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Home My WebLink About1000-119.-1-10 TOWN F SOUTHOLD Rental Permit 0096 Owner Lighthouse Point LLC Occupied as Single Family Dwelling Located at 9975 Nassau Point Rd Cutchogue 119.4-10 Maximum Permitted Occupancy 8 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. 4/27/2023 cede rc rpt official This Notice must be posted by the main entrance at all times sir �-TOWN OF SOUTHOLD DEL 631-765-1802 INSPECTION , FOUNDATION 1ST ROUGH PLBG. FOUNDATION 2ND INSULATIOWCAULKING STRAPPINGFRAMING / CHIMNEYFIREPLACE & I INSPECTION FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION ELECTRICALL) VIOLACODE REMARKS' mb �Il m { II VIM pw - OQ4AACIA eftcr - - 3_ ^� e� _ S Town Hall Annex Tielalzcne 54375 Main Road Fax 765-9502 � � i � P.O.Box 1179 i Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200 (Application must be renewed every two years) MAR 1 0 2023 Section A. Property Information: 6VVN OF JTHJJ��aD Rental Property Address: 9975 IRSA�OINT RQA4- Q1 _ _,,,.........._..........._..... __ Tax Map Number: 1000 SECTION --119 -BLOCK---I SECTION B. OWNER INFORMATION: Property Owner Name: OWEN MORREL � _.._... ._, _.._. .,�.._......_.w_..- ____.... . ... . Property Owner Legal Address: Property Owner Mailing Address: 8104 C -Nw WAY CORAL GABLES FL 3313135 814 CORAL WAY-µCORAL GABLES G/ O E Q_ _ . C/O OWEN.M... _ ..__.._.. ._ �NORAL.W.._._....._�. - L 3 - L w BLES - FL 33135 Telephone Number (s): Daytime 917.266.4257 Evening, Mm..._..-.....„__ ,_ Emergency_ ................_,,,,......_- Property Owner Email Address: OMORREL@AOL.COM j2e C 1019)(ia —a) Page 1 of 5 ri % �� Telephone(631)765-1802 Town Hall Annex C11 54375 Main Road �� Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: _. *CAROL SZYNAKA - DANIEL GALE g ( ) MAIN ROAD - CUTCHOGUENYm11935 Address of Authorized Agent no P.O. Boxes): ...._... ..................w_....._ _ . _.._......M. ,_µ.µ�,...M__ Mailing Address of Authorized Agent: W 28080*MAIN ROAD -„CUTCHOGUE, NY 11935 Telephone Number (s): Daytime 917.640.2622 Evening__.......... _ M._._. Emergency Email Address: ....CAROLSZYNAKA@DAN 1 E LGALE:..m._-�-.M..��...v_..........�.�.............�.�_._.........�.��_..�....�.,W�_..__._... Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: . w _._....,ww ... ...............w, w._ ,. ,__ _ ...� Address of Authorized Agent(no P.O. Mailing Address of Authorized Agent: _.0 ._...__...... ._...__.m_._.__..�.. .... ..... __._. _._ __w_.w..r Telephone Number (s): Daytime_,__,_.,,___,._ . Evening Emergency__ m „....,,,...........,.M..,�. 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�__w .. w�_�.�.�__ ..._..._..........��. Page 2 of 5 Town Hall Annex // � , Telephone(631)765-1802 �� r „i; 54375 Main Road �� Fax(631)765-9502 P.O.Sox 1 179 � Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent:._..... _ mm...w�w�.... _.._......... ...._. _.�.-. _.._._�.�_. ............�__ __�..._...�..�_ ._ . _ Telephone Number(s): Daytime,-----.._..ww........ , .,o Evening... _.._.._..Emergency_,.--,-.-.,.--. EmailAddress:.__wwwww_...._..,.�w�w_w__. ...... ._...........w....M......._......_............_.m.._........ �. ..__. .._.... _.�ww. _.......ww�..........�.......� �_..�.�...�.o.�. ._�.�.�... 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: UNIT 1 , Requested Maximum number of persons allowed to occupy Dwelling Unit _„_ 3.._... _.._.,. Number of rooms in Rental Dwelling Unit: .,—,-4., �_�..- .,w.... � ._..� ...�....w..._^ � : ...�..o.�.................. Use and Dimensions of each room in Rental Dwelling Unit: - _., ._...._,-..v __.................._._._......, BEDROOM....1 :_-1..1.._-..4”_._.x.,....�.�1..�.3�...,'-1" -BEDROOM 2 .1 -4" x,9'-9' -.. ...__.....�,�ww.._.........:. 1 ...__.. w.v�__. _�. B ........._..,.�_.n.4:�12'-11" x 12'-5" BEDROOM 3: 14'-8" x....1�2'-..5".�.,...EDROOM _.._.. ..........—----- ....._.�.� .w_...��.. �.... .