HomeMy WebLinkAbout51304-Z �o4, SOUT Town of Southold
* * P.O. Box 1179
�0 53095 Main Rd
UNV. Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46546 Date: 10/02/2025
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 2275 Deep Hole Dr Mattituck, NY 11952
S ecB lock/Lot: 115.-14-14
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 09/03/2024
Pursuant to which Building Permit No. 51304 and dated: 10/22/2024
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 inground swimming pool fenced to code as applied for.
The certificate is issued to: Kirkland DA Revoc Trt
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 51304 9/15/2025
PLUMBERS CERTIFICATION:
1
Aut ed ignature
*of SO&Tyo� TOWN OF SOUTHOLD
BUILDING DEPARTMENT
• TOWN CLERK'S OFFICE
SOUTHOLD, NY
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#: 51304 Date: 10/22/2024
Permission is hereby granted to:
Kirkland DA Revoc Trt
2275 Deep Hole Dr
Mattituck, NY 11952
To:
Construct an inground swimming pool accessory to an existing single-family dwelling as applied for.
Pool and pool equipment must maintain a minimum side and rear yard setback of 5 feet.
Premises Located at:
2275 Deep Hole Dr, Mattituck, NY 11952
SCTM# 115.-14-14
Pursuant to application dated 09/03/2024 and approved by the Building Inspector.
To expire on 10/22/2026.
Contractors:
Required Inspections:
FOOTING/REBAR, ELECTRICAL-ROUGH, ELECTRICAL- FINAL, DRAINAGE, FINAL,
Fees:
SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00
CO Swimming Pool $100.00
Total $400.00
jc�a
Building Inspector
SOUT�OI
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G •
Southold,NY 11971-0959 �0
COUNV
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Kirkland D Revoc Trt
Address: 2275 Deep Hole DR City: Mattituck St: NY Zip: 11952
Building Permit#: 51304 Section: 115 Block: 14 Lot: 14
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: Bethel Electric License No: 40557ME
SITE DETAILS
Office Use Only
Indoor (- Basement r Service F Solar (-
Outdoor P-1 1 st Floor (- Pool W Spa F
Renovation F 2nd Floor r Hot Tub F Generator F-
Survey rF-1 Attic r Garage ri Battery Storage C-
INVENTORY
Service 1 ph I- Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph r Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors
Disconnect Switches 4'LED Exit Fixtures H I
Other Equipment: Intermatic Pool Panel 4 Circuit/4 Used, Pump 220GFI, Hayward Salt Gen, Autocover
115GF1, (1)Light 120GFI, Waterbond Lug on Pipe
Notes: Pool
Inspector Signature: X Date: September 15, 2025
Sean Devlin
Electrical Inspector sean.deviin(cr-town.southold.ny.us
2275DeepHolePool
s011'r, i 0 7s 4e Igoe bo-
* * TO& F SOUTHOLD BUILDING DEPT.
couto, 631-765 802
INSPECTION
[ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG.
[ ] ' FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ .] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ]. FIRE RESISTANT CONSTRUCTION [ ]. .FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS: boo bOhA ovl
U� `P - 4Eqck, dV1 U
4 e u p-r 444
DATE off, -INSPECTOR
�OFSOUTyo 75 00ee- Note
TOWN OF SOUTHOLD BUILDING DEPT.
coorm,�'�'' 631-765-1802
INSPECTION
[ 'I FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] .FINAL
[ ] FIREPLACE-&-CHIMNEY [ ] : FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS: 160( &1104o
DATE 1 ✓t .a� INSPECT04✓v
�apF
`o SOyO!o# Cn q e
TOW OOq � /'� DETF� LD BUILDING
- -
631-765-1802
INSPECTION
I. ] .FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) `ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ]'_"PRE C/O [ ]. RENTAL
REMARKS: L.,
Im
s
DATE � � JNSPECTOR
�o�a0E S0UTyOlo r..// O Z2,76- (
# TOW OF OUTHOLD.BUILDING DEPT.
'oum, 631-765-1802
INSPECTION
] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ .] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] .FINAL
[ ] FIREPLACE &.CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT-CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS �Co li
Wee /
A)d eA�� m
r
DATE o 25 INSPECTOR
OF SOUIyO� ` �-f L��j 76 ��v qCI
f DEPT.
T��OF SOUTHOLD BUILDING
courm, k3l-765-1802
INSPECTION
[ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING/STRAPPING [ ] .FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
IT
�t V)d COXr
DATE V70 6 INSPECTOR
pF SOUTyO�
# TOWN OF SOUTHOLD BUILDING DEPT.
cour+r+��'� 631-765-1802
c�
o�( 1-NSPECTION
[ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. .
