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HomeMy WebLinkAbout1000-145.-4-10 i .--1 U)0 O l/) 0 UCCU O tw i - Co a, E ca O -+-jo Q- .° z o U in r_ L CD O W a--+ o CU a� U U =3o C� U L =co = U) in m Mi A"k (n cu `o N (na� E �` `—° Lo cm ca U a) 0co cu E � p a � � cB c �rr o www U ) 0 Y N p o w F- >- -5 �. � p 0 O rl L CL o z �-- C- a) } ^^ a p I--�1 U F- u a) ( H L0 0 Q = Z c;jo � .E cu X o U) p ~ V1 f6 0 c 2 CL (D -0 : �. o m o C Z L Y >. 01 f6 +-+ a) co o cu '043—: N o LU Ho o U O c 0 J A�j I Town Hall Annex ; Telephone(631)765-1802 54375 Main Road "P C1). P.O.Box 1179 � � V Southold,NY 1 197 1-0959 JUL 1 6 2019 BUILDING DEPARTMENT TOWN OF SOXYMOLID muve, RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: f Sgb0Q Tara Map Number: 1000 SECTION � -BLOCK C -i3O SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: Pd- ISDO ) 60'`u,_� 1- Telephone Number(s):Oaytlme 5 " 1 . , �. vening Emergency " 0 "0 ILO- Property Owner Email Address: 110t+C'K0_ 0 h �p DLL � '0 a i Page 1 of 5 �', Town Hall Annex �4 54375 Main Road Telephone(631)765-1802 N� ��� Fax(631)765-9502 P.O.Box 1179k �° Southold,NY 1 197 1-0959 BUILDING DEPARTMENT TOUN OF SOUMOLD 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: Address of Authorized Agent(no P.O. Boxes): `1 �o o C 1 c Mailing Address of Authorized Agent: a V,t " Telephone Number(s): Daytim, %"],10!L Evening °` ' '' Emergency Email Address: 6-� 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 tiu X Town Hall Annexe 01 � Telephone(631)765-1802 54375 Main Roads Fax(631)765-9502 P.O.Box 1179 b Southold,NY 11971-0959 eclou It BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: `d 4 Telephone Number(s): Daytime Ewenin Emergency Email Address: SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: ! �✓� I� ` Md ` ` egs I ev� ; 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: Requested Maximum number of persons allowed to occupy Dwelling Uni . ° ����� � , Number of rooms in Rental Dwelling Unit: 4, Use and Dimensions of each room in Rental Dwelling Unit: 1 :., -�� µj �" col)<1)ib . uwhol shej cx c - 30 Page 3 of 5 Town Hall Annex , Telephone(631)765-1802 54375 Main Road 7 Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TO OF SOTJTHOLD 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 ws adopted by the New York State Fire Prevention and Building Code Council. 71 am requesting a fire safety Inspection to be Derformed 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. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) ra-�7y ? 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 Page 4 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 ' BUILDING DEPARTMENT TO OF SOUMOLD 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 Property Owner's Signature: C See e n c u c! Qolvu L � Sworn to before me this eday of Jtcb, 20i9 Official Notary Public Signature and Original Notary Stamp KELLY ANN IACOBELLIS NOTARY PUBLIC,STATE OF NEW YORK NO. 30-4943306 a QUALIFIED IN NASSAU COUNTY MY COMMISSION EXPIRES OCT 17,;99 2-0 2-0 Page 5 of 5 6 +ov kive , jo TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] -FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING 8 ASS: I t ► G 1fl Oct,#MttA i wz,.- wAk Pre, 1 DATE INSPECTOR 1 FLOORPLAN SKETCH 9y@!t qLaAWM sy ....... ww_.. �. ._....... Fuge l ka. w ?? Cg7Vm1 w......_..^........_. SIA: .. 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AREA CALCULATIONS SUMMARY LIVING AREA BREAKDOWN Code Description Net Size Not Totals Breakdown Subtotals GLAl First Floor 2020.0000 2020.0000 First Floor GLA2 Second Floor 882.0000 882.0000 34.00 x 19.00 646.0000 OTH Finished Attic 519.5000 519.5000 36.00 x 2.50 90.0000 0.5 x 2.00 x 3.50 3.5000 4.00 x 42.00 168.0000 38.00 x 3.50 133.0000 0.5 x 2.00 x 3.50 3.5000 0.5 x 3.50 x 2.00 3.5000 1700 x 36.00 612.0000 38..00 x 3.50 133.0000 8.00 x 28.00224 0000 0.5 x 3.50 x 2.00 3.5000 Second Floor 36.00 x 24.50 882.0000 Net LIVABLE Area (rounded) 2902 12 Items (rounded) 2902 FLOORPLAN SKETCH Clienr l,rtm res9 i4 5 ala ._.__ ..._...wwww..........................._ _ww,,,,,,,,,,.ww_.._._ ______w__ ..,...� ..:.........w,....�ohy B 07012019 � tato.MY l Net.,, Zk ......... __.w 11948 sa dUk'' „au'a dYMio,`MYm ga.' ......... _ duuxutuwM>xrru� _� mrcamv Room ,d .rv+wa kN,w'rmn2 vt nam,ur° b_.. �m,uwm. r� '� .IX„ ,,.: ,. PNc�'rr leu^� A (AAUP iO 1 �wiu�a, maanau p m . r 36 Oor n, qui ff .a r�mR' 01 MINPW FL ` i . llvl( ? hil LL t,,br PW 0* 1 PPS Ii'. P.k, floityw'i,I I!h- .. M ..... Comments: AREA CALCULATIONS SUMMARY LIVING AREA BREAKDOWN Code Description Net Sia Net Totals Breakdown Subtotals ................._................