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HomeMy WebLinkAbout45772-Z , suF tK TOWN OF SOUTHOLD 900° cony BUILDING DEPARTMENT y x TOWN CLERK'S OFFICE o 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#: 45772 Date: 2/2/2021 Permission is hereby granted to: Mclaughlin, Robert Attn: Mr & Mrs Mclaughlin 24 Goodrich St Williston Park, NY 11596 To: demolish existing structures as applied for. At premises located at: 3700 Vanston Rd., Cutchogue SCTM #473889 Sec/Block/Lot# 111.-5-13 Pursuant to application dated 1/25/2021 and approved by the Building Inspector. To expire on 8/4/2022. Fees: DEMOLITION $541.00 Total: $541.00 Building Inspector i . OgUFFOlkC =oma ,a o�y� TOWN OF SOUTHOLD—BUILDING DEPARTMENT y x Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax(631) 765-9502 hl!ps://www.southoldtonLnny.gov Date Received APPLICATION FOR BUILDING PERMIT �. For Office Use Only i_ • I • 'I " r PERMIT NO. Budding Inspe tor: L� SAr�21 N 23 Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an �7Ji`•= - Owner's Authorization form(Page 2)shall be completed. r 69i'a Date: 'OWNER(S)OF PROPERTY: Name: SCTM#1000- /J/ —,f---13 � D__________._ _------_---- Physical Address:---3 Phone#: Email L- Mailing Address: CONTACT PERSON: Name: - - - -- - - -- - = - - ----- --- --- - Mailing Address: ------------ - --�� -- -�------- ---al - - -- - - - _- -------- - ---- Phone#: 3[l[- Email: DESIGN PROFESSIONAL INFORMATION: Name: _ _—._ __ R_ lkM M—_—NO Mailing Address: L Phone#: Email: - -FEE=-� - —P`/-•-- - - _ CONTRACTOR INFORMATION: .NOTIFY BUILD NG DF-PARTk4ENT AT Ivy 1 -U E Name: _—� - T -- -p , - _ AWING-INSP-ECTIONS:--- Mailing Address ------ ----- 1. FOUN T N - TWO REQUIRED ^ : ,- Phone#: 63_ ' ! �[f-_S_ Email:,- & F r_ V. 111OULAHVII DESCRIPTION,OF PROPOSED CONSTRUCTION ;4._FINAL_-,COtJSTRUC710N-MUST .- - -.- ❑New Structure ❑Addition ❑Alteration ❑Repair Vf5e`molition BE COMP E�tiVA&est of Project: ❑Other ALL CONSTR �TIONn]-6,6,DEET THE ---- ---- --nL nNWill the lot be re-graded? N'�fes ❑No M Will exces�", 1096veU9roQW ?IONO DESIGN OR CONSTRUCTION ERRORS. • 1 •e,- PROPERTY INFORMATION Existing use of property: � Intended use of property:�ESIaOC,�/�� " _ T Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes ENO IF YES, PROVIDE A COPY. ❑ 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 Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law.' Application Submitted By(print name): �-- 1/� �r�/1/L� �//l�(��� Authorized Agent El owner Signature of Applicant: Date: STATE OF NEW YORK) SS' COUNTY OF ) At r4 P/Y being duly sworn,deposes and says that(s)he is the applicant (Namdf individual signing c ract) above named, (S)he is the &ot--6w (Contractor,Agent,Corporate Officer,etc.) of said owner or owners,and is duly authorized to perform or have performed the said work and>,3,M fip } 4his application;that all statements contained in this application are true to the best of his/her krioV42p •be 10;;rf$ that the work will be performed in the manner set forth in the application file therewith. �.