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HomeMy WebLinkAbout1000-111.-5-1 o�AofFOLAr TOWN OF SOUTHOLD y Rental Permit Permit No. 0133 Owner 1050 West Cove Rd LLC Occupied as Single Family Dwelling Located at 1050 W Cove Rd Cutchogue 111-5-1 Address Village S/B/L Maximum Permitted Occupancy 9 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. 7/30/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times ,�laf Sco �r1� Town Hall Annex Telephone(631)765-1802 54375 Main Road � Fax(631)765-9502 P.O.Box 1179 9 P Southold,NY 11971-0959 BUILDING DEPARTMENT F TOWN OF SOUTHOLD JUL 2 5 2019 RENTAL PERMIT APPLICATION_, Rental Permit Fee$200(Application must be renewed every twMe-Off) 3?souzajmza Section A. Property Information: Rental Property Address: %eeq Ile H 0&4pe-) �v y Tax Map Number: 1000 SECTION -B'L`7pCK [_L_—_-LOT PIS =� SECTION B. OWNER INFORMATION: a Property Owner Name: /a`S GU S?-(20 VOF Z_ C-- Property Owner Legal Address: Property Owner Mailing Address: ge�2 A 6)x y 1�467 Telephone Number(s): Daytime '/S - V 4-3 Evening -ZZAmergency L8t_x°74 - Property Owner Email Address: ,L— ,(T _tl,—M .9-/L d 6-7 AW Page 1 of 5 i i I 01/�� Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 - � Southold,NY 11971-0959 a ; BUILDING DEPARTMENT , - TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION INSTRUCTIONS Rental Permit Fee $200 (Application must be renewed every two years) I, I The items listed below are required to be submitted with the completed • r application. 2- Floor Plans: Floor plans of each Rental Dwelling Unit, please show location of all smoke &carbon monoxide detectors. 0 Certificates of Occupancy and Pre-Certificates of Occupancy: Certificates of occupancy or Pre-Certificates of Occupancy for each rental dwelling unit. ❑ Certification of Code Compliance(form enclosed): Must be submitted by a license architect or engineer or license home inspector if an inspection by Town of Southold Inspector is declined. 4/Rental Permit Fee: $200.00 i i _ 1 i i i I �I i i I .,�eq So Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 0% BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: �Q Name of Authorized Agent of dwelling unit, if any: Z--g Address of Authorized Agent(no P.O. Boxes)-CZR/ s"f''L �1O�, ae, Mailing Address of Authorized Agent: Telephone Number(s): Daj3imewf'4743 Evering f,?74?,Emerg4l&--V–'74-3 Email Address: cr--jW RR/SC Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: /u Lq Address of Authorized Agent(no P.O. Boxes): Mailing Address of Authorized Agent:, Telephone Number(s): Daytime 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: Al/', Address of Managing Agent (no P.O. Boxes): Page 2 of 5 1 SO�p�� Town Hall Annex la Telephone(631)765-1802 54375 Main Road Fax (631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 Q BUILDING DEPARTMENT TOWN OF SOUTHOLD 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, 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: G ®d�•'/.S Requested Maximum number of persons allowedtooccupy Dwelling Uni Number of rooms in Rental Dwelling Unit: If ° Use and Dimensions of each room in Rental Dwelling Unit; 1,2-10"*- R-C)�o rr Page 3 of 5 Town Hall Annex Telephone(631)765-1802 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. Ve"I'am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold ❑ 1 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 AF41,C-e/f� S�,�'�L=l� , certify under pen}alty'of perjury;the,-following: - 1. 1 am the owner of the property identified in "Section A" 6f'this application. ... :t 2. The property owner's legal address set forth in- .13" 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 i Town Hall Annex j Telephone(631)765-1802 54375 Main Road ; Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 �� a` { s � i 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 a i 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. i Property Owner's Name:_ kl�FAA1957 Property Owner's Signature: i i + -A .�5-_ orn of t 1 day of11L, 20 i O i ' ota y yli ignature and Original Notary Stamp E OCONOR SCHUTTE c-State of New York 1OC6336E35 in Suffolk County on Expires Feb B,2020 I Page 5 of 5 �4 � U.