 48
F4 x C e l l e n C e ' Greenport Mattituck Mattituck
DEALER (631) 477-0400 (631) 298-8559 (631) 298-4506
,5YR, OF�TRANSACTI,9N � <'.,• .;{NAME/NUMBER s.
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INVOICE 1,•K�}-�° �t.,r�.�;'1'3.I-;►�!•; i'°>., :•: _,,- •,�z�,z-w;a 'r; �i<n r�e #E.
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• SOLD
SHIP TO:(SAME AS SOLD TO UNLESS NOTED BELOW)
-
TO: GEORGE FISHER
'- PO BOX 493 c:o:o Amimiii
SOUTHOLD, NY 11971
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FISHG 314127 10:51 413314 050203 0 64 080801
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returnedgoods MUST be accompanied bythis bill. ' `'•f.
All claims and P ��;:'�� sUe��`O�ai�<s�:�'a�` �' "�«�}y��'"''�`�w��? x"°o-';�'�TAx� �'TOTAL4AMOU •NT; "
l• �acods cut to order are not returnable, ' ,=T,Ch--'� r� r *b'°Y='4' 14.!..::;;...-...a�:?=,TvAMouNT.1
All stock merchandise returned is subject to a 15%handling charge. 5. 94 8. 500 0. 5 6. 44
ALL BILLS DUE AND PAYABLE WITHIN 10 DAYS FROM DATE OF STATEMENT.
1 °finance Charge of 1 1/2%Per month(Annual percentage rate of 18%)charged on
overdue balances.Minimum charge.500
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`#`': INV ICE Mgr , ..,-1•::: .; ,
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:,4tderser�
Pl.;. HOME & FLOORING CENTERS
-Mdowa.`"'0jFLOORING CENTER
,. - atro�� r LUMBERYARDS
- � Main Road Sound Avenue County Road 48
Excellence... Greenport Mattituck Mattituck
DEALER (631) 477-0400 (631) 298-8559 (631) 298-4506
��� x r STOR NAME/NUMBER
�, Y'�,�(P,��QFT�tAN�ACTION�;
INVOICE REF. 05/02/03 Store #1
SHIP TO:(SAME AS SOLD TO UNLESS NOTED BELOW)
SOLD
TO: GEORGE FISHER
�.-0cC.O.D.Amount -.
PO BOX 493 :,:,..:
SOUTHOLD, NY 11971
N11941:42-37
Tranman
saction StoreS - Written' Door,4, `=>"� 1 `D5'to ')Ivered:''-'; :;&Date Wanted
I Customer :, Sequence No. ' ,e_ p Data: No. by''-- No J'cY-' ," Y= . • --t+s<; `<.' ` .
. 7I SHG 314321 08:47 18708E 050503 21 66 0821801
_ 'Referetce Number Customer Order Number Job-Number EstI nate' mn:er ,;1=0fNumber -,. �Q,v:. : 5'alesman
0; t3EORGF_ 6560387 St ore #1
,revNUMBER. ✓ QUAN.olio. QUAN.SHPD.. DESCRIPTION- _, '_h`Sa. [VTS; N 4;_ _r=:rPFIC �IIVIIr, EXTENSION"
_
!488 22 22 PC 2X4-8 DOUG FIR KD ' 117. 33121 ! 0. 450 BDF T 52. 821
IWEAT .,"` rrh•-,,:. : ..5` Y,, "gt 1054. 80
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ALL BILLS DUE AND PAYABLE WITHIN 10 DAYS FROM DATE OF STATEMENT.
Finance Charge of 1 1/2%Per month(Annual percentage rate of 18%)charged on
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HOME & FLOORING CENTERSI , '
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Main Road Sound Avenue County Road 48
Excellence- Greenport Mattituck Mattituck
DEALER (631) 477-0400 (631) 298-8559 (631) 298-4506 •
T-YRE;O `TRAI SACTIOH4'
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/INVOICEilk �5° 1 } ini 'ur
CUSTOMER COPY
Lift ,� •�s' o *,i ,
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,.. .. ... HOME & FLOORING `CENTERS
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Pado LUMBER YARDS FLOORING CENTER
•-,-. Main Road Sound Avenue County Road 48
Excellence- Greenport Mattituck Mattituck
DEALER (631) 477-0400 (631) 298-8559 (631) 298-4506
:N;TrYPE OFIRANSACTION{' I 4 ;STORE NAME/NUMBER; ;:
INVOICE REF. 05/07/07" - - --;'.--,'",="C.,'"( .
