HomeMy WebLinkAbout1000-104.-10-4 TOWN OF SOUTHOLD
Rental Permit
0676
Owner Rubber Donut LLC
Occupied as Single Family Dwelling
Located at 530 Broadwaters Rd. Cutchogue 104-10-4
Maximum Permitted Occupancy 6
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.
6/21/2022
Code or nt fficial
This Notice must be posted by the main entrance at all times
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Town Hall Annex Telephone(631)765-1802 #
54375 Main Road Fix(631)765-9502
P.O.Box 1179 {°
Southold,NY 11971-0959
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BUILDING DEPARTMENT
TOVM OF BOUTHO11,D
RENTAL PERMIT APPLICATION_
Rental Permit Fee$200(Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address: C,� ✓1��,
Tax Map Number: 9.000 SECTION T4_-BLOCK / -LOT-00-1 -
SECTION S.
OWNER INFORMATION:
!20 �c`oZ �l�o r&T L L
Property Owner Name: Stephen Maharani and Camila Pastor
Property Owner Legal Address: Property Owner Mailing Address:
323 Pacific Street, Brooklyn, NY 11201 323 Pacific Street,_Brooklyn,.NY 11201
516.9061.0656
Telephone (dumber(s): Daytime 516.906.0656 Evening. Emergency51fila6.0656
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Property Owner Email Address: sm _atephenmahararn.co.m
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Town Hall Annex x, Telephone(631)765-1802
54375 Main Road '+
Fax(631)765-9502
P.O.Box 1179 3 ;!
Southold,NY 11971-0959
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BUILDING DEPARTMENT
TOWN OF SOUMOLD
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit,if any:-Tom Uhlinger/KristV Naddeil
Address of Authorized Agent(no P.O.Boxes
y
Mailing Address of Authorized Agent:_
Telephone Number(s): Daytime '33-q` Evening� F merg�e� b 16
Email Address: VIC
Section D.
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Managing Agent Information:
Name of Authorized Agent of dwelling unit,if any:
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Address of Authorized Agent(no P.O. Boxes):
Mailing Address of Authorized Agent:_
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Telephone Number(s):Daytime Evening,! Emergency
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Email Address:
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SECTION E.
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SITE MANAGER INFORMATION:(required for rental properties containing 8 or more rental units)
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Name of Managing Agent of dwelling unlit,if any:
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Address of Managing Agent(no P.O. Boxes):
F
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Town Hall Annex x gsl { Telephone(631)765-1802
54.175 Main Road ;y f Fax(631)765-9502
P.O.Box 1179 4-
Southold,
Southold.NY l 1971-0959 .`
Yam
42,
BUILDING DEPARTMENT {
TOWN OF SOUTHOLD
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Mailing Address of Managing Agent:
a
Telephone Number(s): Daytime Evening--.Emergency
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Email Address:
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property: 'n6:
For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier(for example,
Unit 1, Unit 2, Unit 3 or Apt A,B,C);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."
Rental Dwelling Unit Identifier:`- C' —
Unit 1
Requested Maximum number of persons allowed to occupy Dwelling U it: Six
Number of rooms in Rental Dwelling Unit:-�
Use and Dimensions of each room in Rental Dwelling Unity
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Soo-
Town Hall Annex x _ Telephone(631)765-1802 `
54375 Main Road t Fax(631)765.9502
P.O.Box 1179
Southold,NY If 971-0959
., U1 .
BUILDING DEPARTMENT
TOWN OF SOLYMOM
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 i
Prevention Building Code Certification Is required stating that the property which is the subject 1
of the rental permit application is In compliance with all of the provisions of the code of the 1
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.
V/1 am requesting a fire safety inspection to be performed by a Code Enforcement Official
from the Town of Southold
❑ 1 am submitting a completed Town of Southold certification form from a licensed
architect or a licensed professional engineer.
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SECTION H.
DECLARATION: Signature must be notarized and MtlSTbe the owner of the dwelling unit. i
STATE OF NEW YORK)
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COUNTY OF SUFFOLK)
I Stephen Maharam _ __,certify under penalty of perjury,the following:
1. 1 am the owner of the property 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
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Town Hall Annex �Y° Telephone(631)765-1802
54375 Maim Road .9 Fax(631)765-9502
P.O.Sox 1179 ;. .i
Southold,NY 11971-0959
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BUILDING DEPARTMENT �
TORRv OF SOUTHOLD►
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applicable laws and rules. I further acknowledge that I will notify the Town of Southold
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Building Department of any changes of address within five(5)days of any changes
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thereto.