�t�:�o`�'SUFI o��co .C'G'y . < � Gam' � Sworn before me this = V � teese�:• Y " � � �•oo No.01BI838 `ti. � O Z dayof Notary Publi'e'i,� PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) I, 4L6-,At �2, residing at 6 �7T/fJ� �'% &2,6 1U—:4P do hereby authorize 19ato apply on my r,a alf to the Town of uthold Building Department for approval as described herein. JA 5-/---z Owner's Signature Date �1E0 . W1 L-- Print Owner's Name 2 Evan T.Steffens N ati o n a I g ri d Senior Supervisor Gas Customer Connections,NY January 22, 2021 Ellen C. Riley 136 East 79th Street,Apt. 106 New York, NY 10075 E-Mail: ERILEY4@AOL.COM; BURGERCONSTRUCIAA-OL.COM National Grid WO# : T102371228 Service Address: 3700 Vanston Road Cutchogue, NY 11935 To Whom it may concern, This Letter is to advise you that National Grid investigated your request and confirmed that the subject property does not have an active gas service line. New York State law requires anyone planning underground excavation work to notify local utilities by making one call to a toll-free number to get your underground lines identified for you prior to doing any digging. This phone call needs to be made at least 2, days but not more than 10 days prior to starting work, not including the date of the call. The number to call is either the nationally sponsored 0811", or the local number for NYC/LI area, 1.800-272-4480.This confirmation letter of no active gas service line to the subject property does not relieve the excavator of making this"811"call. If you have any further questions, kindly contact me at 833-359-0645. Respectfully, Z_-=� /, o Evan T. Steffens Senior Supervisor Gas Customer Connections NY 1650 Islip Ave,Brentwood NY 11717 T: 833-359-0645 evansteffens(�!nationalgrid.com ngridlirudprocessing(natiionalr�rid.com kf fir, } >.:' 'jh 1t ,J$ h.%'1.�hi Ck.),7 ''�, •N,),f �, �5,'s.,.,! wrS,,y�'' rS, i a t' \^4 f / .,',�� i' ! ,�bKr r ,78, r,. ,•i" .{r'd'' :•'s'O 1 !/ t 1.. ! r\a� .;J,'§1j rti\ha. r .,1�*�\Jd ^i l` \1;nJ,itp r.�r,•r. �k rJ{ '�."{711, ...,?5? ♦. °� •^e ♦ b� p ♦.. ° ♦ �•.e ��JYi J d . a „ ,{` '.,e ! \ y�,• FiV•''• 7+ �, ° •, �/'• Z f a rff a °�. 1,: <q" HIRE O. t ti a ,"'weir,'lr�w, r a' ,i s4 �.r�ia. ♦ i } P i ao•"g.1 1 i.a !� o., ol' �-rr. -,.t• (Ny. . 1 k r, R qV f, � rr ti i. rl •' �� Ir dj r �°rte\•6#'�^ ,,yOW aa., ``iq T+Syl23 oa`,y. .Ie5 ��X•,�.jr'f„h ,'+L�J�� .4��Ar o''?t,'.,jl'•L•ao pa°LMA .., .•.•M'v r j M`..�a=F,, d d•,�e •o�l�/Qr a p "141b,Er I ue W. Atr r/•n.A, v y ori rrf e • n ,. ( ot.l oA :fir' a .I M°�o 'Wil ,Rv'ar .{bar'vbb tiM ..L°+wa ar, r ,v,Ai. o=.--- vU.., . . J`J !p, Npj„e,nd{.oaf�ll nd •a' � Ifrm� �4rNJ.z�an ,r re,•+,�1 y he.,f1�,srp4JFd,� 4ra!P,I r ..4�yJ1e r, 4 N I /a4 4!PacRr 04. y 6,•1$ 1 •. •`` .���.,lrhr eJ,�\u. v r ,, nr yaJ h r+�x yarr. x. r. �_ ,;r,.,•2•y '�•' y�iy•ri��t .Q�},�j ,�„f �2/ii,, '�`aai,,,%, :�'4�1,1/ '�', ';��,',"J/j,�',�', Man!”•tie�a•�%J', i' d',y�'./ �trf �g F t{ �'"�r`,rb e.� `r?.��:�-.,-.,,^,; -(s t,' �i�t a lse��l �. ,•,�a .,<� L�'�A '� i, ,F,� =}�� Suffolk County Executive s� Consumer Affairs= - C}f face -v f VETERANS MEMORIAL-HIGHWAY• '* -HAUPPAUGE, NEW YORK 11'788 DATE ISSUED: 6/1/1.985 `•�, ? No. 111.46-HBF SUFFOLK COUNTY � . • .\TAY•✓1.,1�'�: Home hnprovement Contractor License BE fF This is to certify that EUGENE BURGER BURGER CONSTRUCTION INC doing business as having furnished the requirements set forth in accordance with and subject to the provisions of applicable laws,. rules and regulations of the County of Suffolk, State of New York is hereby licensed to conduct business as a _ HOME IMPROVEMENT CONTRACTOR; in the County'of Suffolk. �,.. :ti f'=;=_4•= Additional Businesses E U Z 1 tir NOT VALCD ID VITHOUT CL E o DEPARTMENTAL SEAL' �'c i w a, Z o N AND,,4 CLTR�FNT •a m ta ta rn o 1 p o > z "' a� z N! r�'fi ,CGNSUMER AFFA IZS �i ��/�% •4 U = °� w y °° 0 0 ID;CARD c 2 0 m' w o o Director y� a y i, O y O d r•Y ` - ' C m Ui r`���ry r �^ •� Y �..-�s��•a 'Sr 3'y/r/r• �3 ` r. ^`,""I��h�rr• .r 'r. •: :a�y�n�, r'i i't3 ����i,� "�`^•f''n w��l.