St or e tkl
;OLD SHIP TO:(SAME AS SOLD TO UNLESS NOTED BELOW)
TO: GEORGE FISHER
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SOUTHOLD, NY 11971
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LUMBER YARDS FLOORING CENTER
-' Main Road Sound Avenue County Road 48
Excellence- Greenport Mattituck Mattituck
DEALER (631) 477-0400 (631) 298-8559 (631) 298-4506
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INVOICE REF. 05/07/03 - •• •'-',''',• '‘ -'• -• ' Stores #1
SOLD SHIP TO:(SAME AS SOLD TO UNLESS NOTED BELOW)
TO:
GEORGE FISHER
PD BOX 493 ,.2 :04.1).-Amount
,SOUTHOLDNY 11971
f••• '\ mqiiiiF%., risaction," Store S'man "Teri - °Per' ' :41?%': :'1'52'7; 0*":VeleSeilikeQ- 'ff Date-I- ' Wanted
Customer Code Sequence No.
747,Ntionbg, 'et - Date, No. - by Ao. :,-:-=''',,:;.7:•:::,::=:''f i';:;5''' 4,:;' ,,,,,,=-:::,;tA: '`' '
7:ISHG 315405 0933. 187381V0803 0 66 080801
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(--ITEM NUMBER / QUAN.CRD. QUAN.SHrD. - 'DESCRIPtION` . ' • :'- '.. ''..V. OISIiIITS:?,!;ZtiC:c;,,:gli:4PRIOWII.NIT .2 EXTENSION
AMILL 1 1 MISC MILLWORK 2/8X6/81 49/16" 1. PIZ,I,P, 1,. .. „1...gl‘ 1g9, EFICE,-1 121 . 10
EXTENSION V ,P/1-1- DOOR' FRAME ONLY '•-74iW.4KW* -0-M'f',I'Yg:; - - .
W/BRONZE $..LL. & EXT. CASING
• -,'••-•,-.:..,--:NO DOOR DOOR — NO
flULLA2W 2 2 ASSEMBLY CHARGE — pr2 7 4' 0" ...,. 2Q0 : 41+,..1...PP Pc;EI 88. 20
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All claims and returned goods MUST be accompanied by this bill. ' siii06fArz: - ., - '- :.„-, 1--.:,1Y,[:-*Si rikaIniT'''' ..:04#64$11Aike
Goods cut to order are not returnable. •
Ail stock merchandise returned ie subject to a 15%handling charge.
ALL.BILLS DUE AND PAYABLE WITHIN 10 DAYS FROM DATE OF STATEMENT. 1 1 72. 30 8. 500 99. 6E 1271. 95
Finance Charge of 1 1/2%Per month(Annual percentage rate of 18%)charged on
cverdue balances.Minimum charge.50¢
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Main Road Sound Avenue County Road 48
E x C e 11 e nFC e- Greenport Mattituck Mattituck
DEALER (631) 477-0400 (631) 298-8559 (631) 298-4506
itN 'YRE;, 'TFiANSACTION4 :' 'STORExNAME/NUMBER
INVOICE REF. 05/08/03 -'-•. Store ##1
•COLD SHIP TO:(SAME AS SOLD TO UNLESS NOTED BELOW)
TO: GEORGE FISHER
PO BOX 493 �, c.O.o.-Amount
SOUTHOLD, NY 11971
=' ratjat o1s.- ,ransactin ,SNtoor.e 'S'mn•'Written
: Oe:r,�Customer Code, Se uence No: Numbe ., ,Date:
. : ar•po : 1 / e eiveret " .Dae Wanted
FISHG 315677 08:5E 187455 050903 0 66 080801
i��"Reference Number . "--Customet'Order Number Job Number 'Estimate='Nui%liers , Loth"u"iitierrh ; iySalesman
__ 0 BOB 5630845 • St ore #1
iEITEiMNUMB Rf' ✓ y,. , t`,�r.%:' .: '
E QUAN.,dR�. QUAN:SHPD. DESCRIPTION` ?t __ >r_ ,fiy>" pRjCEJ,UNITr,., EXTENSION
R:.3K 15 89 89 SF R13 KRAFT FACED 3 5/8X15 INS 89. 000 1 0. 280 SOFT 24. 9E'
'111 1 1 MISC HAW DRYER VENT T - is. �-V ` "": �'°,= '';%•' "4^�'"'` 2~
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be accompanied by this bill. 1- - suavTOTXC -.: - , - . ?il RMo-.r , ',0 , U.
Ail stock merchandise returned is subject to a 15%handling charge.
48. 55 8. 500 4. 12 52. 68
68
ALL BILLS DUE AND PAYABLE WITHIN 10 DAYS FROM DATE OF STATEMENT.
