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HomeMy WebLinkAbout1000-103.-7-32.1 ------------- ` TOWN OF SOUTHOLD r' u a� µ Rental Permit � 0137 Owner Stephen Decker Occupied as Single Family Dwelling Located at 530 Stillwater Ave Cutchogue 103.-7-32.1 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. ,�v 7/19/2023 , Cod forent C1ffi " I This Notice must be posted by the main entrance at all times z CA TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL:7ELNTAL CODE VIOLATION [ ] PRE C/O [ REMARKS: - 79 xzg Sol GAG o�� INSPECTOR 3 Town Hall Annex -- , ®UTH®LTOWN 54375 Main Road PO Box 1179 Southold, Rental Inspection NY 11971-1179 a ��y Tel: 631-765-1802 z3_ Fax 631-765-9502 SCTM # Date 07 -- li— Owner Phone Address Zip City Inspector LEVELS SUB 1 3 Smoke Detectors (#-bedroom detectors excluded) / Carbon Monoxide Detectors (# Fire Extinguishers (#) Exits BEDROOMS _ 2 3 4 5 Smoke Detector Alarms (#} Carbon Monoxide Alarms(#) Egress (windows) (Y/N) I BUILDING SYSTEMS I Y/N CONDITION OF PROPERTY Y/N Heating systrn maintained/operational Budding Interiors clean 1 maintained Hot waters stem maintainedjoperational I Building Exterior is clean maintained Electrical s stem maintaineoloerational iProperty Is clean .' safe maintained Mechanical systern maintained.`operational Handrails & guards resent COMMENTS: PAUVY& i Rental Inspection Form 4/7/2021 g3 r�3 TOWN OF SOUTHOLDRental Permite 0137 Owner Stephen Decker Occupied as Single Family Dwelling Located at 530 Stillwater Ave. Cutchogue 103-7-32.1 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. 7/19/2021 Codeuor e offcal 3 This Notice must be posted by the main entrance at all times Town Hall Annex SOUTHOLD TOWN 54375 Main Road 47 s PO Box 1179 Southold, Me N Rental Inspection NY 11971-1179 Tel: 631-765-1802 , i Fax 631-765-9502 SCTM # l D 3 - Date 171t!�— Z Owner Phone SI��52�-�33 Address 53v STS\ Jjo: \e-r ove Zip Hamlet Inspector Address visible from street? I L� LEVELS SU 1 2 3 Smoke Detectors (#- bedroom detectors excluded) w Carbon Monoxide Detectors (#) Fire Extinguishers (#) Exits (#) BEDROOMS 1 2 03 ,,,-1 4 5 Smoke Detector Alarms (#) Carbon Monoxide Alarms (#) Egress(windows.) (Y/'N) BUILDING SYSTEMS N 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 N POOL BARRIERS " Pool present Pool is completely enclosed Pool surface alarm and/or door alarm Barrier is a min. 48 high resent POOL GATES 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 I proof when unattended COMMENTS: 2/, // d,7D 1107f T? _. be I ilb ir 1 -7/41f TOWN OF SOUT OL Rental Permit a Permit No. 0137 sem_ Owner Stephen Decker Occupied as Single Family Dwelling Located at 530 Stillwater Ave Cutchogue 103-7-32.1 Address Village 5/B/L 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. _.......... 7/31/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times Town Hall Annex ry �r, 111J,, �� Telephone(631)765-1802 54375 Main Road �y Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 � BUILDING DEPARTMENT TOWN OF SOUTHOL RENTAL PERMIT APPLICATION Lz r Rental Permit Fee $200 (Application must be renewed every two ye Section A. , Property Information: � Rental Property Address: ' " .. i141 Al _ v �w Tax Map Number: 1000 SECTION � -BLOCK �] -LOT SECTION B. OWNER INFORMATION: Property Owner Name: � Property Owner Legal Address: Property Owner Mailing Address: 7 . ��..." � ....k Telephone Number � �• Oa t'jme �Evening.tk Emergency y Property Owner Email Address: (��1glq Page 1 of 5 ti q l{- j(� R Town Hall Annex err ,t i,,, �, Telephone(631)765-1802 54375 Main Road l Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 ^� oi�0 � BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: ._.. .............__---- Q Telephone Number (s): Daytime_ Evening Emergency_____ Email Address: Wil �i SECTI N F. PROPERTY DESCRIPT N: �W r Numbeo property: . . � „"� er�t��l Dwelling Units on Vtw "leach 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: _ .._. 010 Requested Maximum number of persons allowed to occupy Dwelling Unit. 100 Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: " . _. _ . . 9 � Page 3 of 5 y � ,i MrC1 Town Hall Annex r %� Ej'1r;, r Telephone 631 765-1802 i Vii; P ( ) d4/ y/ '1 54375 Main Road ° � j� �/f0����f Fax(631)765-9502 P.O.Box 1 179 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. 