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Home My WebLink AboutZ-45464 �O�S11Ffat*o Town of Southold 8/22/2024 j Gyp 53095 Main Rd = Southold,New York 11971 y�ol �ao�.t PRE EXISTING CERTIFICATE OF OCCUPANCY No: 45464 Date: 8/19/2024 THIS CERTIFIES that the structure(s) located at: 11850 Sound Ave,Mattituck SCTM#: 473889 Sec/Block/Lot: 141.-3-43 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 45464 dated 8/19/2024 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: Wood frame singleamily dwelling with unfinished basement covered front porch and enclosed side entry porch Note: House&porches in need of repairs. Violation: As-built building permits required for newer windows, furnace and rear entry deck. The certificate is issued to Funn,Alice (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. A ho d Signatuit BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 11850 Sound Ave,Mattituck SUFF.CO.TAX MAP NO.: 141.-3-43 SUBDIVISION: NAME OF OWNER(S): Funn,Alice OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Funn,Alice DATE: 8/19/2024 DWELLING: #STORIES: 2 #EXITS: 2 FOUNDATION: brick&block CELLAR: full CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): 1 UTILITY ROOM(S): PORCH TYPE: covered/enclosed DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: closed up GARAGE: DOMESTIC HOTWATER: TYPE HEATER: baseboard radiators AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: oil furnace #BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE: OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: NANCYD DATE OF INSPECTION: 8/12/2024 TIME START: END: TOWN OF SOUTHOLD—BUILDING DEPARTMENT "'! 1 Yip° % + C Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtowiin.Y.gov :::.:::::..:.:.v..:.........:... : :.: ..v :: :. 1 Ai�.RL1��T6Qr:iCiR P:RE� IS'T'IN{- . . .../.r..................:...: ..... ...,.,...... .,,,:...v..c.......,::: .:>.:..,X.,:::.::......„...:......i}:::rri:v{-::i:...`".'��?fi:v={::i:jiii::.5•:.:_:-`".J_.,; :•. .:.. :i:.:::.r: :. ,.. .. : .... ...............v.:...:..,........... .v.:......>...: .........v:..v.:L..;..::.-;:-.;:{-,-k;!{vh-.v;3:.r>'v:v:{.:.:::r::':•.,,_:..,.;c,.-..:Li:i::�:-};�.'.:::_;:;"�:'Y-:x�}ii:t3ji�;`::�:�i'i!-i�::-'::}:!:;i% WN.ER 5 :OF.PR4Pl�R7Y,�::>:.::..: .:..:..::.::..{.:::.:.:....:>:..::.:..:��:•:>:.:.�:.:... .:.:...r:.:;......... ......__.. ..........L,r..>......:>... : Name: Date: Physical Address: SCTM#1000 Phone#: Email: Mailing Address: 77 .. .:.:✓-.::-.;:;r:.J,.:{...v:.v.}.::.i.;:.:...::... ... .........r.,vv .r..... .. ........ ..:r:: �h:; -Yv i.F:\}t:i :�.fir.....:. • Yv' CNTACT.P.ER . N.......... .........,...............: .............. �... ...>....... . ..... ....r... ....>:.v.:.. :: t�:;��:.:.:Xr:->::>:�,:: Name: ._... ... ....�.,... _, . Qom... .... .... . .. .. .,,,,,.........._...,....,, ....... ..,._..._,,,..,, ..,...,......,.....-.,....,,........ .......,..........,.,........ ,. Mailing Address: Phone#: a / Email: IV �► ��al-Lrl �1� 1 �K,01� To apply for a Pre C.O.for an existing building(prior to April 9, 1957) provide the following: • Accurate Survey • Floor Plan • $200 Fee CONSENT TO INSPECTION That the undersigned does hereby give consent to the Building Inspector of the Town of Southold to enter upon the above described property, including any and all buildings located thereon,to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. Owner's Signature Date, PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) I, residing at the above address, do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. �O Owner's Signature Date YOUNG ASSOCIATES 631-727-2303 400 Ostrander Avenue, Riverhead,New York 11901 admin@youngengineering.com HOWARD W. YOUNG, Land Surveyor _ THOMAS C. WOLPERT, Professional Engineer DOUGLAS E.ADAMS, Professional Engineer&Geologist DANIEL A. WEAVER, Land Surveyor i DATE: 12A 1H 1 13adw, HAND DELIVERED/PICKED UP/ �ELE l