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HomeMy WebLinkAbout1000-83.-3-6.1x OA 08 0C OC OB OA 7'-0" 7'-0" 'I I a I O N j E I � G i o I I i O O 20'-0" 16'-0" 14'-0" 10'-0- 14'-0" 14'-0" 10'-0" 10'-0" 13'-0" 25'-0" FENCE 34.5kV FEEDER 34.5kV FEEDER 34.5kV DISC. 34.5kV BUS 69/34.5kV 69kV 69kV 69kV 69kV FENCE RISERS & BREAKER BAYS, SWITCH SUPPORT TRANSFORMER BUS SUPPORT CIRCUIT BUS SUPPORT BUS OB LIGHTNING MASTS S.S.T. & VT'S BREAKER ELEVATION A —A ❑e i D ❑D m ® m EQUIPMENT EQUIPMENT ENCLOSURE ENCLOSURE ELEVATION B—B PROPRIETARY INFORMATION REV.: DATE: DESCRIPTION OF REVISION: DRAWN; CHECKED-APPRV'D: KCE NY26 60MW/480MWHR ENERGY STORAGE FACILITY NY26 REPNOLDSARCnTECTURALENGNEERING R EY N O L D S NOT FOR CISCLOECHERUT SORNINGHTS TO THE ARCHITECTURE INFORMON,DESIGNANDIAYOUT KEY CAPTURE ENERGY, LLC 7 OI50.05EO HERDH THIS ORAtMNG15 NY26-I Z1 ISSUEDFDRI NOTBTIDNAL REPRODUCED, COX LN, CUTCHOGUE, NY 11935 CONSTRUCTION CESI RC -CT RDD ENGINEERING DIS0.0SEDTOOTHERECRUSEUTo 1 B DESIGN ORCONSTRUCTANTOFTHE ITEIAS 69/34.5kV COLLECTOR SUBSTATION —TTE. ERE IN V,1IHOUF iHEE1fPRESSED 40 TAMARACK LANE wwTTEx coxsExFDFRErxIXDs B 127Y22 REVISED FOR RIGID BUS OVER FENCE CONNECTION BB SR SR NYSKAYUNA, NV 12309 ARLHiELTUREENGINEERING. A 7121121 ISSUED FOR REVIEW 813 SR sR (516)225-9473 GENERAL ARRANGEMENT - ELEVATIONVIEW 3/16"=V-0" I I 155'-6" Ty LEGEND. 69kV DISCONNECT — — SUBSTATION FENCE SWITCH & S.A.'S EQUIPMENT CENTERLINE 11 E -1 SECTION METERING PT (%ice tttt SHEET # (DWG. 721) O METERING CT #1 cl 69kV CIRCUIT` BREAKER DESIGN CRITERIA 69kV BUS SUPPORT SUGGESTED CLEARANCES PER APPLICABLE INDUSTRY STANDARDS •I 69kV CLEARANCE (35OKV BIL): 69kV DISCONNECT PHASE TO PHASE: SWITCH & S.A.'S (CENTER TO CENTER) • I MINIMUM METAL TO METAL' (PHASE TO PHASE) 2'-7' PHASE TO GROUND 2'-1' VERTICAL CLEARANCE TO LIVE PARTS FOR 69W BUS SUPPORT PERSONAL ACCESS: 10'-6' `I VERTICAL CLEARANCE TO LIVE PARTS OVER ROADWAY: 24'-0" 69W BUS ,SUPPORT, SAFETY CLEARANCE ZONE SWITCHDISCONNECT TO SUBSTATION FENCE: 1P'-0' 69kV CIRCUIT BREAKER , I 69kV BUS SUPPORT GENERAL CLEARANCE: VERTICAL CLEARANCE TO INDETERMINATE VOLTAGE 8'-6' •I (MEASURED FROM TOP OF STRUCTURE BASE PLATE) PT #2 & CPT #2 •I 69kV BUS SUPPORT & CPT ji 1 69kV BUS SUPPORT. DISCONNECT SWITCH & 69KV CIRCUIT BREAKER I 69kV BUS SUPPORT a 0 0 0 a a z1^ zy V ` U m IS 2 y V'S Y OS = m DO O F U U m s3 s3 > > > - N N PROPRIETARY INFORMATION REV.: DATE: DESCRI PTION OF REVI SION' DRAWN: CHECI(ED' APPRVO: °`s' '"' 'a- REYNOLDSAROHTECTURAEENGINEF3tlNO R EY N O L D S KCE NY26 60MW/480MWHR ENERGY STORAGE FACILITY NY26 aAma PROPNETIIRTRIGHTSTOTHE KEY CAPTURE ENERGY, LLC " INFORfAVON, DESIGN AND MOUi N 0 T DISMOSEDHERSKTHIS DRAWINGIS ARCHITECTURE NY26-720P ISSUEDFORINFORMATIONAIPURPOSES D 12722 REVISED FOR RIGID BUS OVER FENCE CONNECTION BB SR SR ENGINEERING COX LN, CUTCHOGUE, NY 11935 ONLYANOAINFORI EREPROOUCED, 'N CONSTRUCTION DESIGN ROONSTRRSOR O—E C 6121 REVISEDARRANGh1ENTFOREASTERNT-LINE ENTRANCE BB SR 8R D DESIGN OR CONSTRUCTANY OF THE ITEMS 69kV POINT OF INTERCONNECT SWITCHYARD aD,vN NERDNW1TNour THE ExPREssED. B 