_ ....._...............,�.,.,.,.,,.. ..W.........,�..,,..�._______.,....,,....,,,,,,,,.........,._..... MAI First Floor 2020.0000 2020.0000 First Floor GLA2 Second Floor 882.0000 882.0000 34.00 x 19.00 646,0000 ..ir],0.S9GC� 36.00 x 2.50 90.0000 0.5 a 2.00 x. 3.50 3,.5000 4.00 x 42.00 168„..0000 38.00 x 3.50 133,0000 0.5 x 2.00 x. 3.50 3..5000 0.5 a 3.50 x 2.00 3„.5000 17.00 x 36.00 612„.0000 38.00 x 3.50 133.,0000 8.00 x 28.00 224..0000 0.5 x 3.50 x 2.00 3.5000 Second Floor 36.00 x 24.50 882.0000 Net LIVABLE Area (rounded) 2902 12 Items (rounded) 2902 Vjf S001", Town Hall Annex , Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 t Southold,NY 11971-0959 r �� BUILDING DEPARTMENT TOWN OF SOUTHOLD 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 Erg esslonol' ell re t#redJ"carArchite t or EgAineer 1lgensed Home 1nsp ctor m s.t� ovide coo o�vPid cclrrent ert�rcotl�rr� Rental Property SCTM Number I �" "� �� �� Rental Property Address: P171 Rental Dwelling Unit Identifier: Number &Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 s Bedroom#2-90 sq., etc.) Property Description (Include all improvements indicated on survey) 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. A1 '11'1V1t4LV1L1 polava Print N me and Title I I OriASignat O Please place professional seal: lP v `wrV Y, yy to +% wCk in LU (j N ULM w Oma . _N � � °' Li m Wis 'Al lu o in Q o 0 W W o � o 0 ku Z a b' z z LU lO _ Y W Q ., 0 w > PJM O� ► a Q w LL W o a ce Q 4 O w a N Z cn Q � ' � � Z m a r' iii H j ` ~ m N% ti v (cam U eJ `R W r z r► Qt— �` © N Q Z �° a� a� ai o ° a y7t a C) 0 v E s q o a o Ln E— I— I— vi m 2 H C i � 6 i C N f 1 : A pp y F 1 wr,vrm J&iaj— nx a'u"' .0 wM*iiur, S U 0 0 1 u C " r• a C C.'c. G. L. r s e m } ,w >,,, „,'� .y ,,,.J «a.,�:oym w,.ru .°'"'",.._Y•»« f � �y^�+ '°,Moa , r V r x 1 y. ( ! u u a d w + C: — j uv C7 I I d r,. a m ? , a A'i 1 JIG CC) v o ° m C C tJ rte-- r XX X ) [L1 C7 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN M-kLL SOUTHOLD; NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the Land pre C.O. #- Z-15724 / X/ Building(s) Date- May 5, 1987 /_1 Use(s) located at 345 Mesrobian Drive Laurel, New York Street Hamlet shown on County tax map as District 1000, Section 145 , Block 04 Lot 10 doesknot)conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area; width; sideyard set-back On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming %ylLand /X/Building(s) /_/Use(s) existed on the effective date the present Building Zone Code of'the Town of Southold, and may be continued pursuant to and subject to the appli- cable provisions of said Code. IT IS FURTHER CERTIFIED that, based upon information presented to the:Building Inspector's Office, the occupancy and use for which this Certifi- cate'is issued is as follows: Property contains 2 story, one family, wood framed dwelling with attached porch; fencing; 2 sets of stairs in rear yard; all situated in 'A' Residential Agricultural zone with access on Private Road to Peconic Bay Blvd. His Accessory building #57232 and C.O. Z5595 The Certificate is issued to MALCOLM ADAMSON (ca�cner? xJcxs �c�X of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERIVRITERS CERTIFICATE NO. N/A NOTICE IS HEREBY GIVEN that the owner of the above premises I-LAS NOT CONSE\TED TO AN INSPECTION of the premises by the Building Inspec- tor to determine if the premises comply with all applicable codes and ordin- ances., other than the Buildin- Zone Code, and therefore, no such inspection has been conducted. This Certificate, therefore, does not, and is not intended to certify that the premises comply with all other applicable codes and recula- tions. z.ro ,�ec.or POWER OF ATTORNEY NEW YORK STATUTORY SHORT FORM (a) CAUTION TO THE PRINCIPAL: Your Power of Attorney is an important document. As the "principal," you give the person whom you choose (your"agent") authority to spend money and sell or dispose of your property during your lifetime without telling you. You do not lose your authority to act even though you have given your agent similar authority. When your agent exercises this authority, he or she must act according to any instructions you have provided or, where there are no specific instructions, in your best interest. "Important Information for the Agent" at the end of this document describes your agent's responsibilities. Your agent can act on your behalf only after signing the Power of Attorney before a notary public. You can request information from your agent at any time. If you are revoking