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Home My WebLink About1000-102.-3-10 F1.* OWN OF SOUTHOLD T" V z z Rental Permit 0122 Owner Richard Cifarelli Occupied as Single Family Dwelling Located at 29500 Route 25 Cutchogue 102-3-10 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. 2/7/2022 Code Enforcef<rilt EnforceOfficial This Notice must be posted by the main entrance at all times Town Hall Annex SOUTHOLD TOWN 54375 Main Road Rental Inspection NY Box 1179 Southold, NY 11971-1179 Tel: 631-765-1802 I ' Fax 631-765-9502 SCTM# Date Z Owner - Phone ZIp ,3 S Ins actor: ` Hamlet Cl P 111111Addo ress„� ib1e fr�am s#ret LEVELS SUB 1 3 Smoke Detectors (#- bedroom detectors excluded) Carbon Monoxide Detectors (#) Fire Extinguishers (#) Exits(#) BEDROOMS 1 2 ,3 45 Smoke Detector Alarms (#) Carbon Monoxide Alarms (#) Egress(windows) (Y/N) BUILDING SYSTEMS CONDITION OF PROPERTY 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 YPOOL BARRIERS / Pool present Pool is completely enclosed Pool surface alarm and/or door alarm Barrier is a min. 48”high resent POOL GATES / 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 SOUTHOLD 3 Rental Permit Permit No. 0122 � - - Owner Richard Cifarelli Occupied as Single Family Dwelling Located at 29500 Route 25 Cutchogue 102-3-10 Address Village S/B/L 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. 7/25/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times 4 Town.Hall Annex Telephone.(631)765-1802 54375 MainRoad Fax.(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 " BUI�Dl a DAP-T F, s , FM 4 JUN 11' 2019 RENTAL P ERMII "APPLICATION ... , :. ._,. Al s 'F IN O Rental Permit Fee$200(Application must be renewed every two year emt10n X Property 11'vfor-r-u 'tk)n: Rental Property ddre '114 J . -- , q 4 a _ e,u Tax Map Number: 1000 SECTION0.0L, --RLQ`CK -LOT l SECTION B. OWNER INFORMA Property Owner Name: , Property O 66 16 al ddme§: >Propert O rie -affin&Address: , ow AA f- 3� Telephone Number(s): Daytimef/7 h A6ening Emerge u Pro p Y ert Owner Email Address: l Pagel of 5 SO Town Hall Annex Telephone(631)765-1802 54,375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 * �a, UaLD'IPEPART T Mailing Address of Managing Agent:_ = =: Telephone Number(s): Daytime Evening Emergenty E ri�!:d Addue ss: SECTION F. P RO P E RTYD ESC RI PTI O N NumberofRental Dwelling Units on propertyi 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 Ufnut (for example, Kitchen, Bedroom 1, Bedroom 2, Living Room) and the dimensions of each 4' room. For properties with multiple Rental Dwelling Units use ®'Ren al Pgrm t App:licaxipn Addendum." t Rental Dwelling Unit Identifier: Requested Maximum..number of_p.ersons allowed.to occupy Dwelling Unit,;_ w Number of rooms in Rental Dwelling Unit: Use and Di Tensions of each room in Rental Dwelling Unit:;_. 4 Page 3 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main RoadFax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 BUT ING DEf'AFtTMJ� NT TOWN OF SOUTHOLD SECTION G. INSPECTION: Pursuant to the Town-,Code.-of-the TownWSouthold Chapter 207;(Rental1,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;; l professional engineer or a home inspector who has a valid New York State Uniform Fire Preventiol Buildin'g-Code.Certificatton<is required stating,that..th:e. pro.perty,wh:ich is,thesubject 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:$utf( Ik;and by the la adopted by the New York State Fire Prevention and Building Code Council. f 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 certifipation 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. ..;. dR