Loading...
HomeMy WebLinkAbout45486-Z fFotK TOWN OF SOUTHOLD �o� may BUILDING DEPARTMENT x TOWN CLERK'S OFFICE o • SOUTHOLD, NY 0 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#: 45486 Date: 11/23/2020 Permission is hereby granted to: Scudellari EJ Rev Trt 70-16 Fleet St Forest Hills, NY 11375 To: demolish an existing dwelling as applied for. At premises located at: 4690 Oregon Rd. Mattituck SCTM #473889 Sec/Block/Lot# 95.-3-2 Pursuant to application dated 11/10/2020 and approved by the Building Inspector. To expire on 5/25/2022. Fees: DEMOLITION $920.20 Total: $920.20 ilding In ,pector TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall,Annex 54375 Main Road P.O.Box 1179 Southold,NY,11971-0959 Telephone(631)765-1802 Fax(631)765-9502 https://www.southoldtownnLOO-v y"3 For Office Use Only ��^� � r r �; D yamate Received PERMIT NO. 6 P P��� ` Build Ins e r: '/ Applications and forms must be filled out-in their entirety.Incomplete applications �� d will not be accepted. Where the Applicant Is not the owner,an Owner's ® ��r� Authorization form(Page 2)shall be completed. APPi1CATl0N{' O,R BUILDING PE6tiN1iT:`°,"; Date: ;t�;r"�'.n - 4r2��, r'- Name: O(P ph_ !�6 9p L(,C Tax Map#:SCTM#1000- Physical Address: Z14 90Qfep Qct Cv'i�G�l O,UC j N� Phone#: �f/G -3b/" 3�f 9 Email: IJK40ildrns i4i6 Ai 1-COM Mailing Address: 617.2 D sWo d Avere #-147 Uq fle ",X 0 /0 !,N'n;c•\`.Yu Sxi:_ - i5 ilaG f^ - - ,'\4{'� .%Fl MY 1' i`R` vA�: e]' '''',t Y ..yr.i'fi�,'{ _ _,r'-."'_ -4. _.._. /'�� if�n - ,y} 1"` '�j.'n _��� �L'1i!`"� L"` ,,1� ',�'i"i4•�f' 'i`i�aL•l',, !,�'�" •',I�,�?+y rt'r1'i ="C NTA _PERSON:' r,?"4•, ;,i,',' K�.`' Y;�.� ��:,.L�,� w"•"' QTY." .��r.�c;+ '��`;,;,�. .� Name: ��r�l / Q��-�-a9�►4�I /�+eA^br/y`Q"l` Q(2sor! ;ej!bg0� L(.0 Mailing Address: 0 `7)o,f Euoad �Uf/Il �_ /6 ren A�Ir S�U toe_ N,y_,J 0/ 0 Phone#: GYM-3eS'' Y3oF9 Email: wyCB_ �j1A1 In , @9/hA'i 6,41_ " _ __ ,i'r- as-` ,tt, - ,Si-.�5:�"r`f"i la;'tp;,rt,�&fir err,��,,a ��„V � ,t;; .r-..r_ ',Rk�, _ •,,{:.,A�`_-_,6,',`�'` DES16tV PROFESSIONALkINFOl MN., Name: Cks - Mailing Address: PO _.6 0 lkl_, Phone#: 631-a b� ' P61 yQ - Email: - _014',: .CONTRACTOitlNFO -- ��. ::c� - --`•�"' _ kyr:=.�._ Name: d2S�'/ _Z'nC Mailing Address: P(� 6oX�3'S^ ya pha , Phone#: - 3✓_,�f� Email: �et�{-C .c�b rC. �3?7,4 4.Cv,r ;v. + •�",a.._ <, :�t, - a•n y_v° ,. _m, DESCRIPTION OF PROPOSEf)CONSTRUCTION; '- ;f`=r ❑New Structure ❑Addition ❑Alteration ❑Repair Demolition Estimated Cost of Project: ❑Other $ 3 0,013 o , o0 Will the lot be re-graded? byes igNo Will excess fill be removed from premises? 1�"`Yes No `1 ehy'in, PRO PERTY"°INFO M .5 ,y{ .��',ti.•"p ,'fi .f'x�'=Y;' s.;R`,yy r"y„ yw :1.': nx"',.'i;'+ ,1:""d,i 5..hr"i,l'S';".)fa,:I,'ci ^-'�"�^ix;;;51,; .1 .,"�','"'*°� �`,1.. ..'1,!i3 + 1_l✓s `nf�,1"vL:1 :�iLL'yr .4 .Y"'s- ,y'.:7�Ei __ - Existing use of property: I FAQ r h;�h� a of property: Intended use 11 Date of Purchase: Name of Former Owner: d�_ a Zone or use district in which premises is situated: Are there any covenants nd restrictions with respect to this property? ❑Yes MNo IF YES,PROVIDE ACOPY. ❑Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water Issues as provided by Chapter 236 of the Town Code.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,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(s)for necessary inspections.False statements made herein are punishable as a pass A misdemeanor pursuant to Section 210.45 of the New York State Penal taw. Application Submitted By(prin e): Cha(/CS Uein n 'Authorized Agent _❑Owner Signature of Applicant: Date: 11 STATE OF NEW YORK) SS: COUNTY OF I 14 being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the A! 4 (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/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�J d 4Cym 6 e r 20 D-0 R0BWPAj6IlbUCAK Notary Public-State of New York No.01LU6386882 PROPERTY OWNER AUTHORIZATfopJified in Suffolk County (Where the applicant is not the ArVff Ission Expires Feb.04,2023" �3o E 3� ' sit 3�N j�`t /0016 a�i residing at - , Charles di /�Uehn do hereby authorize Chato apply on, my behalf to the Town of Southold Building Department for approval as described herein. It-op a 6 Owners Signature Date Print Owner's Name PSE , . 