�_. Page 3 of 5 Telephone(631)765-1802 Town Hall Annex lirrl � �1� I r��y 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 a. Southold,NY 11971-0959 d� ra 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. ❑ 1 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. FLoR1 Df�- STATE OF Hi0.wli —6a& COUNTY OFM ) - w_, 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 Telephone 631 765-1802 Town Hall Annex ;j/ ��/�j��° P ( ) 54375 Main Road /�� Fax(631)765-9502 P.O.Box 1179 % O of Southold,NY 11971-0959 ��i o BUILDING DEPARTMENT TOWN OF SO HOLD 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: RREL d Property Owner's Signature:. JAA ;l3 Sworn to before me this ,, day of 1:.._, .__. _.., 2p Offi al Mary Public Signature and Original Notary Stamp . MARIA GONZALcMARIA GONZALEZ r Votary Public-State o`_ � Notary Public-State of Florida t Commissior t �i 35Gc' Commission#HH 360871 ;ec 9, ' My Comm.Expires Feb 9,2027 d t Comm. ati res No a. Bonded through National Notary Assn. oOndeC�through Nationa;Notar.,� �.,.., Page 5 of 5 r J � Town Hall Annex rrJor ,,,r„ Telephone(631)765-1802 A 54375 Main Roa ° Fax(631)765-9502 r P.O.Box 1179 , r Southold,NY 11971-0959 r'5-rir;iirD� " BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit fes ioni r r, r i t r hit t Q "fir, i'rr do r s .. orae lnl p y �r mjgt. mQyi �r°r c;gpy cif valid carr ll c rti /ccs LQLI Rental Property SCTM Number: 1000-119-01-10 wM...... _....ww- .. ._ .... ._ ... _.. wmm.................... ............... Rental Property Address: 9975,NASSAU POINT RD - CUTCHOGUE NY 11935 .. ._,,........w., owner/Name: QW E N R...F .mm._�._.. ..... _....m .._,,,,. "".._. - ,.. "..."._. Rental Dwelling Unit Identifier: UNIT 1 Number &Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom #1-100 sq., Bedroom #2-90 sq., etc.) RAGE 7µ ,SE,.. INIIVf tC�CDIVI:464.-5-E.__LIVII�I( BEDROOM 1 : 148 SFS BEDROOM 2-2: 110 SF BE.�D,RO(OM,� 1�_S -. _...... ......., .. .....w......._. �_ BEDROOM 4: 162 SF Property Description (Include all improvements indicated on survey) TWO ST RY - STICK FRAME .S..IN(�"L�mm.F BRICK PATIO AND WOOD DECK I certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Southold,the Residential Code of New York State,the Building Code of New York State,the Plumbing Code of New York State, the Fuel Gas Code of New York State, and the Energy Conservation Construction Code of New York State. - Al ZACKERY E. NICHOLSON, RA _ Print Name and Title Original Signature ,'S'",JF,.D AkC, E.SBA' Ct Please place professional seal: OF r ,4:r �� j Telephone(631)765-1802 Town Hall Annex Ir f e1 4 �, Fax(631)765-9502 54375 Main Road P.O.Box 1179 Southold,NY 11971-0959 '!.... BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION INSTRUCTIONS Rental Permit Fee $200 (Application must be renewed every two years) The items listed below are required to be submitted with the completed application. Floor Plans: Floor plans of each Rental Dwelling Unit, please show location of all smoke & carbon monoxide detectors. Certificates of Occupancy and Pre-Certificates of Occupancy: Certificates of occupancy or Pre-Certificates of Occupancy for each rental dwelling unit. ertification of Code Compliance (form enclosed): Must be submitted by a icense architect or engineer or license home inspector if an inspection by Town of Southold inspector is declined. ❑ Rental Permit Fee: $200.00 ZEN DESIGN 1250 EVERGREEN DRIVE CUTCHOGUE,NY 11935 PHONE 631513 6589 ma wnk%�.,ew ou�wiwa..ew�mwa.. = NO. ISSUE DATE 01 RENTAL PERMIT 03.0423 C6^hti.�a aa�ctr 44 isa.ss z� } \: i MORREL RESIDENCE 9975 NASSAU POINT RDAD CUTCHOGUE.NY 11935 `. <3 SCALE: 1/w-v DATE: 02-023 DRAWN BY ZEN BASEMENT PLAN -' 0 5 25 50 - _ ... seoi�oErzcroaox ZEN DESIGN 1250 EVERGREEN DRIVE CUTCHOGUE.NY 11935 PNONE:631.513 6589 oMaw.nw.ma�vwi.ur.mx>ora n» NO. ISSUE DATE - edpgpOms - _ OS REWAL PERMIT 0394.23 Q� § a Ow # 21PRP2; src eP� � (e!CR �§ $s 1 q ' - MORREL RESIDENCE i CUTCHOGUE.NY 11935 SCALE: i/B"•1'-0' DATE. 03 04 23 DRAWN BY: LEN. FIRST FLOOR PLAN 0 5 s 25 fi0 DEH(70A ZEN DESIGN 1250 EVERGREEN DRIVE CUT HOGUE NY 11935 PHONE:631513 6589 NO oAn ol RENTAL PERMIT 030423 jEDRPM 3 gpfN.