[ ] FOUNDATION 2ND [ . ] SULAT N/CAULKING
[ ]. FRAMING /STRAPPING [ FINAL
[ ]. FIREPLACE & CHIMNEY. [ ] FIRE SAFETY INSPECTION
[. ] FIRE RESISTANT CONSTRUCTION [ .] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] . ELECTRICAL(FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
DATE ® , INSPECTOR
Jeffrey Sands Architect ID E C E � V E
10/8/2024
MAR 2 0 2025
Property/swimming pool location: Building Depar&ment"down of Southold
Debra Kirkland
2275 Deep Hole Road
Mattituck, NY
RE: Swimming pool rebar and Drywell inspection
Attention Town of Southold Building Department:
Upon inspection of swimming pool rebar and drywell at above mentioned property, I find all to
have been installed and built as designed meets current building code requirements.
Sincerely,
D
�)F N
Jeffrey Sands Architect
6 Evergreen Lane, East Quogue, New York 11942 phone-631-375-5997, fax, 631-576-8916
email—jeff(afjsa-n�r.com
E E FL,
SEP 1 5 ?n?; i
Building De
p,irt►nent
Town of Southold
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FIELD INSPECTION REPORT DATE COMMENTS
b
FOUNDATION (1ST) ------
---
FOUNDATION (2ND)
� O
cn
ROUGH FRAMING&
PLUMBING
- r
INSULATION PER N.Y. -3
STATE ENERGY CODE
FINAL
ADDITIONAL COMMENTS =\
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°sufFot,r�oG�� TOWN OF SOUTHOLD—BUILDING DEPARTMENT All x Town Hall Annex 54375 Main Road P. O.Box 1179 Southold,NY 11971-
0959
v" Telephone (631) 765-1802 Fax(631) 765-9502 https://www.southoldtownn gov
,,;,;,.Date Received
APPLICATION FOR, BUILDING PERMIT
For Office Use Only y y
PERMIT NO. Building Inspector; 202�
� SEP 3
Applications and forms must be filled out in their entirety,: Incomplete DODO '
ppipl[cations wiil not be accepted Where the Applicant is not the owner,an �' SO�J' ✓
Owner's Authorization form(Page;2)shall,be completed. 3 '$O�
Date: 9-14
-OWNER(S)1OF PROPERTY
Name: SCTM#1000-
Project Address: b r.\.vC
Phone#: 6. ya (� Email:
Mailing Address: a
9'
777
CONTACT PERSON.
Name: yxna M .r l. ..
Mailing..Address:
_ ..5.. .. v
Phone# LDEmail:
DESIGN,pROFESSIONAL'INFORMATION
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:..
Name: R LX . \_S,.
Mailing Address:
Phone#: 0- . � Email:
I-
DESCRI PTJONr OF PROPOSE CONSTRUCTION
El New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
NdOther I $��q ."L1s
Will the lot be re-graded? 9Yes ❑No Will excess fill be removed from premises? ❑Yes $ o
1
PROPERTY INFORMATION'
Ofid - .W�(,, kSwEY►r►►th (
Existing use of property: I '/d gtD`"`� �" Use Intended use of property:
fa
O
this property? ❑Yes.1 0and restrictions with respect to Zone or use district in
p y, o IF YES, PROVIDE A COPY.
�- whichpremises is situate re ere an?covena _.,. .. .,
Check BOX After Rea-ing The owner/contractor/design professional is responsible for ail drainage a`nd storm water issues as provided by ,;
Chapter 236 of the Town Code APPLICATION IS HEREBY MADE to the Building Department for the issuanceof a Building Permit pursuant to the;Building Zone..
k,County,NewYorkand other applicable Laws,Ordinances or Regulations;for the construction of,buildings,
additlons,,alterations or for,removal or.de , ,, described.Thew Ilcant;a tees to'comply with all a placable laws,ordinances;building code,,.
Ordinance of the Town of Southold,Suffol
molition as herein' pp g p
;housing code.and regulations and to admit'authorized Inspectgr;on,premisap a'nd In building(s),for necessa[y inspections False statements Midi?Wain,are
punisfiabie,as a ClassA misdemeanor pursuanYto,Section-210.45 of the New York State Penal Law:
Application Submitted By Orint name): &q-na Mw[—L ✓ o OAuthorized Agent ❑Owner
Signature of Applicant: Date: q�Ljly
1....