11/6/2020 OREGON 4690 LLC C/O PHILIP MALTAGHATI Service To: 672 DOGWOOD AV- 169 4690 OREGON RD FRANKLIN SQUARE NY 11010,NY 11952 MATTITUCK,NY 11952 Customer Project#:900000120941 Dear OREGON 4690 LLC C/O PHILIP MALTAG This is to advise you that the PSEG-LI electric facilities at the above referenced location have been disconnected and removed off the building structure that is located on the property. Please note that there may still be PSEG LI facilities located within the property boundaries and that NYS law(NYCRR Part 753)requires all contractors to call for a utility locate(NY 811)prior to performing any ground excavation or regrade activity. The call to the 811 Call Center must be done at least 2 business days prior to the start of the work and confirmation of utility marks having been identified must be received from all the facility owners prior to any site work. You must also contact National Grid at 631-348-6150 to procure a letter of demolition associated with natural gas service, whether or not your home or business uses natural gas. If you have any questions regarding the above,please contact Building&Renovation Services at 1-844-341-6378 or via email at BRSLI@PSEG.com. Very truly yours, Katherine Gianeelllii Building&Renovation Services PSEG-LI "-VOLK CO!JIVz, A , 1i AUTI.10 4060 Sunrise,Highway, Oakdale, New York 11769-0901 October 27, 2020 Oregon 4690, LLC C/O Philip Maltaghati 672 Dogwood Avenue#169 Franklin Square, NY 11010 RE: 4690 OREGON RD, CUTCHOGUE 1000-09500-0300-002000 To Whom It May Concern: Please be advised that-the Suffolk County Water Authority does not have an active domestic water service at the above referenced property. If you have any questions, please contact our office at (631) 218-1148. Very truly yours, &,ka - Lisa Cetta New Construction Manager LC: db E101TapLetter Revised 6/03 N Y S ' F New York State Insurance Fund 8 CORPORATE CENTER DR,3RD FLR,MELVILLE,NEW YORK 11747-3129 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE D O AAAA^^ 455070987 FORESTRYINC PO BOX 35 YAPHANK NY 11980 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER FORESTRY INC OREGON 4690 LLC PO BOX 35 4690 OREGON ROAD YAPHANK NY 11980 CUTCHOGUE NY 11935 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 12253783-1 675141 01/05/2020 TO 01/05/2021 10/14/2020 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2253 783-1, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THE POLICY INCLUDES A WAIVER OF SUBROGATION ENDORSEMENT UNDER WHICH NYSIF AGREES TO WAIVE ITS RIGHT OF SUBROGATION TO BRING AN ACTION AGAINST THE CERTIFICATE HOLDER TO RECOVER AMOUNTS WE PAID IN WORKERS'COMPENSATION AND/OR MEDICAL BENEFITS TO OR ON BEHALF OF AN EMPLOYEE OF OUR INSURED IN THE EVENT THAT, PRIOR TO THE DATE OF THE ACCIDENT, THE CERTIFICATE HOLDER HAS ENTERED INTO A WRITTEN CONTRACT WITH OUR INSURED THAT REQUIRES THAT SUCH RIGHT OF SUBROGATION BE WAIVED. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:325120004 U-26.3 DATE(MM/DDIYYYY) ACC)R& CERTIFICATE OF LIABILITY INSURANCE 10/14/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Debra Simicich NAME: Roy H Reeve Agency,Inc. A/c No Ext): (631)298-4700 A No; (631)298-3850 PO Box 54 &MAILs: dsimicich@royreeve.com ADDRE 13400 Main Road INSURER(S)AFFORDING COVERAGE NAIC# Mattituck NY 11952 INSURER A: American Casualty Co.of Reading,PA 20427 INSURED INSURER B: Transportation Insurance Co 20494 Forestry Inc INSURER c. Continental Insurance Co. 35289 PO Box 35 INSURER D INSURER E: Yaphank NY 11980 