3. 1 have read and received a copy of Chapter 207 of the Code of the Town of Southold and
agreed to abide b the same
g y . #
4. 1 will notify-the Town within five(5)business days as to any change to the information
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regarding Authorized Agent,Managing Agent,or Site Manager.
Property Owner's Name: h
Property Owner's Signature:
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Sworn to be ore me this day of. &P-LI 20 Zz {
Official No ry ublic Signature and O Inal Notary Stamp
DONNA MARONEY
Notary Public,State of New York
Reistration No.01MA4848768
Clified in Suffolk County
COmndssion Expires Jan.20 Z�o
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Page 5 of 5
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ho��OF SOUlyolo
# # TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] NAL
[ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENET ATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI L)
[ ] CODE VIOLATION [ ] PRE C/O [ RENTAL
REMAAR S: 40mS
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TOWN OF SOUTHOLD ' PROPERTY RECORD Cie; 71,3/�g
OWNER STREET > VILLAGE DIST. ✓SUB. ~ LOT '-gyp '
�n4�w� k 116
FORMER OWNER/ N E ACR. x
S W TYPE OF BUILDING
RES. / SEAS. VL. FARM COMM. CB. MISC. Mkt. Value
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LAND. IMP. TOTAL DATE REMARKS }^( ,p
V U✓ ` to!? _1' C� / f-f.•Q 1.1Lf (� /f \( ~1'r ,/.�
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° �'.. �``�'£� a `'= ✓r ,P i Z 7
.--. C -f"). :4 ..J :Y .h CI:�'.17 �-' ���rf d`b /✓(tj b 1177i^ 7? )9/,
�' t.�.t�!S'.'�"d%1 �r' t� fU 1 C.`r..K3 ✓ 1
L,.rtx +� vJ l� L' �j fit`. /✓,s' `f, f�G �4� / �rt i G ' ,�IS7i G 7'6 S/42
be rw- •MJ nC'r L-��,�' - .`/ �, ;
AGE qua i BUDDING COJNDITIOtq a. i0p, by 28491 Odldihm&c,o-
FARM . Acre Value Per Value
Acre
Tillable 1
Tillable : 2
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Tillable -3
Woodland
Swampland FRONTAGE ON WATER j C1 +e �j
+ ;� e� r ar S U
.4 !"'C7 .^:w.. ,i#'Ci "-e":.Y°j�' 1..•6 V'c' -Q (ems
Brushland FRONTAGE ON ROAD
:y:
House Plot DEPTH t �a`.;�` y :t� •a�_
V,-
-�.,, BULKHEAD
Total DOCK
f
,
COLOR
;, '. ,• F 4,� TRIM ?
M. Bldg. Foundation - A, Both Dinette _--v
Extension Basement Floors f . K.
Extension ,,Ext. Walls 'C Interior Finish ry "- ```; LR.
' - Fire Place �' Heat L DR.
Ex ension ,�a, r ,;4{° s - s , '
Type Roof Rooms lst Floor BR.
6 ` Recreotion Room Rooms 2nd Floor FIN. B.
Porch Dormer
Bxaez yj , r' +� d.,aa Driveway
Garage
t3-'B" G xe/stP fid' S ;` 'S.0 c, -- -----
Total ;— j
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
UPDATED PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-17969 Date APRIL 25, 1989
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 500 BROADWATERS ROAD CUTCHOGUE NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 104 Block 10 Lot 04
Subdivision Nassau Pt.Club Prop.Filed Map No 156 Lot No. 185
conforms substantially to the requirements for a private one-family
dwelling built prior to: APRIL 9, 1957 pursuant to which
CERT. OF OCCUPANCY. #Z-17969 dated APRIL 25 1989
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 A PRIVATE ONE FAMILY DWELLING*
The certificate is issued to WALTER SILBERNAGEL & WIFE
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD PRE EXISTING
UNDERWRITERS CERTIFICATE NO. NO RECORD PRE EXISTING
PLUMBERS CERTIFICATION DATED NO RECORD PRE EXISTING
THIS PRE CO UPDATES PRE CO Z-10830 DATED 12/23/1981 & ALSO INCLUDES
BP #2270Z-CO Z-2001,BP #6921Z-CO Z-7664, & BP #10667Z-CO Z-10829.