91162f MODIFIED FOR UPA lAYOUi RS SR SR 40 TAMARACK LANE WRITTEN CONSENT OF REVNOLDS NYSKAYUNA, NY 12309 ARCNTECTUREENGINEERING. A 7n1n1 ISSUED FOR REVIEW BE sR sR (518) 225-9473 GENERAL ARRANGEMENT - PLAN VIEW 3/32"=1'-0^ TO NY26 COLL+ L 0 o I` o n ECTOR C O3 SUBS^ATION ►—II r - D 03 0 8'-6^ z N m I I I CONTROL & BATTERY ENCLOSURE I I D 03 I I I LOW BUS I I I I I O2 BS BS i I O2 _ I I _ CTRAN2 _-_-_-_-_-_-_-_-_ i _ I I BS TRAN _—_—_—_—_—_ —_——_—_—_—_ _—_I—_— LOW BUS I A IC I I 03 I I I I i I • I I I 30'-0" 20'-0" 9'-0" 10'-0" 17'-0" 11'-0" 12'-0" 14'-0" 35'-6" i. 1, 1 i I N 0C 0B OA 0C OB OA 7 -0" 7 -0" o I N Cl "o A, N I I O I •I 7'-0" 7'-0" ll'-0" 12'-0" 14--0" 7'-0" x w oµrc a o 0 o�aa a C¢�n a Z U Q Q U > .>it L Uj x s s Y U. oN x Y Y U N ELEVATION A —A ELEVATION B—B PROPRIETARY INFORMATION REV: DATE: OESGRIPl1ON OF REVISION DRAWN: CHEON O: APPRVD: KCE NY26 60MW/480MWHR ENERGY STORAGE FACILITY REYNOUOSARCHITECIURIL ENaNEEWNG R E Y N O L D S NY26 a MS PROPMETARY RIGHTS TO THE NOT FOR "`DwnAT°".DEaGNANDLYDn ARCHITECTURE KEY CAPTURE ENERGY, LLC IN RN TI NERDN II-0$DRAYANGIS NY26-721 P ISSUED MRII—RAWTION PURPOSES CONSTRUCTION ° OSE >a OTHERS REPROD ENGINEERING COX LN, CUTCHO U DISCLOSED TO OTHERS OR USEDTO �. B NOT °ESIGNORCONSTRVCTANYCFIHEITEMS 69kV POINT OF INTERCONNECT SWITCHYARD sH—HERONtMTHOVTTHEWRESSEO B 1272i REVISED FOR RIGID BUS OVER FENCE CONNECTION BB SR SR 40 TAMARACK LANE wRI-HC0NSENTOFREYNDLDs NYSKAYUNA, NY 12309 AACHRECIUREENGINEERING. (518) 225-9473 GENERAL ARRANGEMENT - ELEVATION VIEW A 72121 ISSUED FOR REVIEW BB SR SR ' 1 .o 0 0 OA 08 0C PA 08 0C TO NY26 COLLECTOR SUBSTATION "I 4, A -, Fl, -1 '41, ILI A, ILI N 0 'I ej r I r 7'-0" 6'-0" 6'-0" 7'-0" 7'-0" 7'-0" 11'-0" 10'-0" 1C.-0" 10'-0" e'-0" 12'-0" O O O mB ma O O O O Y S a U a a n g 13 a U to U m m m b b O m m m U b O b l0 b b b �O b y Y ELEVATION C—C i a ❑o Ell 50'-0" zrc z¢ ao ao S �o aw oW ELEVATION D-D PROPRIETARY INFORMATION REV.: DATE: DESCRIPTION OF REVISION: DRAWN: CHECKED: APPRV'D: PC— KCE NY26 60MW/48OMWHR ENERGY STORAGE FACILITY RE YNOLDSARCNIMCTURAI ENGNEENNG R E Y N O L D S NY26 G MISPROPNETARYNGHTSTOTHE NOT FOR INFORMATION DESIGNANDLAYOOT ARCHITECTURE KEY CAPTURE ENERGY, LLC SEO ERONTNISDMWNGIS NY26-721 P DISUOH ISSUED FORINFDRIAAMI-MRP ES COX LN, CUTCHOGUE, NY 11935 DISCLOS TOO 6EREPRGDI TO ENGINEERING CONSTRUCTION DES IGN OR TO STRUC OR DSED TO 2 aeslGN oq cosTRucraur of THEITEMs 69kV POINT OF INTERCONNECT SWITCHYARD SHUN. HERON IMTHOUT THE E%PRESSED B 12722 REVISED FOR RIGID BUS OVER FENCE CONNECTION BB SR SIR 40 TAMARACK LANE MUENCONSEMOFREYNIX S NYSKAYUNA. NY 12309 MWTECTUREMONEENNG. A 72121 ISSUED FOR REVIEW BB sR sR (518) 225-9473 GENERAL ARRANGEMENT -'ELEVATION VIEW 3/ts"=t'-o" -W-O" LIGHTNING MAST 34.5kV FEEDER IIA & 1STIR,STIR,B RISER STIR, CKT. BRKR. 52-F1 34.SW FEEDER 12 RISER STR., CKT. BRKR. 52-F2 A 01 LIGHTNING MAST mO mo rn LLu �vio noy v>yi� �ao ya um >n. m m m D 02 K � m NOT FOR CONSTRUCTION LEGEND: —�— SUBSTATION FENCE EQUIPMENT CENTERLINE xSECTION ## SHEET # (ON DWG. 721) DESIGN CRITERIA SUGGESTED CLEARANCES PER APPLICABLE