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Home My WebLink About1000-104.-10-3 a � gTOWN OF SOUTHOLD PermitRental Permit No. 0039 Owner Luisa Beebe & Teresa Scofield Occupied as Single Family Dwelling Located at 580 Broadwaters Rd. Cutchogue 104-10-3 Village 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. 6/3/2021 Code Enforcement Official This Notice must be posted by the main entrance at all times SOUTHOLD TOWN Town Hall Annex 54375 Main Road M "' PO Box 1179 Southold, P Rental Inspection NY 11971-1179 Tel: 631-765-1802 ;" Fax 631-765-9502 1„ 0Wr -0 -3 Date Qwner V 5� Phone _13v AddressSib P w�Te� �- Zip I q 3 Ham' le't," GJC`C'1n o Inspector Address visible from'street? LEVELS SUB 1 2 `3 Smoke Detectors (#- bedroom detectors excluded) Carbon Monoxide Detectors (#) Fire Extinguishers (#) Exits (#) BEDROOMS 1 2 3 4 5 Smoke Detector Alarms (#) Carbon Monoxide Alarms(#) Egress (windows) (Y/N) BUILDING SYSTEMS CONDITION OF PROPERTY /N Heating system maintained/operational Building Interior is clean/maintained Hot water system maintained/operational Building Exterior is clean/maintained Electrical system maintained/operational Property is clean /safe/maintained Mechanical system maintained/operational Handrails &guards present POOLS Y11§ POOL BARRIERS Y 19, Pool present Pool is completely enclosed Pool surface alarm and/or door alarm Barrier is a min.48" high resent POOL GATES Y All openings in barrier less than 4" Self-closing, self-latching Max. 2" clearance @ bottom of barrier Latch on pool side of gate, meets height Barrier capable of being locked &child- requirements proof when unattended COMMENTS: `= TOWN OF SODTHOLD Aa Rental Permit I 4t 3# 4 Permit No. 0039 Owner Luisa Beebe & Teresa Scofield Occupied as Single Family Dwelling Located at ' 580 Broadwaters Rd Cutchogue 104-10-3 Address - Village S/B/L 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. 5/1/2019 John Jarski Date of Issue Code Enforcement Officer i This Notice must be posted by the main entrance at all times N S M oz/ , Town Hall Annex k° Telephone(631)765-1802 54375 Main Road f Fax(631)765-9502 P_O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee $200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1.000 SECTION_ m Uy BLOCK 6' LOT_, SECTION B. OWNER INFORMATION: Property Owner Name: IVI�A ld ey"g Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) Aa-M '✓ (lIwo Amar . ' Telephone Number (s): --1e3J -3-9-jc 6 Property Owner Email Address: � w° 9y )�k d art Page 1 of 4 Section C. Authorized Agent Information: �lPu, r Ki� L iso ) Name of Authorized Agent of dwelling unit, if any:. Address of Authorized Agent (no P.O. Boxes): %U,;1&10 /7/Aar to d ,7—P IXC Mailing Address of Authorized Agent:.... Telephone Number(s):, . ?. �.'..__ .S' �......... Email Address: -.�!JbL.v . ,r tp141ti" coal Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any.- Address ny.Address of Authorized Agent (no P.O. Boxes):. Mailing Address of Authorized Agent: Telephone Number (s)=.. ..................._�.. Email Address: 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):.........,.w_„___........._..._ Mailing Address of Managing Agent: Telephone Number (s): Email Address. ,....,. Page 2 of 4 SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: 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: v ( Glm� m' I �d LC v : ' Requested Maximum number of persons allowed to occupy Dwelling Unrfe�-` Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: .. 17" " l.. ,5 ._...