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Building fnspector
Rev. 1/81
BUILDING DEPARTiIENI
TO'rlT.T OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 500 Broadwaters Road Cutchogue NY
number & szreez) Municipaiity
Subdivision Nassau Point Club PropT3ap No. 156 Lot(s) 184 & 185
Name of Owners) Abe Usatch & Wife
Occupancy R-1 unoccupied
type (owner-tenant
Admitted by: self Accompanied by: self
Key available Mr. Burt Lewis, Jr. Suffolk Co. Tax No. 1.04-10-005
Source of request Mr. Burt Lewis, Jr." Date 11/4/81
DWE1LITIG:
Type of construction wood framed rstories 2
Foundation cement block & slab Cellar partial Crawl space partial
Total rooms, 1st. F1 5 2nd. Fl 1 3rd. Fl
Bathro::.m(s) 2 Toiletrooms)
Porch, type Deck, type Patio, type
Breezeway Garage Utility room
Type Heat oil fired Warm Air Hotwater x
Fireplace(s) 1 No. Exits 3 Airconditioning
Domestic hotwatery_es Type heater tank
Other
ACCESSORY STRUCTURES: NONE
Garage, type const._ Storage, type const.
Swimming pool Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 52
Location Description Art. 1 Sec.
No violations—Housing Code Chapter 52
where found.
The Pre-C.O. includes B.P. 2270Z--C.0. Z2001 , B.P. 6921Z--
Remarks: C.O. Z7777664 , B.P. 106672--C.O. Z10829.
Inspected by: (_ �,.,u -o f?,-1--7�„Date of Insp. 12/22/81
Curtis W. Horton Time start 2:30 end 3:00
FORM NO. 4
TOWN OF SOUT•HOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
,............ Date ................................Oataber..27,
THIS CERTIFIES that the building located at . �,ty.. } ,p �,i� ,.q., .... Street
MaptfAi..... I'p3.nt.. k 'd?�?.................... Lot No. t8 $. . . u Fhb ................
conforms substantially to the Application for Building Permit heretofore filed in this office dated
.................................I.... .r(3—F-Vber..1.3 19-ja.. pursuant to which Building Permit No. .a�"�X�..�,
dated .......................Do(.,-eRjbej......;!�7...,, 19,.63., was issued, and conforms to all of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is ........
...................P3Pr1%t&..03"... 3 ►••ct,��3:_l•3: t1;..............................................................................
The certificate is issued to ... b43.. • 0 3�►••Y rs$tl 1...................Omera.......................................
(owner, lessee or tenant)
of the aforesaid building.
........ .�' ,��.�,:, . . �... .........
Building~Inspector
FORM NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
2270 Z Date ...... ............ .:.. ..., I9 ...
Permission is hereby grontdd to:
....... .. .. '. 6` ..:......................
...........I...... ,`i dWat6t1'.8..Rd............................
.......................dat'ah.""...................I...............
to . . I' ... .. ► d 1�X1C.. .. ..e V-A $ TW..d-D-I 1s.......................................................
..................................................................................................................................................................
atpremises located at.,.,.�0$... .......... ........................,........................................
.......................................... i avantols ..wad:�.....���+ +�3� ....................................................
................................................ ................. ... ........................................................... ..................i......
pursuant to application dated ..............................eaonbe ,.... 3.., 19...6 , and approved by the
Building Inspector
Fee $... ...........
;s
... .�.:�..:,, .: ....................
..� .. .
Building Inspector
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FORK NO. 4
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. 6 . . . . . . Date . . . . . . . . May . 16. . . . . . .. 19-7.7
THIS CERTIFIES that the building located at X/j3 Broadvaimro -Road • • • Street
Map Nollau* Pt Pro
« Brock No. Lot No. 1.84 8c'1.85. .Outahogbte. . . . . . . . .
conforms substantially to the Application for Building Permit heretofore filed in this office
dated . . . . . . . .00 . 11. , 19.73. pursuant to which Building Permit No.6921 Z. .
dated . . Oct . .12. ., 19 73, was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is .Privato. .one. family dwelling.w,itia addition . . . . . . . .
The certificate is issued to . . . ,&.Mra Abraham. Usateh. . . . . .
. erg . . • , , , , , , . .
of the aforesaid building. (owner, lessee or tenant)
Suffolk County Department of Health Approval N-Pilo. . . . . . . . . . . . . .
UNDERWRITERS CERTIFICATE No. . .j33?.t99. . May. .12. . . 497 ► . . . . . . . . . . . . . .
HOUSE NUMBER . . . 504 Street . Broadwaters• Road • • •ligan •Pt• • • • • • • • .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Building Inspector
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold,N.Y.
Certificate Of Occupancy
No. .Z 10029. . . . . . . . . Date . . . . . . December .22. . . . .. . . . . . . .. 19 . 8.1
THIS CERTIFIES that they building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..