PRINT(S)/XT kOP)�E§ 4 X SURVEY pUG SITE PLAN art'm��t so!ldlc�' !j BOU 14 SUBDIVISION MAP FINAL ROAD &DRAINAGE PLAN CO MAP 4r4o� OTHER WITH NOTE INDICATING NOT TO BE USED FOR TITLE PURPOSES WITHOUT LAND SURVEYOR'S STAMP TO: JOB NUMBER: 24 - O� c)c5 TITLE ON MAP: MAP LAST DATED: Approved by: HWY TCW 9E Planning Engineering Land Surveying Building Sketch (Page - 1) Client Diantha Jones Property Address 11850 Old Sound Ave City Mattituck County SUFFOLK State NY Zip Code 11952 Client Dianlha Jones 7.21 rl �/ Uq 6.8'ui I N Kitchen 7.2' Bathroom `r OV Dining Room N k6 , W Den --- 5.7' 3' Living Room Qo � a N Q� _O� V L 4/ I 18.4' Covered Porch Drawing Not To Scale TOTAL SWCh by is Mde Area Calculations Summary Living Area Calculation Details First Floor 765.8 Sq ft 7.2 x 5.1 = 36.7 17.2 x 12.1 = 208.1 24.3 x 18.4=447.1 6 x 12.3 = 73.8 Total Living Area(Rounded): 766 Sq ft Building Sketch (Page - 2) Client Diantha Jones Property Address 11850 Old Sound Ave City Mattituck County SUFFOLK State NY, Zip Code 11952 Client Diantha Jones 17.2' , (p N C0 Bedroom N d- 1-o Bedroom M N W Bedroom ` . 18.4' Drawing Not'To Scale TOTAL Skeltl era la mode Area Calculations Summary Living Area Calculation Details Second Floor 655.2 Sq R 17.2 x 12.1 = 208.1 24.3 x 18.4-447.1 Total Living Area(Rounded): 655 Sq ft Building Sketch Page - 3) Client Diantha Jones Property Address 11850 Old Sound Ave City Mattituck County SUFFOLK State NY Zip Code 11952 Client Diantha Jones s 17. 2' F" V-j ■ N Unfinished Basement cn Oil Tank Mechanicals 1 7. 2' Drawing Not To Scale 1 CTAL ske?O by a la mode Area Calculations Summary Non-living Area Basement 492.7 5q ft 17.2 x 24.4=419.7 Arc = 73 74 WaYaWX J • - . . pwN`OF 'sOUTHQLD -PROPERTY- RECORD' CARD AF\ "OWNER-,,. STREET VILLAGE DIST.# SUB. LOT .}}{S,j}.�}'.`.. i 6,.+ i ...a - `�'� -A D)i1 0)v 0 u.- E L, S TYPL'OF BUILDING' r"N .1V 1&Z RE51o1, SEAS. �,VL. FARM COMM. C8, MILS. Mkt, Valpq LAND, imp., TOTAL DATE REMARKS- A4 4T. 77, S, GE BUILDIN AG E G CONDITION, NEW NORMAL• BELOW FARM Acre I ':% Value'Per VoIUe Acre FRONTAGE ON WATER. Woodland FRONTAGE ON ROAD Meadow'land, DEPTH ' BULKHEAD , DQiCK` : To z N A zz TRIM K, z zi 11t.1 z .......... .4 7 is nay A 'W': dg',' 7 4 'V.�l r7slon 4 A 'T ision L S, ZJ, :Extension A Foundation Bath Di 'C ,,,>l,Basbrnent Floors rs irc� aIIs &"V nish 6, B�`dei6 Heat G&6de- R Obf Rooms, I st Floor;..1 JBR P�+ p6t i B ��t atiorf dom-1, obms- nd loor. Ri R R 2 F F I Nz. Oa Dorrfter t Driy.pway -7 77 J V. N z A'N K (1)UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW.(Z)DISTANCES SHOWN HEREON FROM PROPERTY LINES TO EXISTING STRUCTURES ARE FOR A SPECIFIC PURPOSE AND ARE NOT D BE USED TO ESTABLISH PROPERTY LINES OR FOR ERECTION OF FENCES.(3)COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY.(4)CERTIFICATION INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON,AND TO THE ASSIGNEES OF THE LENDING INSTITU71DN CERT11CATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS (5)THE LOCATION OF WELLS(W),SEPTIC TANKS(ST)h CESSPOOLS(CP)SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS 400 Ostrander Avenue, Riverhead, New York I1c101 tel. 651.127.2505 fax. 651.727.0144 admen®youngengineering.c.om N Howard N. Young, Land Surveyor Thomas 0. Nolpert, Professional Engineer Douglas E. Adams, Professional Engineer Daniel A. Weaver, Land Surveyor SITE DATA ti AREA = 7,705 SQ. FT. Q I d CMf S EOP "� 1A A _ lba rn �F , EOP A-1'N / GAS 0.6'S76_O'30j 293� ' oW11 OWO cc,D C.F cuf a?A 52,N / 670 0 g E T �11 TT 75�� Or1C W ASK N �0 lr / CMF `1 15g, Q / Ob BECK 00r, `p 2°a E 11950 Sound / elf, / 07 5.IOV4 w � / � WbF 0s RPMENOUSE - 1 �/ Z 0 7.2� SURVEYOR'S CERTIFICATION � CE / gomtQauonaln Q � r N = 6.9' o / *WE HEREBY CERTIFY TO 1 1 850 SOUND AV E N U E THAT THIS W SURVEY WAS PREPARED IN ACCORDANCE WITH THE CODE OF PRACTICE FOR I cOW-?AD 32 o LAND SURVEYS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF .� P AD �7 Z `On 01 LT W oab PROFESSIONAL LAND SURVEYORS. a N 6.2' E OF NF C'Otic R O (ooc / O�p,RD ys, s co P A° � • O 0 / � �_ ormer�y L� Foy, � , ;.� C 0 row or m o,d�n9s�' rd N ah.� Gera �o �S893 o� 9 3 v�ti �oti� HOWARD W.YOUNG,N. .L.S.N0. 5893 C�^✓� e� DANIEL A.WEAVER,N.Y.S.L.S.NO.50771 S 011 SURVEY FOR w op 11850 SOUND AVENUE 10 at Mattituck, Town of Southold NO Suffolk County, New York N CERTIFIED SURVEY \ o ob b� County Tax Map District 1000 Section 141 Block 03 Lot 43 C3 / 9 \ / MAP PREPARED COMPLETED JULY 31,2024 V LEGEND Record of Revisions REVISION DATE / / CLF =CHAIN LINK FENCE CMF =CONCRETE MONUMENT FOUND \ RPM =RAIL ROAD MONUMENT / EOP =EDGE OF PAVEMENT / RO =ROOF OVER / WDF =WOOD FENCE WMR = WATER METER co WV = WATER VALVE 20 0 10 20 40 60 o- 9 =END OF DIRECTION/DISTANCE Scale: 1° = 20' a JOB NO. 2024-0105 DWG. 2024_0105_cs 1 OF 1 eicrgc�u&afe� �� SIISEMLA I, • �y, e /" AAV£/dR'S[Slt2FLGZIrRd i A 9RVEYfOQ QO 11850 SOUND AVENUE d6brtaacRT d5MlmW p � �4 sorrm�a�:omyr� c °\ j a�� CFF� � G�ef�affms sua 4(p OebeMer Avarua,RNerh"O,Nero York 11401 W1.631.7373303 Faz.631.727.0144 - adnFryoingergirnertrgum ' - ' N 01ntg ct550ttA.feS Horuatl Yl Your,Lvd r 9- _ iho g G.Mbipert,FYo�eealoral EryMer DouRn E.Atlanta, Rv 6�gMer D-lol A YV.--,eaver,Lmtl Surveyor SITE DATA W*�#' E AREA=7,705 SQ.FT. 3 0 -�d ORTH 9-0pD) ' SOUND p NEE tN �—"�--- VE STrie'3i c� t Vh R 570.0 63- 648�- oW - aw aF c o, roW Of{dorl T je - +s • � ?�F�15E e. SURVEYOR'S CERTIFICATION 'WEHERERYCERTIFVTO 11850 SOUND AVENLIETHATTaS SURVEY WAS PREPARED IN ACCORDANCE WITH THE CODE OF PRACTICE FOR LANDSURVEYS 5OPTED Y THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL d er o ,APSE OP& pRD i g w-er" Inor i z &o'OdNoldln95 �o IaWARD W.YOUNr,N LS NO.5e93 (q DANIEL A.WEAVER,N.YS L.S. 721.NO.5 N�SR1EL SURVEY FOR QO 11850 SOUND AVENUE at Mattituck,Town of Southold Suffolk County,New York n \ CERTIFIED SURVEY CotmtyTu uq 1000 sFt— 141 eae 03 La 43 FIELD SURVEY C'OMPLE rED JULY 25.2024 MAP PREPARED JULY 31.W24 LEGEND Record of Revisions 1 /�Y REVISION DATE j O F =a/AIN LINK FENCE CMF :CONCRETE MONUMENT FOUND\ RPM RAIL ROAD MONUMENT EOP =EDGE OF PAVEMENT RO :ROOF OVER WDF =WOOD FENCE I WMR :WATER METER 0 =WATER VALVE ZO 0 10 20 40 60 W :END OFOIRECnoWD15TANCE Scaled°=20' _ 708 N0.2024-0105 DWS.2024_O7�a I OF 1 I ' illil New York State Bar Association New York Statutory Short Form Power of Attomey,Eff.6/1121 POWER OF ATTORNEY s 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 your 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,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 liealth care decisions for you. You may execute a"Health Care Proxy"to do this. I .The law governing Powers of Attorney 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.nysenate.gov or www.nyassembly.gov. 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): n 1, ALICE M. FUNN, 11850 SOUND AVE MATTITUCK,NY 11952 (name of principal) . (address of principal) hereby appoint: DIANTHA L. JONES 2407 VALLEY MANOR CT.MISSOURI CITY,TX 77489 (name of agent) (address of agent) n/a (name of second agent) (address of second agent) as my agent(s). 1 Illfl ' N�l34\ New York State Bar Association New York Statutory Short Form Power of Attorney,Eff.6/13/21 If you designate more than one agent above and you do not initial the statement below,they must act together. 