— r � "ver - as' x r3"ci 13 anmwom w_ X? PokeW 1 " " 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 NYS licensed architect, a NYS licensed professional engineer or a home inspector who has a valid New York State Uniform Fire Prevention Building Code Certification is required stating that the property which is the subject of the rental permit application is in compliance with all of the provisions of the code of the Town of Southold,the laws and sanitary and housing regulations of the County of Suffolk and by the laws adopted by the New York State Fire Prevention and Building Code Council. !r I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold. Page 3 of 4 ❑ 1 am submitting a completed Town of Southold certification form from a licensed architect, a licensed professional engineer, or a licensed home inspector who has a valid New York State Uniform Fire Prevention Building code Certification. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) I .._ VI-, 14 L dL' , ,, certify under penalty of perjury,the following: 1. I 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 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 s to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name: �(./S A, 40�13e'— Property Owners Signature Sworn to be re m )is p y of 20 Official No r Publ" ratur Viand MARTIN FLATLEY y ,�`� Original Notary Stamp Notary Public,State of New York No.01 FL4894602 Page 4 of 4 Qualified in Suffolk County commission Expires May 11,2019 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form to be completed by a NYS licensed architect, NYS licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit copy c� arvalid 1Vew irrredw�'ar Archi�or Enr�!Qn id H`� Code Certification,me Inspector ravi Yarl(. tat`e Uni orm Fire P' Rental Property SCTM Number: – q 73 LW Rental Property Address: �, r Owner/Name:��,�r �`.;:i�. �_�.. .......�....._. ... .... Rental Dwelling Unit Identifier: .__._.... ...... —. Number&Square footage of each bedroom as depicted in the attached floor plan:. (i. Bedroom#1–100sq., Bedroom #2-90 sq., c.) � J14 3 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 the unit 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. Print Name a n d TitIeOriginal atu Si n ... _.........._. w. g re Please place professional seal: to �p��pyy�,gqttgg ryry IIr �pry�,�� yq �J� �Wu I�IIp�q ��qp{��`� W� R38 'Y4 VM �� M � �Rf�m'" r��k4i��F W��§'�finwwr�iwi"� tlp� ,�:d�� R NYlip�eaw I�'"��.G '1765-:1111-802 iw 65-:11102 INSPECT1, 0N FUM :I1.1 I W"' Pl. � � ��M�� l 2 D FRAMING SI .a IPI � EANAL � iIIREP IEm CHIMNEY � n � '� SAFE w � � m, mm uuu ��il "" �'. w '��° � "m� i�, � VIII �� I�mA� � � m ��FIRE " u. �� '� II 'S F, Ilf '� Pli �� .VIII as �ra mlll w aW°uww 'a m iauuu mu "nm um H El i� inCI�i IIIA' NRI,CA L m FR lll� I.4� AL ..„ �.... ............ .........�W�»,,,.,..,............ �.�...�. Ay�_ F, C" "C.: w y rrmY R y . r r .. (one ` �tVe 4 � d 7�r rl W u N y IN -F � � y r� 7 M " x WO � r , 5 d MIr ! e a r" °v� a m I u� Qb v r w� l r P r r 1 4 .J TO tl P. t, 1jY hI u� I �- , 7 ! 1� ICY ' I�, l•a ��i Ai Imm r�� AA 1 1 , �.i d Y Y yrl F I V 1� ARV .Il u 6 r r rr ' 4 , r rtirl . LO IB 4" I I u l I I 16 V P•� ,�� F ar I � k Y 0 I b ��" V 0 , �r V �I.d � I y r,, - rm, ... ,., _ Town of Southold 1/29/2019 53095 Main Rd Southold,New York 11971 qb PRE EXISTING CERTIFICATE OF OCCUPANCY No: 40189 Date: 1/29/2019 THIS CERTIFIES that the structure(s) located at: 580 Broadwaters Rd, Cutchogue SCTM#: 473889 Sec/Block/Lot: 104.-10-3 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- 40189 dated 1/29/2019_ was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: .. (5LS02 dle hail t�� l c�� g..twt. ..5, 4, ! 1' 10�1(w3 tIt1�110�1 owl clCarkg _ )a0 ; 131").21 l I7IT jd 1mtA� . m..µ�. i� 'L(J jlip�s to t��,dlil: 23115 �ddittir,G� ��z��acat ��.eti��ar � _. � '1' u �m__. ..... .��.m. � .' a rJc: _ C (}r �1� BP 'Fas btiilt�"central �ait`,�.�.undilac�i��r:�.