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Z-41977
�o Town of Southold 4/20/2021 Gyp 53095 Main Rd C2 z Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 41977 Date: 4/20/2021 THIS CERTIFIES that the structure(s) located at: 1545 Old Shipyard Ln., Southold SCTM#: 473889 Sec/Block/Lot: 64.-5-29 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 41977 dated 4/20/2021 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame one family dwelling with walk up unfinished attic and front and side enclosed porches and accesm wood frame two car garage with concrete patio.* The certificate is issued to Morales, Carl&Veronica (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. orizA Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1545 Old Shipyard Ln.,Southold SUFF.CO.TAX MAP NO.: 64.-5-29 SUBDIVISION: NAME OF OWNER(S): Morales,Carl&Veronica OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Sawicki,Elizabeth DATE: 4/20/2021 DWELLING: #STORIES: 2 #EXITS: 2 FOUNDATION: cement block CELLAR: full CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: front&side enclosed DECK TYPE: PATIO TYPE: concrete off garage BREEZEWAY: FIREPLACE: 1 GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: off burner AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: steam #BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE: unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: 2 car wood frame STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 3/1/2021 TIME START: 2:04pm END: 2:25pm 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 I%lead. 5. Commercial building,industrial building,multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9,1957) non-conforming uses,or buildings and"pre-existing"land uses: 1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic features. ' 2. A properly completed application and consent to inspect signed by the applicant.If a Certificate of Occupancy is 4' denied,the Building Inspector shall state the reasons therefor in writing to the applicant.— f= a C. Fees e } F a 1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,A1terUions to li g$5 Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Bs ese $5���. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 ,;�} •?, i' '"'•, 4. Updated Certificate of Occupancy- $50.00 TO;xa!:T:moi ;yf;�fTTi SOLD 5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00 Date.`^ _gOl b • r New Construction: Old or Pre-existing Building: (check one) �j Location of Property: `I C5 House No. 'Street Hamlet Owner or Owners of Property: ti L2 !EfAnrA W t YaLAYof �? [Yt��Oct o �(1 DVY1 ►�50 r1 Suffolk County Tax Map No 1000, Section 1614 Block 5 Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Al#licant Signature L k N�� /bll �N6n� gLt� I- C7 1 S6 ITO�N OF SOUTHOLD—BUILDING DEPARTMENT h`" d J i ya o Tow Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 29 20�i Telephone (631) 765-1802 Fax (631) 765-9502 https://www.soutlioldtowiuiy.�,ov .0 0LIC TI N tF: R K E-EXIS�IN�~�E�TIFICATE" OF OCC PA CY `. OWNER(S):,OF�'PRO'PERTY: Name: ca-,d ��C'��e �� cer �rL o��c� f'Vlpc�le� Date: Physical Address: �S�fS pfd S� � LaN-�� So�' � SCTM#1000- 06Na oo _ p SOrO _oz Phone#: S16 _ Sf9 — 61a 9 1 Email: C,3 'm0<-0.� G� alnoo _ C'OrwN Mailing Address: G Xc) -r-A., CONTACT`PE_RSONi' Name: C 0Ae Mailing Address: 3 (� ��cv f� �c- eo-N" c\. f jPhone#: �/���cj'_G2� 1 n�S���Z�-a2 S'] Email: C , ci�Ltoa. �vv� To apply for a Pre C.O.for an existing building (prior to April 9, 1957) provide the following: • Accurate Survey • Floor Plan • $100 Fee CONSENT TO INSPECTION That the undersigned does hereby give consent to the Building Inspector 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. Owner's Signature Date PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) I, residing at the above address, do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS (INDIVIDUAL OR CORPORATION) STANDARD NYBTU FORM 8007 CAUTION THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND PURCHASER BEFORE SIGNING THIS INDENTURE,made the 7' day of �Ce-A%b er , 2020 between PATRICIA A.DZENKOWSKI,residing at 595 Custer Avenue,Southold,NY 11971,ELIZABETH B.SAWICKI,residing at 209 Judith Drive,Stormville„NY 12582 and CLEMENT J.THOMPSON,JR., residing at 101 Blue Younder,Horseshoe Bay,Texas 78657 party of the first part,and CARL MORALES and VERONICA MORALES,husband and wife, residing at 36 Locust Avenue,East Norwich,NY 11732 party of the second part, WITNESSETH,that the party of the first part,in consideration of Ten Dollars and other lawful consideration,lawful money of the United States,paid by the patty of the second part,does hereby grant and release unto the party of the second part,the heirs or successors and assigns of the parry 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 Southold to the Town of Southold,County of Suffolk and State of New York. SEE SCHEDULE'A'ATTACHED HERETO AND MADE A PART HEREOF Being and intended to be the same premises described in a deed made by Patricia A.Dzenkowski and recorded March 26,2013,in Liber 12724,at page 754. 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 the first part in and to said premises, TO HAVEAND 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,in compliance with Section 13 of the Lien Lav,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 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"shall be construed as if it read"parties"whenever the sense of this indenture so requires. IN WITNESS WHEREOF,the party of the first part has duly executed this deed the day and year first above written. / . PA RIC1A A.DZE K KI FLIZA H B.SAWY4(1 CLEMENT J.T119IMP80N,JW NYSBA Residential Real Estate Forms on HotDocs'(9100) Copynght CapsoR=Development FIDELITY NATIONAL TITLE INSURANCE COMPANY TITLE NO. 7404-009987 SCHEDULE A-1 (Description of the Land) For Tax Map ID(s): 1000.064.00-05.00-029.000 ALL that certain plot, piece or parcel of land,situate, lying and being at Southold, in the Town of Southold, County of Suffolk and State of New York,known as Lot No. 115 on Subdivision Map of Founders Estates, Inc.,surveyed by Otto W. Van Tuyl, C.E.,March 18, 1927, and filed in the Office of the County Clerk of Suffolk County on May 10, 1927 as Map No. 834. Said property being bounded and described as follows: BEGINNING at a point on the southeasterly side of Old Shipyard Lane, said point being 150.00 feet northeasterly from the intersection of the northeasterly side of Hobart Road and the southeasterly side of Old Shipyard Lane; RUNNING THENCE along Old Shipyard Lane north 38 degrees 31 minutes 20 seconds east, 75.00 feet; THENCE south 51 degrees 28 minutes 40 seconds east, 156.71 feet; THENCE south 41 degrees 45 minutes 27 seconds west, 75.12 feet; THENCE north 51 degrees 28 minutes 40 seconds west 152.47,to a point on the southeasterly side of Old Shipyard Lane at the point or place of BEGINNING. THE POLICY TO BE ISSUED under this commitment will insure the title to such buildings and improvements on the premises which by law constitute real property. FOR CONVEYANCING ONLY: Together with all the right, title and interest of the party of the first part, of in and to the land lying in the street in front of and adjoining said premises. END OF SCHEDULE A Commitment for Title Insurance Printed 11.23.20 @ 09 54 AM Schedule A-1 Description W-FT-FRVH-01030.431004-SPS-1-20-7404-009987 STATE OF NEW YORK ) ss.: COUNTY On the to day of�/Q/>u4�/ ,in the year 20V before me,the undersigned personally appeared Patricia A.Dzenkowski,personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her capacity,that by her signature on the instrument,the individual,or the person upon behalf of which the individual acted,executed the instrument. i LARHAINE CO01'ARY PUBLIC NY PublnNNwY ._�fN1L. � GulNled in Suffolk Contyr i Commrson EVirm Nov.20.A0,21 I!I �Lpt/Q.aA6 p"ANLLY1 ���- - ' STATE OF NEW YORK )SS: �"— '0 3A COUNTY OFc5o1-AA9 /< ) On the r day ofe jef"Ao ' ,in the year 2020,before me,the undersigned personally appeared Elizabeth B.Sawicki,personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her capacity,that by her signature on the instrument,the individual,or the person upon behalf of which the individual acted,executed the instrument. O ARYPUBLI1C,— I LORRAINEKLOPFER 1 � l7rJ'�'r`W',• NoteryPublic.SIM ofN.,vwt_ —� .