INSURER F. COVERAGES CERTIFICATE NUMBER: CL2092813161 REVISION NUMBER: THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS ICY EXP �7R TYPE OF INSURANCE NSD POLICY NUMBER MM DD CY EFF PM/DD/YYYY LIMITS X COMMERCIALGENERAL LIASIL.ITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE ®OCCUR PREMISES Ea occurrence $ 100,000 Contractual MED EXP(Any oneperson) $ 15,000 A 6014455165 10/04/2020 10/04/2021 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER, GENERAL AGGREGATE $ 2,000,000 POLICY®JE7 LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER. Employee Benefits $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED 6014455151 10/04/2020 10/04/2021 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accfdent Hired/borrowed $ 1,000,000 X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 4,000,000 C EXCESS LIAB CLAIMS-MADE 6014455179 10/04/2020 10/04/2021 AGGREGATE $ 4,000,000 DED X RETENTION$ 10,000 $ WORKERS COMPENSATION PER I OTH. AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNERIEXECUTIVE ❑ NIA EJ_ EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) EL DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Oregon 4690 LLC is included as additional insured with respect to General Liability as per the terms and conditions of form CNA75079 Blanket Additional Insured-Owners,Lessess or Contractors with products completed operations coverage as required by written contract and coverage Is primary and non-contributory as required by written contract. Waiver of Transfer of Rights of Recovery Against Others to Us included as required by written contract per the terms and conditions of form CNA75008 Waiver of Transfer of Righs of Recovery Against Others To the insurer endorsement CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Oregon 4690 LLC ACCORDANCE WITH THE POLICY PROVISIONS. 4690 Oregon Road AUTHORIZED REPRESENTATIVE Cutchogue NY 11935 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD � k AGENCY CUSTOMER 10: 00034117 LOC#: REP® ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED Roy H Reeve Agency,Inc. Forestry Inc POUCYNUMBER CARRIER NAIC CODE EFPECTNE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Oregon 4690 LLC is included as an additional insured with respect to above auto policy as per the terms and conditions of form CA2048-Designated Insured Blanket as required by written contract.Waiver of transfer of rights of recovery against others Included as required by written contract per the terms and conditions of form CA0444 Waiver of Transfer of Rights of Recovery Against others to us(Waiver of subrogation). Coverage is primary and non-contributory If required by written contract per the terms and conditions of form CNA63359XX Contractors Extended Coverage Endorsement-Business Auto Plus Umbrella policy is primary and non-contributory per terms and conditions of form CNA75504 Paramount Excess and Umbrella Liability policy if required by written contract. Waiver of Rights of Recovery/Subrogation included for Oregon 4690 LLC as required by written contract ACORD 101(2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD cap► CNAPAR-AMOUNT Renewal Effective Date: 10/04/2020 Insured Name: FORESTRY INC PO BOX 35 YAPHANK, NY 11980-0035 Policy Number: 6014455165 Policy Period: 10/04/2020-10/04/2021 Producer's Information: ROY H REEVE AGENCY INC. Producer Code: 032853 13400 MAIN ROAD P. 0. BOX 54 MATTITUCK, NY 11952 (631)298-4700 CNA Branch Number: 730 CNA Branch Name and Address: LONG ISLAND BRANCH 395 NORTH SERVICE RD. STE 400 MELVILLE, NY 11747 (631)756-7300 Thank you for choosing CNA! With your CNA Paramount package policy,you have insurance coverage tailored to meet the needs of your modem business.The international network of insurance professionals and the financial strength of CNA, rated"A"by A.M. Best, provide the resources to help you manage the daily risks