INDUSTRY STANDARDS 69kV CLEARANCE (350KV BIL): PHASE TO PHASE: (CENTER TO CENTER) 6'-0' MINIMUM METAL TO METAL: jPHASE TO PHASE) 2-7- PHASE TO TO GROUND 2'-1' VERTICAL CLEARANCE TO LIVE PARTS FOR PERSONAL ACCESS: 10'-6' VERTICAL CLEARANCE TO LIVE PARTS OVER ROADWAY: 24'-0' SAFETYCLEARANCE ZONE TO SUBSTATION FENCE: 12'.0" 34.5kV CLEARANCE (200kV BIL): PHASE TO PHASE (CENTER TO CENTER): T-0' MINIMUM METAL TO METAL (PHASE TO PHASE): 1'-6' PHASE TO GROUND VERTICAL CLEARANCE TO LIVE PARTS FOR PERSONAL ACCESS: 10'-0" VERTICAL CLEARANCE TO LIVE PARTS OVER ROADWAY: 231-0' SAFETYCLEARANCE ZONE TO SUBSTATION FENCE: 11'-0" GENERALCLEARANCE VERTICAL CLEARANCE TO INDETERMINATE VOLTAGE 8'-6' (MEASURED FROM TOP OF STRUCTURE BASE PLATE) T \ (� FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL DATE: April 6, 2022 TO: Phil Denara, KCE NY 26 LLC (F. McBride & Sons LLQ 25 Monroe Street, Suite 300 Albany, NY 12210 L A 11� 0 7 2 0 -56iRf08 Town Planning Board Please take notice that your application dated December 17, 202 1: For permit to: Construct a new Solar e�(Prpductimn S stein qnd l3atter Ener el at: Location of property: 10750Di�e on Ro�adCu�tcho,ueNY County Tax Map No. 1000 —Section 83 Block Lot6.1 Is returned herewith and disapproved on the following grounds: subdivisionPursuant to Article �l ti"' Section 280-127 the ro Deed use and of lot re uire site: Ian Board. AppLoval from the Southold Town Planniija _B Section. 280-10 A l-2 which �-e wires that alI lots Dave direct access to a public street as in accordance to Town. Law. The site [.ot to be an interior lot. ' Additional) E 110 87 w icl h� 111wires a mi:ninum side and setback of 20 feet and a rnainurn buildin heiht of 35 feet. The site plan shows a ro osed side and setback of 0 feet on each 2rokosed_parcel. AdditiqnLlla,.th�ero osed Switoh and and Collector' Sulastation show a structure tower heighLof 55 feet. Last) and in additioix 'own ar, - roval re-Cluired for construction of electrical transmission line on ajdoinin),town _owned _pa_-rceI You I now as rectly to these agencies. Authorized Signature Note to Applicant: Any change or deviation to the above referenced application, may require further review by the Southold Town Building Department. CC: file, Planning Board, ZBA FOR INTERNAL USE ONLY _-5-6 Rtfi61 dTo-vi-n­ Minning Board r-wr[= DI &W USE DETERMINATION HIM Determinatioll Date: a �=—a� It Project -Name: Project Address:JQ2�Q��� Date Sent:_ / - - - - - - - - - - - - - -kj_ Zoning Dlstrici' Suffolk county Tax Map Requ'I(eSt-'_ and upporting documentation as to oy E zl (Note: copy of Building Permit Application; -proposed use or uses should be submitted k permitted: jot, as t �h !!the use is J 0 VV -initial Deterrviinat required: Ian is rect Initial -Determination as to whether site P * Signature of Building Inspector Planning Department (P.D.) Referral:� -P.D. [)ate Received: Date:_/�/� Decision: pate atb Of COMment--i—j— Signature of Pi 4nning Dept -,Staff Reviewer ------ �WfR_Ifl Fdina Insnpotor e;,-, n n h i rp. ra: 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) 765-9502hqps://www.southoldtowmiy.