(�Q.,>A:A Vjk-'' " No.4828373 Quallfled in Suffolk County CCIYN ,A. STATL'OF'I'EXAS ) I _. Comm,seionE�naeNov.30,�a� )SS: COUNTY OF On the 9" day of )-eCeMbW ,in the year 2020,before me,the undersigned personally appeared Clement J.Thompson,Jr.,personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity,that by his signature on the instrument,the individual,or the person upon behalf of which the individual acted,executed the instrument,and that such individual made such appearance before the undersigned in the •�4 ERIN R WELCH Notary Pabk Slate of Texas Commission Expees MIS-2022 t Notary IQ 128354555 NO^ARY PU LICA DEED T_itic No. Section 064.00 Block 05.00 DZENKOWSKI,SAWICKI Lot 029.000 AND THOMPSON County or Town SUFFOLK To MORALES Return By Mail To: Morgant W.Fiedler,Esq. P.O.Box 587 Greenport,NY 11944 NYSBA Residential Real Estate Forms on HotDocs'(9100) Copyright Capsoftx'Development -2- TO , ' RECORDED 2021 Mar 23 09:21:53 Ali Number of pages JUDITH A. FASCALE CLERK OF SUFFOLK COUNTS' This document will be public L D00013096 record. Please remove all P 394 Social Security Numbers DT# 20-25724 prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Frling Fee Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 SubTotal Notation Spec./Assit. or EA-52 17(County) SubTotal Spec./Add. EA-5217(State) �is TOT.MTG.TAX R.P.T.S.A. Dual Town Dual County Held forAppointment Comm.of Ed. S. 00 Transfer Taxal 5 v Affidavit + Mansion Tax OR Certified Copy The property covered by this mortgage is or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES orNO Other 1 ` Grand Total ✓ L If NO,see appropriate tax clause on page# of this instrument. /U 4 Dist. 1001 21016651 1000 06400 0500 029000 5 Community Preservation Fund Real Property PTS II�II�I��I�WllWUConsideration Amount$ �q5/Daly Tax Service R SMI A" I IWIIII IWIIIIII IIl{IWII IIWII Agency �9-MAR-2 CPF Tax Due $ �9 Verification ---- — —----- Improved Satisfactions/Discharges Releases List Property Owners Mailing Address ICORD&RETURN TO: Vacant Land Morgant W. Fiedler, Esq. TD 16'00 P. 0. Box 587 Greenport, NY 11944 TD TO Mail to:Judith A.Pascale,Suffolk County Clerk Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name Fidelity National Title Insurance www.suffolkcountyny.gov/clerk Title 7404-009987 8 Suffolk County Recording & Endorsement Page This page forms part of the attached DEED made by: (SPECIFY TYPE OF INSTRUMENT) PATRICIA A. DZENKOWSKI, ELIZABETH B. SAWICKTThe premises herein is situated in AND CLEMENT J. THOMPSON, JR. SUFFOLK COUNTY,NEW YORK. TO In the TOWN of goTiTmm� CARL MORALES AND VERONICA MORALES In the VILLAGE SOUTHOLD or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING over 1111111 IIII IIIII IIIII IIIII IIIII IIIII IIIII lilll IIII IIII Illill!IIII IIIII IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 03/23/2021 Number of Pages : 4 At: 09:22:53 AM Receipt Number : 21-0056461 TRANSFER TAX NUMBER: 20-25724 LIBER: D00013096 PAGE: 394 District: Section: Block: Lot: 1000 064.00 05.00 029.000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $645,000.00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $20.00 NO Handling $20.00 NO COE $5.00 NO NYS SRCHG $15.00 NO EA-CTY $5.00 NO EA-STATE $125.00 NO TP-584 $5.00 NO Notation $0.00 NO Cert.Copies $0.00 NO RPT $200.00 NO Transfer tax $0.00 NO Comm.Pres $9,900.00 NO Fees Paid $10,295.00 TRANSFER TAX NUMBER: 20-25724 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County d o - I GL l + v i �© 42 i i i i I on TOWS! OF SOUTHOLD P,,, g -- CORD CARD OWNER STREET ;`, 'r VILLAGE DISTRICT SUB. LOT FORMER OWNER '7 - N t E ACREAGE N o f 1 J j S W TYPE OF BUILDING RES. SEAS. `J VL. FARM COMM. I IND. ( CB. I MISC. I Est. Mkt, Value LAND IMP. TOTAL DATE REMARKS L=(tZJ c oG Z cr'odIJr� '�f L �� /�j 1V 1 l� i J -11/77 !