a prior Power of Attorney by executing this Power of Attorney, you should provide written notice of the revocation to your prior agent(s) and to any third parties who may have acted upon it, . including the financial institutions where your accounts are located. You can revoke or terminate your Power of Attorney at any time for any reason as long as you are of sound mind. If you are no longer of sound mind, a court can remove an agent for acting improperly. Your agent cannot make health care decisions for you. You may execute a "Health Care Proxy"to do this. The law governing Power of Attorneys is contained in the New York General Obligations Law, Article 5, Title 15. This law is available at a law library, or online through the New York State Senate or Assembly websites,www.senate.state.n .us or w.assembl .state.n .us. If there is anything about this document that you do not understand, you should ask a lawyer of your own choosing to explain it to you. (b) DESIGNATION OF AGENT(S): I, ELINORE F. ESCHMANN, residing at 46 Kenwood Road, Garden City, New York 11530, name and address of principal hereby appoint: THOMAS E. ESGH° , *ding at 227 East 66`h Street, Apartment 6C, New York, New York 10065; an HUNT�esiding at 4 Pound Hollow Court, Old Brookville,New York 11545, as my agents) name(s) and address(es) of agent(s) If you designate more than one agent above, they must act together unless you initial the statement below. C My agents may act SEPARATELY (c) DESIGNATION OF SUCCESSOR AGENT(S): (OPTIONAL) If any agent designated above is unable or unwilling to serve, I appoint as my successor agent(s): name(s) and address(es) of successor agent(s) Successor agents designated above must act together unless you initial the statement below. (__)My successor agents may act SEPARATELY. You may provide for specific succession rules in this section. Insert specific succession provisions here: (d) This POWER OF ATTORNEY shall not be affected by my subsequent incapacity unless I have state otherwise below,under"Modification ". (e) This POWER OF ATTORNEY DOES NOT REVOKE any prior Power of Attorney previously executed by me unless I have stated otherwise below, under "Modifications". If you do NOT intend to revoke your prior Powers of Attorney, and if you have granted the same authority in this Power of Attorney as you granted to another agent in a prior Power of Attorney, each agent can act separately unless you indicate under"Modifications" that the agents with the same authority are to act together. (fl GRANT OF AUTHORITY: To grant your agent some or all of the authority below, either (1) Initial the bracket at each authority you grant, or (2) Write or type the letters for each authority you grant on the blank line at (P), and initial the bracket at (P). If you initial (P), you do not need to initial the other lines. I grant authority to my agent(s) with respect to the following subjects as defined in section 5-1502A through 5-1502N of the New York General Obligations Law: ( ) (A) real estate transactions; ( ) (B), chattel and goods transactions; ( ) (C) bond, share and commodity transactions; ( ) (D) banking transactions; ( ) (E) business operating transactions; ( ) (F) insurance transactions; ( ) (G) estate transactions; ( ) (H) claims and litigation; ( ) (I) personal and family maintenance: If you grant your agent this authority, it will allow the agent to make gifts that you customarily have made to individuals,including the agent, and charitable organizations. The total amount of all such gigs in any one calendar year cannot exceed five hundred dollars; ( ) (J) benefits from governmental programs or civil or military service; ( ) (K) health care billing and payment matters;records,reports,and statements; ( ) (L) retirement benefit transactions; ( ) (MI) tax matters; ( ) (1) all other matters; ( ) (0) full and unqualified authority to my agent(s)to delegate any or all of the foregoing powers to any person or persons whom my agent(s)select; (P) EACH of the matters identified by the following letters: AI3CDFFG IIILMNO You need not initial the other lines if you initial line(P) (g) MODIFICATIONS: (OPTIONAL) In this section, you may make additional provisions, including language to limit or supplement authority granted to your agent. However, you cannot use this Modifications section to grant your agent authority to make major gifts or changes to interests in your property. If you wish to grant your agent authority,you MUST complete the Statutory Major Gifts Rider. I further grant authority to my agent with