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO, Building Inspector. Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. Where the Applicant is not the owner, an Owners Authorization form (Page 2) shall be completed. Date:12/17/2021 OWNER(S) OF PROPERTY: Name: F. McBride & Sons LLC scTM # l000-083.00-03.00-006.001 Project Address:10750 Oregon Road Cutchogue, NY 11935 Phone #: (631) 734-6807 1Email: attys@larkandfolts.com Mailing Address:10415 Oregon Rd Cutchogue, NY 11935 CONTACT PERSON: Name: Phil Denara, KCE NY 26, LLC. Mailing Address: 25 Monroe Street, Suite 300 Albany, NY 12210 Phone #: (516) 279-2955 IKM�l: phil.denara@keycaptureenergy.com DESIGN PROFESSIONAL INFORMATION: Name: R. Joel Richardson, P.E., H2M Architects and Engineers Mailing Address: 538 Broadhollow Road 4th Floor East Melville, NY 11747 Phone #: 631-392-5394 Email: jrichardson@h2m.com CONTRACTOR INFORMATION: Name: TBD Mailing Address: Phone #: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑' Other New Battery Energy Storage Facility $ 25,000,000 [Will the lot be re -graded? ❑Yes iRNo Will excess fill be removed from premises? ❑Yes ®No 1 PROPERTY INFORMATION -------------- Existing use of property: Undeveloped Intended use of property: Battery Energy Storage Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to LI this property? ❑Yes VNo IF YES, PROVIDE A COPY. ig 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 210AS of the New York State Penal Law. 'li Denara - Application Submitted By (print ,e): � Phflip g n horized 14 Agent Ow Si nature of Applicant: Date: Aut ` nerd STATE OF NEW YORK) SS: COUNTY OF Suffolk ) Philip Denara being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)he is the Agent (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_LC day of nirpio,04g0ry Public I4�rr ri�y q+eyirPis„ Gd,ut� cvfd'�u Na,174111,m d�S,Ba�y„$jjjj'Cgj, �. dWV10006"judi F.�N floo March 1:9 > Pirrn IIIOWNER ALJI (Where the applicant is not the owner) Manager of F. McBride_'& Sons, T IX, haying its princ�pal 1, James M. McBride, Member/ -residing-at lace of 'busine s at 10415 Oregon Roa , Cutchogue, NY 11935 do hereby authorize Philip Denarato apply on y behalf tot he Town of Southold Buildin wDepartment for approval as described herein. � � pp12 21 2021 Owner's Signature Date 8 Print Owner's Name architects engineers r 538 Broad Hollow Road, 411 Floor East :111 January 25, 2022 Town of Southold Building Department P.O. Box 1179 Southold, NY 11971-0959 Re: KCE NY 26 — Building Permit Application for Notice of Disapproval 10750 Oregon Road, Cutchogue, NY 11935 SCTM: 1000-083.00-03.00-006.001 H2M Project No: KCEG 2101 On behalf of Key Capture Energy (KCE), H2M architects + engineers (H2M) present this letter along with the enclosed Application for Building Permit for KCE NY 26. KCE is proposing to construct and operate an approximately 60-megawatt battery energy storage system (BESS) at the parcel referenced above. In connection with this application, enclosed please find the following: 1. Application