STATE OF NEW YORK)
SS:
COUNTY O�F )
/" � being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is theApo—,,�
�Itontractor,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/her knowledge and belief;and
that the work will be performed in the manner set forth in the application file therewith.
Sworn before me this
day of r 20
Notary Public
ENotary
RIA A FERREMI
-State of New York
IFE6430360
in Suffolk County PROPERTY OWNER AUTHORIZATION
Expires Mar 14,2026
(Where the applicant is not the owner)
I, residing at
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Print Owner's Name
2
Building Department Application
AUTHORIZATION
(Where the Applicant is not the Owner)
1, f :KirkII-IZI)a- , residing at 2 7 ' 1401r—I)
(Print property owner's name) (Mailing Ad ess)
MaR i � Y64ci',na
do hereb authorize GAL! �a
(Agent)
to apply on my behalf to the
Southold Building Department.
g �oIeQ---brIZ4
0(0 mer'S
Signa a (Date)
(Print Owner's Name)
1 2024
DEC B ILDING DEPARTMENT- Electrical Inspector
G �BGF6$ TOWN OF SOUTHOLD
a�.G
nett9 �rn .r� y Hall Annex- 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
eZX_ Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(cb_southoldtownny.aov - seand(asoutholdtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required)
Company Name: Bethel Electrical Contracting, Ltd.
Electrician's Name: viateur Pilon
License No.: ME-40557 Elec. email: Bethelec@optonline.net
Elec. Phone No: 631-750-6555 ❑✓ I request an email copy of Certificate of Compliance `
Elec. Address.: 1337-8 Lincoln Avenue Holbrook, NY 11741
JOB SITE INFORMATION (All Information Required)
Name: (2R I� Koi<LN�
Address:
Cross Street: w SLA Ay-P-,n e__
Phone No.: _-00 -z --
BIdg.Permit#: �P I�b email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Swimming Pool Wiring
Square Footage:
Circle All That Apply:
Is job ready for inspection?: YES❑ NO Ro�!gh in , final
Do you need a Temp Certificate?: ❑ YES 0✓ NO Issued On
Temp Information: (All information required)
Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter#
❑New Service[-]Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground.Laterals 1 2 H Frame Pole Work done on Service? Y FIN
Additional Information: Please call our Office with an inspection date and the Homeowner for inspection access
-Thank you!
PAYMENT DUE WITH APPLICATION
DEC 1 20Zd g ILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
{Sys �� '� r�ao@V,.;�?pArty I.�l.,:�y. C"��o n'r'•� .
Hall Annex- 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
0
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(ab-southoldtownny.gov seand(cr�southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: Bethel Electrical Contracting, Ltd.
Electrician's Name: viateur Pilon
License No.: ME-40557 Elec. email: Bethelec@optonline.net
Elec. Phone No: 631-750-6555 [ I request an email copy of Certificate of Compliance
Elec. Address.: 1337-8 Lincoln Avenue Holbrook, NY 11741
JOB SITE INFORMATION (All Information Required)
Name:
Address: tm,
Gross Street: j-ev e—
Phone No.: -00 — 2
Bldg.Permit#: ��' S1 � email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Swimming Pool Wiring
Square Footage:
Circle All That Apply:
Is job ready for inspection?: YES ❑ NO Rough In WNkKiaI
Do you need a Temp Certificate?: ❑ YES 0✓ NO Issued On
Temp Information: (All information required)
Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? M Y N
Additional Information:Please call our Office with an inspection date and the Homeowner for inspection access
-Thank you!