�����• ��n.o u� ill. — �- � - . ¢ TOWN OF SOUTHOLD BUILDING DEPT. CO 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING FINALjmjwf [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: 4e� V"V% 4 o!�lw 1� DATE INSPECTOR f FREDEROCK Iz'-o° zo'-o° 351_01r ROBERT 24'_011 WEBER ARCHITECT I I DININ ' ROOM Oi `r tr I � I I I IN N O 4"2 -10" 4' 2'-0- 4 141_8,1 Orr �- � DECK v 'v `r `- ---- 14- =EL I _ �- - z W cr z + ------------ 1 i 1 v- ' - LIBRARY 0 'v- i m - , -T------- - V. LTJ I 1 I ————— ————— ————— x — ————— I i BA I H 41_ IY 4U 11_011 4ll 1 /,_lo" I ,� 61_2x 411 61_011 411 6, 11 1 11 VV b _41, Orr 141-0 Orr 61_01, Orr -8 Orr 61-011 411 -T-O" o W 1 , - 1 o BATH *- CD L1_ i T LAUN RY I D � I � HALL �, i v- _I O � I Cr rZ- DRAWING TITLE: I I IST FLOOR LIVING ROOM, r 1 I II I I 1 I 11 I 41- 4" 1811411 III-IO" c� JOB: 411 T 22'-611 411 11,�4rr 411 I � — ADDITION/ 11 ' RENOVATION II , BURGER RESIDENCE I 1050 WEST COVE ROAD i CUTCHOGUE, NY TOWN OF SOUTHOLD `r I SCTM# 1000-III-05-01 - I 1 ARCHITECT: FREDERICK 'R. WEBER 41 EAST MAPLE ROAD GREENLAWN, NY 11140 52 NOYAC PATH 20'-10" 22'-6" WATER MILL, NY 11914 12'-O" 8'-O" 23'-8" , TEL 431 154-5555 Pweberarchitectsgahoo.com SEAL: EXISTING IST FLOOR PLAN NORTH µ{ REV.: DATE: JULY 11, 2018 SCALE : 1/4" = 1'-0" JOB NO: w201404 DRAWING; NODI + i A31 . r OF A8 ' FREDERICK ROBERT WEBER ARCHITECT 3,_2„ 11,_8 3,_2„ r———————————n r————————————————————————————————— I II I I I I I :d- I II I i I II I m I II I I I I � I I � I I I I I I I I I I' i, I I I i I I r 1 I I �/ I I I L---- ----------------=------------- --- ---- I- °° ° W I I may- I OD N I I W I I I (L I I I I I I I I W I I D r I I �/ I I I I I I I I c+l F L----------------------=----------------------� DRAWING TITLE: 2ND FLOOR 2ND FLOOR fi LAN JOB: ADDITION/ RENOVATION BURGER RESIDENCE 1050 WEST COVE ROAD CUTCHOGUE, NY TOWN OF SOUTHOLD SCTMtt 1000—III-05-01 ARCHITECT:, FREDERICK R. WEBER 41 EAST MAPLE ROAD GREENLAWN, NY 11140 52 NOYAC PATH WATER MILL, NY 11914 TEL 431 154-5555 fweberarchitect®yahoo.com SEAL: r. . � al REV.: DATE: JULY II, 2018 SCALE : 1/4" = 1'-0" JOB NO: , w201404 DRAWING NO.�' 'i i OF A8 I TOWN OF SO T OL® P140PERTY RECORD C 7I I � OWNER STREET VILLAGE DISTRICT 5W. LOT Ltl E S T O iC J . �. v C ill 0 l� Q cr. C-4 -f Ile i FORMER PK T N E � ACREAGE 4- CL�t'? S / W TYPE OF BUILDING' RES. %�jSEAS. VL. FARM COMM. IND. I C6. I MISC. LAND IMP. TOTAL j DATE REMARKS /7.2 y.Z, e66X' lT` 1x'44 1..1 1;;n 6o—d Z. J�u./a� a��)0`ie�s f ✓ 40 7 wit- Al L9G4 3. S 8 0 0 7300 /� / e v ��7-.3� - (._99TJ3'?A� l of+�,c�,.._ � K�Zrr c!:a� - F✓c E "et.l B(fJU C ITION /� 7v 1—__ l ���Gf0!� �F�b —�ry'6' rQr� QKO f'KP{I'w a��/ — # --- -- r 5 cc NEW NORMAL I BELOW ABOVE Farm Acre Value Per Acre j Value Tillable 1 Tillable 2 I Tillable 3 e t-c Wcodland - -- � 5--/Q- _ l,"CW7 _j }� Swampland � i �uti iY1 ©- ��1Qtl� �'(�1-- KAI �v Brushland _ _ i46 GJc 0 House Plot 1 T;_r y,I i i ... . . �^ ' iNr�l�■ i ■■fi■ 44, �A��IIIir � -A � ■■■■■ Bldg.M. ath Ilia- Basement Floors PlaceExtension Ext. Wa I I s interior Finish Extension Fire ,il , Porch • , Driveway • ® . . • �f • FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. - PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22677 Date OCTOBER 26, 1993 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1050 WEST' COVE ROAD CUTCHOGUE, N.X. House No. Street Hamlet County Tax Map No. 1000 Section 111 Block 5 Lot 1 Subdivision - Filed Map No. Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-22677 dated OCTOBER 26, 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 ONE FAMILY DWELLING The certificate is issued to STEPHEN G. ROMAINE & ANO. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. ilding Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1050 WEST COVE ROAD CUTCHOGUE, N.Y. number 6 street municipality SUBDIVISION MAP NO_ LOT (s) NAME OF OWNER (s) STEPHEN ROMAINE h ANO OCCUPANCY A-1 RES. OWNER (type) (owner—tenant) ADMITTED BY: ROBERT SCALIA ACCOMPANIED BY: SAME KEY AVAILABLE Sum CO_ TAX MAP NO. 111-5-1 SOUr,Za OF REQUEST: GARY FLANKER OLSEN, ESQ. DATE: OCT. 15, 1993 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME 0 STORIES ONE if EXITS SIX FOU@1DATION CEMENT BLOCK CELLAR FULL CRAWL SPACE TOTAL ROOMS: IST FLR_ 6 2ND FLR. 3RD FLR. BATHROOM (s) 2 TOILET ROOM (s) UTILITY ROOM PORCH TYPE DECK, TYPE WOOD PATIO, TYPE BREEZEWAY FIREPLACE ONE GARAGE 2 CAR DOMESTIC HOTWATER YES TYPE HEATER ELECTRIC AIRCONDITIONING TYPE BEAT OIL WARM AIR X% HOT14ATER OTHER: ACCESSORY STRUCTURES: NONE GARAGE, TYPE OF CONST_ STORAGE, TYPE CONST. SWIMMING POOL GUEST, TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION S BUILDING CODE LOCATION DESCRIPTION ART. SEC. i REMARKS: BP t]724—Z—COZ-1423— ADD — BP #5860Z—UPDATED CO Z-22674 ALT.6ADD8 INSPECTED BY: l� DATE ON INSPECTION OCTOBER 25, 1993 GAR FISH TIME START 9:30 END 9:50 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CL:ERWS OFFICE SOUTHOLD. N. Y. CERTIFICATE OF OCCUPANCY No. . ......... Date .... .. . . ... �PPtr lnblgX!...91 , 1969. THIS CERTIFIPS that the building located at ,. Morth. Weil C..,Loop .Ed3, ..... Street IVfap NooU PointBlock No. ... .1= ... Lot into. QeAt1P�A9'1 * conforms substantially to the Application for Building Permit heretofore filed in this office dated I .. ..... :49 . pursuant to which Building Permit No.Z.721k dated MaV 1 •........ 19.62., was issued, and conforms to all of the require- ments of the applicable provisions 'of the Iaw. The occupancy for which this certificate is issued is private„ane famil dvell iig .. ........ ........ .. This certificate is issued to .. La.,7,UM RQIV.41n.e... . . Pr. . ....... .. . .... .. ... ... (owner, lessee or tenant) of the aforesaid building. r . . ....... .... . .......... . ......p....... ........... ......... . .. BuildingIns ect r a 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) NQ 1724 Z Date �'....I. ...... 19_62.. Permission is hereby granted to: A/>,..Wm,...l oma.tne . ... . . .............. ... ..... . .......... ....... ...................... ............. ............ . . ................... to .... -dwelling.... ........ ....................................... ................................................................................................................................ ............................... at premises located at ...S..W, .S ,d�.. nth•• ,f4�t. O��r }c � litsaau--Point-j...Cutchogue ...................................................................................... ........................................................ ......I......... ................................ ................ ................................................... .................................................... ...... pursuant'to application dated ..................................XaY....... ............1942..., and approved by the Building ,Inspector Fee $.. .0a............ I Building Inspector 1 t i FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23433 Date JANUARY 3, 1995 THIS CERTIFIES that the building RENOVATIONS & ADDITIONS Location of Property 1050 WEST COVE ROAD CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 111 Block 5 Lot l Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 27, 1994 pursuant to which Building Permit No. 22068--Z dated MAY 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 RENOVATION & 2nd FLOOR ADDITION & DECK ADDITION ON lot FLOOR OF EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to THOMAS & JOAN KELLY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-336990 - DECEMBER 19, 1994 PLUMBERS CERTIFICATION DATED DEC. 22, 1994- RICHARD MORANO }\ 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-23434 Date JANUARY 3, 1995 THIS' CERTIFIES that the building ACCESSORY Location of Property 3.050 WEST COVE ROAD CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 111 Block 5 Lot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 24, 1994 pursuant to which Building Permit No. 22068-Z dated MAY 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 ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to THOMAS & JOAN KELLY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-336990 - DECEMBER 19, 1994 PLUMBERS CERTIFICATION DATED N/A • � c ABui ding Inspector ,Rev. 1/81