—. 0 A Upw 044 MORREL RESIDENCE 9975 NASSAU POINT ROAD CUTCHGGUE,NY 11935 SCALE: 1/8—V-O' DATE 03 04 23 DRAWN BY: ZEN. SECOND FLOOR PLAN tia 5 50 A-2 ��- d �> . ��; l' t ,�j1�/„ ��r� /�t� �/�% � i ��% /% �i/ '�� /�, ;r��% �,�� f r�%r � ,:, � f� '� ��' �� ,/� ,� � /f �r� n a, / rl , D I ll�ff r� ',- I ��c'v acNozo��cr�� ZEN DESIGN 1250 EVERGREEN DRIVE CUTCHOGUE,NY 11935 PHONE:631.513.6589 � ...m.�a�wMmm.w reauc�wmerro: E ^wMtl+M�O�-sA.a ezr�auw : .. .. a+�nmwa wows=e+:+N: ouusssama i NO. ISSUE DATE tu'< ia i9 01 RENTAL PERMIT 03.04.23 I i I� �E luo:vem, ED A 3 cunc-r jf 3` i E.Nigh 4 olS II � 044421' t Izva.zra•� �, i MORREL RESIDENCE 9975 NASSAU POINT ROAD CMCHOGUE,NY 11935 I SCALE: 1/8-a 1'-0'• DATE: 03.04.23 DRAWN RY: LE.N. FIRST FLOOR PLAN 0 5 �� 25 50 �� A ZEN DESIGN 1250 EVERGREEN DRIVE CUTCHOGUE,NY 11935 PHONE 631513.6589 i I 3 N0, ISSUE DATE i 1 i ? 01 RENTAL PERMIT 03.04.23 y� gg (2 IYda x35'1 (Sff-ii S! IV Q7 Ofd _ - cwscr , 04442' 0= f OF Ny4n� MORREL RESIDENCE 9975 NASSAU POINT ROAD CUTCHOGUE,NY 11935 IscAle 1fa^=1'-0^ 3 DATE 03.04.23 DRAWN BY: LEN. SECOND FLOOR PLAN - A'2 0 5 25 50 _` TOWN OF - OUTHOLD PROPERTY' KUKL CARD OWNER STREET VILLAGEDISTRICT SUB. LT y 3 FORMER OWNERN = E ACREAGE I zj S w TYPE OF BUILDING E EAS- FA IND- CB. ISC. 3 LAND Imp- — r1,'--)TAL DATE RE.ViARKS -- -- — - wo AGE -1DING CONDiTION N EW NOR-AL BELOW ABOVE Ears Far Acre ' orae Per Acre Volue Tillable Tillable 2 Tilloble. Woodland 5o1nd Brushfand H=ouse PiodL TOWN OF SOUTHOLD PROPER , TY1 ARD OWNER STREET VILLAGE SUB. 1-k SOO LOT 8 LLCIa" —01 C q§j N ER N E ACREAGE S W TYPE OF BUILDING RES, SEAS. VL. FARM COMM. IND. CB. MISC. I LAND IMP, TOTAL DATE REMARKS Id _a r 3 1 p a v �e 3 �3 tea. a I = a E B,�4-DIIG CONDITJO Ems` £NORMAL ELW ABOVE _ - p _ Aire Vclue , y — �3 x Tillable 1 ee Tillable 2 � _ r CIj a, Tillable 3 s 32- Woodland Swampland Brushland 3 House Plot - _ "1 _ 1000 Totem., FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.Z57 4 . . . . . . Date . . . . . . . . . . . . .Jaa . . .5`7. . . . . .. 19.73, THIS CERTIFIES that the building located at . .Va Xass.au. Point. Road. Street Map Noliaasau. ,t . . `" No. . . . . . . . . . .Lot No. pt. 81482 . -cutcho K*Y#. conforms substantially to the !o ooa qyt bors .Ap.r 23. . 19. �? pursuant to which o. Z. 5"4". dated . . . . . .J .17. . . ., 19 71* ., 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 private &Well,ing. — •• r• a sr . . . . • , . . . , • • • • . , The certificate is issued to .Pstricia •Fernandez• . . • • • •Ownsr• • • • • • . . . . • • . • • . , • . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval pra..-. .ezi8.ting. . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. pto .... "isting. . . . . . . . . . . . . . . . . . . . . • . . . . . HOUSE NUMBER . . . . .Q9?$. . . . . Street . . . .1laau Point Building Inspector HOUSING CODE INSPECTION January 17, 1974 #9975 Nassau Point Road R.1 Cutchogue, New York Subdivision: Nassau Point Club Prop. Inc. Amended Map "A" - lots 2/3 of 81 - 1/2 of 82 Tax Roll: Eastlyn Realty Co. , Inc. Unoccupied. Upon request of the Southold Town Building Department, I made inspection of this one and one half story framed dwelling and found the following violations of Chapter 52 , Housing Code, Town of Southold. I picked up key from the Russell P. Silleck Agency, Main Road, Cutchogue, and began inspection at approximately 10:45 A.M. First floor rooms consist of kitchen, dining room, living room, two Bedrooms and full bathroom. Second floor - two bedrooms and one bathroom. Foundation of building is crawl space. Building is unheated; occupancy between May 1st and October 31st. Article V, Sec. 52-53. First Floor Kites refrigerator unclean, interior, spilled food decaying. Article VII, Sec. 52-72 C. Bathroom- Flooring at base of toilet deteriorating. Art. III, Sec. 