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Home My WebLink About1000-13.-2-8.24 TOWN OF SOUTHOLD X 34 3� Rental Permit 0559 Owner Kathryn Sennis Occupied as Single Family Dwelling Located at 1460 Hillcrest Drive Orient 13.-2-8.24 Maximum Permitted Occupancy 8 Is in compliance with all of the provisions of the code of the Town of Southold, the laws and sanitary and housing regulations of the County of Suffolk and by the laws adopted by the New York State Fire Prevention and Building Code Council. Expiration is two (2) years from date of issue. The operator is responsible for arranging for the bi-annual inspection. 11/3/2023 ode ore er . Official This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD BUILDING D' 631 -765-1802 INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] TIRE SAFETY IN; [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELIC IICAT (F [ ] CODE VIOLATION [ ] P C/O ] to o k 4 � INSPECTOR0 DATE Town Hall Annex ��° �� Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 m Southold,NY 11971-0959 Ova 1 P , r a � .w... �,� BUILDING DEPARTMENT 2 6 20P-3 TOWN OF SO HOLD RENTAL PROPERTY CERTIFICATION ' " I "� ° Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Frossionrl seal re wired or Ar+rhltect or!fin ineer licensed home!ns actor must rovide co o valid current cerci icalon Rental Property SCTM Number: 'M 1 013,0 t 02. Rental Property Address: » P � Owner/Name: " Rental Dwelling Unit Identifier: Number & Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 —100 sq., Bedroom# (�., etc. � � t ,, 4 � � �� 4" ) Prope y Description (Include all improvements indicated on survey) I certify that/Me done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Southold,the Residential Code of New York State,the Building Code of New York State,the Plumbing Code of New York State, the Fuel Gas Code of New York State, and the Energy Conservation Construction Code of New York State. t ' Print Name and Title ' . Cl s,% ,. Iginal Signatu e 26 �0 r Please place professional seal: 59 -- ' NSOUTHOLD Rental Permit 055:9 Owner Kathryn Sennis Occupied as Single Family Dwelling Located at 1460 Hillcrest Drive Orient 13.-2-8.24 Maximum Permitted Occupancy 8 Is in compliance with all of the provisions of the code of the Town of Southold, the laws and sanitary and housing regulations of the County of Suffolk and by the laws adopted by the New York State Fire Prevention and Building Code Council. Expiration is two (2) years from date of issue. The operator is responsible for arranging for the bi-annual inspection. 11/9/2021 This Notice must be posted by the main entrance at all times EnfVen cial 41,Town Hall Annex Telephone(631)765-1802 i0 Fax(631 -9502 54375 Main Road )765 P.O.Box 1179 Southold,NY 11971-0959 �9� � m31 BUILDING DEPARTMENT AUG 2 3 2021 TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee $200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: 1+f o �11�+ brie tl ►f��( , 1 �Q5'7 Tax Map Number: 1000 SECTION 0)3,000 -BLOCK OZ° oo -LOT 009 - 02-4 SECTION B. OWNER INFORMATION: Property Owner Name: 64n4n ennls Property Owner Legal Address: Property Owner Mailing Address: 44 f:~ . it131 CR17) �8�855- Telephone Number(s): Daytime Zz.4-2_S'9 8 Evening 't R S+ Emergency q0 Property Owner Email Address: jt,K0 —ri no-b c�l` CQrr Page 1 of S Town Hall AnnexTelephone(631)765-1802 54375 Main Roads Fax(631)765-9502 P.O.Box 1179 � � Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number (s): Daytime Evening. Emergency Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: �k"�+�-�►ls, �1y .