Location of Property 5.0.Q.. . . . . . . . . Ar:QgO.,Rq�qna ,Road , , Cutcho$ue.
House No. SYreet . . Hamlet
County Tax Map No. 1000 Section . ?04 . . . . . .Block . . 10. . . . . . . . . . .Lot . . 004 . . . . . . .
Subdivision .V40A41J. ?A�0, X;140. Pr9P.•. . .Filed Mip No. 15.6. . .Lot No. 1.$4.
conforms substantially to the.Application for Building Permit heretofore filed in this office dated
• BaY• 5 . . . . . . . . . . . . . 1960.pursuant to which Building Permit No. 10667. Z . . . . . .. . . . . .
dated . . . . .MaY. .9. . . . . . . . . . . . . . . . . 19 .$?;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.. . . . . . . . .
. . .41D. 44a# .:,Qq. to a, Ane.family. dWellin$r. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The certificate is issued to . . . . .Rose, Usatch.
of the aforesaid building.
Suffolk County Department of Health Approval . . . A/4. . . . . . . . . . . . . . .. . . . . . . . . . . . . • . ... .
UNDERWRITERS CERTIFICATE No. . . . . . . .#40.7439. . . . . . . . . . . . . . . . . . . ..
. . . . . .�. . . . . . .
Building Inspector
Rev.1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCy
No: Z-30212 Date: 05/24/04
THIS CERTIFIES that the building ADDITIONS/ALT&RATIONS
Location of Property: 530 BROADWATERS RD CUTCHOGUE
(ROUSE NO_) (StRE$T) (HAMLET)
County Tax Map No_ 473889 Section 104 Block 10 Lot 4
Subdivision Filed Map No. Lot No.
conforms substantially to the Application far Building Permit heretofore
filed in this office dated JJNE 4, 2002 pursuant to which
Building Permit No. 28497-Z dated JUNE 25, 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 ADDITIONS & ALERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR-
The certificate is issued to MICHAEL MILNER & ANGELA TESE-MILDER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HFALTH APPROVAL N/A
ELECTRICAL C6RTIFiCATE No_ 1179622 _ 03/30/04
PLUMBERS CERTIFICATION DATED N/A
th%Azed4fignature
Rev. 1/81
�o�g�EFOL,fc Town of Southold 3/16/2023
P.O.Box 1179
H x 53095 Main Rd
—yfj�l � Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43922 Date: 3/16/2023
THIS CERTIFIES that the building • SHED
Location of Property: 530 Broadwaters Rd,Cutchogue
SCTM#: 473889 Sec/Block/Lot: 104.-10-4
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/29/2022 pursuant to which Building Permit No. 48547 dated 12/1/2022
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 shed as applied for
The certificate is issued to Rubber Donut LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
A/atht)ed Mgnature
�o�sUF al Q9
Town of Southold 6/18/2022
P.O.Box 1179
o _ 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43168 Date: 6/18/2022
THIS CERTIFIES that the building ALTERATION
Location of Property: 530 Broadwaters Rd.,Cutchogue
SCTM#: 473889 Sec/Block/Lot: 104.-10-4
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/27/2022 pursuant to which Building Permit No. 47765 dated 5/2/2022
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:
"as built"air conditioning as applied for.
J
The certificate is issued to Milner,Michael&Angela Tese
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47-&65 6/ 3/2022
PLUMBERS CERTIFICATION DATED
Auth ri ed ignature
`I
Standard h.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantor's Acts—Uniform Acknowledgment
Form 3290
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE, made the 2nd day of May, 2022
BETWEEN
MICHAEL MILNER AND ANGELA TESE-MILNER, ,
� t��E���a���B�x���c�c ���l�����5��� �� �ck
residing at 2457 Collins Ave., Apt. 703, Miami each, FL 33140, party of the first part; and l
RUBBER DONUT LLC, a New York limited liability company,
having an address of 232 Pacific Street, Brooklyn, New York 11201, party of the second part; and
WITNESSETH, that the party of the first part, in consideration of Ten and 00/100--($10.00)--Dollars, 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 and being at Nassau Pointjor Little Hog Neck, Town of Southold, County of Suffolk
and State of New York, known and designated as Lot No.185 on a certain map entitled, "Amended Map A
of Nassau Point", filed in the Office of the Clerk of the County of Suffolk on August 16, 1922 as Map No.
156, said lot being more particularly bounded and described on Schedule "A" attached hereto and made a
part hereof.