52-32 - D. Second Floor Bathroom-; Flooring (tiles) deteriorating, open joints, edges curled. Art. III, Sec. 52-32 D. Accessory Structures Lattice enclosure - section broken and missing slats. Artc e VI, Sec. 52-61 B. Pumhouse - Siding in ground and deteriorating. Art. III , Sec. 52-51 B. Open container of garbage - refuse on ground inside bldg. Art. VII, Sec. 52-71 G. Housing Code Inspection -2- January 17, 1974 #9975 Nassau Point Road R-1 Cutchogue, New York Nassau Point Club Prop. , Inc. , Amended Map "A" Tax Roll: Eastlyn Realty Co. , Inc. Exterior of Dwellin - Paint peeling from trim and win aow sash. Article III, Sec. 52-31 C. Inspection completed at approximately 11:05 A.M. Key was returned to Russell P. Silleck Agency. Res ctfully submitted,-,, E ward' HiHindie ann Building Inspector EH:mm w "I L I � LOT 80 LOT t`1.82•t,!'S0"�. ,. Y� 5. E�iEI.FLp9 Z6 a ,y Cj IL 1 1 r a 'L ' '� CY"A t "" -' 'C �;4 dl 3 U u T • S.7$'42'!C]N N. ,° *- a .„OLiEtcr N a • I� , _ LCAT L1tlEx "^ f 1AA-r Or PR,'0rC KTY SUMvF.-YL-M r`om -I N iZY 9 RCS� �I� / ►Iti� L OR� SITUMTC- AT /''� ` e To HIS SURVEY IS A VIOLATION ' N A,5c5AU r0 I 1 V T Y uttaN TT09 OF THE NEW MRTRK yA I' /EDUCATION LAW. T4'P Tc)%ww O� S O UT 14O L 7 T N. .COPIES OF THIS SURVEY MAP NO FEARCAY THE LA\D SU:VETOR'S INKED SFrM.q,OR SC/`L G- • 5 C ) = I " 10 3E AD SEAL SHALL NOT BE CC4 D&R �.E w^ +(�-. 70 EE A VALID TRUE COPY. ANTEES M�.l!\�.+�LJ�^1:1V ONLY TO THE PERSON FOR,FORYEOn;iM inLE$p,pW`►E7L...................,�„„,w^"". 6 PREPARCO,A.':D ON HiS 9HALF TO THE t� ^ • TET1E COMEANY,GOVEP.NM.WTAL AGENCY AND N L LENDING IISMUTION LISTED Y.-aEON,AICD f /�_ M THE ASSiGNCCS OF TAE LENDING INSTI• I-Al Jitµa"uzA,,3ER5 Sl`4v%vN{�R�p-G fK TO^ `' iUnot1.GUARANTEES A':NOT TRANSFEP.AILE p��V�\1 OI 7L•'C�«1_ r'A WASS&U r4/1,VT OWNERS TO TIONAL INSTIi UfIUNS OR SUISEQUFNi CLUM M01-5-,INC ", F-II_raD IMTWC GUAKANTC-E-D TOTi•IC-TITLEr SUJ jPC)UC COUNTY CLGrKV'S Of'r ICE C,U/�RAN; AA5/M.E' N= IMS , AND TO 'A/ACNrL-I? b. sumvC: r.-D• JAf� 4UhAY4, 1474 h%Af-A - lJASSAU (-oll-!T CLUM I`KOf-S. 90Dr-`Z1Ck' V;1N11 TLJY" .r-C. INC." MLc n IN ;1.16%Ur';-C>Lk COI+ti~y 2 . 1/ CLGR14'S Off-ICL- l..S Jnh{' NS ISG LlCL-hlSL--0 LAN SUIS r=-7t?Rs C,R�r-hlPhrl.'r� NGV Y:)Fck FORM NO 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT NT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.Z6565 . . M . . . Date . . . . . 5147. . . .10. . . ., 19. 75 THIS CERTIFIES that the building located at . L/.S.Bridge. -L".0 . . . . . . . . Street Map No. ACX. . . . . . . . . Block No. . =. . . . . Lot No. . X=. . . .QW;0hQS. . .%i.Y4 . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . .M4y . .1 . . ., 19.75. pursuant to which Building Permit No. . .7.570z dated . . . . . . . . . . I'14Y . .1 . . ., 19.75, 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 -V ,th .$U-44AW-0A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued toAtrbeA Do sere s. . . . . . . . °e "". . . . . . . . . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval K—sR . UNDERWRITERS CERTIFICATE No. .N rTIa. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HOUSE NUMBER . . . .4434 . . . . Street .DI Idee. .La . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector FORM NO 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 7870 Z Date ........... Permission is hereby granted to: A P .. V"*......... �� J ......... �,x.t `.+w a.,x .. .....r ....w......, kJ .xw ww,+w.pw . .x+.x♦+r.w.. n. xu.. X .. ,I at xpremisesmlocated at .. ........ ......... t: . .. ....r.. .{�,......,. .................... ............ ........ . ...u.. .«........................................................x .° ........,. .....,........w..w.+m.................,.++.+w..m.,.. )JApursuant to application dated .................. .. .� ...... ........ ., 19. .5.and approved by the Building Inspector. Fee �...�. ....,.. +. kkUkdi=nalnspector .. ...+ ......... . __ FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERICS OFFICE SOUTHmLD, N. Y. w \ � �� Examined --..