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HomeMy WebLinkAbout1000-138.-1-5 £s TOWN OF SOUTHOLD Rental Permit 0081 �A Owner Pearl Stewart Occupied as Single Family Dwelling Located at 795 Monsell Lane Cutchogue 138.-1-5 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. 2/28/2024 �`€s Code Enforcement Official This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD BUILDING I 631 765r 18t1T INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAL [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN% [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (EIf [ ] CODE VIOLATION [ ] PRE C/O [p4 I REMARK& -/� "/ In S7'&/// 15M�9k-e, 9b0,r7 Oil -AP,6�- ,swk-'a,- 'e- m vps,/t��Zs ©v � ! Dp-- olL ke - Com Town Hall Annex Town Of Southold 54375 Main Road Rental Inspection Report PO Box 1179 cz Southold, NY 11971-1179 Tel: 631-765-1802 WK _.. .M_..n .... _... 3 ... / a _.. _. %SCTM# — — Date oZ / � Owner Phone _. �... .o .w.,. ... ...... . .. _ _.._. .. ... .. .. ........ _.._ w .. .. IAddress � � �O/]Se% Visible Hamlet inspector Floor Level(quantities Sub 1 � w�w Y ��.. m. �........�...R�,�.. w.���. ��.. _.. .... ra . _.__.._.. .... 2 3 Smoke Detectors(not located in bedrooms) Carbon Monoxide Detectors �/ _... ....... r Fire Extinguishers �..ry ��Ra. e��.�.w��•...�..�..��.....w�....a.,. �.....nrrw � ..,���....M� wm�......M..� ,.,,.w�....��. � .m�. �..ti.__ .....+�� �_�_ ..w.......... ...� .�......... Exits t 1 i 2 �•. ... ..,_3.,,.. _.. .4.. . �r . .. .5..._. __..w.._.6.__ Bedrooms ....,,..1� Smoke Detectors _. , w... .... Egress . .... . . e. e _. Occupant Count � . �..,.- _ .___._.�• __ . �— r. �.. Building Systems Maintained &Operational ;Condition of Property ® , m . .. Heating Building interior �. Hot water Building exterior Electrical Property clean, maintained&safe rMechan� ical Handrails&guards installed &secure Pool Safety Pool on Site . . ..e. �..�w.. .•. .,� .. .., �. Surface water alarm Date of CO issuance .. w .,�.. ..vm .. ,,o...., _ Door alarms Pool completely enclosed w, g elf closing/latching gates Pool fence to code requirements CO's for all items present Prior Rental 00 El 1 �.� _..M... ._. .. _..,.. _. ._. _...�.....rv...._. Comments TOWN OF SOUTHOLD Rental Permit Permit No. 0081 Owner Pearl Stewart Occupied as Single Family Dwelling Located at 795 Monsell Lane Cutchogue 6 Maximum Permitted Occupancy 138-1-5 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, 6/10/2021 i C d En o � rpt (ficial This Notice must be posted by the main entrance at all times Ali. .7 DATE: April 26, 2021 FROM: Donald Stewart 795 Monsell Lane Cutchogue, NY 11935 646-256-8809 Email: dnldstewart@gmail.com SUBJECT: Renewal of Rental Permit TO: SOUTHOLD TOWN BUILDINGS DEPARTMENT Town Hall Annex 54375 Route 25 Southold, NY 11971 TO WHOM IT MAY CONCERN: My rental permit for my house at 795 Monsell Lane, Cutchogue, NY 11935 will expire in June and I would like to renew it. There have been no changes to my house since the last inspection, nor are there any building permits open at this time. Enclosed is my check for$200. We are available for an inspection at any time, I can be reached on my cell at 646-256-8809 and by email at dnldstewart@gmail.com Sincprly, Don Stewar v r ' SOUTHOLD TOWN Town Hall Annex �, =N 54375 Main Road PO Box 1179 Southold, Rental Inspection NY 11971-1179 Tel: 631-765-1802 Fax 631-765-9502 r SCTM # 3$ . Date �� 2 Owner w Phone 6 vi �-�(�O Address cAsh Zip Hamlet lInspector Address visible from street? LEVELS SUB 1 21 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 N CONDITION OF PROPERTY ffi' 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 Y/N ' POOL BARRIERS N Pool present V, Pool is completely enclosed Pool surface alarm and/or door alarm Barrier is a min.48" high resent IV14 POOL GATES Y N 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 rcof when unattended COMMENTS: '0-"A 0 :ice ., � il0�-c :. . .il TOWN OF SOUT OL z Rental Permit }}% Permit No. 0081 Owner Pearl Stewart Occupied as Single Family Dwelling Located at 795 Monsell Lane Cutchogue 138-1-5 Address Village S/13/1- Maximum /B/LMaximum 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. 6/7/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times u Town Hall Annex ���1 " Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 % P.O.Box 1179 �Vln Southold,NY 11971-0959 0V 3q- BUILDING DEPARTMENT TOWN OF SOUTHOLD RENAL PERMIT APPLICATION T Rental Permit Fee $200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION -BLOCK -LOT SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: 6'+6-,,?s"6 Y? 9 q Telephone Number(s): Daytime_,_ ,,m__ Evening_.... _r _Emergency `���"4l4 0a-6— Property Owner Email Address: �_h ( d�. + qPt Page 1 of 5 Town Hall AnnexTelephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 �� WM� ,� BUILDING DEPARTMENT TOWN OF SOUTHOLD 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):, _ Mailing Address of Authorized Agent: Telephone Number (s): Daytimeµ .... Evening Emergency­_...... 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): ,,, __,,,,,_ Page 2 of 5 i a Q� ' iigb u r A m Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 "a Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SO HOLD Mailing Address of Managing Agent: 6f6-� ��o Telephone Number(s): Daytime , ' Evening t6- 9' Emergencyd; - 7?S' Email Address: kv, 5 4 i r-f e0 vi'l i 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, Q 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: ±1101 Requested Maximum number of persons allowed t ' ccupy Dwelling Unit Number of rooms in Rental Dwelling Unit:.._. .... .