�'?fib Address of Authorized Agent (no P.O. Boxes): _ Mailing Address of Authorized Agent: same, os Q-60w- Telephone Number (s): Daytime (91t FP- Evenin 5d-hf- _Emergency ri 993 Email Address: icA�e e Wkn on-�y-s-{-�'�-�' CEsN' SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any: - Address of Managing Agent (no P.O. Boxes): Page 2 of 5 Town Hall Annexk Telephone(631)765-1802 54375 Main Road �U Fax(63 t)765-9502 P.O.Box 1179 r Southold,NY 11971-0959 ;r BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number(s): Daytime Evening Emergency Email Address: SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: l 0he f-& For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier(for example, Unit 1, Unit 2, Unit 3 or Apt A, B, Q the use of each room in the Rental Dwelling Unit (for example, Kitchen, Bedroom 1, Bedroom 2, Living Room) and the dimensions of each room. For properties with multiple Rental Dwelling Units use "Rental Permit Application Addendum." LOT vol, o2-14 Rental Dwelling Unit Identifier: + gldct 02, 00 Requested Maximum number of persons allowed to occupy Dwelling Unit: -�ah► ms Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: 313 � � X 1►,��naa ,,.. 1'2. b y c) a i �;rw P.-�,w, 1� 31s.l 2. earl hl 'trl�si. �6!"p �.�, v 1, ,c.-t0 �.- —_v•.. -7. x d ,�' KCS S4er- bP-J—r.QQtA12.11 x lb b W-J" t,+k i . X to, l -4' 3 15 5 . 12. i 13ec6wc!�,. -A 4 11, TY-I1, la Page 3 of 5 11" � Town Hall Annex Telephone(631)765-1802 �� 54375 Main Road �� Fax(631)765-9502 Aw P.O.Box 1179 R� Southold,NY 11971-0959 " ��Y BUILDING DEPARTMENT TOWN OF SOUTHOLD SECTION G. INSPECTION: Pursuant to the Town Code of the Town of Southold Chapter 207 (Rental Properties), a safety inspection by Code Enforcement Official is required. If the owner chooses not to have said inspection performed by the Town, a certification from a licensed architect, a licensed professional engineer or a home inspector who has a valid New York State Uniform Fire Prevention Building Code Certification is required stating that the property which is the subject of the rental permit application is in compliance with all of the provisions of the code of the Town of Southold, the laws and sanitary and housing regulations of the County of Suffolk and by the laws adopted by the New York State Fire Prevention and Building Code Council. ❑ 1 am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold [SI/ I am submitting a completed Town of Southold certification form from a licensed architect or a licensed professional engineer. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) ° ( I li JQ°n'S certify under penalty of perjury,the following: 1_ 1 am the owner of the nrooertv identified in "Section A" of this application. 2. The property owner's legal address set forth in "Section B" of this application is my legal address and I understand the Town will use the address for service pursuant to all Page 4 of 5 u,`r Town Hall Annex r Telephone(631)765-1802 IQ 54375 Main Road Fax(631)765-9502 P.O.Box 1179e� Southold,NY 11971-095907 BUILDING DEPARTMENT TOWN OF SO OLD applicable laws and rules. I further acknowledge that I will notify the Town of Southold Building Department of any changes of address within five (5) days of any changes thereto. 3. 1 have read and received a copy of Chapter 207 of the Code of the Town of Southold and agreed to abide by the same. 4. 