F nance Charge of 1 1/2%Per month(Annual percentage rate of 18%)charged on
c/eldue balances.Minimum charge.500
, 1 yCIVOICE fat i ; • . CUSTOMER COPY
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LUMBER YARDS FLOORING CENTER
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Main Road Sound Avenue County Road 48
E. x c e 11 e n C e- Greenport Mattituck Mattituck
DEALER (631) 477-0400 (631) 298-8559 (631) 298-4506 '
4.
TYPE OFT RANSACTION k :'STORE NAME/N.UMBER+ ':,
INVOICE REF. 0 .°)/08/03 ".• - ' - `, -' '. •r,: Stone #1
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�iOt_D SHIP TO:(SAME AS SOLD TO UNLESS NOTED BELOW)
TO: GEORGE FISHER
PO BOX 4931:49.D.Amount '.
SOUTHOLD, NY 11971
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° =ISHG 315847 12: 13 187522 050903 , 0 66 080801
i.— Reference Number Customer,Order Number Job Number . ;:;'Estlmatfl Nu iper<< IIOt N ita'iberj rf_ 4~w:t WfxSaIesinan
—7- 0 GEOERGE G630781 Store #1
re-ITE1M,NUMBER 1 (NAN.ORD. (WAN.SHPD. DESCRIPTION _.43t�J,IV,,I7'�S.R.; „ig 1+:t�� yP 1.0.4 1T•.r 'r .` EXTENSION
-faRSD 1 1 LARSON DOOR 32X81 #3346-60 WHT. 1. 000 110 300. 650 EACH 270. 511
E—Z VENT STORM DOOR _.�'�-,- . �aui; �: ;� ��I� . f.�;,r' . ; �
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All claims and returned goods MUST be accompanied by this bill. ( SUB-TOTAL - TAX% `TAXy, z x 'V-
Goads cut to order are not returnable, - T -�... AMOUNT + 7 OTAL AMOUNT,
All stock merchandise returned Is subject to a 15%handling charge. 300. 65 30. 078. 500 23. 0 293. 58
ALL BILLS DUE AND PAYABLE WITHIN 10 DAYS FROM DATE OF STATEMENT.
Finance Charge of 1 1/2%Per month(Annual percentage rate of 18%)charged on •
nvardue balances.Minimum charge.50e
INVOICE t
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Main Road Sound Avenue County Road 48
Excellence- Greenport Mattituck Mattituck
DEALER (631) 477-0400 (631) 298-8559 (631) 298-4506
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SOLD SHIP TO:(SAME AS SOLD TO UNLESS NOTED BELOW)
TO: GEORGE FISHER
PO BOX 493 f lO1OD.-Amount,•,
SOUTHOLL), NY 11971
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FISHG 316033 09aI7 41405 051203 0 64 080801
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All stock merchandise returned is subject to a 15%handling charge. -
ALL BILLS DUE AND PAYABLE WITHIN 10 DAYS FROM DATE OF STATEMENT. /1. 1'2 e- 500 6. 0" 77. 17
Finance Charge of 1 1/2%Per month(Annual percentage rate of 18%)charged on
overdue balances.Minimum charge.500 `
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1
11 INVOICE -�
# r 0 . ir;,;':-.L' ;:;•1
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� Rte : )"' �'4,`` , Adeen HOME &FLOORING CENTERS
wh;dO Pati°Doors r LUMBER YARDS FLOORING CENTER
. "' Main Road Sound Avenue •
County Road 48
Excellence"r Greenport Mattituck Mattituck
DEALER (631) 477-0400 (631) 298-8559 (631) 298-4506
mTYPEOTiQNSATtOt , 4S�'ORE NAME/NUMBR1
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INVOICE REF.;. 05/1.0'/ 3`•:' • :=.:,41 ,i%'•>:'.,. -r ”, Stone #1
SOLD SHIP TO:(SAME AS SOLD TO UNLESS NOTED BELOW)
TO: GEORGE FISHER
PO BOX 493 F''-C:Q:brAmount -
SOUTHOLD, NY 11971
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, P N k< , {.1? GE/IJIVIi " "EXTENSION
IT..- MBER.;'✓ ` -QUAN.ORD: QUAN;SH ,D: °QESCRIP:7ION°` u U ITS : "Rl
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!SOOT R 48 48 LF 5/8 QUARTER ROUND 48. t000 I 0. 260 LF 12. 48
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Goods cut to order are not returnable. _ ?AMOUNT' � Q1Z
All stock merchandise returned is subject to a 15%handling charge. 323. 11 8. 500 27. 46 350. 57
ALL BILLS DUE AND PAYABLE WITHIN 10 DAYS FROM DATE OF STATEMENT.