-...... � Use and Dimensions of each room in Rent " lling Unit: _ c ed ylJ 'I � 8A Page 3 of 5 f �qpX Town Hall Annex � Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 4 Southold,NY 11971-0959 �r �Tll�lti7�my BUILDING DEPARTMENT TOWN OF SOUTHOLD 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 laws adopted by the New York State Fire Prevention and Building Code Council. V am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold ❑ I 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) I —A C ,Sf-c 1)—' rt, 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 ��1 it �1 Telephone(631)765-1802 54375 Mein Road Fax(631)765-9502 P.O.Box 1179 " Southold,NY 11971-0959 °s ` � ��»�mQ�, ,�/ BUILDING DEPARTMENT TOWN OF SO OLD 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. w� Property Owner's Name: luieik�l Property Owner's Signature: Sworn to before me this dat -y of , 20-ff Official N'o ° ry Public SignatuCl� and Original Notary Stamp TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2Dkc�, Page 5 of 5 MAIN FLOOR Kitchen 17'x 14'=238 sq` Livingroom 25 x 14=350 Dining room 11x 10=110 Master bedroom 14 x 17=238 Toilette/shower 11 x 11=121 Laundry closet 6 x 3= 18 UPSTAIRS Bedroom#1 18 x 16=288 Bedroom#2 18 x 12=216 Toi@atte/sho rer, -1-1,x 11 12 BASEMENT Finished studio 12 x 11=242 N yu CA)"t, ve,., If S0Cr� a TOWN OF SOUTHOLD BUILDING DEPT. 765-1 8 12 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ r1INAL FIREPLACE & CHIMNEY [ IRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING RE ARKS: I D:ATE INSPECTOR r I W.w. ieft giq, rww J9e ........................... rc owrmn rvw��w •• r � 4 u.... fi r �i �U I&I� y 4 OR r� o- ".,. ......... 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Ai u 4 _ _ _ z l r � i3 I �FF01 Town of Southold 9/12/2019 r P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40691 Date: 9/12/2019 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 795 Monsell Ln., Cutchogue SCTM#: 473889 Sec/Block/Lot: 138.4-5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated - p g 6/7/2019 pursuant to which Building Permit No. 43870 dated 6/I4/2019 was issued,and conforms to all of the recluiren enis of the applicable provisions of the law. The occupancy for which this certificate is issued is: °, �° _ aril dwelling-(l a r X91 C ssl ed 1;�ascroe��t as a . lacdITmm sar a built alterations to an,existing ons 1. f 6 The certificate is issued to Stewart,Pearl of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43870 8/1/2019 PLUMBERS CERTIFICATION DATED U t 06Z el i t at re; FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CL9RK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. 1..2 ....44 . Date ................... ... .......Or-tobf3r.27, 19..04. THIS CERTIFIES that the building located at B/S.3.40TIaell-DCS'Ve............................ Street Norwold Map No. ..... ................ Block No. ....,_........m....,... Lot No. ,w�1. . ...C.11#shogtW N.•Y•............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ,.AWIMt......21............ 19.6.. pursuant to which Building permit No. -216.4-75 dated ...............................AUY41 i.".t.....2A., 19..0., was issued,and conforms to alll a1 the requirements local of the applicable provisions of tXKlow. The occupancy for which this certificate Is issued is ........ ... w-alling.......................................................................................... The ertificate is issued to .....IrA]Ctlt�..lila~�lB,. .. $ :t...................Ct1u1Xt� '.8, ..... ......,., (owner, lessee or tenant) of the aforesaid building. �...,... �....,... Building fnspector-� ..u.... ...... e . FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hail Southold, N.Y. CERTIFICATE OF OCCUPANCY -190'06 Date �Y 1 1990 THIS CERTIFIES that the building' INGROUND POOL PENCE & DECK Location of Property, 795�MONSELL LANECUTCHOGUE, _N.Y, House No. Street Hamlet County Tax Map No. 1400 Section—138 Block 01 loot 05 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUN=E 14, 1966 _ yursuant to which Building Permit No. 1498.4-E dated__ JUNE 16, 1986 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 INGROUND SWIMMING POOL WITH DECK AROMM, POOL, FENCE AS APPLIED FOR. The certificate is issued to GERALD S. WELLS & WIFE (owners) of the aforesaid building, SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL !�ZA UNDERWRITERS CERTIFICATE NO. N-775015 - OCTOBER 17, 1966 PLUMBERS CERTIFICATION DATED N 6t'i 4 filing Inspector Rev. 1/BI FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19007 Date MAY 11 1990 THIS CERTIFIES that the building­N ADDITTON AND ALTERATION Location of Property 795 MONS"ELL LANE CSTTCHOGUE N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 138 -Black 01 Lot 05 Subdivision —Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated U2 1 1 8�� ______pursuant to which _..�... 1.986 Building Permit No. 15099 tedJULY '18, 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 ADD A DECK & RFMILD FRONT PORCH AND ALTERATION WORK ON KITCHEN, BATH & BEDROOM AS APPLIED FOR. The certificate is issued to GERALD S WELLS & WIFE (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NIA UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED Building Inspector Rev. 1/81