PAYMENT DUE WITH APPLICATION
t oqc�e)b
PERMIT# Address:
Switches
Outlets
GFI's
Surface
Sconces
H H's
UC Lts Fridge HW POOL L
Fans Mini Fr. W/D Panel l4
Pump 2ojr-Ad�
Exhaust Oven Sump Heater
Trnsfmr
Smokes DW Generator Salt Gen. POL 1 UAr
u �
Carbon Micro GrbDis Water Bond I Q� ,4pe
Lights I •I"' ?,
'I, p
Heat Pucks ERV azv�V G cV B-/ (1S
HOT TUB SPA T
Inst Hot DeHum Transfer Disc
Combo Cooktop Minisplit Blower
AC AH Hood Blower
Service Amps Have Used
Sub Amps Have Used
Comments
L
load
APPROVED AS NOTED COMPLY WITH ALL CODES OF
NEW YORK STATE&TOWN CODES
DAT : D-Z2 2 e.P It 5 30�-
FE AS REQ IRED AND CONDITIONS OF
���.�� BY:
SOUftI01DTgNEI1BA
NOTIFY BUILDING DEPARTMENT AT
631-765-1802 8AM TO 4PM FOR THE ILY.&Dm
FOLLOWING INSPECTIONS:
FOUNDATION.;-
OUNDATION=TWO REQUIRED on
FOR POURED CONCRETE
ROUGH-FRAMING&PLUMBING
INSULATION
FINAL-CONSTRUCTION MUST
BE COMPLETE FOR C.O. ELECTRICAL
ALL CONSTRUCTION SHALL MEET THE INSPECTION REQUIRED
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
RETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236
OF THE TOWN CODE
F-S(JiIVLR:�wnrr- - -
i
FiIsED IN THE OFFICE OFT No. 425.6
LOT 5� ON JUNE 28, 19 N/0/F
TOWN OF SOUTHO1
LOT 91 .47'
5 83'20'40" E4. FENCE FENCE
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WINDOW WaL lVP. 20YE�RhNNO .' As
AIR COND. 23.6'
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FILED IN THE OFFICE
CREEK . E C E V L
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ON JUNE 28, 196E CLERF` O 425s F SUFFOLK AS FILE No, COUNTY 1 i
0 CT 2 1 2024
0.2'S. E
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W v Zee I �� o O S.C. TAX No. 1000-1 15-14-14
VyQp ao OODPp BTE og g,�� SCALE 1"=20'
c I� JUNE 25, 2023
\ \, BRICK P
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IRRIGATION +o.a' h �q AREA = 15,560 sq. ft.
CONTROL � q 0.357 ac.
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AIR `�NR ��RONAUSNG FENCE DEBRA A. KIRKLAND, SOLE TRUSTEE OF THE DEBRA A. KIRKLAND
FENCE B�
23.s' N •R d0 D.7E. k-' REVOCABLE TRUST DATED 12/6/2022, MADE UNDER THE LAWS
ti t, OF THE STATE OF WISCONSIN, BY DEBRA A. KIRKLAND
/ OIL �� MORGAN STANLEY PRIVATE BANK
TO.s FILL CAP `� 13B' ° m STEWART TITLE INSURANCE COMPANY
STONES PALANTERES
STEPS CONC. APRON ' o
S •o a• •a• .. •p-.7 3
PREPARED IN ACCORDANCE WITH THE MINIMUM
wwO 3 04o a MASONRY BRICK W STANDARDS FOR TITLE SURVEYS AS ESTABLISHED
•\ /�� �G ALK i• ° o BY THE LIALS.AND APPROVED AND ADOPTED
v} TITLE USE BY THE NEW YORK STATE LAND
o � Qr4� oa v ° w
TAF
�$2 / DRY ENOF IV
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R27 FENC„ I N.Y.S. Lic. No. 50467
•
° . . ,,.. L-37.46' N 83°20' „6 'A'M R a 105.00' �a UNAUTHORIZED ALTERATION OR ADDITION
• ' p
40 •. b . TO THIS SURVEY IS A VIOLATION OF Nathan Taft Corwin III
SECTION'• • , w •+ ♦ v 78.E 1 ' EDUCATION209 LAW. THE NEW YORK STATE
• EDGE OF PAL,�M ° o AIL COPIES OF THIS SURVEY MAP NOT BEARING Land Surveyor
• •' '� —BOX THE LAND SURVEYOR'S INKED SEAL OR
v v. � TO BE�A�V SEAL ALID TRUE COPY. BE CONSIDERED Successor To: Stanley J. Isaksen, Jr. LS.
� \/ �E � .. . `v. v v• :v.., .. o; Joseph A. Ingegno LS.
1 1 ' -r O o CERTIFICATIONS INDICATED HEREON SHALL RUN Tide Surveys Subdivisions — Site Plans — Construction Layout
L E 11-11 T ° ® v ONLY TO THE PERSON FOR WHOM THE SURVEY 1� — y
1F-1-/. �. T v IS PREPARED, AND ON HIS BEHALF TO AN
DRIVE v TITLE COMPANY, GOVERNMENTAL AGENCY AND PHONE (631)727-2090 Fax (631)727-1727
LENDING INSTITUTION LISTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INSTI— OFFICES LOCATED AT MARLING ADDRESS
TUTTON. CERTIFICATIONS ARE NOT TRANSFERABLE P.O. Box 16
1586 Main Road rt
James o
THE EXISTENCE OF RIGHT OF WAYS Jamesport, New York 11947 p , New York 11947
AND/OR EASEMENTS OF RECORD, IF E—Mail: NCorwin3®aol.com
ANY, NOT SHOWN ARE NOT GUARANTEED.
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