1 will notify the Town within five (5) business days as to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name: ` '��`� n Sn;s Property Owner's Signature: " Sworrl o before me this day , 20 Off" Notary Public Signature an Original Notary Stamp THOMAS S.VTALe Public,State Of NeW Y01k f4agistragon No. QualMed In Suffolk u Commiukmi lixpima 21251 Page 5 of 5 _rwC00 l If vh TOWN OF L D BUILDING DEPT. M1 765-1602INSPECTION �� -- y- g•yU l [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O a DATE kj INSPECTOR �1y1 � s g� ��o Town Hall Annex ; Telephone(631)765-1802 54375 Main Road ',r Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 UN Irk BUILDING DEPARTMENT TOWN OF SO OLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit P"ro essi"gnat seat re aired' or.Architect or Fn beer ltensed�Norrle inspector must rolrlde co of valid current certification r, Rental Property SCTM Number: `� 16W 4043-00, Rental Property Address: 14 61D 14 1 L C wr 'DR i Owner/Name: i Rental Dwelling Unit Identifier: Number&Square footage of each bedroom as depicted in the attached floor plan: (ij sq Bedroom#2-90 sq., etc.) .e. Bedroom#1-100 s �„,„ 1.11 p Property De �tion (Include all 3rn rovements indicated on survey) Des I certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Southold,the Residential Code of New York State,the Building Code of New York State,the Plumbing Code of New York State, the Fuel Gas Code of New York State, and the Energy Conservation Construction Code of New York State. Print Name and Title i fi Original Sig at/ I r A!rel ` Please place professional seal: c 049759 'OF SS1 146b �11ACAf-TV-1)f4,,r N&t+l W1 1` , GARAGEANN= smanow 2 0V 2 11 BREAKFAST NOOK KITCHEN .K �, ' _ 13,1- , FAVI ROW 3 e U LAUWRYa `8' fmt- G M DiNM REO m LIVINGROOM. £ y x 1.t;3E FOYER - S�Cb�ll� �LDzs� P BATA . 6 "PRIMARY- fe4N 13'6" M - BATH 97" Y BEDROOM oil HALL 141511 x 7'2" s PRIMARY BEDROOM ` , O BELOW, BEDROOM 155" x IZ'4-* BEDROOM 14'5" x 10Lm, , - - -- - 0 s ki. AIAM o Co4-S sm6 TOWN OF SOUTH LD PROPERTY RECORD CARD �NER GREET 4'ILLAGE D15T. SUB. LOT —FORMER OWNER ' r � ; r �� N E ACR. x - S W TYPE OF BUILDING o. RES. SEAS. I VL. FARM COMM. CB., MICS. Mkt. Value - - - LAND IMP. TOTAL DATE REMARKS ,° l '' f./. - y _ _ �.. _ ,�. . �' ✓ J, , lf'��,T, J11 4 [ap r GC) /;ate CAD ot _ ii a a r -;; ZZ - a - Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD e� �g Meadowland DEPTH House Plot � ~ BULKHEAD _ I Total F Lk Ts s Al 1 L e a a 13.-2-8.24 1/06 - IVl Bldg. $ ? a Foundationy Bath Extension X27 I - Basements' Floors Extension ? ' Z t '45 = 1a Fxt. Walls' , , . ,., Interior Finish cast - �+�,. Extension Fire Place Heat lies fv. 2 r � F Porch 4s r O Pool Attic Deck... t'z. Patio Rooms 1st Floor Breezeway Driveway Rooms 2nd Floor Garage _ :... (p In, O. B. - E SCTM # f t y TOWN OF SOUTHOLD PROPERTY OWNER STREET VILLAGE DIST bum,. LOT ACR REMARKS a17ITT m TYPE OF BLD. - PROP. CLASS LAND IMP, TOTAL DATE - FRONTAGE ON WATER HOUSE/LOT - -- - BULKHEAD -- - -- TOTAL -- 0 DataTIFaCE T.516.663.0600 F.657.2053795 E.All.NY.CustomerService@datatracWtie.corn Certificate of Occupancy Search TITLE #: 21TO2965S DATE:2/8/2021 PREPARED FOR:Title One Abstract Service, Inc. (0095) ORDER ID:12040024 PR9MIRS; 1460 HILLCREST DRIVE, ORIENT State: NY County: SUFFOLK Town: SOUTHOLD Unincorp: ORIENT District: 1000 Section: 013.00 Block: 02.00 Lot: 008.024 A search of the Building Department records in reference to the above mentioned premises has revealed the following information: Certificate of Occupancy #Z28911 Dated: 10/2/2002 Permit#27133Z For a one family dwelling with covered front porch and two car attached garage. Certificate of Occupancy #Z28912 Dated: 10/2/2002 Permit#28736Z For a deck. Certificate of Occupancy #Z32825 Dated: 1/7/2008 Permit#31571Z For an inground pool. Certificate of Occupancy #35477 Dated: 3/7/2012 Permit#36782 For sport court. IMPORTANT NOTICE ABOUT SEARCH INFORMATION HEREIN DATATRACE INFORMATION SERVICES,LLC DISCLAIMS ANY AND ALL LIABILITY TO ANY PERSON OR ENTITY FOR THE PROPER PERFORMANCE OF SERVICES RELECTING THE CONDITION OF