�,�, `; s, ,�; =r,.. •.J,i� :•v �''��f,i'• �'�:'?, r,� d� ;:.ems:.;.. f+���i�:` v',t`C•tevn"o%'�"�,s:���'�//rt'��9�'.�y:�'!//!%�\Oh'+'Y'�'��f//yl.�� r t�}/.'�•��a.� t/r,h`wi�:G .b,�,�J�r3'r/� ^�2 �^\� •'' F:.'Fi\�o r��iFj:,'`,���„+b'`"Yrr�� J�j�,�ir"•o� - N � O ::;✓.• >dv,, �,„ M`n, •\ r�%,•vrc"1.4�q.1,.�v""\,�rap*n�f,a�.jak�r°drg.rr,.�.�r4\ �,6'Si,'r:"�,�,,�yv-+',y"'�v�^^�'fi�u� ..�ln�;,���fi.,'.\1 s'�i-"'1!v,.n.,�n �Yf�1,/c,.§b�J1(i�`,N�,.G,] w, 'l'3':it':4'�`,iri?�`„J,r�ai•:•A r �'',3r7i•.;: -�. c N 'r`J.::ti.Ie9/9+/1�4.��a��',ACbti�t'..AI°`+.(Iyly„re �1rWa��g9y'4,L,J.rJ°Hry.'♦1)�Yr1iY({���tIA•Y lyj4i�„,<•ih4°...y py���<�j1MR 59yIL4./r �li 1=1•�`°44i' •Cdl���.I��li'•,,JJIa°•♦ y�i i'Jlde•J(,,�4 i'J;.1�.16'illylr,r �i�Ii i,��I�r��,(�l�JI�,���i�<,.,, ,�fNa•rj a+ 47 y � C "'.t't•��vi)'\ !%y G�A4•� Y"�y,yjelj`�G`�it i^vti."!Yi' -•�•�`Yv`•h'Jb P'i\,�'Np`°irs°iba �Yii V'e �e" �aY'y NIi'ir/r�.�•�7 �1�Y�!✓.�• •.11,r ,.,fid,�•s�,•i, 1Nh' fa4/ `is� W°"Y'h'S'14,I,'y�t ar�1. m tJ"- O S'.��'�'�lr�s,,'; '�/k�•.r...���, �xrt.tv;.� ��4..•:�i /�t:tw°;4a, f�.��s.•�,��r ,��•.•,,a t1v,�JrY+`�Sy'�b��J �e�°l ;.�,n6yaa'h:v��,�.r.!•`'!' �i;:?r�f,u' " y a..,,s, �i=�,;� — o �rr t;,,�, .f rV��i�' n;��,4Q ?, ,�. 'v\ �£f ,y��''`•�'{ ,0;,,�'H� ��- +'� '^Y r ' rf i'.'ri t �fir, 5 1 r�;,{ l �— { , r t\ r!,•a 1 ,rn\ :�'4•?�r,�� tJ,'�r^'Thy,:' /,rl"PIIJT \ f/•Sqm;,�: /'�• Pn:1',�\\ l',''a' V'•�^� �.rY �, r,.• �"�t',r,�,•7n1y {7.3 1f�.r.C4 .-1 _ 0 to '�•fiibq '.1k .^:4'• E..{rtr4 ,H,'' Yn' •ll 'S5'r '9' 1.4F J,.M.. V }�,,�, �1+"• '., 7 C — �U p o 7112/03/2020 (MM/DD/YYYY) .�►`R" CERTIFICATE OF LIABILITY INSURANCE 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(ies)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 Lauren Murphy NAME: Roy H Reeve Agency,Inc A No Ext): (631)298-4700 FAAic No). (631)298-3850 PO Box 54 E-MAIL Imurphy@royreeve com ADDRESS: 13400 Main Road INSURER(S)AFFORDING COVERAGE NAIC# Mattltuck NY 11952 INSURERA: United Specialty Insurance Company INSURED INSURER B: Burger Construction Inc INSURERC: PO Box 934 INSURER D: INSURER E: Cutchogue NY 11935 INSURER F COVERAGES CERTIFICATE NUMBER: CL2010213193 REVISION NUMBER: THIS IS TO CERTIFY THAT THE 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. ITR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDY EFF MOL/DDI EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGER 50,000 CLAIMS-MADE X OCCUR PREMISES Ea occurrence $ X Contractual Liability MED EXP(Any one person) $ 5,000 A PSS2001122 09/18/2020 09/18/2021 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY [g JECTPRO ❑LOC PRODUCTS-COMP/OPAGG $ 2.000,000 OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per acudent UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN S ATUTE ERH ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A EL EACHACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) EL DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Ellen C Riley ACCORDANCE WITH THE POLICY PROVISIONS. 3700 Vanston 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 17-—ON*N4- NYSIF New York State Insurance Fund 199 CHURCH STREET,NEW YORK,N.Y.10007-1100 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE %xk :,^^^^^^ 112849627 BURGER CONSTRUCTION INC P 0 BOX 934COTCHOGUE NY 11935 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER BURGER CONSTRUCTION INC RILEY P 0 BOX 934 3700 VANSTON ROAD COTCHOGUE NY 11935 CUTCHOGUE NY 11935 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE G 777 885-5 862674 06/29/2020 TO 06/29/2021 12/3/2020 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 777 885-5, 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:/IWWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. EUGENE BERGER-PRES ANN BERGER-V.PRIES BURGER CONSTRUCTION INC 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: 132943792 U-26.3 Y� Workers' nre Compensation CERTIFICATE OF INSURANCE COVERAGE sr Board DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by Disability and Paid Family Leave Benefits Carrier or Licensed Insurance Agent of that Carrier la.