respect to the following subjects: ( ) (Q) real estate transactions,including all fixtures and articles of personalty therein; ( ) (R) estate transactions,including waiver and consents;to establish,amend or revoke trusts and to fund trusts;to exercise all powers of appointment both limited and general, other than by will. ( ) (S) accept transfers or distributions from any trustee of any trust; ( ) (T) enter any safe deposit box or other place of safekeeping standing in my name alone or jointly with another and to remove the contents and to make additions,substitutions or replacements; ( ) (IJ) enter into buy/sell agreements; ( ) (V) social security administrations,veterans administration, social services, Medicaid and all other government benefits or entitlements,including claims,planning eligibility, submission of applications and appeals and entering into caregiver agreements; ( ) (V) have access to and disclose medical records and other personal information; ( ) ()Q reimburse my agent under a Health Care Proxy for any costs(including legal fees)reasonably incurred in or as a result of acting pursuant to such Proxy; ( ) (Y) retain,discharge and pay for the services of attorneys,accountants, financial planners,geriatric care managers, social workers and other health care professionals; ( ) (Z) draw, accept,endorse or otherwise deal with any checks or other commercial or mercantile instruments, including the right to make withdrawals from any savings account or other accounts; ( ) (AA) lend and/or borrow money on such terms and with such security and my attorneys)-in-fact may decide in her/his sole discretion and to execute all notes,mortgages and other instruments relation to such,including but not limited to the issuance or receipt of promissory notes for Medicaid eligibility planning; ( ) (BB) to change the domicile of the principal for any and all purposes; ( ) (CC) hereby designate my said attomey(s)-in-fact to serve as the guardian of my person and property,to serve without bond,in the event that I shall be declared unable to manage my affairs pursuant to article 81 of the Mental Hygiene Law of the State of New York or any statute corresponding thereto; ( ) (DD) This Power of Attorney shall revoke all prior Powers of Attorney that may now be in force, except for any Power of Attorney that I may have executed for a specific purpose. ( ) (EE) Access to and Control of Electronic and Other Information. To have full access to my emails, email accounts, websites, blogs and full power and authority to receive passwords and cancel any accounts that I have. My Agent shall have full power and authority to deal with any accounts, websites, or blogs that I have with Facebook, Pay Pal, Yahoo, Apple, Instagram, Twitter, LinkedIn, Google, Amazon.com, frequent flyer mileage accounts, or any other credit card reward services, or other similar service/company in the same manner that I could (and to receive a refund to any monies due me). My Agent shall have full authority to deal with any telephone, intemet and cable companies that I have service with, and to cancel or modify any service agreement that I have with such companies. (� ) (FF) EACH of the matters indentified by the following letters: R S TU Y BB CC DD and EE. (h) CERTAIN GIFT TRANSACTIONS: STATUTORY GIFTS RIDER(OPTIONAL) In order to authorize your agent to make gifts in excess of an annual total of$500 for all gifts described in (1) of the grant of authority section of this document (under personal and family maintenance), you must initial the statement below and execute a Statutory Gifts Rider at the same time as this instrument. Initialing the statement below by itself does not authorize your agent to make gifts.The preparation of the Statutory Gifts Rider should be supervised by a lawyer. ( We (SGR) I t my agent authority to make gifts in accordance with the terms and condition Statutory Gifts Rider that supplements this Statutory Power of Attorney. (i)DESIGNATION OF MONITOR(S):OPTIONAL If you wish to appoint monitor(s),initial and fill in the section below: I wish to designate whose address(es) is (are) as monitor(s).Upon the request of the monitor(s),my agent(s)must provide the monitor(s)with a copy of the power of attorney and a record of all transactions done or made on my behalf. Third parties holding records of such transactions shall provide the records to the monitor(s)upon request. 