( tea-sv`6 4,�.;-�' _..�'`�o=�,, d, F i- ✓/"_lJa }.% AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD Tillable 1 BULKHEAD Tillable 2 DOCK Tillable 3 Woodland Swampland Brushland j House Plot , i Tota -t ..,- I ` ( I I f � _1.� p1 -per i _.:.�,,,,;�,��_ �"M..s•=.� x_ �,��.�-��'3 i i 1 i y ��r i i�'t r I JI I i '_{ _I i,t'z�t_;..����.)_`r-#a'.Y:�f��� _rc'�o.',.�.'�';`ry _•_ -• -.,•c;-�i_�i-��"i i "7, JI,J� , 'pi tI I I ' _I i II N �Bldg.'� �t� ,� 9 - 3 Foundation 's Bath / Extension , I I Basement Floors f , Extension i _ & , Ext. Walls ��/� � interior Finish Extension ( Fire Place Heat Porch L Roof Type — ;, ^ `r�.l /� �� , t' �` J- Porch Roorns Ist Floor Breezeway Patio I Rooms 2nd Floor ' Garage Y Drivewa' � —� Dormer � U �C �-� � �r-�� a ' o o _ '�� 1- I - 21F j- 'Q I I Lot 114 GRAPHIC SCALE —� 20 0 10 20 40 so S 51°28'40" E 156.71' Wire Fnc. 0.6' No* �� Row of Metal Fence Posts 1' +/— North x W Fnd. CM Fnd. CM ° c LF ( IN FEET N 0.6'eo. 1 inch = 20 ft. Ui 0 22.3' 'v 5 O o u3 �O� O m En 12.0' N n �o r 2 Sty. Fr. C.E. ° �-' N �' Res. N ^ c b S/W I #1545 �r oLO i W9.7' 34.3' Sty' c C o O Q� O U Cn ~ l(� O N Conc. Z CN o 65.0' Patio ° p/a a 4 o V 1 00 d � t x TL 20.6' •— M M Fr. 2 Car ° N Garage Fnd. CM � O Asph. D/W tO 10 FC.LF. nd. ,y Iron Ptpe 1 Wire Fnc. 0.3' +/— No. 0.2'E°' o x x /O PVC Fnc. PVC Fnc. PVC Fnc. ° ��7 LOt 1.2'So. " 0 1.0'so. ' 0.2'So. x I N 51°28 40 W 152.47 I Wire Fnc. p 0.1 Lot 116 Lot 117 P/o Lot 117 T Lot 115 as shown on map of - - " Hobart Road Founders Estates" Certified To: Filed May 10, 1927 as Map No. 834 Carl Morales - = =� situate jam. Veronica Morales �o �'� Hamlet and Town of Southold, Fidelity National Title Insurance Company {�P �' wER4F� ;'-, N Suffolk County, (7404-9987) New York 0 ,1 THE EXISTENCE OF WETLANDS, RIGHTS—OF—WAY, AND/OR SUFFOLK COUNTY TAX MAPa } SURVEYED NOVEMBER 16, 2020 BY: EASEMENTS, IF ANY NOT SHOWN, ARE NOT GUARANTEED. 1000-064-05-29 �wI PAUL W. WERLER, L.S. NYS LIC 049875 126 UNION AVENUE ZONING - DATUM - ' �® LANA y,r< CENTER MORICHES, NY 11934 �� - (631) 878-2847 LOT AREA - 11,594 S.F. OR 0.27 ACRES JOB # 2020127 FAX (631) 874-4164 pwerler®lielevicerts.com J S0UTyO� uI ,s./(� # TOWN OF SOUT1IOLD BUILDING DEPT. 765-1802 W�7� .-INSP=ECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION.2ND - [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL - [ ] FIREPLACE &-CHIMNEY , [- ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIR ESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [=CAL ECTRICAL (FINAL) [ ] CODE VIOLATION [ PRE C/O REMARKS: DATE $ INSPECTOR LOCATION; (number & street) (municipality) J SUBDIVISION: MAP.N'O., LOT(S): .. NAME OF OWNER(S)': OCCUPANCY: wil &Ko (type . (owner-tenant) ADMITTED BY: _ ACCOMPANIED BY: KEY AVAILABLE: SUPT. 'CO. TAX MAP'1V.CeN00- —yq SOURCE OF REQUEST: DATE: yy ✓ 2a y( DWELLING TYPE OF CONS'TRUCTI'ON: VV U�U' �G� #STQ'�TES, � .# EXITS. FOUNDATION: , Q ; EA&VMENT. _'CRAWL SPACE: # OF BEDROOMS: 18T FLR: 2ND FLA.: - .j 3I D FLR: -BATHR,O'0 (S): TOILET Pi00M(S): -----0, " UTILIT RO0' • - � l ?' PORCH.TYPE: �(/� D'ECKy T �'E: PATIO;T�'PL: (-0 BREEZEWAY: FIREPLACE'. rARAGE: DOMESTI HOTWATER: TYPE BEATER: ►�! AIRCON ITIONING: TYPE,HEAT: FARM AIR: HOTWATER: y 4 OF KITCHENS: f - FINISHED BASEMENTv YES N . 0 OTHER: W4 vo OhKk4A�, , 4+j s;$h . �ww Ac Sso z STRUCTURES- � F"j 6A* if ©A•G COQ�. GARAGE• T' 1j LRE, TYPE OF CONST., •ORAGE, TYPE CONS'.. - SWIMMING POOL: GUEST,'TYPE CONST: OTHER: VIOLATIONS: CHAPTER.144 &N•Y. STATE:UNIFORM P;RE PREVENTION & BUILDD\TG CODE LOCATION DI SCRIPTION ART. SEC, REMARKS: INSPECTED BY: nn J . 5 . ' DATE OF INSPECTION: yJ ' TIME START; �.: � � END: 7� � V