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured BURGER CONSTRUCTION INC 631-734-5217 PO BOX 934 CUTCHOGUE,NY 11935 1c.Federal Employer Identification Number of Insured Work Location of Insured(Only required if coverage is speafically limited to or Social Security Number certain locations in New York State,i.e.,Wrap-Up Policy) 112849627 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) ShelterPoint Life Insurance Company 3b.Policy Number of Entity Listed in Box"l a" DBL429741 3c.Policy effective penod 01/01/2020 to 12/31/2021 4. Policy provides the following benefits: A Both disability and paid family leave benefits B.Disability benefits only. F1 C.Paid family leave benefits only. 5. Policy covers: © A All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law. B.Only the following class or classes of employer's employees- Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS Disability and/or Paid Family Leave Benefits insurance coverage as described above. Date Signed 12/3/2020 By Val, (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number 516-829-8100 Name and Title Richard White, Chief Executive Officer IMPORTANT. If Boxes 4A and 5A are checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE.Mail it directly to the certificate holder. If Box 4B,4C or 513 is checked,this certificate is NOT COMPLETE for purposes of Section 220,Subd.8 of the NYS Disability and Paid Family Leave Benefits Law. It must be mailed for completion to the Workers'Compensation Board, Plans Acceptance Unit, PO Box 5200, Binghamton, NY 13902-5200. PART 2.To be completed by the NYS Workers'Compensation Board (Only if sox 4C or 513 of Part 1 has been checked) State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability and Paid Family Leave Benefits Law with respect to all of his/her employees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note:Only insurance carriers licensed to write NYS disability and paid family leave benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1.Insurance brokers are NOT authorized to issue this form. p DB-120.1 (10-17) 11111111v111111111111ii1m11iiiiipiiii111111 Rapin ad&*DaA,*hhCo%wumt*pbuj()tavxl Ath-UOW431 M C0T1KVWiW COWIT V0"LAWYKR il"Vitt SNNIpila Till$tN5TjjUMWT,Tills JNSTJJUMl;XT 811OULI)09 um my WMI143 0INLY. THIS INDCiMW ma&dw day of ►TWO-THOUSAND TWENTY WIVIAN ROBERT 4ICLAU0I11IN,residing at,71 West Nock Road, Huntington, N.Y. 11743,KEVIN imaaatiux rcawn& at it 8 Yorudm Drive, East Norwich, N.Y. 11732, MAROARET NICLAUGHLIN FARRM1, residing at 214 West Kennedy Road, North Wales, PA 19454, MICHAEL MCLAUGHLIN, residing at 307 Rushmoro Avenue, Carlo Place, N.Y. 11514, THOMAS,MCLAUGHLIN, residing at 148 Tullamm Road,,(larden City,N.Y. 11530,NM- MCLAUGHLK4,101ding,,ab,1 Langdon Road, Cade Place, N.Y. 11514, VINCENT "" Hewitt Road.Unit 201; -Bolivia;NC 28422,and SUSAN V MCLAUGIW,I% got 144 Radcliff Drive,East-Norwich,N.Y.11732, ELLEN CHRISTINA RILEY,as Tni5tm of jU Dfidj*Riley Trust.under ClauseTHIRD of thi Jaincs P.May,Jr.2002 Family OST Trust residing at,136 East 79th Street-#I OB,New York, N.Y.10075, party