0)COMPENSATION OF AGENT(S): (OPTIONAL) Your agent is entitled to be reimbursed from your assets for reasonable expenses incurred on your behalf. If you ALSO wish your agent(s) to be compensated from your assets for services rendered on your behalf, initial the statement below. If you wish to define "reasonable compensation",you may do so above,under"Modifications". (_____)My agent(s)shall be entitled to reasonable compensation for services rendered. (k) ACCEPTANCE BY THIRD PARTIES: I agree to indemnify the third party for any claims that may arise against the third party because of reliance on this Power of Attorney. I understand that any termination of this Power of Attorney,whether the result of my revocation of the Power of Attorney or otherwise,is not effective as to a third party until the third party has actual notice or knowledge of the termination. (1) TERMINATION: This Power of Attorney continues until I revoke it or it is terminated by my death or other event described in section 5-1511 of the General Obligations Law. Section 5-1511 of the General Obligations Law describes the manner in which you may revoke your Power of Attorney, and the events which terminate the Power of Attorney. (m) SIGNATURE AND ACKNOWLEDGEMENT: In Witness Whereof I have hereunto signed my name on May 3, 2018. PRINCIPAL signs here: > (Acknowledgment) STATE OF NEW YORK ) ss.. COUNTY OF, N A35Av ) On the 3' day of May in the year 2018,before me,the undersigned, a Notary Public in and for said state,personally appeared ELINORE F.ESCHMANN 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/she executed the same in his/her capacity, and that by his/her signature on flit ent, the individual, or the person or the entity upon behalf of which the individ cted,executed the t. PAUL MARL14ES NOTARY PUBLIC,STATE OF NEW YORK --~ NO.02MA502 74 C"OQUALIFIED IN'S Oft EXPIRES ANA ILSSAU COUNTY Public (n) IMPORTANT INFORMATION FOR THE AGENT: When you accept the authority granted under this Power of Attorney, a special legal relationship is created between you and the principal. This relationship imposes on you legal responsibilities that continue until you resign or the Power of Attorney is terminated or revoked. You must: (1) act according to any instructions from the principal, or, where there are no instructions, in the principal's best interest; (2) avoid conflicts that would impair your ability to act in the principal's best interest; (3) keep the principal's property separate and distinct from any assets you own or control,unless otherwise permitted by law; (4) keep a record of all receipts, payments, and transactions conducted for the principal; and (5) disclose your identity as an agent whenever you act for the principal by writing or printing the principal's name and signing your own name as "agent" in either of the following manners: THOMAS E. ESCHMANN AND KAREN HUNT as Agent for ELINORE F. ESCHMANN You may not use the principal's assets to benefit yourself or anyone else or make gifts to yourself or anyone else unless the principal has specifically granted you that authority in this document, which is either a Statutory Gifts Rider attached to a Statutory Short Form Power of Attorney or a Non-Statutory Power of Attorney. If you have that authority, you must act according to any instructions of the principal or, where there are no such instructions, in the principal's best interest. You may resign by giving written notice to the principal and to any co-agent, successor agent, monitor if one has been named in this document or the principal's guardian if one has been appointed. If there is anything about this document or your responsibilities that you do not understand,you should seek legal advice. Liability of agent: The meaning of the authority given to you is defined in New York's General Obligations Law, Article 5, Title 15. If it is found that you have violated the law or acted outside the authority granted to you in the Power of Attorney, you may be liable under the law for your violation. (o) AGENT'S SIGNATURE AND ACKNOWLEDGEMENT OF APPOINTMENT: It is not required that the principal and the agent(s) sign at the same time, nor that multiple agents sign at the same time. Uwe, THOMAS E. ESCHMANN AND KAREN HUNT, have read the foregoing Power of Attorney. I am/we are the person(s)identified therein as agent(s)for the principal named therein. . Uwe acknowledge my/our leg ' r nsibilities. Agent(s) sign(s)here:=> Agent(s) sign(s)here:=> (acknowledgment(s)) - STATE OF NEW YORK ) ss.: COUNTY OF Nov ) On the Yd day of May in the year 2018, before me, the undersigned, a Notary Public in and for said state,personally appeared THOMAS E.ESCHMANN personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s)on