(See attached Schedule "A")
Being and intended to be the same premises acquired by the grantors herein by the deed dated July 3,
1989 and recorded July 31, 1989 in Liber 10902 page 548. Angela Tese-Milner was formerly known as
Angela Tese. The grantees herein being the same persons as the grantors in said deed recorded in Liber
10902 page 548.
Said premises being known as 530 Broadwaters Road, Cutchogue, New York 11935
SCTM#:1000-104.00-10.00-004.000
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 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 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.
IN PRESENCE OF:
Michael Mil f
An la Tese-Milner
Re/deedmilnerhouse2022
BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN New York STATE
State of New York, County of Suffolk, ss: State of New York, County of Suffolk, ss:
On the day of , in the year On the day of , in the year
before me,the undersigned, personally appeared before me,the undersigned, personally appeared
personally known to 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 the individual(s) whose name(s) is satisfactory evidence to be the individual(s) whose name(s) is
(are) subscribed to the within instrument and acknowledged to (are) subscribed to the within instrument 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
capacity(ies), and that by his/her/their signature(s) on the capacity(ies), and that by his/her/their signature(s) on the
instrument, the individual(s), or the person upon behalf of which instrument, the individual(s), or the person upon behalf of which
the individual(s) acted, executed the instrument. the individual(s) acted, executed the instrument.
(signature and office of individual taking acknowledgment) (signature and office of individual taking acknowledgment)
Notary Public Notary Public
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE
State(or District of Columbia,Territory, or Foreign Country) of FLORIDA, County of 7 61C0n\ ss:
On the aS"- day of April, in the year 2022, before me, the undersigned, personally appeared
MICH ELM LNER AND ANGELA TESE-MILNER
personally known to me�or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (arq
scribe t"�o fFe�ithin-instrument and acknowledged to me that he/she{tiey,executed the same in his/her eCD capacity(ies)�nd
that by his/he fhel signature(s) on the instrument, the individual(s), or tperson upon behalf of which the individual(s) acted,
executed the ins rument, and that such individual made such appearance before the undersigned in the
�`i CI-MY) k u 01 C111 in the State of Florida
(insert the City) (and insert{ State or Country or other place the acknowledgment was taken)
(si a re and office of individual taking acknowledgement)
N ary Public
,;�ai:'b MARLEEN MERNANDEZ
r�• Notary Pubric-State of Fionda
7 e`: Commission:GG 241477
rvd''" My Comm.Expires Nov 20,20ZZ
Bonded through Na:lcim:Notary Assn.
BARGAIN AND SALE DEED SECTION 104.00
WITH COVENANTGAINST GRANTOR'S ACTS BLOCK 10.00
Title No. SP Gt� a--* 5"S' LOT 004.000
MICHAEL MILNER AND DISTRICT 1000
ANGELA TESE-MILNER
TO
RUBBER DONUT LLC
STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERSArt,/
A'444
e
First American Title Insurance C'®mpany
Amended April 5,2022
SCREDUI..E A
DESCRIPTION OF PREMISES'
Title No. SP47205-S
ALL that certain plot, piece or parcel of land, with the buildings and improvements
thereon erected, situate, lying and being at Nassau Point, or Little Hog Neck, Town of
Southold,.County of Suffolk and State of New York, known and designated as Lot No.
185 on a certain'riiap entitled "Amended Map A of Nassau Point", filed in the Office of
the Clerk of the County of Suffolk on August 16, 1922 as Map No. 156, said lot being
more particularly bounded and described as follows:
BEGINNING at a point on the northerly side of Broadwaters Road where the division
line between Lot 184 and Lot 185 intersects the northerly side of Broadwaters Road, said
point of beginning also being 576.23 feet westerly from the corner formed by the
intersection of the westerly side of Nassau Point Road with the northerly side of
Broadwaters Road;
RUNNING TI3ENCE along the northerly side of Broadwaters Road, North 58 degrees 05
minutes 40 seconds West, along a tie line a distance of 98.62 feet to land now or formerly
of Sulich;
THENCE along land now or formerly of Sulich, North 11 degrees 48 minutes 50 seconds
East 340.00 feet to the southerly side of Broadwater Cove;
THENCE along.the southerly side of Broadwater Cove, along a tie line course and
distance of South 74 degrees 30 minutes 05 seconds East 70.60 feet to the westerly side
of Lot 184;
THENCE along the westerly side of Lot 184, South 08 degrees 23 .minutes 00 seconds
West 370.00 feet to the northerly side of Broadwaters Road to the point or place of
BEGINNING.
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FOR CONVEYANCING ONLY:TOGETHER with all 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.
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DESCRIPTION
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