Finance Charge of 1 1/2%Per month(Annual percentage rate of 18%)charged on
o✓erdue balances.Minimum charge.500
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Main Road Sound Avenue County Road 48
Excellence'
Greenport Mattituck Mattituck
DEALER (631) 477-0400 (631) 298-8559 (631) 298-4506
r1 'YPE,OF;TRANSACTION ;!- ` STORE?NAME/NUMBER'',';
INVOICE REF 05/ E/@3 - .. y L_~, -;-':,-:s;s. .- ;t: . •St ore #1
MOLD SHIP TO:(SAME AS SOLD TO UNLESS NOTED BELOW)
TO: GEORGE FISHER
PO BOX 493 !if/c:o;D.Athount
SOUTHOLD, NY 11971
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_ DESCRIPTION =, ,)HITS' ; t ,,,, sr ?P{RYEJU�VI;Tt EXTENSION
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All claims and returned goods MUST be accompanied by this bill. SUBTOTAL' '''''-' .,;f.—:4:::'1,..'TAx�I '"{AM utJT`- T�L.'q
Goods cut to order are not returnable. .K• _. ,Q1N�QI][aT _
All stock merchandise returned is subject to a 15%handling charge. 22. 65 8. 500 1. 93 24. 58
ALL BILLS DUE AND PAYABLE WITHIN 10 DAYS FROM DATE OF STATEMENT.
Finance Charge of 1 1/2%Per month(Annual percentage rate of 18%)charged on
overdue balances.Minimum charge.500
IPII
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Excellence- Greenport Mattituck Mattituck
DEALER (631) 477-0400 (631) 298-8559 (631) 298-4506
TY E O RP,f / C' ION ' .„.4•10,..,
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TO: GEORGE FISHER
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PO BOX 493 .�,.. . .-..
SOUTHOLD, NY 11971 -
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I:inance Charge of 1 1/2%Per month(Annual percentage rate of 18%)charged on
overdue balances.Minimum charge.500 •
: ,i= I ®ICE ,t,/ . 4,0�x - CUSTOMER COPY
''' de ,moo �' �.-
is. Aker lc,A-0e f HOME & FLOO '' ING CENTERS
k4ndors5 p -
- atropo, t• LUMBER YARDS FLOORING CENTER
Main Road Sound Avenue County Road 48
Excellence' Greenport Mattituck Mattituck
DEALER (631) 477-0400 (631) 298-8559 (631) 298-4506
cifiTYPE OF TRANSACTIQ I if"'
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PO BOX 493 t is°,tf;,o D pAmouit1
SOUL"HOLD, NY 11971
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Al L BILLS DUE AND PAYABLE WITHIN 10 DAYS FROM DATE OF STATEMENT.
Fl lance Charge of 1 1/2%Per month(Annual percentage rate of 18%)charged on
Dverdue balances.Minimum charge.500
INVOICE • .:, If/ •
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4CUSTOMER COPY
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.'890 .,,_ ,p.
Andersen
0f4 HOME & FLOORING CENTERS
whittf
, "'s•patroD ' J LUMBER YARDS FLOORING CENTER
Main Road Sound Avenue County Road 48
Excellence- Greenport Mattituck Mattituck _
DEALER (631) 477-0400 (631) 298-8559 (631) 298-4506
: TY E;QF. 'RANS1 CTION�' " , O'
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SOLD SHIP TO:(SAME AS SOLD TO UNLESS NOTED BELOW)
TO: GEORGE FXGHER
PO BOX 493 'Yc;oio.PgmoUnt'.''\
SOUTHOLD, NY 11971
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All claims d returned goods MUST be accompanied bythis bill. ;. �' ;,rr•.` ,d f
G rods cut to.r e P �' rTOTAix y�-,4itc%,;,i5.,,.,:. •.,,, ye, ',DL`xs is•
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ALL BILLS DUE AND PAYABLE WITHIN 10 DAYS FROM DATE OF STATEMENT. 1866. 15 I
Finance Charge of 1 1/2%Per month(Annual percentage rate of 18%)charged on
on erdue balances.Minimum charae.506
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APPR*VED AS NOTED
DATE: __ ._ ... , #......W21.e.ra RETAIN STORM WATER RUNOFF
FEE: 04D BY: PURSUANT TO CHAPTER 236
NOTIFY BUILDING DEPARTM T OF THE TOWN CODE.
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE /�p I
2. ROUGH - FRAMING & PLUMBING / ,�N d(-Ho i a_I ce r-1 ='I exl-ro l
3. INSULATION ///"`"'����-4
4. FINAL - CONSTRUCTION MUST inBE COMPLEi E FOR C.O. ma e-
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
OUTHOLD VANIR € EES
. C
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
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