of the second P4 WrfSSEW;that the party of the first part,-in consideration of Ten Dollars and otherAuablo consideiation paid by the party of the second part,does hereby grant and release unto the party of the second Pam the heirs or successors and assigns of the 0aity of the second part forever, `ALL that certain,plot,piece or parcel of land,with the buildings and improvements thereon erected, ituate' lying and being inure-_t, f % SEES g„} uA”ANNEXED HERETO AND MADE XPART HEREOF PREMISES INOWN AS'3i*,V"6n Road,Southold;N.Y.;-Section,l 11,Block S,Lot 13; being and intended to be the,same premises described�ia' the deed dated January 11, 1998; recorded March 12,1998 in Liber 11883 Page 82. TOGETHER with all right,title and interest,if any,of the 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,thefinst part in and to said promises;TO HAVE AND TO HOLD-the promises 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 fist part covenants that the party of the first part has not done or suffered anything whereby the said premises-have bcen,encumbered in any way whatever, except as aforesaid. AND the party of the first part,in compliance with Section 13 of the Lien Law,covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied fiat for the'purpose ofpaying 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"shall be construed as if it mad"particV whenever the sense of this indenture so requires. IN WITNESS1WIEREOF,the party of the first part has duly executed this deed Ckday and year ft above written. IN PRESENCE OF- �OBERT NICIAUGUhN 'AL- KEVIN MCLAVfGHLIN SURVEY OF LOT 322 AMENDED MAP A OF NASSAU POINT OWNED BY NASSAU POINT CLUB PR OPER TIES, Inc. FILE No. 156 FILED AUGUST 16, 1922 SITUATE NASSAU POINT TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK a' LOT(Q) ° S.C. TAX No. 1000- 111 -05- 13 215.70 SCALE 1 "=20' N 87°53'30" EAUGUST 10, 2020 a ' 6 FENCE FENCE 2tio POST do WIRE FENCE 7.T a 1 N SPLIT RAIL FENCE A ENCE FENCE t.s'N. 0.2 s ° . AREA = 27,896 sq. ft. (TO TIE LINE) 0.640 a c. T C'0 10" G tPOs^ O ° CERTIFIED T0: \,\ G c \N ` Ellen Christina Riley, as trustee of the Bridget Riley �e I P °.' w Tt�J \ EOG�O4 d °: t� Trust under Clause THIRD of the James P. Riley, Jr. 2002 Family GST Trust .O 1 •° VJJ • 7i a 0— e P / S ' w " d e' d .d ° I LOT 322 01 11, 0 0 ° • \11,- 0, °4 a•' ° PO�Fti �o WOOD DECK ./ nG \ J e• d •: 7 ,• a ' 26.8 \ •O AA �• L/ LA 90 NA � Gy \G\�F a BXD OVERHEAD WIRES 0� - —�• � n • !C. a n y l' e O `',I 'o ° L tic T FE 0 6 ° z io 22.1 WOOD NIRBOR o f LFARtNG oaf e. 0 o 7.5 r'of C fi a 2` �p n o ., ° WOOD / f • si d m0 PREPARED IN ACCORDANCE WITH THE�MNIMUM zo '- \\ STANDARDS FOR TITLE SURVEYS_AS ESTABLISHED BY T SUCH USE BYeTDHFNEW7�Ftl WTE'ADOPTED AND FORLAN A C/ f( 3 TITLE ASSOCIATION" ,�V0+1_-- ` r� N.Y.S. Lic. No. 50467 UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE LA EDUCATION LAW. Nathan Taft Corwin Ili COPIES OF THIS SURVEY MAP NOT BEARING i THE LAND SURVEYOR'S INKED SEAL OR Land Surveyor EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND Successor To: Stanley J. Isaksen, Jr. L.S. no L.S.e A. In h LENDING INSTITUTION LISTED HEREON, AND Joseph 9 9 TO THE ASSIGNEES OF THE LENDING INSTI— TUTION. Title Surveys — Subdivisions — Site Plans — Construction Layout CERTIFICATIONS ARE NOT TRANSFERABLE. Ys Y PHONE (631)727-2090 Fax (631)727-1727 THE EXISTENCE OF RIGHTS OF WAY OMCES LOCATED AT MAILING ADDRESS AND/OR EASEMENTS OF RECORD, IF 1586 Main Road P.O. Box 16 ANY, NOT SHOWN ARE NOT GUARANTEED, JameSport, New York 11947 Jamesport, New York 11947