�OZ 0 �Is�� a� �4�� s lel 1�R�:1,.1.... The certificate is issued to Beebe, Luisa & Scofield, Teresa (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. ON lit oni'r :(l .'ignature n BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 580 Broadwaters Rd,Cutchogue SUFF.CO.TAX MAP NO.: 104-10-3 SUBDIVISION: NAME OF OWNER(S): Beebe, Luisa&Scofield,Teresa OCCUPANCY: _ _..._. ADMITTED BY: _.. _ SOURCE OF REQUEST: Beebe,Luisa DATE: 1/29/2019 DWELLING: #STORIES: 1 #EXITS: 1 FOUNDATION: cement block CELLAR: partial CRAWL SPACE: _.. _._ - BATHROOM(S) 1 TOILET ROOM(S): UTILITY ROOM(S): .. ..... ....... ..... .. _ ._. ._.... ,,. w... PORCH TYPE: DECK TYPE: PATIO TYPE:. BREEZEWAY: - -FIREPLACE: 1 _..... GARAGE: .-, .... __m ...,... ......... DOMESTIC HOTWATER es TYPE HEATER: electric AIR CONDITIONING: TYPE HEAT: oil WARM AIR: forced hot air HOT WATER: #BEDROOMS: 1 #KITCHENS: 1 BASEMENT TYPE: unfinished OTHER: rm.....__ ......_._ .,..., _.... _, �.me.... ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: _ — — INSPECTED BY: JOHNJ DATE OF INSPECTION: 1/29/2019 TIME START: 11:00am END: 12:05pm FORM NO. A TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. . . .Z�818 . . . Date . . . . . . . . . . . .Max• . 1.t . . . . . . .. 19- -7-4 THIS CERTIFIES that the building located at .Rroadvater4t -Rd. . . . . . . . . . Street Map No.gasa-. •pt. . . Block No. . . . . . . . . . .Lot No. 185. . . - Cuteho a - -R.Y. . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . 19].3 , . pursuant to which Building Permit No. 6802Z . dated . . . . . . . . . . . Aug• - •17- • - ., 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 . .Prlvats• one. •family.dwelling. with addition . . . . . . . . . . . . . . . . . . . . The certificate is issued to Soui. .9 .&. Sonia. Sulioh- . - • • • . .Oamors• . • . • • . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval N,,R,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No.Ji. 13.2299. . . . . . "a- - •1.1 . . .1•973. . . . • . . . . . • . HOUSE NUMBER . . . . Street . . . . X80 . . . . . . Broadwaterrs- Rd . . . . . . . . . . . . . . . . . . . . . Building Inspector FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. . . . .?9604. . . . . . . Date . . . .. . . . . . . . . . . . . . . . . . .August .2 19 .79 THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property .580 . - - . . . . . . . $x0asl �tla 7d.. . . . . . . . . . . , „ .CutChoe. . House X io. stme( let County Tax Map No. 1000 Section . . .M . . . . .Block . . .10. . . . . . . . .Lot . . .3 . . . . . . . . . . . . . Subdivision Nas P41 Pt,, Q10. F1Rpp.. . . . . .Filed Map No. . .186. . Lot No. . .186 . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . 27. . . . . , 19 .7.$pursuant to which Building Permit No. . . . . . .10004. Z . . . . . . . dated . . . . QQt. . 3.1 . . . . . . .. . . . . . . . 19 78. ,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 . . . . . . . . . . . . . . . .Addition. .to.a. ,ane. family. .dwelling. . . . . . . .. . . I . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . �,QU�A .$U1:LQ 1. . �. . . . . . . . . . . . . . . . . . . . . . . . . . . . • (owner, � w w; of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . . . . . . .. . . . UNDERWRITERS CERTIFICATE NO. . . . . . . Building Inspector Rev 4/79 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23444 Date JANUARY 5, 1995 THIS CERTIFIES that the building ADDITIONS ITC , Location of Property 580 HROADWATERS ROAD CUTHOGUEN.Y. House No.. Street Hamlet County Tax Map No. 1000 Section 104 Block 10 ..Lot,,-- 3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 2, 1993 pursuant to which Building Permit No. 21317-Z dated APRIL 7, 1993 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 ADDITION & DECK ADDITIONS FRONT & REAR TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR_ The certificate is issued to . LOUTS & SONIA SULICH,_. (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-336100 - DECEMBER 12, 1994 PLUMBERS CERTIFICATION DATED DECEMBER 22, 1994-K&K PLUMBING & HEATING Buiiding 