�.� -.'^---, i=-7+�--. Application No. -.��-------- Approved .._~.~��- ~[__-~~ lB�� Permit No.7F.. ---.. Disapproved 131C - _-~~___.__' ^^-----'-7^- --�~-----~-~-~ APPLICATION FOR BUILDING PERMIT ~ .� Date ------�8�� --�---., INSTRUCTIONS a- This application must be completely filled in by typewriter or in k and submitted in triplicate to the Building Inspector, with 3 sets of plans,accurate plot plan to scale. Fee according to schedule. b Plot plon sh(mng location of lot and of buildings on premises, relationship to adjoining premises or public streets at areas,and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. ' c The work covered uvthis application may not m° commenced before issuance`" Building Permit d Upon approval of this application, the Building Inspector will issue o ouUu/no penn/,to the applicant, Such nannit shall be kept on the premises available for inspection throughout the work. w Nobuilding shall beoccupied o,used/nwhole o,inpart for any purpose whatever until oCertificate o+ Occupancy shall have been granted by the Building Inspector. APPLiCATION IS HEREBY MADE to theB | for the issuance of a Building Permit he Building Zone Ordinance of the Town of Southold, Suffolk County, New York,and other applicable Lows, Ordinances or Regulations, for the construction of buildings,additions or alterations, or for removal or demolition, as herein described, The applicant agrees to comply with all applicable lows, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. gnoture 0 op cant, or name, if a corporation) (Address of applicant) State whether applicant /xowner, lessee, agent, architect, engineer, op"e,o| contractor, electrician, plumber o, bm|ae, Owner Nome ofowner ofpremises .... &tobo.�..�s��.__^._, If applicant is corporate, signature c* duly authorized off/our. - ' -.--..(Name ..and ..title .'of'corporate .officer) ._.-. 8ui|6,/o License No. ...... Plumber's License No ---_ ....... Electrician's License No -__.-~-__~___ i Other Trade's License No. I Location of land on which proposed work will be done, Mop No. . -.XX Lot No. .��X Street and Number -Z,/S�.J3zic1gm...Lmna----..Cutc-b*gu�&......................... .................. ----^-^'~-' Municipality a smtc existing use and occupancy of premises and /nt°"u,a use and occupancy of proposed construct/mw o sx/at/nouseonduccuponcy --q�71Iiu�..8..��es��'b��Idigg-. � _.--.~......... ' o mum,r of work (check which applicable). New ouJamo Addition . Pp�....... Alteration . —, nenon ............. — Removal -- --... oemomu". .. . --' ome, Wo, __._—' .-__-_---. . (Description) 4. Estimated Cost ..._' ......—_—^--..—~~. ._..—� Fee —..t0s.010.—._—... .......—_ ....... --.---- -. (tn be paid on filing this application) 5 If dwelling, number of dwelling vn/u ....1................. .Numborv+ dwex/no units on each floor .... ................. .. |fgarage, number ofcars................................... ...................... -....---.... .--- ' 6 If business, commercial or mixed occupancy, ,noc.+, nature and extent of each type of use ....................... ... 7 Dimensions c*existing structures,nany-pm" -- —'— —' Reo, --------' oopm ----. —' Height ........................ Number of Stone ............... Dimensions of some structure with okam,/ma o, additions: Front .----------- neo oonm ..... Height wumbe of Stories '----— --_ 8 Dimensions ofentire new construction- Front .........2ft.................... Rea,....2 fl..---- oepm�4rt—� — � . � Height ..... ..... ..... .. Number orStories .........____ __...... - 9. Size of lot Front —'1................................................. Rear ................ ......................... Depth ....... 10 Date ofPurchase ......:.......................................... .... Name ofFormer Owner ..................................................... "All di st ll. Zone oruse district inwhich premises are situated ...'......... ...... .