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 of successor agent) y (address of successor agent) (name of second successor agent), (address of second successor agent) If you do not initial the statement below, successor agents designated above must act together. (�a 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 stated otherwise below,under"Modifications". (e) This POWER OF ATTORNEY DOES NOT REVOKE any Powers of Attorney previously executed by me unless I have stated otherwise below,under"Modifications." (1) 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 sections 5-1502A through 5-1502N of the New York General Obligations Law: a,, (_) (A)real estate transactions; (�) (B)chattel and goods transactions; (,) (C)bond, share, and commodity transactions; (_) (D)banking transactions; . J (_) (E)business operating transactions; ( ) (F)insurance transactions; (G)estate transactions; 2 New York State Bar Association New York Statutory Short Form Power of Attorney,Eff.6/13/21 ( ) (H)claims and litigation; �) (10 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 gifts in any one calendar year cannot exceed five thousand dollars; (_) (J)benefits from governmental programs or civil or military service; ( ) (K)financial matters related to health care;records,reports, and statements; C_) (L)retirement benefit transactions; (M)tax matters; (N)all other matters; - (__) (0)full and unqualified authority to my agents)to delegate any or all of the foregoing powers to any person or persons whom my agent(s)select; 41 (P)EACH of the matters identified by the following letters A,B C,D,E,F,G,H,I, J,K,L,M&N.. You need not initial the other lines if you initial line(P). t (g) CERTAIN GIFT TRANSACTIONS: (OPTIONAL) In order to authorize your agent to make gifts in excess of an annual total of$5,000 for all gifts described in(1)of the grant of authority section of this document(under personal and family maintenance), and/or to make changes to interest in your property,you must expressly grant that authorizations the Modifications section below. If you wish to authorize your agent to make gifts to himself or herself,you must expressly grant such authorization in the Modifications section'below. 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. Your choice to grant such authority should be discussed with a lawyer. (____) I grant my agent-authority to make gifts in accordance with the terms and conditions of the Modifications that supplement this Statutory Power of Attorney. (h) MODIFICATIONS: (OPTIONAL) In this section,you may make additional provisions,including,but'not limited to,language to limit or supplement authority granted to your agent,language to grant your agent the specific authority to make gifts to himself of herself,and/or language to grant your agent the specific authority to make other gift transactions and/or changes to interests in your property. Your agent is entitled to be reimbursed from your assets for reasonable expenses incurred on your behalf. In this as section,for services make rendered on your behalf, if you ALSO wish your agent(s)to be compensated from your se and you may define"reasonable compensation." This Power of Attorney revokes any Powers of Attorney previously executed by me. (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) r u«r "'•"" New York State Bar Association New York Statutory Short Form Power of Attorney,Eff.6/13/21 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. (j) COMPENSATION OF AGENT(S): 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, and/or you wish to define"reasonable compensation",you may do so above,under "Modifications". (k) ACCEPTANCE BY THIRD PARTIES: I agree to indemnify the third parry 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 ref 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 AttoAney. (m) SIGNATURE AND ACKNOWLEDGMENT: r In Witness Whereof I have hereunto signed my name on March 14,2024 PRINCIPAL signs here: ===> Z&`.fie ALIC M.FUNN STATE OF NEW YORK ) ss: COUNTY OF SUFFOLK ) On the l4th day of March,2024,before me,the undersigned,personally appeared ALICE M. FUNN,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 upon behalf of which the individual acted, executed the instrument. Notary P •c NOTARY PUBLIC,STATE OF NEW YOFU NO.02HA6078288 QUALIFIED IN SUFFOLK COUNTY (n) SIGNATURE OF WITNESSES: COMMISSION EXPIRES Aft 27,90-2 ------------ By signing as a witness,I acknowledge that the principal signed the Power of Attorney in my presence and in 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 Power of Attorney reflects his or her wishes and that he or she has signed it voluntarily. I am not named herein as an agent or as a permissible recipient of gifts. 