of your organization so that you may focus on what's most important to you. 0 Claim Services—There When You Need Us s Claims are reported through a single point of entry available 24/7, connecting you to the individuals and information to help you resume your business when you need it most. To report a claim,please call 877-CNA-ASAP ,fax (800) 953-7389, email loss report@cnaasap.com ,orvisitwww.cna.com/claim. Risk Control Services—Help Avoid A Claim Before It Occurs a As a CNA policyholder,you have access to certified risk control professionals, risk mitigation programs and online resources to help identify and manage exposures that may disrupt your operation.We collaborate with business leaders to develop customized programs to assist you in safeguarding your assets and improving the bottom line. To learn how our award-winning Risk Control services can help your business,please call(866)262-0540, email us at riskcontrolwebinfo@cna.com or visit www.cna.com/riskcontrol. When it comes to providing the coverage,service and resources paramount to your business success ...we can show you more. INSURED Copyright CNA All Rights Reserved. � r CNA CNA PARAMOUNT Policy Holder Notice — Countrywide IMPORTANT INFORMATION NOTICE — OFFER OF TERRORISM COVERAGE NOTICE — DISCLOSURE OF PREMIUM Solely with respect to the following coverage parts: Business Property General Liability Employee Benefits Liability THIS NOTICE DOES NOT FORM A PART OF THE POLICY, GRANT ANY COVERAGE OR CHANGE THE TERMS AND CONDITIONS OF ANY COVERAGE UNDER THE POLICY. The Named Insured is hereby notified that under the Terrorism Risk Insurance Act, as extended and reauthorized ("Act"), the Named Insured has a right to purchase insurance coverage of losses arising out of acts of terrorism, as defined in Section 102(1) of the Act, subject to all applicable policy provisions. The Terrorism Risk Insurance Act established a federal program within the Department of the Treasury, under which the federal government shares, with the insurance industry,the risk of loss from future terrorist attacks. This Notice is designed to alert the Named Insured to coverage restrictions and to certain terrorism provisions in the policy. If there is any conflict between this Notice and the policy(including its endorsements), the provisions of the policy (including its endorsements)apply. 01N CHANGE IN THE DEFINITION OF A CERTIFIED ACT OF TERRORISM The Act applies when the Secretary of the Treasury certifies that an event meets the definition of an act of terrorism. Originally, the Act provided that to be certified, an act of terrorism must cause losses of at least five million dollars and N must have been committed by an individual or individuals acting on behalf of any foreign person or foreign interest to coerce the government or population of the United States. However, the 2007 re-authorization of the Act removed the requirement that the act of terrorism must be committed by or on behalf of a foreign interest, and now certified acts of terrorism may encompass,for example, a terrorist act committed against the United States government by a United States citizen,when the act is determined by the federal government to be"a certified act of terrorism." In accordance with the Act,the Insurer is required to offer the Named Insured the ability to purchase coverage for losses resulting from an act of terrorism that is certified under the federal program. The other provisions of this policy, including nuclear,war or military action exclusions,will still apply to such an act. DISCLOSURE OF FEDERAL PARTICIPATION IN PAYMENT OF TERRORISM LOSSES The Department of the Treasury will pay a share of terrorism losses insured under the federal program. In 2015, the federal share equals 85% of that portion of the amount of such insured losses that exceeds the applicable insurer retention,and shall