-..___—..__—_---__ -- 1z Does proposed construction violate any zoning mw, ordinance o, regulation: .........zua........................................ |o Will lot be regraded ..__.~--_— Will excess fix be removed from premises: ( ) Yes ( ) No 14 Name ofOwner of premises.................................................... Address. ........_............~ Phone No. ..................... Name of Architect . ........ Address ................................ Phone No. ..................... Name ofContractor ..... .......... ........ Address —... .............__... Phone Nu ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether and indicate all set-bock dimensions +ron property lines Give street and block. number or description according to deed, and sh— sseet names and indicat� whether inierior a.-corner lot iv E� STATE OF wew COUNTY OF ..�#Dg��u��---[�� _~~~_......... _— . being duly s~um' deposes and says that he is the opn|/co" (Name o, /°u/vmuu/ s.o".no conmcn above named He .s the ... —.^_-^`.' ___--—...—'0VIIA.r......... _~^^_~..__.~............... .__ (Contractor, agent, corporate officer, etc) of said owner o, owners, and ., uu|v authorized ,zeu to perform ^ have performed h wo,k and m make and f/|' this application; that o|� statements contained /n t*^s application are true mthe best of his knowledge and belief, on, tho,the work will be performed in the manner set forth in the app|.c=rmn +/|eu therewith, Sworn tobefore"mthis ..................P�7dovof ' ...' 197�' Notary Public, ~.__—_.—._.—..—_.._..~_. cmmmv ----..__.-_—_—__. ��" vmm m onn�om} \ � * ef- a Fri tto,4ED #t� t4or.Eta scttct 60*AM To u, yTNT a IGS C c n= n ce G FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32895 Date: 02/19 08 THIS CERTIFIES that the building DECK ADDITION Location of Property: 9975 NASSAU POINT RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 119 Block 1 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 1 2007 pursuant to which Building Permit No. 33115-Z dated JUNE 7 2007 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 DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CHRISTOPHER & JOHANNA STABILE (OWNER) of the aforesaid building. SUFFOLK COSY DEPARTHOM OF HEALTH APPROVAL _,......_NJA El CTRICAL CERTIFICATE NO. N/A PL CERTIFICATION DATED N A Aut orized Signature . 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W' -•— _ - •-� . _ A _ 34-44 _ AP VEED AS NOTED - 12,2 SAM t-C `_.P<�- - � V��c YjLlf a E F941. YA,-CONMTRU,TjCI,4 I I . 2t sa ETE MR C 0 - —a..i4 OR v rF vrfs9Ei9 - 3 \9 - N a ? �,. IiP;fiE ts'rS�L a , I z e { ALL CONSTRUCTION SHALL I = sTHE REQUIREMENTS OF THE - ` ,SOF NEWYORK STATE, - 3 c- C?-FANCY aR r WITHOUT CERTIFICATE = , OF OCCUPANCY Aii a ` �} _ — ACE eo Remit pe,5 6RA-x& _'� !¢-Q sic`?s, i 'to Xv ,.•i 7-O I TOWN OF SOUTHOLDRental Permit 0096 Owner Christopher & Johanna Stabile Occupied as Single Family Dwelling Located at 9975 Nassau Point Rd. Cutchogue 119.4-10 Maximum Permitted Occupancy 8 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. 6/24/2021 Code Enforcement Official This Notice must be posted by the main entrance at all times � FQ�K ; •`� �� ` ,, SOUTHOLD TOWN Town Hall Annex 54375 Main Road ZL- Rental Inspection PO Box 1179 Southold, NY 11971-1179 Tel: 631-765-1802 , fax 631-765-9502 pt, . / 00 aA Address , /Y q 5 4UA �° „y Zlp Hamlet' ' APO r :.� � � Inspector Add ess�isable� re street °"� LEVELS `SUB 3i Smoke Detectors (#- bedroom detectors excluded) t Carbon Monoxide Detectors (#) i ( l Fire Extinguishers (#) CDc� Exits (#) t 2 { BEDROOMS 1 =2 3 . ,' ', ; 4 ,, 5 Smoke Detector Alarms (#) 1 { { { Carbon Monoxide Alarms (#) { 1 I I Egress (windows) (YIN) ' BUILDING SYSTEMS YIN CONDITION OF PROPERTYYIN Heating system maintained/operational Building Interior is clean /maintained Hot water system maintained/operational Building Exterior is clean/maintained Electrical system maintained/operational r Property is clean /safe/maintained Mechanical system maintained/operational `j' Handrails &guards present ,✓ POOLS YIN POOL BARRIERS / Pool present j�f Pool is completely enclosed Pool surface alarm and/or door alarm ...., Barrier is a min.48" high resent POOL GATES YIN All open ings,in.t arrier less than 4" Self-closing, self-latching Max. 2" clearance @ ba 0M—Ltaf barrier Latch on pool side of gate, meets height Barrier capable of being locked requirements proof when unattended COMMENTS: P5W T U"'WN OF SOUTHOLDIffyRental Permit g Permit No. 0096 Owner Christopher & Johanna Stabile Occupied as Single Family Dwelling Located at 9975 Nassau Point Road Cutchogue 119-1-10 Address Village S/B/L Maximum Permitted Occupancy 8 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. 7/1/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times y Town Hall Annex EN54375 Main Roadi � ' 1 P.O.Box 1179 x ['m +.1 5, j Southold,NY 11971-0959 M KY 2 019 BUILDING DEPARTMENT °,�u TOWN OF SOUTHOLD f " �[O RENTAL PERMIT APPLICATION Rental Permit Fee$200(Appllcatlon must be renewed every two years) Section A. Property Information: Rental Proert Address: Tax Map Number: 1000 SECTION 4-73 0.0 -BLOCK I SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: 11-753 -7 3731 631-331-41ip , � �, � Telephone Number(s):Daytime E efning -EmergPn,c:y "� Property Owner Email Address: ��"► 0' I F -Its, Gtr M Page 1 of 5 r ij Town Hall Annex Telephone(631)765-18C2 54375 Main Roads Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 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):Daytime Evening Etnergency,_M,,................ Email Address: SECTION E. tVld'� SITE MANAGER INFORMATION:(required far 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):-----,.- VRI Page 2 of 5 Town Hall Annex �i ,, / p F Telephone(631)765-19)2 54375 Main Road P.O.Box 1179 Fax(631)765-9502 �m „� �! Southold,NY 1 1971-0959 BUILDING DEPARTMENT TOWN OF1SOUTHOLD Mailing Address of Managing Agent: .._/ Telephone Number(s): Daytime Evening Emergency Email Address: 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." 2 ° Rental Dwelling Unit Identifier: Requested Maximum number of persons allowed to occupy Dwelling Unitn° 5 Number of rooms in Rental Dwelling Unit: /0 W"n Use andDimensionsouch room In Rental Dwell''Irr g Unit: 16 X 13�' ..._ Page 3 of 5 Town Hall Annex �i�k Telephone(631)765-1802 1-; 54375 Main Road �� Fax(631)765-9502 P.O.Box l 179 Southold,NY 11971-0959 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. ❑ 1 am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold ❑ lam 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) 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 ry Page 4 of 5 d Hall Annex Telephone(631)765-1 2; 5437437Tow5 Main Road P.O.Box 1179 Pax(631)765-9502 Southold,NY 11971-0959 1d'UI'LOIIw G DEPARTMENT TOWN OF SOUTHOILD RENTAL PERMIT APPLICATION ADDENDUM Rental Dwelling Unit IdantlfEer: tl\3/4r Reouested,lrlaxlmum number of Persuras allowed to occupy each dwelling,unit: Number of Room '[. nt ,l nwegtng . :it: Use and Dimension of eaCh room'; Rental D elNng Unit Identifier. Requestedd maxirautn number of Oersons allowed to occu e .. a h dwelling ft: umber f gfs'i t 1 lir .tJ ; i Use and:Dimension of each room,.:: Rental welll t Identifier: Requested mitrnunlnu b of liersons allowed to oowpy aeoh dwelling unit:_ N,V.:`der of Roos I Rental Use an.d Dirnepstonf. a l;room, Town Hall Annex N0 �k 54375 Main Road Telephone(631)765-1502 P.O.Box 1179 fj � '�pFax(631)765-9502 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD 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. 