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HomeMy WebLinkAbout1000-97.-6-1.2 _ TOWN OF SOUTHOLD Rental Permit 0087 4 z Owner Ricco D 2020 Living Trust Occupied as Single Family Dwelling Located at 1350 Eugenes Road Cutchogue 97.-6-1.2 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. 12/19/2023 7r Code �o c e offic_ 1 This Notice must be posted by the main entrance at all times * TOWN OF SOUTHOLD BUILDING DEPT. 631 .765-1802 INSPECTIUM [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) J-- 60Y7 [ ] CODE VIOLATION [ ] PRE C/O [ rENTAL REMARKS: 4�bl IQ s U 4DDATE he 2_ � ___ Isoot" TOWN F SOUTHOLD BUILDINGDEPT. w� 631-765-1802 I PECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ,� PRE C/O y4ENTAL REMARKS: �rJB � P DATE INSPECTOR TOWN OF SOUTHOLD Rental Permit Permit No. 0087 Owner Ricco D 2020 Living Trust Occupied as Single Family Dwelling Located at 1350 Eugenes Road Cutchogue 97.-6-1.2 Village Maximum Permitted Occupancy 4 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. 5/19/2021 Code Enforcement Official This Notice must be posted by the main entrance at all times SOUTHOLD TOWN Town Hall Annex 54375 Main Road Rental Inspection PO Box 1179 Southold, � NY 11971-1179 Tel: 631-765-1802 M�� �- Fax 631-765-9502 SCTM # Date Owner ��r��?� Phone917-04- Tess l o Zip ' 1 Hamletcam:tC P<D( (AE- Inspector tress visible from street? LEVELS SUB 1 2 3 Smoke Detectors (#- bedroom detectors excluded) Carbon Monoxide Detectors Fire Extinguishers (#) Exits (#) l _3 1 SENSE=onsimm BEDROOMS 1 2 3 ' 4 5 Smoke Detector Alarms Carbon Monoxide Alarms # Egress (windows) (Y/N) BUILDING SYSTEMS YIN CONDITION OF PROPERTY YIN Heating system maintained/operational Building Interior is clean maintained Hot water system maintained/operational Building Exterior is clean /maintained Electrical system maintained/operational y Property is clean/safe/maintained Mechanical system maintained/operational Handrails & guards present POOLS YIN POOL BARRIERSY/N Pool present Pool is completely enclosed Pool surface alarm and/or door alarm Barrier is a min. 48" high resent 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 proof when unattended J mossommossmaimim COMMENTS: TOWN OF SOUTHOLD Rental Permit Permit No. 0087 Owner Donna Ricco Occupied as Single Family Dwelling Located at 1350 Eugenes Road Cutchogue 97-6-1.2 Address Village S/13/1- Maximum /B/LMaximum Permitted Occupancy 4 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. 6/19/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times °L Town Hall Annex �," uo Telephone(631)765-1802 54375 Main Road ? t Fax(631)765-9502 P.O.Box 1179 n Southold,NY 11971-0959 "a" { .y.e t opm BUILDING DEPARTMENT TOWN OF SOUTHOL RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) a','����np Section A. Property Information: p Address: Rental Property A D (U ft N`4 Tax Map Number: 1000 SECTION ?• 00 -BLOC 0 • 60 _-LOT 00 �� SECTION B. OWNER INFORMATION: Property Owner Name: ZQ)N A Property Owner Legal Address: Property Owner Mailing Address: AU _A1V;C0_) eo 43;�- Telephone Number(s): DaytimA7• 1�venrn Emergenc Property Owner Email Address: IMS Page 1 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 ; 1II ,, 4 BUILDING DEPARTMENT T OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: J D Ann IAA Address of Authorized Agent (no P.O. Boxes) Mailing Address of Authorized Agent: Al Telephone Number(s): Daytima-vEveningL&3d r erg Email Address: . CAA IP ZOW Section D. Managing Agent Informatio r Name of Authorized Agent,,df dwelling unit, if any: ........ Address of Authorize gent(no P.O. Boxes): Mailing Address Authorized Agent: _ ..... Telephone N rnber (s): Daytime Evening Emergency Email A4 rens: SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) Name of Managing Ae�., g' g nt of dwelling unit, if any: Address of Man ng Agent ent (no P.O. Boxes)° Page 2 of 5 c " Town Hall Annex Telephone(631)765-1802 54375 Main Road � �? Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 U BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Man gjng Agent: Telephone Num,b0r(s): Daytime Evening Emergency Email Add�ss: . 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." k Rental Dwelling Unit Identifier. �. Requested Maximum number of personsallowedto occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: 1 Q _ Page 3 of 5 r, F Town Hall Annex Telephone(631)765-1802 ��' � P 54375 Main Road Fax(631)765-9502 P.O.Box 1179 i% Southold,NY 11971-0959 , BUILDING DEPARTMENT TOWN OF SOS HOLD 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. Vf I 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>)-1 VAI# C 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 ��F' Telephone(631)765-1802 Jolt 54375 Main Road 1J Fax(631)765-9502 P.O.Box 1179 Qt Southold,NY 11971 0959 � SII �r d� 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. Property Owner's Name: NNIAI 91, ILO ... CZ Property Owner's Signature ' Sworn to before me this A9day of - , 20 Official Notary Public Sign ur lid Original Notary Stamp LYNDSEY BARKER NOTARY PUBLIC,STATE OF NEW YORK No. 01BA61SB076 Qualified in Suffolk Count Commission Expires Novernber 27, 0- Page 5 of 5 ujclve., 0�+, -- to - l w � yTOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND ] INSULATION [ ] FRAMING /STRAPPING [ ] AL ,6,,41, [ ] FIREPLACE & CHIMNEY . [v FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: v /4v�� Hcqnq,�,1 k e- 10*:Se /ail l I i ft 4 coil/ L-e. 