4 i 11111 i "•"" New York State Bar Association New York Statutory Short Form Power ofAttomey,Eff.6/1321 Signature of Witness 1 io. ature of Witn 2 March 14, 2024 March 14,2024 Date Daie I - Claire Hartill-Lee Jessie Claire Saladino Print name Print name 78 Soundview Dr 46 Puritan Path Address Address Port Jefferson,NY 11777 Port Jefferson,NY 11777 City, State, Zip Code City, State, Zip Code (o) 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 transactions conducted for the principal or keep all receipts of payments and transactions conducted for the principal; and (5)disclose your identity as an agent whenever you act for th6 principal by writing or printing the principal's name and signing your own name as "agent" in either of the following manners: (Principal's Name)by(Your Signature)as Agent, or(your signature)as Agent for(Principal's Name). n 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 the modifications section of this document 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 5 f New York State Bar Association New York Statu9y Short Form Power of Attorney,Eff.6/13t21 E authority granted to you in the Power of Attorney,you may be liable under the law for your violation. (p) AGENT'S SIGNATURE AND ACKNOWLEDGMENT 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,DIANTHA L. JONES,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 legal responsibilities. In Witness Whereof I have hereunIDLANTHA d j y name n March 14, 2 24 Agent(s) sign(s)here: => JONE STATE OF NEW YORK ) SS: COUNTY OF SUFFOLK ) i On the 14TH day of March,2024,before me,the undersigned,personally appeared DIANTHA L. JONES,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 upon behalf of which the individual acted, executed the instrument. MARY C.HAFM L (a_R4z&7P NOTARY P NO RK IO2HA6078288 BLC,STATE OF NY0 ' Notary Publi co' OUALIRED IN SUFFOLK COUNTY COMMISSION EXPIRES f2 f'!Zo VAC (q)SUCCESSOR AGENT SIGNATURE AND ACKNOWLEDGEMENT 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. I/we, have read the foregoing Power of Attorney,I am/we are the person(s)identified therein as successor agent(s)of the principal name therein. In witness whereof I have hereunto sign my name on 20 Agent(s) sign(s)here: Of� , Town Hall Annex '.; Town of Southold 54375 Main Road e PO Box 1179 Pre CO Inspection Survey Southold, NY 11971-1179 Te1: 631-765-1802 Property Info SCTM# ? Date oz- Address sv a✓rwf Ave Hamlet /t k#7 JU C Property Type /O ZVA44C: Lj' Occupied /110 Prior Permits /jprf�,�� Inspector .—Structure'.' Type of Construction`:- w4a-�. Number of Stories1v Foundation Tye &&C.IL- e Exterior Access: 13//GO Full Basement-+ GS Crawl Space: Finished: Garage: Breezeway: Entry Porch: CotVJZ44( Exterior Deck: nLwe'g_ Patio: — Mudroom: pJAge Building Systems Heat ource. C okM (ZS Fuel Type Hot Water: Cod Q/ 40- Electric Panel: ON by AC Fireplaces Condition of Property Building Interior: Building Exterior: /TC.CIt S dv®K- Property clean, maintained &safe: Fencing: -Interior Components, Rooms:/Floor Levels . Sub 1 ".2. 3 Safety Items: Kitchen �' / Number of Exits:"� // Living Rooms / Smoke Detectors: Bedrooms N, // 1 Carbon Monoxide: Bathrooms Guards& Handrails: Toilet Rooms / Egress within Bedrooms: ✓ Utility Rooms Fire Extinguishers: Entry Areas OTHER bjf7/e2A Oil Accessory'.Structures: Garage: Construction: Foundation: Barn: Construction: Foundation: Shed: Construction: Foundation: Sleep Quarters: Kitchen Facilities: Plumbing: Swimming Pool: Comments• U2 /i s 1 jv1;tX 0'V-5 a 0 M 9 Ac wee letter. d . J19010dA MIAS 4A o5 �[.o&, o RGk Q o� 4� Violations: