HomeMy WebLinkAboutL 12860 P 904 111111111111 IIIII Ilifi 11111 IIIII VIII 1101 IOU 110 IIII
111111 111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 04/18/2016
Number of Pages: 4 At: 02 :00:30 PM
Receipt Number : 16-0059239
TRANSFER TAX NUMBER: 15-26054 LIBER: D00012860
PAGE: 904
District: Section: Block: Lot:
1000 010.00 10 .00 008. 002
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $0 . 00
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $20 .00 NO Handling $20 . 00 NO
COE $5 .00 NO NYS SRCHG $15 . 00 NO
EA-CTY $5 .00 NO EA-STATE $125 . 00 NO
TP-584 $5 .00 NO Notation $0 . 00 NO
Cert.Copies $5 .00 NO RPT $200 . 00 NO
Transfer tax $0 .00 NO Comm.Pres $0 .00 NO
Fees Paid $400 . 00
TRANSFER TAX NUMBER: 15-26054
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
. 1 2
• RECORDED
Number of pages Y 2016 Apr 18 02:00:30 P11
JUDITH A. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record.Please remove all L D00012860
F• 904
Social Security Numbers DT% 15-26054
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Page/Filing Fee OD 2 Mortgage Amt.
/l 1.Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 _ !— Sub Total
Notation SpeciAssit.
or
EA-52 17(County) Sub Total Spec./Add.
_Li— ,...---
EA-5217(State) _
TOT.MTG.TAX
J ;',:.rig`-, Dual Town Dual County
R.P.T.S.A.
' -I .a Held for Appointment
Comm.of Ed. 5. 00 ;% r Transfer Tax
_001 -:, Mansion Tax
•
i1 ' The property covered by this mortgage is
��� Certified Co. - or will be improved by a one or two
0family dwelling only.
NYS Surcharge 15. 00 Sub Total
YES or NO
Other _
Grand Total I-(0 If NO, see appropriate tax clause on
page# of this instrume9t. 1 .i
1
4 I Dist. WWI Cartinn n1 OM I Rind( 16.88 lint MR-002 5 Community Preservation Fund
Real Property 16010933 1000 01000 1000 008002 Consideration Amount$ 0
Tax Service
Verification R1111111
llllu VIII 111111
CPQ ax D� $
14-APR-1 improved
6 Satisfact, �s
RECORD&RETURN TO: �` 5 Vacant Land
STEPHEN L.HAM,III,ESQ. / 1 / TD
MATTHEWS&HAM TD
38 NUGENT STREET
SOUTHAMPTON,NY 11968 TD
Mail to:Judi A.Pascale,Suffolk County Clerk 7 I Title Company Information
310 Center Drive, Riverhead, NY 11901Co.Name 1AO
d -Cly-2,
wWw.suffolkcountyny.gov/clerk Title#
— L}-
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached DEED made
by: (SPECIFY TYPE OF INSTRUMENT)
JAMES PRZYBOROWSKI,DIANE The premises herein is situated in
BLOMQUIST and JANE CHEMERYNSKI SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of SOUTHOLD
DIANE L.BLOMOUIST and In the VILLAGE
JANE V.CHEMERYNSKI or HAMLET of FISHERS ISLAND
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(over)
3ov o—L
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made the eday of March, two thousand sixteen,
BETWEEN
JAMES PRZYBOROWSKI,83 Chestnut Hill Road,Colchester,Connecticut 06415,DIANE BLOMQUIST,24 Alice
Lane,Amston,Connecticut 06231,and JANE CHEMERYNSKI,220 North Main Street,Marlborough,Connecticut
06447,Trustees,
party of the first part,and
DIANE L.BLOMQUIST,24 Alice Lane,Amston,Connecticut 06231 and JANE V.CHEMERYNSKI,220 North
Main Street,Marlborough,Connecticut 06447,as tenants in common,each with an undivided one-half(A)interest,
party of the second part,
WITNESSETH,that the party of the first part,without 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 on the northerly side of Oriental Avenue and the southeasterly side of The Gloaming at Fishers Island in the
Town of Southold,County of Suffolk,and State of New York,being known,shown and designated as Lot No.1 on
the Map of Ski Standard Subdivision,which said Map was filed in the Office of the Clerk of the County of Suffolk
on December 23,2015 as Map No. 12019,said Lot No. 1 being more particularly bounded and described as set
forth on Schedule A hereto
BEING AND INTENDED TO BE a portion of the same premises described as First Piece and Second Piece
conveyed to the party of the first part by deed,dated June 30,1995 and recorded in the Office of the Suffolk County
Clerk on October 4, 1995 in Liber 11744 page 442.
SUBJECT TO Declaration of Covenants and Restrictions,dated April 21,2015 and recorded in the Office of the
Suffolk County Clerk on April 27,2015 in Liber 12814 page 948.
•
a s h
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:
.11/14ri
Ja es Przyborowski +
Diane Blomquist , •, 1
fte
JaPChemerynski "12.-fir
Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantor's Acts—Uniform Acknowledgment
•
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
•
State of New York,County of ss: State of New York,County of 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)are satisfactory evidence to be the individuals whose names are
subscribed to the within instrument and acknowledged to me that subscribed to the within instrument and acknowledged to me that
he/she/they executed the same in his/her/their capacity(ies),and he/she/they executed the same in his/her/their capacities,and
that by his/her/their signature(s) on the instrument, the that by their signatures on the instrument,the individuals,or the
individual(s),or the person upon behalf of which the individual(s) person upon behalf of which the individuals acted,executed the
acted,executed the instrument. instrument.
Notary Public Notary Public
(signature and office of individual taking acknowledgment) (signature and office of individual taking acknowledgment)
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE
State of Connecticut;County of /3.L0,Yt 0' ss:
On theme) day of March in the year 2016 before me,the undersigned,personally appeared
James Przyborowski,Diane Blomquist and Jane Chemerynski
personally known to me or proved to me on the basis of satisfactory evidence to be the individuals whose names are subscribed to
the within instrument and acknowledged to me that they executed the same in their capacities,and that by their signatures on the
instrument, the individuals, or the persons upon behalf of which the individuals . ed,executed the instrument, and that such
individuals made such appearance before the undersigned in the Dc'r vC C° L4, in the State of Connecticut.
(insert the C' r,. oliti ub inion)
(sign.t and I individoal taking acknowledgment) : -
CHERYL F.SIEGMANN " " i :'
NOTARY PUBLIC r
INYCOMMISSION WIRES MAR.31,2O10 r ' '
•
BARGAIN AND SALE DEED DISTRICT 1000 ;.! lir
WITH COVENANT AGAINST GRANTOR'S ACTS SECTION 010.00
BLOCK 10.00
Title No. LOT 008.002
COUNTY OR TOWN SUFFOLK-SOUTHOLD
STREET ADDRESS (no#)THE GLOAMING
JAMES PRZYBOROWSKI,DIANE BLOMQUIST FISHERS ISLAND,NY 06390
and JANE CHEMERYNSKI,Trustees
TO
RETURN BY MAIL TO:
DIANE L.BLOMQUIST and JANE V.CHEMERYNSKI
STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS
Distributed by
RESERVE THIS SPACE FOR USE OF RECORDING OFFICE
SCHEDULE A to DEED
Party of the First Part: James Przyborowski, Diane Blomquist
and Jane Chemerynski,Trustees
Party of the Second Part: Diane L. Blomquist
and Jane V. Chemerynski
Deed Dated: March,f),2016
All that certain plot,piece or parcel of land,with the buildings and improvements thereon erected,
situate,lying and being on the northerly side of Oriental Avenue and the southeasterly side of The
Gloaming at Fishers Island in the Town of Southold, County of Suffolk,and State of New York,
being known,shown and designated as Lot No. 1 on the Map of Ski Standard Subdivision,which
said Map was filed in the Office of the Clerk of the County of Suffolk on December 23,2015 as Map
No. 12019, said Lot No. 1 being more particularly bounded and described as follows:
BEGINNING at a merestone set on the southeasterly line of The Gloaming,said merestone being
located 38.52 feet West of a point which is 1165.34 feet North of a monument marking the United
States Coast and Geodetic Survey Triangulation Station"PROS"; and
RUNNING THENCE South 34°41'00"East, 172.10 feet to a point;
THENCE North 85°19'00"East,63.00 feet to a point at the shore of the Inner Bay of West Harbor;
THENCE South 27°50'43"East, 110.18 feet to a point;
THENCE South 69°19'04"East,121.03 feet to a point,the last two lines running along said shore;
THENCE South 03° 14'00"East, 116.00 feet to a point;
THENCE South 23°30'00"East, 100.00 feet to a point;
THENCE South 65°27'10"West,80.81 feet to a merestone set in the northwesterly line of Oriental
Avenue;
THENCE South 65°36'50"West,65.64 feet to a merestone;
THENCE continuing South 65°36'50"West, 133.67 feet to a concrete monument;
THENCE North 24"23' 10"West, 182.57 feet to a concrete monument;
THENCE North 54°28'40"West, 105.53 feet to an iron rod;
THENCE North 21"48' 10"West, 32.31 feet to a concrete monument;
THENCE North 68°00'00"East, 34.75 feet to a point;
THENCE North 04°01'20"West,310.65 feet to a drill hole set in a boulder in the southeasterly line
of The Gloaming;
THENCE along said southeasterly line of The Gloaming North 67°03'00"East,50.00 feet to the
merestone set at the point or place of BEGINNING.
Containing 132,857 square feet, more or less.
SUBJECT TO an easement and right of way from The Gloaming over the existing driveway that
runs along West Harbor on the northeasterly boundary of the above-described premises in favor
of Lot No. 2 on said Map of Ski Standard Subdivision for ingress to and egress from the existing
dock on the above-described premises and the non-exclusive right to use said dock for all lawful
purposes and the right(but not the obligation)of such owners to maintain, repair and replace the
same from time to time in accordance with applicable laws,ordinances,rules and regulations. The
foregoing easement and right of way and dock rights(A)are not intended to run with the land and
are personal to James Przyborowski, his spouse and their direct descendants so long as any or
all of them own, individually or collectively, 100%of the fee interest in said Lot No.2; (B)are not
intended to, and shall not, benefit, nor be used by any other person, including,without limitation,
any other transferee or lessee of said Lot No.2;and(C)shall cease and terminate on the first date
that(i)neither Diane L. Blomquist nor Jane V. Chemerynski nor any of their respective spouses
or direct descendants has any ownership interest in the above-described premises,or(ii)neither
James Przyborowski, his spouse nor any of their direct descendants owns, individually or
collectively, 100%of the fee interest in said Lot No. 2.
(NSTRUCTIONS(RP-52:7-PDF-INS):www.orps.slate.ny.us
FOR COUNTY USE ONLY !,' D 4^ Now York Stab DepaMlent of
CI.swlS'ced. "1', , /,o ,on,�`�/_� Taxation and Finance
C2.bats Deed Recorded , / (Q /62016,I Office of Real Properly Tax Services
I) ! / °^ Ye RP-5217-PDF
C3.Book L /1 0t 1 0 ,(O 0 Ica.Page 1 r a 1 I b ,÷I Real Property Transfer Report MO/
PROPERTY INFORMATION I
1.Property (no #) THE GLOAMING
Location
•STREET NUMMI •STREET NAME
TOWN OF SOUTHOLD FISHERS ISLAND 06390
•Cm ORIOns VEL MA •ENCORE
1Sarer BLOMQUIST DIANE L.
Name
•LASTNAIIEEOOIPMIY 'FST NAME
CHEMERYNSKI JANE V.
L AST I4AIE WPANY MIR NAME
3.Tax indicate whets future Tax Bias are to be sant
Benny if other than buyer eddress(at bottom dform) MST NMECCIPII IY - FIRST NAME
Address
S TREET NUMBER MO NMS CITY OR TOWN STATE DP CODE
4.Indicate the number of Assessment 1 e d PrCelI OR ❑panda paw Poly Part of a Parcel'Clack as Ow',appy:
Rall parade transferred on the deed IA.Panning Board with Subddaton Authority Exists 0
2.Deed
A
•FRanrFEeT DEPTHX OR 3.0s IB.Subdwa on Approval was Required for Trona* ❑
ProMillY Slae 4C.Panel Approved for Subchaion wdh Map Provided ❑
PRYZYBOROWSKI JAMES
I.Seller •LAST NMP/CO.0%NY FRIT NAME
Name OTHERS PER ATTACHED SHEET
LASTN IIFJOOMPANY FR87 NMB
'T.Select the description which moat accuratelysea
debes the Check tie boxy below as they appy:
use of to properly at the time of Isle: S.Ownership Type Is Condominium 0
A.One Family Residential S.New Construction on a Vann Land 0
10A.Property Located within an Agricultural District 0
,OB.Buyer received a dedoeure notice irdicmeny that the property is in an ❑
Agdadturel Ostia
(SALE INFORMATION' 1e.Check one or more of tieee conditions as applicable to trend=
S A.Sate Between Relatives or Former Relatives
1t.Sale Contract Date 02/19/2016 _ B.Sale between Related Compares.rPurina'Pas in Business.