TITLE TO REAL PROPERTY.THIS SEARCH WAS COMPILED FROM PUBLIC RECORDS MADE AVAILABLE FROM VARIOUS COUNTY AND MUNICIPAL OFFICES,AGENCIES AND DEPARTMENTS.THE SERVICES ARE PROVIDED"AS 15"WITHOUT WARRANTY OF ANY KIND,EITHER EXPRESS OR IMPLIED,INCLUDING WITHOUT LIMITATION ANY WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE,OR WARRANTIES BASED ON COURSE OF DEALING OR USAGE IN TRADE OR ERRORS OR OMISSIONS RESULTING FROM NEGLIGENCE,MIS-INDEXING,MIS-POSTING OR ITEMS THAT ARE AFTER THE EFFECTWVF DATE OF THE SEACH.THIS IS NOT AN INSURED SERVICE.THIS DISCLAIMER SUPERSEDES ALL PRIOR AND CONTEMPORANEOUS UNDERSTANDINGS.THE SERVICES ARE EXCLUSIVELY FOR DAT'ATi RACE CLIENT AND NOT FOR THE BENEFIT OF ANY TMRD PARTIES nni qx;n/nn19.;n FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28911 Date: 10/02/02 THIS CERTIFIES that the building NEW DWELLING Location of Property: 1460 HILLCREST DR ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 13 Block 2 Lot 8.24 Subdivision Filed Map No. Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 25, 2001 pursuant to which Building Permit No. 27133-Z dated MARCH 9, 2001 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH COVERED FRONT PORCH AND ATTACHED TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to ROY B RODRIGUEZ (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-98-0026 09/16/02 ELECTRICAL CERTIFICATE NO. 57856 09 12 02 PLUMBERS CERTIFICATION DATED 09/27/02 GARY STAHL Authorised Si ture Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28912 Date: 10/02/02 THIS CERTIFIES that the building ADDITION Location of Property: — 1460 HILLCREST DR ORIENT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 13 Block 2 Lot 8.24 Subdivision — Filed Map No. Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER S, 2002 pursuant to which Building Permit No. 28736-Z dated SEPTEMBER 10 2002 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.. The certificate is issued to ROY B RODRIGUEZ (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ NfA PLUMBERS CERTIFICATION DATED N/A ?eA,uthorized Signa re Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-32825 Date: 01/07/08 THIS CERTIFIES that the building INGROUND SWIMMING POOL Location of Property: 1460 HILLCREST DR _ ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 13 Block 2 Lot 8.24 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 28, 2005 pursuant to which Building Permit No. 31571-Z dated NO17EMBER 1 2005 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ACCESSORY INGROUND SWIMMING POOL IN THE REQUIRED REAR YARD WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to KENNETH E & LAURI W. COULTER (OWNER) of the aforesaid building. SUFFOLK COItNTY DEPARTMENT OF HBALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 7000 04f11 06 PLUMERS CERTIFICATION DATED N/A r ori d Sic ture Rev. 1/81 Town of Southold Annex 3/7/2012 R� P.O.Box 1179 54375 Main Road Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 35477 Date: 3/7/2012 THIS CERTIFIES that the building OTHER Location of Property: 1460 Hillcrest Dr, Orient, SCTM #: 473889 Sec/Block/Lot: 13.-2-8.24 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 10/17/2011 pursuant to which Building Permit No. 36782 dated 10/28/2011 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: gtratn3 acscrvpc�rt court as a, lied-fir: The certificate is issued to Michael&Karin Schaefer (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CER-11 IFIC.A T E NO. PLUMBERS CERTIFICATION DATED A� crized Signature CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY CV:3 c� THIS INDENTURE,made the Z2 day of MGC ct11 — 2021 BETWEEN Michael E. Schaefer and Karin L.Schaefer, residing