the instrument,the individual, or the person or the entity upon behalf of which the individual, or the person or the entity upon behalf of which the individual a NOTARYPCIE LVARCHESE Notary Public NO, 02M 4NEf YORK QUALIFIED IN NASSAU C CUNT' COA4MfISSION XPlRES IN APRIL 4,202Z STATE OF NEW YORK ) COUNTY OF ) On the 3 day of /4k`f in the year 2418, before me, the undersigned, a Notary Public in and for said state,personally appeared KAREN HUNT personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument,the individual, or the person or the entity upon behalf of which the individual, or the person or the entity upon behalf of which the i • i ua act,e° d the instrument. Notary Public (p) SUCCESSOR AGENT'S SIGNATURE AND ACKNOWLEDGMENT OF APPOINTMENT: It is not required that the principal and the SUCCESSOR agent(s), if any, sign at the same time, nor that multiple SUCCESSOR agents sign at the same time. Furthermore; successor agents cannot use this power of attorney unless the agent(s) designated above is/are unable or unwilling to serve. Uwe, ,have read the foregoing Power of Attorney. I am/we are the person(s)identified therein as SUCCESSOR agent(s)for the principal named therein. Successor Agent(s) sign(s)here: => (acknowledgment(s)) STATE OF ) )ss.. COUNTY OF ) On the day of in the year , before me,the undersigned, a Notary Public in and for said state, personally appeared personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s)on the instrument,the individual, or the person or the entity upon behalf of which the individual, or the person or the entity upon behalf of which the individual acted, executed the instrument. Notary Public POWER OF ATTORNEY NEW YORK STATUTORY GIFTS RIDER AUTHORIZATION FOR CERTAIN GIFT TRANSACTIONS CAUTION TO THE PRINCIPAL: This OPTIONAL rider allows you to authorize your agent to make gifts in excess of an annual total of$500 for all gifts described in (I) of the Grant of Authority section of the statutory short form Power of Attorney (under personal and family maintenance), or certain other gift transactions during your lifetime. You do not have to execute this rider if you only want your agent to make gifts described in (I) of the Grant of Authority section of the statutory short form Power of Attorney and you initialed "(I)" on that section of that form. Granting any of the following authority to your agent gives your agent the authority to take actions which could significantly reduce your property or change how your property is distributed at your death. "Certain gift transactions" are described in section 5-1514 of the general Obligations Law. This Gifts Rider does not require your agent to exercise granted authority, but when he or she exercises this authority, he or she must act according to any instructions you provide, or otherwise in your best interest. This Gifts Rider and the Power of Attorney it supplements must be read together as a single instrument. Before signing this document authorizing your agent to make gifts, you should seek legal advice to ensure that you intentions are clearly and properly expressed. (a) GRANT OF LIMITED AUTHORITY TO MAKE GIFTS Granting gifting authority to your agent gives your agent the authority to take actions which could significantly reduce your property. If you wish to allow your agent to make gifts to himself or herself, you must separately grant that authority in subdivision(c)below. To grant your agent the gifting authority provided below, initial the bracket to the left of the authority. ( pp ) I grant the authority to my agent to :snake gifts to my spouse, children and more remote dandants, and parents, not to exceed, for each donee, the annual federal gift tax exclusion amount pursuant to the Internal Revenue Code. For gifts to my children and more remote descendants, and parents, the maximum amount of the gift to each donee shall not exceed twice the gift tax exclusion amount, if my spouse agrees to split treatment pursuant to the Internal Revenue Code. This authority must be exercised pursuant to my instructions, or otherwise for purposes which the agent reasonably deems to be in my best interest. (b) MODIFICATIONS Use this section if you wish to authorize gifts in amounts smaller than the gift tax exclusion amount, in amounts in excess of the gift tax exclusion amount, gifts to other beneficiaries, or gift transactions: Granting such authority to your agent gives your agent the authority to take actions which could significantly reduce your property and/or change how your property is distributed