HomeMy WebLinkAbout1000-103.-7-32.1 -------------
` TOWN OF SOUTHOLD
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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
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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
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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:
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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
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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(�
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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
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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
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Town Hall Annex r %� Ej'1r;, r Telephone 631 765-1802
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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:
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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