for Building Permit; 2. Conceptualized Site Plan prepared by H2M, dated January 11, 2022 (2 copies); and 3. Single and Separate Title Search. The enclosed application and appurtenant documentation are submitted for the purposes of obtaining a Notice of Disapproval for submission to the Zoning Board of Appeals for a Variance Application. At this time there are two variances we believe will be required for the proposed project: 1. The development as proposed will require a variance from the maximum building height (35 feet) permitted under §280-63 to allow for the installation of lightning masts associated with and within the area of the project substation and Point of Interconnection (POI) substation to be constructed to a height of 55.7 feet; and 2. The development as proposed will require a variance from the minimum single side yard width (20 feet) permitted under §280-63 to allow for the installation of "Hard Bus" interconnection between the project substation and the POI substation. A two -lot subdivision is proposed to facilitate the conveyance of the POI substation property to LIPA, and the hard bus connection between the two substations will be zero feet from the common lot line between the lots created with the subdivision. Should you have questions or require further information, please feel free to contact our office at (631) 756-8000 extension 1715. Very truly yours, ll..10M arllhlIt ct eingt iiii°meers ,. n Sefffr Civil Discipline Engineer cc: Phil Denara — KCE NY 26, LLC John Anzalone — Harris Beach, PLLC X:\KCEG (Key Capture Energy)\KCEG 2101 (NY 26 Cutchogue)\02-Permitting\ToS\Building Permit\22-0106 Submission - Initial Application\22-0125 Cover Letter.docx 1­12M Architects, Engineers, Land Surveying and Landscape Architecture, DPC (NY) offers its services in NY only 1­12M Architects & Engineers, Inc. (NJ) offers its services in NJ, CT, MA, PA, VA only 1­12M Associates, Inc. (NJ) offers its engineering, land surveying, landscape architecture services in NJ only i 2rn.corn ADVOCATE's r. .. STATE OF NEW YORK) ss.. COUNTY OF SUFFOLK) Title No. ADV-10122-S STEPHEN M. RICHARDSON, being duly sworn, deposes and says: 7Esx ing policies 0 ECdtlo rasrboo omm4'+Y 7 t-z& REMV,eo NOV's" Z017 Zo?"'VG BOARD OFAee SUS That he is the President of Advocate's Abstract, Inc., an Agent of Stewart Title Insurance Company, and has had a search made, under his direction, of the records and/or files of the County Clerk and Registrar of the County of Suffolk for the purpose of an application for a variance affecting the following premises: TAX MAP DESIGNATION: District:1000 Section:083.00 Block:03.00 Lot:005.002 That such search includes a chain of title as to the premises and all of the adjoining lots since prior to 8/1/2006 and such search shows, and he does certify that, according to the names listed herein as shown by the search of the public records, no contiguous property was owned by an owner of property involved since that date. That this affidavit is made to assist the TOWN OF SOUTHOLD to reach any determination which