H 1SCA 2. The property owner's legal address set forth in "Sectio B"Aof this 'appllcatit n°is.t aJle al ap��cao�„ ta address and I understand the Town will use the addres,�,�� n �l Page 4 of 5 so Town Hall Annex. Telephone(631)765-1802 54375 Main.Road �� Fax(631)76579502 P.O.Box 1 179 Southold,NY 11971-0959 f3U1LDiNG DEPARTMENT TOW' OF SO, O applicable laws and rules. I further acknowledge that I will notify the Town of Southald' wilding Department of any changes of.address within five (5) days:of any changes thereto K 1 have read and received wcopyof Chapter 207 of the Co:de.of the Town,of Southold:and agreed"toibide°by,the sairnp. in five (5) business days as to any change to the informatuon i will notify lii flotli' the Own within regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's-Name:" Property Owner's Signature: Sworn to before me thisL_day of _e__ 20 Official Notary Public Signature and Original Notary Stamp f DARLENE K BRUSH Notary f'ublfr,-;state of New York N001BR6318051 Qualified In Suffolk County My Cormnisson �rptls Jan' 0p X023 Page 5 of 5 cotj �f 0 TOWN' OF SOUTHOLD BUILDING DEPT. 765-18012 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [V FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING RE=iou w DATE INSPECTOR la!nn viii N ...... f ��;n'�ti,w� M jl1�ll W' 1' Z0.3' 26.3' kr p I in s J gg — CL b i 46-3 --- 1883 fleet barn, cutchogue bmba►a lutz owner 29500 main road cutchogue,new york �6 new en9 land bams and or regi weile,architect podbm=md 4 y M C rna 0 � m S Q n v n 1 m m `n Oz � Z 0 Z y � r 10 1 Ln CD C 4 0 Z Ln Nm -m e I I u � a _ V , j . W R� � 6Ln . RI m o ., � ^.i. y kd p Ij F CGry „J q m O y f7 TI Art ti r� �4 O TI Mk. G Ms •,:� q fie. i i i rn �Illlu 6� 1 o- t m M m X x CD 3pV(D (D CD wt 0 0 %a I'M t N"IN a -n 0 C6 (D (D 0 00 0 0 0 0 (D CID CD (n 0 (D j j FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28537 Date: 06/"24/02 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property: 29500 MAIN RD CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 102 Block 3 Lot 10 Subdivision Filed Map No_ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 27, 2000 pursuant to which Building Permit No. 27078-Z dated FEBRUARY 15, 2001 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 NEW ELECTRICAL SERVICE FOR AN EXISTING FARM BUILDING AS APPLIED FOR. The certificate is issued to BARBARA LUTZ (OWNER) of the aforesaid building, SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. E 069646 10/23/00 PLUMBERS CERTIFICATION DATED -'Zc2-11111—'��- -Author: "ed Signature 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-31966 Date: 10/30/03 THIS CERTIFIES that the building ALTERATIONS Location of Property: 29500 MAIN RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473589 Section 102 Block 3 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 23, 2006 pursuant to which Building Permit No. 32027-Z dated MAY 23, 2006 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 REPAIRS TO EXISTING HORSE BARN & PARTIAL CONVERSION TO A SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to BARBARA JOAN LUTZ (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-03-0052 07/21/06 ELECTRICAL CERTIFICATE NO. 03-6551 0 0 /06 PLUMBERS CERTIFICATION DATED 1025 06 CUTCHOGUE EAST PLUMBING Authorized Signature Rev. 1/81 Tr �y � N r� ,III u. Iihi �f 4' I r 1 W "! ii/ I h Il i ,iii n V9�rr i( f Illy ��, �fl�p1{,;Gu �� VIIVu { I r� r�//�// �� IIII�rM�� fl III �� drt �� u/1;��1„llOdrs,,�/�/�'1G��a(�ro�„��✓„r/�!0✓r%�il�//"%rc/r"„�"�.d/r ��,� ,,,,,,,,,,. � ,,,�,,, ✓,.� , ,,(lel