at 1460 Hillcrest Drive, Orient, New York 11857 ^r' party of the first part,and J Kathryn Sennis, residing at 46 1st Place, Brooklyn, New York 11231 party of the second part, WITNESSETH,that the party of the first part,in consideration of TEN dollars 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 in the See Schedule A attached hereto and made a part hereof Being the same premises conveyed to the party of the first part by deed dated September 2,2008 and recorded on October 14, 2008 in Liber D12568 Page 384 in the Suffolk County Clerk's Office. TOGETHER with all'fight,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 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,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 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 some for any Cather purpose.The word"party"shall be construed as if it read"parties"when ever 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. IN PRESENCE OF: Michael E.Schaefer Karin L. Schaefer Standard N.Y.B.T.U.Form BOOS Bargain and Sale Deed,with Covenant against Grantors Acts-Uniform Acknowledgment Foram 3290 TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE Stale of New York,County of 5 A KoNY_ Ss: State of New York,County of SM31 ss: On the 12 day of MCv L V` in the year 2021 On the 12- day of Mc%%-c1^ in the year 2021 before me,the undersigned,personally appeared before me,the undersigned,personally appeared Michael E.Schaefer Karin L.Schaefer personally known t o me or proved to me on the basis of personally known to me or proved to me on the basis of satisfactory evidence to be they individual(s)whose name(s)is satisfactory evidence to be the'individu at(s)whose name(s)is (are)subscribed to the within instrument and acknowledged to (are)subscribed to the within inslrum'ent and acknowledged to me that he/she/they executed the same in his/her/their me that he/she/they executed the same in his/her/their capadty(les)„and that by hWherffhei r signature(s)on the oapacity(ies),and that by his/her/their signature(s)on the instrument the indi'vidual(s),or the person upon behalf of which instrument,the Individual s)„or the person upon behal f of which the rad ivldual(s)acte . xeculed the instrument. the individual(s)acted,a uted the instrument. Ou (Slgnalur nd office of in s (dual taking acknowiedgmenl) (si g acknow edgmernt) CHAYSA ASOUAL )N N0 ary Pu a oa C H R'JSA PA`aQA Notary Public,State of New York N0.0 A6078544 �E No.02PA6078644 Qualified In Suffolk County Qualified In Suffolk County Commission Expires August 5,20' Commission Exp 'b'% m EN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State(or District of Columbia,Territory,or Foreign Country)of as: On the day of in the year before me,the undersigned,personally appeared personally known to me or proved to me on the basis of satisfactory evidence to be the indlvidual(s)whose name(s) is(are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in hislher/their capac'rly(ies),and that by his)herll heir signatures)on the instrument,the indivlduaf(s),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 in (insert the City or other political subdivision) _'and insert the State or CgUnlr sr_mt9aer puce 6he aokn rel m :sit wwss 0alzpn) (signature and office or individual taking acknowledgment) DISTRICT 1000 SECTION 13 BARGAIN ANDSALE DEED BLOCK 2 WITH COVENANT AGAINST GRANTOR'S ACTS LOT 80.024 Title No. Orient COUNTY OR TOWN 1460 Hillcrest Drive Schaefer STREET ADDRESS TO Recorded at Request of Sennis RETURN BY MAIL TO: DISTRIBUTED BY Katerina Nikiforou, Esq. 269 86th Street Brooklyn, New York 11209 W LL O K O u W C LL (7 W N 7 LL' O LL W O a a N N_ Z F C W N W K