decrease by 1 percentage point per calendar year until equal to 80%. LIMITATION ON PAYMENT OF TERRORISM LOSSES CNA6282OXX 2-15 Copyright CNA All Rights Reserved. Page 1 of 2 Contractor Agreement (Contractor/Owner) The Contractor shall maintain no less than the limits specked for each of the following insurance coverages: ' a)Compercial General Liability using an industry standard unmodified coverage form including contractual liability&products/completed operations,with minimum limits of $1,000,000 each occurrence,$2,000,000 aggregate with either per proj�ct or per location endorsement for property damage and bodily injury; f b)Workers'Compensation and disability benefit insurance including Occupational Disease in the minimum amounts as required by the jurisdiction where the Work is performed; c) Business Automobile Insurance with limits of at least$1 m CSL; and d)Commercial Umbrella with limits of$5m for any structural work,foundation work, or any work that involves a crane. The Contractor shall waive all rights of subrogation against the Owner and any other indemnified party. In addition,all of the Contractor's insurance policies shall state that the insurer will waive all rights of subrogation against the Owner and any other indemnified party. If Contractor engages a Subcontractor,it is the affirmative duty of the Contractor to ensure that any Subcontractor complies with the insurance and indemnification requirements of this Contract Agreement.- Acknowledged by: &e. 0 y Contractor. ,��' Owner Signature: - 17�. l�'��-�' Signature: �n Name: (� C` K 1t �' Name: H- Title: ` (%� -,-, Title: Date: f7 Z/ Date: Contractor Agreement (Contractor/Owner) 1.Indemnity. In consideration of the Contract Agreement, and to the fullest extent permitted by law,the contractor shall defend and shall indemnify,and hold harmless, at Contractor's sole expense,the Owner, and the officers, directors, agents,employees, successors and assigns of each of them from and against all liability or claimed liability for bodily injury or death to any person(s), and for any and all property damage,including all reasonable attorney fees,disbursements and related costs, arising out of or resulting from the Work covered by this Contract Agreement to the extent such Work was performed by or contracted through the Contractor or by anyone for whose acts the Contractor may be held liable,excluding only liability created by the sole and'exclusive negligence of the Indemnified Parties.This indemnity agreement shall survive the completion of any work specified in the Contract Agreement. 2.Insurance.The Contractor shall procure and shall maintain such insurance as will protect the Owner and their officers,directors,agents and employees,for claims arising out of or resulting from Contractor's Work under this Contract Agreement,whether performed by the Contractor, or by anyone directly or indirectly employed by Contractor, or by anyone for whose acts Contractor may be liable.Such insurance shall be provided by an,insurance carrier rated"A=or better by A.M. Best and lawfully authorized as either an admitted or surplus lines basis to do business in the jurisdiction where the Work is being performed. The Contractor's insurance shall include contractual liability coverage and additional insured coverage for the benefit of the Owner and shall specifically include coverage for completed operations.The insurance required to be carried by the Contractor and any Subcontractors shall be PRIMARY AND NONCONTRIBUTORY.With respect to each type of insurance specified hereunder,the.Owner's insurances shall be excess to contractor's insurance. The Contractor warrants that the coverage provided under the commercial general liability policy shall be written on an"occurrence"basis with coverage as broad as the Insurance Service Office Inc.'s form and that no policy provisions