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W 4 % �M FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No—Z-22506 Date AUGUST 6, 1993 THIS CERTIFIES that the building NEW DWELLING Location of Property._. 1350 EUGE RS ROAD CUTCHOGUE N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 97 Block 6 Lot 1.2 _ Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated D"RCE ER 1, 1582 ursuant to which Building Permit No. 12072-Z dated DEC.k'ABER 14, 1982 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 ONE FAMIIAY DWELLING WITH ATTACHED GARAGE & WOOD DECK The certificate is issued to MICHAEL & CORINNE SLADE (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL Jan. 3, 1984 - 12-SO-119 UNDERWRITERS CERTIFICATE N0. N-622134 - NOVEMBER 2 1983 PLUMBERS CERTIFICATION DATED N/A *THIS UPDATED CO Z-12180 DATED JANUARY 3, 1984 jf e uj'1ding Inspector Rev. 1/81 r FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z--23846 Date SEPTEMBER 1, 1995 THIS CERTIFIES that the building ADDITION & ALTERATIONS Location of Property 1350 EUGENE'S ROAD CUTCHOGUE NY House No. Street Hamlet County Tax Map No. 1000 Section 97 Block 6 Lot 1.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore tiled in this office dated SEPTEMBER 29, 1994 pursuant to which Building Permit No. 22397—Z dated OCTOBER 19, 1994 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 INGROUND SWIMMING POOL WITH FENCE, RAISED PATIO AND ALTERATIONS AS APPLIED FOR AS PER ZBA APPEAL #4217. The certificate is issued to THOMAS B. PULS & DONNA RICCO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N343339 & N343340 FEBRUARY 21, 1995 PLUMBERS CERTIFICATION DATED N/A Building 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-34690 Date: 11 09/10 THIS CERTIFIES that the building ADDITION/ALTERATIONS Location of Property: 1350 EUGENES RDCUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No_ 473889 Section 97 Block 6 Lot 1.2 Subdivision Filed Map No Lot No. conforms substantially to the Application for Building Permit heretofore filed s office dated MAY 5 2009 pursuant to which Building Permit No. 34694- dated MAY 20, 2009 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 GARAGE AND DECK ADDITIONS AND ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to THOMAS B PULS II & DONNA RICCO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMMU OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 4669-H 10/01/10 PLUMBERS CERTIFICATION DATED N/A �e-N - Autho3Kzed Signature Rev. 1/81 !WY i•" '�� KI E Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ro er.rillert to +ri.srautlol .n .uS Southold,NY 11971-0959 OIII' � BUILDING DEPARTMENT TOWN OF S UT OLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Donna Ricco Address: 1350 Eugenes Rd City: Cutchogue St: New York Zip: 11035 Building Permit#: 34694 Section; 97 Block: 6 Lot: 1:2 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contra tor: AS BUILT DBA: License No: SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor X 1 st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser 1 Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: "AS BUILT" "ELECTRICAL SURVEY" "NO VISUAL DEFECTS" Notes: Pre-existing air conditioning condenser with disconnect Inspector Signature: Date: May 24 2019 81-Cert Electrical Compliance Form.xls Nassau Suffolk Electnical Inspections,Inc. P.O.Boz 549,Aquebogue,New York i 11931 Tel:631-59]3097 Fax:631-591-3098 Application: 4669-H Date: 10/1/10 Issued to: Puls Address: 1350 Eugenes Rd Introduced By: H/O Village: Cutchogue License#: N/A tla I CommercialResfden i The following was examined nd approved up to the above date and found to be In compliance wfth,the NEC: Fang 1Ii WfthdlAmpDryci/AmpsOven RnopMeips - - Limiwd In* )gine)meq. ,gym Mate Mow Garage Extension:)-Sw,4-Rec,l-GFCI,l-Garage Door Opener Kitchen Alterations: 1-Sw,19-Fixtures,)-GFCI,1-Dishwasher,I-Range This certificate must not be altered in any manner BUILDING DEPARTMENT- Electrical Inspector « gtr ! TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 x � Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rnge„r ri( iie �tow�nrsouthold.ny:us ,APPLICATION, FOR ELECTRICAL INSPECTION REQUESTED BY: Date:_ __ .. Company Name: Name: ...__. _..�.v.....�. ._,..�..�.- �- .�.�-. email: License No.: Address: Phone No.: JOB SITE INFORMATION: (All Information Required) Name: _DDANNAJ�l_V_0 t Address Cross Street: IN I Phone No.: Cl I wol email; Bld P It ✓ g. erm #: Block. � LotL10 Tax Mata District: 1000 Section: BRIEF DESCRIPTION OF WORK(Please Print Clearly) �t Circle All That Apply: Final job'ob ready for inspection?: CYEI NO Rough In Do you need a Temp Certificate?: YES N Issued On Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: _ A # Meters ._..�. Old Meter# New Service-" Fire Reconnect- Flood Reconnect- Service Reconnected - Underground _ Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: . .. -------------- ... FA` MI� !" .. WIC 1..APFLIC�A�ION DU u 62-Request for Inspection Form As