requires that said Board will rely upon the truth hereof. This Company's liability is limited to Twenty -Five Thousand and 00/100 ($25,000.00) Dollars for negligence only. No policy of insurance is to be issued hereunder. ADVOCATE'S ABSTRACT, INC., as Agent for Stewart Title Insurance Company BY: Stephen M. Richardson, President Sworn to before me this 22' day of November, 2017. OIR1403rM 6302 Route 25A - Wading River, NY 11792 Cooffad 6n tcg 631-929-6686 9 631-929-3708 fax �J P HIS dt3 ItIG E T-AND S1111UTH Old" S BA P EN RSES: 1000=083.00-03.00-005.003 Chauncey E. Glover to Leander B. Glover Leander B. Glover, Sr. to Leander B. Glover, Jr. Leander B. Glover, Jr. to Alex Zuhoski and Shirley Zuhoski, ux. John J. Zuhoski and Anna Zuhoski, ux. to Alex Zuhoski and Shirley Zuhoski, ux. Alex Zuhoski and Shirley Zuhoski, ux. to Nancy Sacks, Denise Trifiletti Maria Gaydosik and Alexander I. Zuhoski Subject to a Life Estate for Alex Zuhoski and Shirley Zuhoski (LAST DEED OF RECORD) Sworn to before me this 22"d day of November, 2017. Page 3 of 5 KAREN L. RICHARDSON NOTARY PUBLIC, SWO Of NOW YO k 01R14837291 ou'lllfied In. SuffolkT41- Commission E ptnal3 �� Dated: 06/02/1928 Rec'd: 03/03/1950 Liber: 3051 Page: 185 (Part of premises & more) Dated: 06/28/1969 Rec'd: 07/02/1969 Liber: 6578 Page: 147 (Part of premises & more) Dated: 10/11/1976 Rec'd: 10/21/1976 Liber: 8126 Page: 143 (Part of premises) Dated: 11 /29/ 1951 Rec'd: 11/30/1951 Liber: 3295 Page: 179 (Part of Premises) Dated: 04/03/2013 Rec'd: 05/29/2013 Liber: 12731 Page: 134 (Subject Premises) ADVOCATE'S ABSTRACT, INC. BY: STEPHEN M. RICHARDSON 10 PREMISES ADJOINING NORTH OF SUBJECT PREMISES: OREGON ROAD Dated: November 22, 2017 Swom to before me this 22"d day of November, 2017. KAREN L. RICHARDSON NOTARY PUBLIC, State of New York 01R14837291 Q,U,agftd In Suffolk C my Commission Explres tq 1V^ . eo Cn 5 Page 5 of 5 ADVOCATE'S ABSTRACT, INC. BY: STEPHEN M. RICHARDSON CONSUMER NOTICES AND DISCLOSURES AS REQUIRJ�013URSUANT TO NEr'W YORK INSURANCE LAW: Date: Order/File No. The Property: To: (Borrower) - These disclosure and Notices are for the purposes of compliance with New York Insurance law and do not alter or change the coverage's, exceptions, exclusions, or conditions of the final policies issued in connection with the subject Zra:nsaction. Any person who knowingly and with intent to defraud any insurance company or other person files an applications for insumce or statement of claim containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime, and shall also be subject to a ciivi I penalty not to exceed five thousand dollars and the stated value of the claim for each such violation.. THIS REPORT JS NOT A TITLE INSURANCE POLICY. PLEASE REVIEW THIS REP T WITH A REAL ESTATE PROFESSIONAL REPRESENTING YOUR INTEREST IN THIS TRANSACTION. SACTIO PLEASE READ IT CAREFULLY. THE REPORT MAY SET FORTH EXCLUSIONS UNDER THE TITLE -INSURANCE. POLICY AND MAY NOT LIST ALL LIENS, DEFECTS, AND ENCUMBRANCES AFFECTING TITLE TO THE PROPERTY. YOU SHOULD CONSIDER THIS INFORMATION CAREFULLY. Initial: 1