shall restrict, reduce, limit or otherwise impair contractual liability coverage or the Owner's(or others as required and as listed below)status as additional insured. Not less than five(5)days prior to commencement of the Work and until final acceptance-of the Work,Contractor shall provide owner with certificate(s)of insurance evidencing the required insurance coverage with the limits stated below or elsewhere in the contract,documents.The Contractor shall provide owner thirty(30)days written notice of a change or cancellation in coverage. In addition, all insurance policies shall state that the insurer will provide Contractor thirty(30)days prior written notice of a change or cancellation in coverage. 011064 °-f �7 v 6foS'�t� NG . BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR (INDIVIDUAL) THIS IS A LEGALLY BINDING INSTRUMENT, IF NOT FULLY UNDERSTOOD,WE RECOMMEND ALL PARTIES TO THE INSTRUMENT CONSULT AN ATTORNEY BEFORE SIGNING. THIS INDENTURE, made the 21st day of August, 2020, Between Edith J.Scudellari, having an address at 70-16 Fleet Street, Forest Hills, New York 11375 party of the first part, and Oregon 4690,LLC, having an address at 672 Dogwood Avenue,#169, Franklin Square, New York 11010 party of the second part, WITNESSETH,that the party of the first part, in consideration of TEN DOLLARS ($10.00)AND OTHER GOOD AND VALUABLE CONSIDERATION, paid by the party of the second part, does hereby grant and release unto the party of the second part, the heirs or successors and assigns of the party of the second part forever. ALL that certain plot, piece or parcel of land,with the buildings and improvements thereon erected, situate, lying and being at Oregon Road, Mattituck, Town of Southold, Suffolk County, State of New York, See Schedule"A"Annexed hereto and made a Part hereof SAID PREMISES BEING commonly known as 4690 Oregon Road, Mattituck, New York 11952. BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by Deed dated April 25, 2019 and recorded in the Suffolk County Clerk's Office on July 10, 2020 in Liber 13063 , page 749.. TOGETHER with all the right, title and interest, if any, of party of the first part in and to any streets and roads abutting the above described Premises to the center lines thereof. TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises; TO HAVE AND TO HOLD the premises herein granted unto the party of the second part,the heirs or successors and assigns of the party of the second part forever. And the party of the first part covenants that the party of the first part has not done or suffered anything whereby the said premises have been encumbered in any way whatever, except as aforesaid. AND the party of the first part/grantor, in compliance with Section 13 of the Lien Law,covenants that the party of the first part/grantor will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose. The word"party"or"grantor"shall be construed as if it read"parties"or"grantors" whenever the sense of this document so requires. IN WITNESS WHEREOF, the party of the first part has duly executed this Deed the day and year first above written. ?�Rtwv d, E=H-J. SCUDELLARI t � Rosemarc Abstract, LLC Title No.: RMIA1595-NY Issued on behalf of AmTrust fiftle insurance Company SCHEDULE A ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected,situate,lying and being at Oregon Road,Mattituck,Town of Southold,Suffolk County,New York,bounded and described as follows: Commencing at a point on the southerly side of Oregon Road at the northwest corner of the premises herein described adjoining land formerly of Zuboski,later of Deericoski,on the West;Running Thence north 44 degrees 46 minutes,30 seconds East;281.0 feet along the southerly side of Oregon Road to land of Ruthinowski, Thence along said land of Ruthinowski,two courses and distances as follows: 1.South 41]degrees,12 minutes,00 seconds