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) � 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 'r �r Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ,��,1£r� Southold,NY 11971-0959 1 BUILDING DEPARTMENT TO OF SO TOLD 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 Property Owner's Signature: Sworn to before me this_,day of ............... --0 20_ Official Notary Public Signature and Original Notary Stamp Page 5 of 5 5�D " TOWN OF SOUTHOLD BUILDING DEPT. �t 765-1802 s INSPECTION ( ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [/] FIRE INAL FIREPLACE & CHIMNEY [ SAFETY INSPECTION [ ] FIRE ESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) CODE VIOLATION [ ] CAULKING REMARKS: o0 6A rlAip • DATE IWI 'l i INSPECTOR TOWN' OF SOUTHOLD BUILDING DEPT. 7651802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPINGINAL/&t [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: ti 1 ILn .w m ."" All, i .............. ..... ..... ...... cn w m....,....,.�.,Www _ ....m.�.. I o — o CL �n. 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J FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector " ".. "" Town Hall Southold, N.Y. , CERTIFICATE OF OCCUPANCY No Z-24371 Date MAY 21 1996 THIS CERTIFIES that the building NEW DWELLING 245 FIRST STREET & Location of Property 530 STILLWATER AVENUE CUTCHOGUE NY House No. Street Hamlet County Tax Map No. 1000 Section 103 Block 7 Lot 32.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 10 1995 pursuant to which Building Permit No. 22986-Z dated SEPTEMBER 5 1995 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 A ONE FAMILY DWELLING WITH ATTACHED GARAGE OPEN PORCH DECK ADDITION AND EXISTING POOL. DECK AS APPLIED FOR. The certificate is issued to STEVEN & PAMELA BROWN-INZ (owner, lessee or tenant) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-95-0092 MARCH 26 1996 ELECTRICAL INSPECTION SERV. 10228 JANUARY 22 1996 PLUMBERS CERTIFICATION DATED APRIL 26 1996 B,ERTSAND PLUMB t+ MMTING di Inspector Rev. 1/81 ------ Town of Southold Annex 3131/2014 P.O.Box 1179 54375 Main Road Southold, New York 11971 ....................... .....----—------ CERTIFICATE OF OCCUPANCY No: 36831 Date: 3/31/2014 . ............................................ ............. ------ THIS CERTIVIES,that the building ELECTRICAL Location of Property: 530 Stillwater Ave, Cutchogue, .............. ......... ...... — ---- ---- .................... SCTM#: 473889 See/Block/Lot: 101-7-32.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 3/31/2014 pursuant to which Building Permit No. 38750 dated 3/31/2014 .................. 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: Electrical Service The certificate is issued to Decker,Stephen ............. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL —---------- ELECTRICAL CERTIFICATE NO. 38750 03-27-20-14 ......................... ...... .......... .................... PLUMBERS CERTIFICATION DATED Authorized Signature .... ....... FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. . . . . . . .Z 15.7.9 0.A. Date . . . . . . . . . . . . . . .May. ?6 19 8 7 THIS CERTIFIES that the building 530 Stillwater Avenue Location of Property . . . . .245. . . . . . . . . . . . . . .First Street . Cutchoque Huse No. Street * * ' * ' 'Hamlet County Tax Map No. 1000 Section . . . . . 03. . . .Block . . . . . .Lot . . . . . ,4. . . . . . , . . . Subdivision . . . . . . . . . X . . . . . . . . . . . . . . .Filed Map No. conforms substantially to the Application for Building Permit heretofore filed in this office dated J"ly. 3.4, - 19-a4 , pursuant to which Building Permit No. . . . . . 13350Z . . . , . . August 14, 1984 dated . . . . . . . . . , . . 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 . . , . . Pool and deck addition to an existing dwelling. The certificate is issued to . , PETE1 & THERESA BROPHY & MARY LOCINSKI 'oa�a�er,, , � . . . . . . . . . . . . . . . . . . . . . of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . N/A . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . N656794 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. . . . .215.7.91A. . . . . Date . . . . . . . . . . May. 26, 1987 . . . . . . . THIS CERTIFIES that the building . , deck. addition to existing dwelling. 530 Stillwater Avenue Location of Property24 . . , . , . . „ . . . . , First, Street„ Cutchogue House No. Street Hamlet County Tax Map No. 1000 Section . . . . 103 . . . .Block . . . . . . . .7 . . . . . .Lot . . . . . . .4 . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated June 19 , 1984 132412 pursuant to which Building Permit No. . . . . . , . . . . , June 20, 1987 dated . . . . . . . . . . . . . . . . . . . . . . . . . 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- one-family dwelling. The certificate is issued to PETER & THERESA BROPHY & MARY LOCINSKI of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . . . . . . . . . „N/A UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . , . „N/`A N/A PLUMBERS CERTIFICATION DATED: Building Inspector Rev.1/81