1 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 Manag r. Property Owner's Narne L Property Owner's Signature Sworn to oro me this day Official Nofary Public Signature and Original Notary Stamp v"I`�� ` '`� `Ycs', o p,•. -gr Page 5 of 5 � � �� :� � "�'� t a S!tTOWN OF SOUTHOLD BUILDING� Y DEPT. 765-1802 I -PECTION NS [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ( ] FRAMING /STRAPPING [ FINAL d- FIREPLACE & CHIMNEY ] FIRE FETY INSPECTION ( ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARK Sm A i DATE INSPECTOR dh9V - , � E i - 3 o R PLAN _-_ R . WATER N _ 05 I r- —:-1, lu 7A) el w la i �I I 6 v, i C� d w d v 1° 7 a _ COL cr O M N (D ��' �P �� ° m irlu i ._ .r t � r fm Lei W I p w . �,V „ lit r Po N 1 T m fr < I� Cl J � e — � W r y = � i �, � � �u ° ��„'� ✓iii 1�o 1 { P es ni "a b 'ri't �.",°o W ......�... �� y 010 rA- 22 i g --- � w r �e, Ir 4 r �, Ln� g At I I Gw, r k , R 1 � � I 1 O C: C: Ln a- (D CD m Z z M I 0 CL 3 CL Ln, Ln 0 ,......... 0 (Aan z G) . m I r- c) CD 0 on > z (D rn no 20 ov .mo . z o C4 co Z ,1 W Mi w� . OIrUrn h „ IN 3 Fit I a ti a r w � W �ry 00 f M Ili i a� r � 4 N D o o j r � �� .......-e o. m, (D3 Q ° mrD o n 1 � 0 0 a �p� n ''�µ. J n kd9✓ ,. � i'k i 0 00 o � _T n_ T ., mem o- b w , r � s. G it m s � s FOR31 NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.257!+1+. . . . . . . Date . . . . . . . . . . . . .Z= . . .1:7. . . . . ., 19.71 THIS CERTIFIES that the building located at . .E/g .N&raau. Point. Road. Street Map Nollassau. Rt . . c No. . . . . . . . . . .Lot No. -pt. 81 482 . -cutchogue . . RGY.. conforms substantially to the before P 19. �7 pursuant to which to+ t o Occupancy c cy A r 2� dated . . . . . .J&DUary . .1 . . ., 19.7)+ ., 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 Private -one. •tain11y•dwelling. — •sumer• c y . . . . . . . . . . . . . . . . The certificate is issued to .Patricia -Fernandes. . . . . • •Owner . . • . • . . . . . . . . . • . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . pre.,.. existln UNDERWRITERS CERTIFICATE No. pts ... existing. . . . . . . . . . . . . . . . . . . . . . . . . . . HOUSE NUMBER . . . . .997'5. . . . . Street Point road. . . . . . . . c Q Building Iospectcr HOUSING CODE INSPECTION January 17 , 1974 #9975 Nassau Point Road R.1 Cutchogue, New York Subdivision: Nassau Point Club Prop. Inc. Amended Map "A" - lots 2/3 of 81 1/2 of 82 Tax Roll: Eastlyn Realty Co. , Inc. Unoccupied. Upon request of the Southold Town Building Department, I made inspection of this one and one half story framed dwelling and found the following violations of Chapter 52 , Housing Code, Town of Southold. I picked up key from the Russell P. Silleck Agency, Main Road, Cutchogue, and began inspection at approximately 10:45 A.M. First floor rooms consist of kitchen, dining room, living room, two bedrooms and full bathroom. Second floor - two bedrooms and one. bathroom. Foundation of building is crawl space. Building is unheated; occupancy between May 1st and October 31st. Article V, Sec. 52-53. First Floor Kitchen - refrigerator unclean , interior, spilled food decaying. Article VII , Sec. 52-72 C. Bathroom- Flooring at base of toilet deteriorating. Art. III, Sec. 52-32 - D. Second Floor Bathroom ; Flooring (tiles) deteriorating, open joints, edges curled. Art. III , Sec. 52-32 D. Accessory Structures Lattice enclosure - section broken and missing slats . Article VI , Sec . 52--61 B. Pump house - Siding in ground and deteriorating. Art. III , Sec. 52-51 B. Open container of garbage - refuse on ground inside bldg. Art. VII, Sec. 52-71 G. FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-32895 Date: 02/19/08 THIS CERTIFIES that the building DECK ADDITION Location of Property: 9975 NASSAU POINT RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 4.73889 Section 119 Block 1 Lot 10 Subdivision Filed Map No. Lot Bo. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 1, 2007 pursuant to which Building Permit No. 33115-Z dated JUNE 7, 2007 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 DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CHRISTOPHER & JOHANNA STABILE (OWNER) of the aforesaid building. SUFFOLK COUNTY DIRP ' OF HEALTH APPROVAL N/A EI.SCTR=CAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Aut prized Signature Rev. 1/81