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-24100 Date DECEMBER 28, 1995 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 580 BROADWATERS ROAD CUTCHOGUE NY House No. Street Hamlet County Tax Map No. 1000 Section 104 Block 10 Lot 3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 31, 1995 pursuant to which Building Permit No. 23115—Z dated NOVEMBER 17, 1995 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 AN ADDITION AND ALTERATION TO AN EXISTING ACCESSORY SHED TO CHANGE IT INTO AN ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to LOUIS & SONIA SULICH _..._.m.. .... (owner's) ._.. of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A J ":4hAilding Inspector Rev. 1/81 Town of Southold 1/28/2019 u -' P.O.Box 1179 y �, w 53095 Main Rd Southold,Ne York 11971 CERTIFICATE OF OCCUPANCY No: 40187 Date: 1/28/2019 THIS CERTIFIES that the building OTHER Location of Property: 580 Broadwaters Rd,Cutchgoue SCTM#: 473889 Sec/Block/Lot: 104.-10-3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/16/2019 pursuant to which Building Permit No. 43417 dated 1/23/2019 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: ^�.pp .. .:_u�_. ..... �d i-)r. :s built"ccnir� air con ition7 n otfl:��r :��:.ru C I ill �w� :z:�� C��...� The certificate is issued to Beebe,Luisa&Scofield,Teresa of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF I EALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43417 1/25/2019 PLUMBERS CERTIFICATION DATED ... r" Authorized Signature Town of Southold 1/28/2019 P.O.Box 1179 ° 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40187 Date: 1/28/2019 THIS CERTIFIES that the building OTHER Location of Property: 580 Broadwaters Rd, Cutchgoue SCTM#: 473889 Sec/Block/Lot: 104.-10-3 . .. m Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/16/2019 pursuant to which Building Permit No. 43417 dated 1/23/2019 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: Bare➢tr, c, tt ll ar coyulitionin;.ire azg ex stia ')r I LTIi lwelll:�€" as a mlict�m -)T. The certificate is issued to Beebe,Luisa&Scofield,Teresa of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43417 1/25/2019 PLUMBERS CERTIFICATION DATED . Authorized Signature � Ftt1t ylq Town of Southold 1/29/2019 53095 Main Rd Southold,New York 11971 ME EXISTING CERTIFICATE OF OCCUPANCY No: 40189 Date: 1/29/2019 THIS CERTIFIES that the structure(s)located at: 580 Broadwaters Rd, Cutchogue SCTM#: 473889 Sec/Block/Lot: 104.40-3 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- 40189 dated 1/29/2019 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 Chime o g fh J1 Notes„ _BP 6802 addition to dwelling "OZ81 1N� I.Qdq idditigi to dwell iggg_ X179@01 9.;13P 21 i 7 iddition laid deck ,iclitiork _t od It l,,Itxi Z.2l4m4: BP 2'31 l`i ,i.iddlficsn Ro cowvgrt acc.9sory Attie ter garil :.0 Od-mow"q 1!°1();131143,417 " i as built central air conditicnfln r t { 4011, The certificate is issued to Beebe, Luisa& Scofield, Teresa (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. ' r 4 ttu ed signatu re TOWN OF SOUTHOLD PROPERTY RECORD CAI OWNER S RFS ; VILLAGE DIST. SUB. ` LOT I , r4 . .`-R ,OWNER N E ACR.7 `-, S W TYPE OF BUILDING e ; t SEAS VL. aAf1 COMM. CB. MISC. Mkt. Value LAND IMP, TOTAL DATE REMARKS _ ib �t F F NEW _ FARM Acre Value Per �iojue II � Acre I Tillable 7VJ _ j a Tillable 2 , ' — a � Tillable 3 I € _ Woodlcnd j { F - 3 F wai�p':and FRONTAGE ON WATER b usFlara FRONTAGE ON ROAD House Plot — DEPTH 'BULKHEAD Total j DOCK }` kJ -Y - . •g ,3 - t -- COLOR 1 I � _ I E r R { TRIM ®, j T 5 i — i S 1 c X 3v - __ _Foundation e j Both 9 B d , Dinette - } F .un .. e Basement Floors ® ;- Ext. Walls - a Interior Finish LR. Extension r - - = T . ;� -_ Extension T Fire Place Hact _ DR. ^ - Type Roof i Rooms 1st Floor BR_ g. z bL - _ - - �eot=on Rconi'_ Rooms 2nd Floo , FIN F E � �on Breezeway Driveway p0tF4`' e `l 3 i