at your death. If you wish to authorize your agent to make gifts to himself or herself, you must separately grant that authority in subdivision(c)below. ( 6 r ) I grant the following authority to my agent to make gifts pursuant to my instructions, or otherwise for purposes which the agent reasonably deems to be in my best interest: Including but not limited to Government Benefits Planning,Estate Planning and Income and Estate Tax Reduction Planning.I further grant authority to my agent with respect to the following subject: ( ) (1)to make unlimited gifts to my family including my spouse and descendants and to any other beneficiaries of my will and/or trusts;to make gifts for the purposes of Medicaid eligibility planning. ( ) (2)the agent's ability on my behalf to create,amend,revoke,modify,make gifts from or fund intervivos trusts,including exercising powers of appointment thereunder; ( ) (3)insurance transactions,including borrowing from,transferring ownership,or surrendering the policies; ( ) (4)to make or complete charitable pledges and gifts; ( ) (5)make statutory elections and renounce or disclaim any interest by testate or intestate succession or by intervivos transfer consistent with section 2-1.11 of the New York Estates.Powers and Trusts Law; ( ) (6) all dealings with respect to loans and forgiveness of debt; ( ) (7)make,join, and consent to gifts by a spouse pursuant to the Internal Revenue Code and any successor Statute; ( } (8)to waive benefits and/or elect out of Survivor annuity payment(s)under Section 417 of the Internal Revenue Code and the regulations Promulgated thereunder; ( ) (9)to open,modify,terminate, or change the beneficiary or term of, any"in-trust- for"("i/t/f')account, or"payable-on-death("pod") account, or"transfer-on-death" ("t/o/d")account, or any account in the name of the principal and other joint tenants; to establish, amend, or revoke trusts and to fund trusts; and to exercise all powers of appointment both limited and general, other than by will.To the extent the exercise of these powers will result in a gift to an agent(s)hereunder,the provisions of paragraph(C)below(Gift by agent(s)to himself or herself) shall apply. ( ) (10)make withdrawals from annuities and retirement plans,and to change beneficiaries thereon; ( ez ) (11)each of the above matters indentified by the following numbers: 123456789and 10 (c) GRANT OF SPECIFIC AUTHORITY FOR AN AGENT TO MAKE GIFTS TO HIMSELF OR HERSELF: (OPTIONAL) If you wish to authorize your agent to make gifts to himself or herself, you must grant that authority in this section, indicating to which agent(s) the authorization is granted, and any limitations and guidelines. (� ) I grant specific authority for the following agent(s) to make the following gifts to himself or herself. Gifts to all agents are permitted without limitation This authority must be exercised pursuant to my new instructions, or otherwise for purposes which the agent reasonably deems to be in my best interest. (d) ACCEPTANCE BY THIRD PARTIES: I agree to indemnify the third party for any claims that may arise against the third party because of reliance on this Statutory Gifts Rider. (e) SIGNATURE OF PRINCIPAL AND ACKNOWLEDGMENT: In Witness Whereof I have hereunto signed my name on May 3, 2018. PRINCIPAL signs here: (acknowledgment) STATE OF NEW YORK ) ss.: COUNTY OF N &S'SA� ) On the Yd day of May in the year 2018, before me, the undersigned, a Notary Public in and for said state, personally appeared ELINORE F. ESCHMANN, 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/she executed the same in his/her capacity, and that by his/her signature on the instrument, the individual, or the person or the entity upon beh1� is idual acted, executed the instrument. Notary Public PAUL MARCHESE NOTARY PUBLIC,STATE OF NEW YORK NO.02MA 02597°4 QUALIFIED IN NASSAU COUNTY COMMISSION EXPIRES N APRIL 4,20 27- (f) SIGNATURE OF WITNESS: By signing as a witness, I acknowledge that the principal signed the Statutory Gifts Rider in my presence and the presence of the other witness, or that the principal acknowledged to me that the principal's signature was affixed by him or her or at his or her direction. I also acknowledge that the principal has stated that this Statutory Gifts Rider reflects his or her wishes and that he or she has signed it voluntarily. I am not named herein as a permissible en o S of witnes 1 Signature of witness 2 gn gn Date Date KA Mi h PAVL- Print Name Print Name Y OcPI--Q Address Address I IU�o A4&- fn �� c( a City, State, Zip Code City, State, Zip Code