East,311.23 feet and thence 2.South 44 degrees,46 minutes,30 seconds West,281.0 feet to land of Zuboski; Thence partly along said land of Zuboski and partly along land of Deerkoski,North 40 degree,12 minutes,00 seconds West 311.23 feet to the southerly side of Oregon Road,to the point or place of BEGINNING. SUBJECT HOWEVER to easements of record,and covenants and restrictions of record. Block:03.00 Lot:002.000 SECTION:095.00 DISTRICT:1000 � a TO BE USED ONLY WHEN ACKNOWLEDGMENT IS MADE IN NEW YORK STATE STATE OF NEW YORK STATE OF NEW YORK COUNTY OF SUFFOLK SS COUNTY OF SS On this 21st day of August, 2020 On this day of 20 before before me, me, the undersigned,personally appeared the undersigned, personally appeared Edith J.Scudellari personally known to me or proved to me on the personally known to me or proved to me on the basis of satisfactory evidence to be the basis of satisfactory evidence to be the individual(s)whose names is/are subscribed to individual(s)whose names is/are subscribed to the within Instrument,and acknowledged to me the within instrument,and acknowledged to me that he/she/they executed the same in that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their capacity(ies), and that by his/her/their signature(s)on the instrument,the his/her/their signature(s)on the instrument,the individual(s) or the person upon behalf of the individual(s) or the person upon behalf of the individual(s)acted,executed the instrument. individual(s)acted, executed the instrument. .3 4i.dividuai (Signature and Office takR (Signature and Office of individual taking acknowledgment) acknowledgment) COURTNIE M.CACIOPPO Notary Public,State of New Vbdt No.01 CAM1430 Ounl tied In Suf!nik Coun!tyy //�J Idy Commisa!on Expires Nov.12,26�1,j, I BARGAIN AND SALE DEED WITH COVENANTS AGAINST GRANTOR Section: 095.00 H Block: 03.00 TITLE NO. RIMA 1595-NY Lot: 002.000 Rosemarc Abstract LLC County or Town:Suffolk Street Address:4690 Oregon Road Mattituck,New York 11952 Edith J.Scudellari TO Oregon 4690,LLC Return by Mail to: FRANK PALADINO, Esq. 393 Old Country Road—Suite 203 Carle Place, New York 11514 RESERVE THIS SPACE FOR USE OF RECORDING OFFICE SURVEY OF PROPERTY LAND N/F MAFI7TUCK FARM HOLDINGS LLC DESCRIBED PROPERTY S4 i°17'56"E 311.23 SITUATE _. MATTITUCK �,w�uM✓` °x TOWN OF SOUTHOLD � SUFFOLK COUNTY,N.Y. 00 w m N w r O TAX MAP NO..1000-095 0003 00-002 000 LOT AREA.87.119 50 S F(2,000 ACRES) o DATE SURVEYED:JUNE 29,2020 0 40 80 Feet SCALE I INCH- 40 FEET p, J J CERTIFIED TO: Q 66 2' NU' OREGON 4690,LLC O z ROSEMARC ABSTRACT,LLC N •• 11•. w.a o�ae�a+ O 5 g Ik � Q < - p z w g O � w ANGELO JOSEPH CECERE N rye PROFESSIONAL LAND SURVEYOR Cr1 00 m Z N € 310 66 N41 616, 4;,w u o .w..,e«im�.,nr_.�r,o�-.,.prom �nns.Yrv.xwnr_�on_txrsc,n¢a LAND N/F PEI ER BAUMANN&VIC CORIA EICHINCER LAND N.F DCASFAWS INC F� `l,AJC�LAND SURVEYIN PLLC LAND SURVEYING-&-PLANNING` j T7 S.COLEMAN ROAD,CENTERr—krNY 111, 0� , <�.�Ptio�E:2ssti as�9973` �'� - -, �LIJAH S LANE m `EMAIL: C246@OPTONLIN�E JET u l OF SURVEY ®�..I P R®D F R ■ ,/ LAND N/F MATfITUCK FARM HOLDINGS LLC SURVEY 1 LI 1 1 DS41'I 7'56"E 31 1 23DESCRIBED PROPERTY SITUATE », MA-MTUCK TOWN OF SOUTHOLDCD SUFFOLK COUNTY,N.Y 0 co N z m TAX MAP NO 1000-09500-0300,002000 �opP. LOT AREA 87.119 50 S F.(2 000 ACRES) : o 0 >w A DATE SURVEYED JUNE 29.2020 rn�v 0 40 80 Feet ^ SCALE IINCH- 40 FEET I••� d � CERTIFIED TO. N OREGON 4690,LLC O 662L ROSEMARC ABSTRACT,LLC f✓ oqN Y O i C { A LL u U z 161 Q /I / � 'a C c O \ r 5 - s" w 'v ANGELO JOSEPH CECERE N 0 = PROFESSIONAL LAND SURVEYOR m O m Z ms 310.66 N41• 16'06"W o e _.,.,r.,..cw,nsno:�,o�s.o.E.,am rwwsixu+.unr.R�nms..caa LAND N/F PETER BAUMANN&VIC PORIA EICHINCER L4Np NF pGFSCf FANVS WC I � Z AJC-LAID SURVEYING PLLC LAND SURVEYING'&`PLANNING' � 77 S.COLEMAN ROAD,GENTEi2SACCHI NY'L1720�s`' ELIJAH'S E:,631-8443 69_73 - - LANE EMAIL:AJC246@OP TONLIN�"ET