C.One dee Buyer.Is also a Saler
•ti nate of SaleRoa
rahr 03,4p/2016 (?'962.) _D.One tithe
Seller is Government Agana,or twang IneslhNrl
E.Dead Type not Wanrey or Beretta and Sale(Speafy Below)
F.Sale of Fractional or Lass than Fee Interest(Specify Below)
93.Full Sale Price 0.00 G.&p llcant Change In Property Between Texebe Statue and Sale Dates
H.Salad Sulam'Is Included In Sete Price
(Full Sale Price is the bee amount peat for the property including preenel property. S I.Other Unusual mirrors Arad my Sale Pun(SPeay B11ow)
Tits payment may be in the form of cash.other property or goods.or the assumption of J.None
mortgages or other°Montane)Please rand to the neared whole defer amount —
•Commenr)a)on Condition:
14.Indicate the value of personal NO CONSIDERATION
property Included In the sale 0 .00
I ASSESSMENT INFORMATION-Dale should reflect the latest Final Assessment Roll and Tax BIII l
10.Year of Assessment Roll from which Information taken(re) 15 '17.Telal Assessed Value 10,600
•1L Property Claes 210 _ 'IL School DlebrNa
—
District FISHERS ISLAND
•20.Tax Rep IdentiRer(syRoll ldemMr(a)(ti mom then four,attach sheat with eddltional IdeMlfeha))
1000-010.00-10.00-000.002
ICERTIFICATION I
I Curtly that all..�` d luifonTLadsrh udmnd on tids form are Ow and cornet:the best of my knowledge and bellef)and I urtlertand that the making(of any willful
Ilesstetem hethefelnsub)eUmetstllepl Osd0wIsIsIfewnWNetstihemaklnpandImmpdtsWbatsumeda.
- SFJ.LERJIONATURE BUYER CONTACT INFORMATION
(Err latmemen Ice Me bum leas if sugars LLCM:art.raodrm
an, rpaesn.lubecameo,ardr ry.clow or
I iii hey ems reaten arasaW paarf*aruy.Men ename and MOP bisrnid leleniridamRIEpaaesr
pay ate can arrowEuwdsr.aparme MO senna must to mitres.Type an pint arnb.)
/ Ar'nmATAE DATE
u BIOMQUIST DIANE L.
BUYER SIGNATURE
1 •LAST NAVE meeT NAME
,, �,/ 31"rl`I Q (860) 228-2761
C `•, / 7 ���•����"`"'"�((I TT ANSAcapE •TF1EMOE NUMBER Rs aaesaar
AMEN none E • GM
24 ALICE LANE
•STREET ISJI ER -STREET NAME
n AMSTON CT 06231
t I l r I '!I r'': 'r1� s �+ I �`�AIr
II'.11I'ir 1 f I I'�I i 5 .11 I �) 1 I r q axonrowN TATE 2P cam
�ti� ;1. +jl'�il?Al'i;,"i l'011 Ir 111T+IIS ti. 14+1JWil I BUYEIYSATTORNEY
r /y''i'ii tip .11!ii.'1'r l''j; ''LL�rI,II +l',',,I,Lr1l li'e ff}�JJ STEPHEN L., III
�s rAM�'��ii ifi ''ri ++lil� ( ill)! �i'�� '1�l ��]L.1'rMSr NNEFRST NNIS
I �l4 (iI��� �ilU lar A,� r�i}'� ]J ill �i;',I` (631) zea-2400
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1 `, I, i ,ori . 1,, ,, 1 f rl
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1- 160
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Attachment to Real Property Transfer Report
Form RP-5217
Additional Information
6. Seller Name
Last Name First Name
Blomquist Diane
Chemerynski Jane